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<s>[INST] I have been drinking several red bulls. Was recently told I had a heart murmor. Somtimes my eyes burn.also I have had very frequent uti since drinking them. Basicly I have realized I need to stop. Also having high blooid pressure. Will every thing return to normal if I do and the murmor I never had go away? I am 47 [/INST] Hi There After going through your query I Understand stand your concern. I would like to tell you that Red Bull contains Caffeine and excessive use of caffeine leads to high blood pressure and high Blood pressure can cause LV dilation or LV failure which results as a murmur.It's advisable to limit use of Caffeine n Caffeine containing products and personally consult a Cardiologist to evaluate the reason or Murmur. Get one ECG and an echocardiography done and see a cardiologist with reports for proper treatment of High BP and murmur. Hopefully this will answer your query. Kind Regards Chat Doctor. </s> |
<s>[INST] Hello Doctor, There are bubbles rising around my genital organ (M) Earlierly it was only one, and now there are around 6 to 7. The color is same as the one around the organ but bit shiny. They dont pain, neither secret any smelly fluid. But the no. is increasing.What is the reason for these and the cure? I am 24 yrs old, 5.9" tall, 57kgs. (I tried sex with a social worker 7 months back) [/INST] Hi, If you had unprotected sex - need to rule out sexually transmitted infection. If not it can be bacterial infection / fungal infection. Share a picture for conformation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. R. Raveen</s> |
<s>[INST] went to the ER with severe abdominal pain just below the sternum. Fells like theres something stuck there. They ran x-ray and ultrasound and found nothing. No gall baldder or ruptures. Im still in lot of pain as before and constantly feel like i need to use the bathroom for #2 but nothing. please help. [/INST] HI. Read the history carefully. There is a possibility of colitis and/ or enteritis. X-ray and ultrasound may not detect such problems at all. I would advise you to undergo upper GI endoscopy and colonoscopy if medical treatment does not help you. You may need an antibiotic and metronidazole and Sanitizing and supportive treatment to get a relief and cure. Use antispasmodic tablets to get a relief of pain</s> |
<s>[INST] I have a lump on my leg and the doctor just told me its was a gland with fluid in it and right above it was another gland and the gland that was bigger seems like its got smaller and the one above it seems like it has gotten bigger. Could the fluid just be draining up to the other glad or should I go back to the doctors?p.s. it sort of hurts [/INST] Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Varicose Veins with perforator Vein Lumps, which hurt a bit.or/ this could be Sebaceous Cysts caused due to the blocked sebaceous glands in the hair follicles. Other causes need to be ruled by Second opinion from a Surgeon or Dermatologists. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist</s> |
<s>[INST] For the last year I have been having WBC with diff done every 3 months due to a high WBC of 19,000. This count has fluctuated throughout the year, but never been normal, also no illness to account for. I do have symptoms of fatigue, petechiae (hands, arms, and chest-occasionally), HTN, and some diarrhea. EKG from 5 years ago normal, LFT normal, CMP normal, Rheumatoid normal, kidneys normal. Been to an allergist and told I do have even more allergies, but would not account for the high WBC. Sed rate slightly elevated. Please advise. Jen [/INST] Hi and thanks for the question, Chronic elevation of the ABCs deserves a more critical evaluation. In your case especially, the association with increased ESR, fatigue and petechial suggest exclusion of a bone marrow malignancy, especially a leukemia. A bone marrow biopsy might be compelling. Secondly, I would to suggest carrying out Anti-nuclear antibodies, HLA27 and autism antibodies for your symptoms are also very compatible with systemic lupus erythematous, which is an autoimmune disease. The symptoms as I said are very suggestive of a leukemia. An appropriate diagnosis is critical, for the setting up of an appropriate treatment plan. Delayed diagnoses my make the prognosis more faint. I suggest you book an appointment with the hematologist, to rule out a leukemia or any possible blood malignancy, and possibly systemic lupus erythematous. Thanks for your question and hope this helps, Luchuo, MD.</s> |
<s>[INST] I was born White(Wheatish brown).Now I have become brown in Complexion.This Happened for Lots of Reasons.How can i Get back Fairer as I was??.Suggest Home Remedies..Thank you!! [/INST] Welcome to Chat Doctor You need t apply sunscreen lotion of SPF 25 at least for protection from UV rays from sun. Try to avoid sun exposure. Use colored umbrellas for protection from sun. Eat fresh fruits and vegetables every day as they have antioxidants and vitamins that prevent damage to skin. Chat Doctor. Exercise every day for 40 minutes by brisk walking which is enough to improve blood circulation to skin and make it glow. If you have any pigmentation on your face that can be removed by many methods like bleaching creams, laser etc. Consult your Dermatologist to get further information.</s> |
<s>[INST] My dad is 86 with AF that is being managed with medication. He has had a recent blood test that shows poor kidney function. He has increasing symptoms of lethargy and is tired most of the time. In the last while his appetite has gone and in the last two days had an episode of diarrhea and vomiting with some stomach pain. Could he have kidney failure?. [/INST] HIT hank for asking to Chat Doctor I really appreciate your concern for your father the symptoms that you have stated here may be due to the infection and not the direct indication of kidney problem, but still in my opinion the infection part of urinary tract has to be ruled out, hope this information helps you have nice day.</s> |
<s>[INST] I have two questions: I am 74 years old and am scheduled for rectacele surgery in January. My family doc was hesitant to recommend the surgery. After talking with my Urologist, he gave me the choice of surgery or living with the symptoms. I had bladder suspension surgery in 2009. Is there some danger here that I am not aware of? I have opted to have the surgery based on my age and knowing that if it gets worse, surgery later on might be compromised by age and other factors that may or may not be present it at that time.Also, I am scheduled for a colonoscopy next week. Would it be advisable to wait to have the colonoscopy until after the rectacele surgery has healed? [/INST] Hi, You very well understand the fact that any surgery at this stage is considered risky and that is the reason you have been counselled in detail by your doctor. Colonoscopy is usually done prior to the surgery, hence it will be preferable to get it done now.</s> |
<s>[INST] What are the natural ways to check hair loss and alopecia, specially in the initial level? Everyone does not have lots of money to spend. For example - I am 28 year old female; I am not under medication; I am suffering from sticky dandruff and oily scalp and split ends; there is more hair fall and less hair growth. Is there any natural remedy? [/INST] Hi I understand your concern . Yes there are natural ways u can prevent hair loss . First avoid excessive hair loss for oily scalp take regular bath apply less amount of shampoo and soap avoid hair straightening and other parlor measures nutrition is very important ... like having salads, green leafy vegetables and proteinaceous diet .thank you</s> |
<s>[INST] i just found a lump in my groin area its very close to the inner leg joint so im not sure if it is a normal part of the body as i have another lump on the other side on the exact same spot but it is a little smaller. you have to push deep to find it and moves around freely esp when walking thankyou [/INST] Hi, Welcome. Based on the facts of your query-You seem to have normal lymph glands in the groin. And they become specially felt while walking. Hope this would help you to plan further treatment with your doctor. 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</s> |
<s>[INST] My son fell and hit his forehead a month ago. Huge lump, both eyes black, and a lot of swelling. Wasn t knocked out but sinuses affected but had a cold previous. Now after weeks he has a pointed lump at the site where he hit the metal. Is this normal?. [/INST] Hi, It seems that there might be having big hematoma following injury producing swelling and black eye. Now gradually it is reduced, and some collected blood is encapsulated. Apply ice pack for few days.Sometimes if not absorbed then aspiration with wide bore needle might be required. Ok and take care.</s> |
<s>[INST] My wife had a left temporal bleed in May 2012, she was put on Levipil 500 mg BD, she discontinued it in August of 2013 - she got her first and only seizure on the 17th of october 2013. At that time we were traveling and could not get levipil but managed to get eptoin - she has been on 100 mg of eptoin 3 times a day for the last week. On seeing a neurologist I was advised to taper of the eptoin and start her on levipil as it is a safer drug. I cannot risk her having another seizure as she has suffered severe muscle damage in her back and legs from the seizure and is slowly recovering from it. Would it be ok to shift her to levipil? [/INST] Hi, as you describe your doctor has judged correctly, and he is tapering the dose of option, and slowly introduce the level running both the Chat Doctor. In addition, you also avoid </s> |
<s>[INST] My name is Tamara. I am a 32 year old white female with class V membraneous lupus nephritis. I also have multiple comorbidities including compartment syndrome in my lower extremeties with gross edema. Recently, I have had boughts of severe swelling that results in massive water retention, to the extent of 40 pounds gained in less than a month. While kidney function is fine during this increase and I can eventually pull off the fluid with crazy diuretic therapy, after the output, it seems that all of my muscles from mid calf to ankle are now hardened and very tender to touch. I have waited several weeks in the hopes that the tissue would return to normal, but no avail. What could have caused this, what condition is this called, and is there any way to reverse this as it is very painful (I doubt there is in my experience *I am an RN whos specialty is Renal Transplant/Nephrology* ). Any information regarding this would be very much appreciated so that I can continue on this side. That you! Tamara. [/INST] Hi, Thank you for choosing Chat Doctor, Look mam you have pretty tough condition in the sense of medical ground, in my opinion such case needs team work, this could be chronic nephritis, I personally ask lots of investigations to come online of treatment and to know the prognosis, without this, it is not possible to come on any decision, you batter have words with your treating Doctor, meanwhile cut down the salt,take care of your self, Have nice day</s> |
<s>[INST] I am a 61 year old woman, and I am on blood pressure medication. 20 mgs of lisinopril, and 200 mgs a day of metoprolol. My blood pressure is high when I wake up in the morning always now. It runs 148/98, and remains high throughout the day. It only is normal a few times, but otherwise it stays high. Do you have any suggestions? [/INST] Hello, I suggest you monitor your blood pressure for a few days and then to go to the doctor, so if the values are high, he should give you other medications like Lercanidipine or/and HCTZ. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] Dr. Mild pain started below neck on C6/C7 a week ago. While I applied some ointment or Motrin it is subsided, yet reappeared after a day or day. I feel pain when I touch on the upper exterior of C6/ C7. However, I have no shooting pains on my hands or elsewhere. My routine is not affected that includes my daily exercises and walking. I can turn my head/neck at all directions without any pain. Nevertheless, while I stretch my right hand in particular to pick things in front of me, I feel dull pain at the side of C6/C7area especially to its right . I am not diabetic, my BP is between 70/110 - 120/80 all through. My weight is 147 Pounds and height is 171 CMS. What is your advise doctor. Well, I may consult a orthopedic in this regard [/INST] Hi, Thanks for your query. The herniated discs compress spinal nerves or spinal cord. Symptoms are experienced along the area of distribution/path of that particular nerve. This has happened at level of C6-C7 in your case. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Chat Doctor. 3. Methylcobalamin supplements are also recommended for nerve compression symptoms.4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 5. Hot fomentation helps in relieving acute symptoms. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care</s> |
<s>[INST] Dear Sir,I am 23. I am feeling pain in my stomach (left side) since last couple of days. Pain is not more but light. I would like to share hat days back around 2008 i had a pain in my stomach and i checked it and found Appendicitis. it was small in size around.2mm so doctor recommend me to take injection. I took that and felt relax. Now i am feeling same problem. so please recommend me that what to do now?i am quite afraid that whether i got that problem again?what is the probability of severity on this??I ll be grateful if you will give me some solution on that.Best RegardsDharmendra Tripathy [/INST] Hi Carmen Chat Doctor. It looks that you have got colitis. A proper history, clinical examination, investigations as per these findings alone can lead to a proper diagnosis. This is most important to lead to a proper management/ treatment. So visit a Doctor, preferably general surgeon. All you need is a 5-day course of antibiotic, metronidazole and supportive medicines, and you will be fine. Do not panic and do not think this as a serious problem.</s> |
<s>[INST] Thanks. I have had knee pain for about 2 months now. No blood clots found and no broken bones. After about a month of the knee pain I noticed a lump on the top left of my knee (left knee). The lump is soft and does not hurt to touch. Please help. What is goin on with me? [/INST] Hi! Thanks for sharing your health problem with Chat Doctor! After going through your problem of knee pain with lump on the top, I would like to consider following possibilities AS PER MY ROUTINE CLINICAL EXPERIENCE:1. Benign cystic conditions like bursa, ganglion cyst etc. possibility 60% 2. Inflammatory like synovitis, synovial herniation, patellar dislocation, synovial effusion etc., possibility 20%3. Benign solid tumor or tumor-like conditions like giant cell tumor, lipoma, neurofibroma, dermatofibroma, cysts possibility 20%Therefore, it could be a cause for worries in the future!. And you must confirm the diagnosis by ultrasonography and needle biopsy as advised by your doctor and thereafter discuss with him the possible treatment options.</s> |
<s>[INST] hi my name is juliaI have 2.5 yrs old boy he had temperature at 7pm 101.4f. I gave him 4cc chilren tylenolthen I gave him another dose at 9.15pm 4cc his temperature droped to96.7f and last one at12 midnight and his temp now is 96.4 ist ok he had a case of ceasure at age 1 [/INST] You can safely use Tylenol in the prescribed dose 4-5 times a day for a child who is running fever. However, it seems that you are using it even when there is no fever. Stop using it by the clock, and use it only if there is fever above 99.5 degrees F. Why did the fever occur? Most likely a virus, but it is safer to go to his pediatrician in routine hours within a day if possible. Use sponging as a tool to reduce fever - as your child had a fit in the past, don't allow the fever to rise beyond 100 F. I hope that helps. Best wishes.</s> |
<s>[INST] Hello, my grandma is 71 turning 72 in July. She is basically in the end stages of liver failure. She had a tube that was drain excess fluid but she pulled it out because she was frustrated. Now she has a chest tube that is draining all the fluid because her lung collapsed. Her voice was going away for the past couple days but now it is completely gone. Is this associated with the liver failure or is there another explaination? [/INST] Welcome at Chat Doctor !! I have gone through your case and being your physician I completely understand. Your health concerns... Based upon the history you have provided it is rather difficult to pinpoint the diagnosis since your grandma has the variety of issues. End stage liver disease do presents with loss of speech that is called HEPATIC ENCEPHALOPATHY grade 4...... It is the most common cause of loss of speech in chronic liver disease. Second probability is hypoxia leading to carbon dioxide retention leading to acid base imbalance that too provokes hepatic encephalopathy and also one of cause of loss of speech. You better take her to hospital so that appropriate workup has been done, and proper management should be provided to her. May she get well soon, if u still have any query feel free to ask anytime regards Chat Doctor. </s> |
<s>[INST] sir, fifteen dayes back i felt pain above right testicle. on ultrasound found.my prostate is 24grms and post void urine is 140cc.feeling burning sensation in urinary passage. my age is 64years.whether i have to go for long treatment or for a short period.height-5ft-6inch,weight-79kg,diabetic-but controled by diet. [/INST] Hi thanks for contacting Chat Doctor. Here you are having high post Vidal residual urine... Here according to report it could be prostate enlargement with infection.... You have to consult surgeon for per rectal prostate palpation and subsequent investigation. Urine also should be examined which will mostly will show presence of pus cells ... For infection antibiotic given with more fruit juice and more water..... After controlling infection if prostatic enlargement there biopsy or PSA done to reveal nature of prostatmegaly... Then accordingly treated like with that of tamsulosin or prancing... Consult surgeon for proper examination and treatment. Take care ....</s> |
<s>[INST] I have sharp stabbing pain in my upper left abdomen. It started Sunday night, I was uncomfortable no matter how I laid in bed Sunday night but the best was to lay on left side on a heating pad. Yesterday during day the pain was not nearly as bad while I was working but started up again after I ate dinner and has not ceased since. [/INST] Hello dear , welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different possibilities for this pain in left upper abdomen as @ Abdominal wall related as muscular. @ Intro abdominal left Hyperion Chat Doctor. @ Diaphragm related. @ Left lung lower lobe pathology as pneumonia, effusion or other. @ Referred from kidney as calculus or other. Hope this will help you for sure. Wishing you fine recovery. Regards dear take care.</s> |
<s>[INST] hi my name is ravi, i am 26 suffering from high SGPT since last four years, having treatment also, its ayurvedic treatment, but after having all sort of precautions also the results are unfavourable, as in am monitoring it for couple of weeks, the 1st week the result was 102, 2nd week it was 72 bbut the third week again it was 92.... i am very much worried as my job also depends on it, i am in merchant navy [/INST] Hi welcome to the Chat Doctor I need to know cause for elevated Sept level Don't try any self-medication for your condition Your following report should be done.... _USG abdomen _serum bilirubin estimation _Bag ELISA _CV ELISA _Serum cholesterol If you are having fatty liver or non-alcoholic steatohepatitis then Adílio can be prescribed, and low fat diet consumed So depending on because I can give further comment Hope your concern solved Take care</s> |
<s>[INST] Hi! I have extremely dry skin where my two butt cheeks meet, like in the crack of my butt. It itches terribly, and often leaves a burn of flakey dry skin in my underwear. I know that I have psoriasis on my scalp. I was just wondering if it can affect my butt cheeks and also my genital area? I ve had vaginal itch since I was young. Yeast infection medicines dont work, rarely will an anti-itch cream work. It was localized on one side of my vagina for 10 years and had since spread to both sides. My family doctor just says to use anti-itch, but I think there s a bigger issue or a better answer. The left (original) side had turned a darker color and is thicker. What exactly could be the issue? [/INST] Hello and welcome to Chat Doctor Psoriasis is a likely possibility as it can very well involve the body folds. Psoriasis classically involves the extensors like scalp, elbows, knee, shins and lower back, but sites like maxilla, groin folds can also be involved either together with the extensors or solely, where it is classically known as inverse psoriasis would advise that you see a dermatologist for a confirmatory diagnosis. Psoriasis in the body folds responds very well to topical steroids as well as topical immunomodulators like tacrolimus/pimecrolimus ointment. An OTC antihistamine once daily e.g. cetirizine would help you symptomatically with the itch. Regards</s> |
<s>[INST] I have a slightly elevated liver enzymes, very low vitamin d. My thyroid checks out fine. im fatigued, hair loss, dry skin. I also had a vaginal biopsy and they found hyperplasia . Is the liver enzymes and low vitamin d related. the doctor said not to worry about the liver enzymes. she put me on 50,000 units of vitamin d. [/INST] Hi, Thanks for writing in. Liver enzymes might be elevated due to disease and this can lead to reduced synthesis of vitamin D. It will help to know by how much your liver enzymes are raised and then treat any condition that is causing it. Since the doctor has told not to worry therefore I think the liver enzymes are not very high to cause a concern. However, you might have vitamin D deficiency and this requires you to take supplement. The pap smear showing hyperplasia requires discussion with the pathologist. Hyperplasia itself does not indicate cancer but might be a precancerous stage. You might vitamin D for now. Please do not worry.</s> |
<s>[INST] Hi... for the past three months i have been getting this rash on my face cheeks. They are like pimples but they are not infected. It gets worse right after I take a shower or wet my face anytime. If i describe them they are like bumpy, pink, and scaly. What do u think this rash can be? Please answer:) [/INST] Hi, According to your complaints it could be either acne vulgarism or hemorrhoid dermatitis. I would recommend you to upload the pictures of the affected areas under the premium section of the site so that I can have a clearer picture of the condition and can guide you accordingly. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] I have a sore lump (quarter size) on my lower, inside arm and I noticed it 4 days ago. It s getting no bigger but still sore. Should I wait a week after applying ice and taking anti-inflammatory to see if it goes away. It s mid way, between elbow and wrist on inside of arm. I may of hurt it but don t remember doing it. [/INST] Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst like Desmond cyst. Or you may have some soft tissue tumor like lipoma or neurofibroma. You should dot wait because it doesn't look like inflammatory lesion. You should go for fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.</s> |
<s>[INST] Hi I am 30 yrs old and my husband is 33. We are planning for a baby since 2.5 yrs . In Oct 2010 we got to know that i am having a cyst which was constantly present for 8-9 mionths and our gyn said that it might be a chocolate cyst and endo. So we had laproscopy done in Sep 2011 and after that tried for iui for 5 months but unsuccessful. Then our gyn said to go for IVF wherein we still are thinking as it is very expensive. We went to another doctor in March 2012 and she prescribed Lupron depot inj for 3 mths and I got my mensus in Aug 2012..I want to know what are the chances to conceive with endo and should i wait for sometime and try iui or what else can be done..please help..Regards Neha [/INST] Hi, As you have already tried 5 cycles of GUI after laparoscopy, it's better to try for treatment which gives better pregnancy rate which is IVF. As you have already received In Lu pron Depot for 3 months, it would have been better to go for IVF immediately after 3rd dose of Lu pron as it increases chances of pregnancy in IVF. But still It's not too late. You can go for IVF straightforwards or can again take Lu pron depot for 1-2 months & then go for IVF. IVF is definitely the best treatment for you. Wish you good health.</s> |
<s>[INST] hi i think im about 8 weeks pregnant, need to know what will happen next, when will my scans be etc, how can the doctors determine how far gone i am and what will happen if i go to my gp to see if i am pregnant [/INST] His have gone through your complaints.it's good that you are pregnant. Go for scan at 11-12 was.It's important to look for nuptial translucency .it's also important to define regarding pregnancy like dating, no of fetuses, viability etc.next important to evaluate for anomaly scan at 18-22wks. Have proper diet. Take iron folic acid tablets. Take Carthage youRegardsVasundhara</s> |
<s>[INST] I am taking diclofenac 50 as a post oral surgery pain reliever. I am 4 hours from my next dose of two tablets (recommended by my dentist). Pain has returned with considerable intensity. Is the any reason I cannot take some aspirin until I am due for my next dose? [/INST] Thanks for your query, I have gone through your query.You can take ChatDoctor. </s> |
<s>[INST] I have had a very bad cough of an on since Sept. It just recently got bad about a month ago. My Dr has been treating me for pnemonia and I have been on 5 rounds of antibiotics a shot of one and Im on my 3 rd round of steriods. I also got a shot of one in the office yesterday. My symptoms are getting worse and I started to have a sore throat n swelling of my face within the last 3 hours. Im wheezing really bad and my bp is 138/86 and pulse is 98 should I go to the er? I am very scared n shaking. I have had xray of chest and than yesterday a Cyst scan with contrast of my chest. I am very concerned and am just getting worse [/INST] Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Steroid Induced Facial Swelling with Asthma. Remedy-Recheck with your Doctor and review the steroid doses. More info on antibiotics for Pneumonia is needed to suggest on your current health issue of sore throat/ swelling and wheezing. More info on Cyst Scan is required to know why steroids are used in Pneumonia with 5 rounds.And to your query on ER visit? Yes, you should visit ER and check up for various possible causes for such a complaint, witChatDoctorplicated illness over last 1 month. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS</s> |
<s>[INST] my mom s blood pressure over the last hour has been very low, mostly the bottom number. the last reading was 145 over 64 but was as low as 51 on the bottom number. her question is should she take her blood pressure medicine as normal. She s kinda worried it may make it drop in the night too low. [/INST] Hi Welcome to Chat Doctor. I understand your query and concern. Yes she certainly needs to continue her blood pressure medications. Low number of the denominator need not be worry at the moment. All she need is good HY Chat Doctor. Reduction of daily salt intake to less than 6 gm/day will help. Monitor the blood pressure daily over 2 weeks to adjust adequate dosage. I advise you to have a baseline 2D echo and ECG on semi-annual basis for better cardiac assessment. Consult an expert cardiologist for further help. Post your further queries if any. Thank you.</s> |
<s>[INST] I have been experiencing cold rushes down my left leg from time to time. I do have five hyrneated discs in my lowerback for over forty years. When that happens my leg sometimes goes numb briefly, nothing has to be going on at the time that happens. I had hip surgery on my right hip three years ago with a replacement hip. The problem with my leg is with my left leg and started after the surgery. It causes no discomfort at this time but, Im just wandering if this is a precusor to what may be to come.I am a sixty- six year old woman, retired and in fairly good health. I am a make up of many cultures.and tat [/INST] Hi, thanks for writing to Chat Doctor. Your problem in the left leg is no way related to your Hip replacement surgery of the right hip. As per the description, all your symptoms suggest a degenerative disc disease of the lumbar spine witChatDoctorpression of the neural elements. The conservative management of degenerative disc disease is as follows -* avoid lifting heavy weights as it imparts more strain on your back* avoid forward bending activities as it will worsen the disc protrusion* Use a lumbosacral back support to augment your spinal muscles* Intermittent pelvic traction to cause a regression of disc* Maintain optimum body weight, if you are obese* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.* Judicious use of analgesics and muscle relaxants. If all these measures fail to provide you relief, then surgical decompression may be an option. Hope this information is helpful. Good day</s> |
<s>[INST] hi. i m 26. for past few days my mouth is notopening fully. i had pain in my gums n look like dey r swollen. may b wisdom tooth is formating. i dont consume tobacco or smoke . n it all started after i start dieting . i eat less than before. i also take herbal pills of active fibre. i just want to know what is wrong with me [/INST] Hello Welcome to Chat Doctor I went through your history & it suggests that you are suffering from Peritonitis i.e. inflammation of periodontal tissue before eruption of third molar. It occurs due to food lodgment & bacterial accumulation in that area. Its Symptoms are:- -pain -swelling -difficulty in mouth opening -fever -malaise -regional lymphadenopathy Get an IOP AR done & consult your dentist. If flap is interrupting in its path then go for flap removal i.e. operculumectomy. Otherwise, if sufficient space is not available then go for extraction since it is vestigial & has no role in mastication. For temporarily relief do warm saline rinses 3-4 times a day. Start with Tab Amclaid-625 twice a day along with Tab Aerosol -SP thrice a day for 5 days. In Case of gastric problem take rabeprazole-40 mg once daily. Your herbal pills won't be of much use. Do Betadine gargles twice a day. Take Care Regards Chat Doctor. </s> |
<s>[INST] I have been a ocd sufferer for over a decade now i did not know of it for many years but later on underwent therpy for close to 2 yrs i was prescribed F-tin along with certain occupational therapies And it helped to certain extent but came a time when i realised that no pill is cut out for my specific forms of symptoms & i stopped Now the prolem is that though i am aware of my problems but can not help much Actually its hampering my studies by making my productivity low I have been trying a lot but pl tell what should i do as per your insight [/INST] Hi, I can understand your distress and concern, specifically since you are able to attain much benefit with treatment. OCD can be occasionally difficult to treat, but with right approach, can be dealt with effectively. Had I been your treating psychiatrist, I would have considered treatment with medications from selective serotonin reuptake inhibitors (SSRIs) like fluoxetine or sertraline together with behavior therapy in form of exposure and response prevention. Depending on the initial response to the 1st medicine tried, further course like adding clomipramine or an atypical antipsychotic like risperidone, etc. can be tried. You can discuss regarding these option with your psychiatrist. I am sure that with adequate treatment, you will respond well and get better. I do hope that I was able to answer your query. Best wishes for a speedy recovery.</s> |
<s>[INST] Hello Sir, My new born baby is 10 days old. He got operated for Colostomy, his anus was absent when he was born. So they operated and made gap in side stomach. We also tested his Kidneys and before operation. They his kidneys are working 80%. He has Cyst in his kidneys. Is that curable automatically ?. Is that something we need to do now or later stage.? Please explain about this. Thanks, Shyam. [/INST] Hi...this needs to be decided only on regular follow-up ultrasound scans.n In future he will need MCU and DMS scans. As of now if the urine output is normal - you need not worry. In future, he needs regular follow-up scans. Regards - </s> |
<s>[INST] Hello... iv rashes on my face n neck almost 5 days now, and its really itchy. My eyes are swollen. I ve done blood for lft n blood for r/examination,all are normal.my doctor prescribe ursokem-plus n litina- a Bt still no improvement..so please help me what really is it [/INST] Hi, Are you applying any over the counter face cream? Steroid containing over the counter creams may cause redness and rashes on face. Allergic reaction to hair also may present with swollen eyes. Superficial bacterial infection of skin such as erysipelas can also cause similar rash. So, I request you consult your Dermatologist for arriving at a final diagnosis and for initiating the treatment. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST] So my boyfriend and I were messing around. We had a condom on, and I was on top (Sorry for information ). However, he had already ejaculated... he still had that condom on while I was on top on of him. There was No penetration throughout everything . I was just like rubing the outside of my vagina on his penis ... now my period is late. Almost a week.... Could I be pregnant? Please help... [/INST] Hello dairy understand your concerned have non-penetrative sex and used condoms rubbing of the penis with condom on it does not cause pregnancy. To become pregnancy penetrative unprotected sexual intercourse in the fertile phase of the period is required. So there is no chance of the pregnancy. Your period can be delayed due to hormonal imbalance, ovarian dysfunction, excessive stress, change in lifestyle and dietary habitat for the period for next 4-6 days. If period will not come then consult the gynecologist and period can be induced by the progesterone pillMeanwhile avoid stress, take healthy diet, Chat Doctor. </s> |
<s>[INST] 42 yr old, female, Wt= 57 kg, Ht= 5.18 ft no positive past medical history used to wear shirts tight in axilla for a while just a couple of years ago, I have got hyperpigmentation on anterior border of my axillae, I use alcohol free roll on or spray. How can I treat my Axillary hyperpigmentation? [/INST] Hi............. axillary hyperpigmentation can occur due to friction with tight clothing(as mentioned by you)Even the use of deodorants and antiperspirants can cause it waxing.shaving, or hair removal creams can cause IIT can be post inflammatory after a bacterial or a fungal infection To treat this peeling- TCA peels or glycol or mixed peels can be done apply segmenting creams like comic acid or glycolic acid or HY Chat Doctor. Deodourants and sprays should be avoided.</s> |
<s>[INST] My husband is 36 years old.he smokes 4, 5 times a day.his sperm count is 100 percent but his sperm motility rate is 50 percent only.is this motility rate okay?we have not been able to conceive for the last one year.my all reports are fine.Mona Sharma age-32 years [/INST] Hi, Normal sperm motility is considered to be greater than 50 percent. When the motility falls between 25-50 percent on a single ejaculate, this may not reflect a real problem. When the motility consistently falls below 25 percent, the chances of a problem are much higher. When the motility consistently falls below five to 10 percent, the chances that fertility is normal is highly unlikely. However, you should not worry as your husband has sperm motility of 50 percent which can be taken as normal.</s> |
<s>[INST] My father had right sided Brain hemorrhage and was operated for SDH and ICH because of fatal road accident. He is taking Leviteracetam since that accident and at present he is recovered well except some problems with memory. He is having some hallucinations and psychiatric behaviour, does leviteracetam causes such side effects?? In our last meeting with the neurologist, he had started Oxcarbamazepine. Current Medications : Leviteracetam 500 mg BID Oxacarbamazepine [/INST] Hello, I have gone through your query and understand your concern. It is very difficult to predict these symptoms like memory loss, hallucination and psychiatric behavior whether due to Hemorrhage or Levitaracetam.A few people who take Leviteracetam for any condition (may experience depression, suicidal thoughts/attempts, or other mental/mood problems. Brain hemorrhage also cause the similar symptoms even after recovery. In brain hemorrhage, the complete recovery is very rare, and the patient may have symptoms occasionally or regularly.Thus, to find the cause thorough neurological examination is vital. If the neurological examination is normal, then switch over to other Chat Doctor. Hope this helps. Please write back for further queries. Wishing you good health.</s> |
<s>[INST] CT scan chest and whole abdomen (non ionic)axial images were obtained after contract injection obtaining biphasis images in arterial and venous phases. Oral contract was also given.CT SCAN CHEST:There is evidence of diffuse areas of interstitial thickening in both lungs showing scattered distribution with pan lobular involvement. There is also interstitial nodularity and also discrete separate parenchymal nodules in both lungs measuring subcentimeter and less in size. Findings are consistent with lymphangitic carinomatosis and mestatic pulmonary nodules.No infiltrate, mass or consolidation seen in either lungNo evidence of pleural effusion.No evidence ofbilar. mediastinal or axillary lymphadenopathy.The vascular and bony structures are normal. [/INST] The report suggests that there is a disorder with involvement of the interstitial (supporting structures of the lung) along with a few polarities in the lung parenchymal (substance). The diagnosis of lymphangitis carcinoma to sis would suggest that its secondary to some malignancy. The primary malignancy needs to be found out.</s> |
<s>[INST] My 33 y.o. daughter woke with severe upper abdominal pain, frequent urination, burning in her stomach that radiates to the back and pain upon swallowing. I realize we need to see a physician but I was hoping for a little insight as to what this might be. At this time we have no transportation and young children that need tending. Would you please let me know what we could be facing? [/INST] Hello, The symptoms may be due to urinary tract infection. In this situation I would advise my patient for urinalysis and urine culture and sensitivity. If there is evidence of infection than a course of antibiotics will be prescribed. Antispasmodic alone will do to manage the pain if there is no infection.</s> |
<s>[INST] Hi, my blood Calcium has ranged from 10.1 to as high as 11.4 over the past 10 years. I have had PTH and Calcium drawn today with PTH of 17.2 and Ca of 10.3. Lab results for my recent physical support otherwise healthy. Endocrinologist insist that I have a cancer somewhere, my kidney doc tells me not to worry about it. Am I dying? Last creatinine was 1.4, wbc 7.5, rbc 4.88. I take blood pressure meds but have been taken off of any hydrochlorothiazides. Blood pressure is well under control. Help me! [/INST] Dear, there is very mild elevation of calcium, I can say negligible. Since you are hypertensive very mild changes have occurred in your kidney which lead to mild elevation of serum creatinine and possibly calcium. There is nothing to worry, and please do not think of cancer and enjoy. Truly,</s> |
<s>[INST] I have a painful lump on the right side on my buttocks just inside the crack. I ve had it once before and used iodine on it to help it go away. Surgery is not an option for me as I do not have insurance. What exactly can I do to get rid of it. I cannot function like this? [/INST] Hi, dairy have gone through your question. I can understand your concern. You may have some perianal abscess or fistula. You should go for examination. If abscess is there then go for incision and Chat Doctor. If fistula or piles are there then it needs surgery. 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.</s> |
<s>[INST] Hello Doctor My child having 3years suffering from frequent fever from 15 days due to swollen glands on the neck .our doctor prescribed us delcon plus , new deletusP syrups and nutocef50 tablets ...is this a proper prescription even though he is getting fever for every six hours severely..please prescribe proper medicine. Thank-you Swaroopa. [/INST] Hi... Recurrent fever with swollen glands in the neck for the past 15 days could be ABV infection or otherwise called infectious mononucleosis. It is a self limiting prolonged viral illness. Rarely it can cause complications. I will suggest you how a viral illness behaves so that you will be more confident. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - </s> |
<s>[INST] I am 34 years old I have a acidity problem for last 6 years I have used lot of medicine but stil in a same position I lost my weight also I did my ultrasound test report showing that my liver is little bit big and lot of gas in my stomach and lower part of the abdomen . When I use medicine I am feel better and when I stop to eat medicine it starts, kindly advise me medicine . [/INST] Dear .... Many thanks for the mail. A slightly big liver usually does not mean anything serious unless the liver function tests show some abnormal readings. So an LFT needs to be done. Like wise ultrasound evidence of gas in the stomach also does not mean anything. You will require an endoscopy test if not already done and I need to know the report. If you feel better while you take medicine denotes that you have some acidity problem. I suggest you continue the same medicine till you send me the reports I asked for. Taking these medicines for a long period of time will not cause any harm. Rgards</s> |
<s>[INST] Hi, may I answer your health queries right now ? Please type your query here...hi doc, I m trying to get pregnant since 8 months. The doctor prescribed me complete blood picture and total scanning. Blood test including thyroid, hemoglobin,harmones etc came out to be completely normal. The scanning showed bilateral mild cyst. My periods r also irregular and I m overweight by 15 kgs. One more blood test during periods is prescribed , can u pls provide details of it [/INST] His have gone through your complaints. Overweight, irregular periods and bilateral mild cats indicate polycystic ovarian syn Chat Doctor. They might be thinking to assess FSH/LH levels. Try to reduce weight. Have Regular exercise .as you are saying you're all blood reports normal, hope your blood sugar also normal. If SOS is confirmed the best thing is </s> |
<s>[INST] How is it that a medical expert could use the 1990 ACOR criteria for Fibromyalgia in July of 2009, when was the preliminary available? I don t have any money, I am now disabled and not working, I need help and some answers. Is this questionnaire set up to help or to make money? Sorry about the attitude but I am tired of trying to find the truth about my case and because I am unable to make the living that I once made because of the Fibro, I am left in the dark. [/INST] Hi, thank-you for providing the brief history of you. A thorough clinical Musculoskeletal assessment is advised.a little knowledge about the fibromyalgia is needed. Fibromyalgia is a condition where the pain is in the fibers of the muscle. Each muscle is composed of multiple muscle fibers and inflammation happening there will lead to the dysfunction in the circuiting of the muscle fibers to produce the contraction and relaxation. Also to understand here that the medication is a symptomatic relief and not a long term solution as the body is a medicine of its own and medication used acts as a supportive therapy to allow body to heal on its own. Also, in my clinical practice most Fibromyalgia cases we recommend physical therapy, meditation and breathing exercises. As physical therapy will help improve the muscle refunctioning and also improve the metabolism and immune system to reduce the inflammation. Also, Therapeutic ultrasound therapy and TENS therapy have been useful to reduce the pain, but importantly exercises are the choice. Meditation helps improve the control over the anxiety and leads to cooling of aggression. Breathing exercises helps to improve the oxygen carrying blood cells which acts as a fuel in the metabolism and reduce the metabolic waste as well. RegardsJay In Chat Doctor. </s> |
<s>[INST] My grandson has to have a liver transplant,he is having to have all his injections within the next 8 weeks because when he has the op he will not be able to have them, he is 9 months old and within the next 8 weeks he will be on the transplant list, my grandson and my son and partner were at kings college last week for three days digusing all that was going to happen, my son has put his self forward as well to be a donor for his son which is my grandson which is a scary for me to think about as i do worry about them both, is this operation safe for them both i know if ralph dosent have it he will not be here but just need to know as my son only tell me what he thinks i should knowCan you please answer these questions for me thankyou [/INST] -Hi and welcome to Chat Doctor. Thank you for your quarry. This is complex surgical procedure, very complex. But it is very safe for donor and less safe for baby. If your son is in good shape and health then he will recover very soon after transplantation. Transplantation is obviously the only possible treatment for your grandson, so I am sure that you can ignore all possible risks of surgical treatment and give your best. Hope I have answered your query. If you have any further questions I will be happy to help</s> |
<s>[INST] I have notice very slight traces of blood on the toilet paper after my 4 yr old son has a BM. It is not every time and it is slight. It has been inconsistent over the last month. Stool does appear pretty hard. No trace of blood in or on the stool. I plan to speak to our pediatrician next week when we are there for a flu shot. Should I be worried? [/INST] Thanks so much for consulting in Chat Doctor. Your son has usual problem because his stool is very solid, don't worry, but pay attention to his anus, it seems he has fissure there, it looks like as scratch in red color, you can give him call suppositories 1 CBPP before night per rectum 5 days for healing, also you can do oil enema- 10-15 ml usual sunflower or olive oil after bowel movement, but he should lay in the bed 15 min for resorption. Please start to give him boiled blended beet roots with a little salt, garlic or onion and sunflower or olive oil for laxative effect. In addition, you can give him carrot and beet roots, orange fresh juice, apples, more fiber food and raw vegetables-tomato, cucumber, he should Chat Doctor. </s> |
<s>[INST] Hi,Im a 30 year old woman, Ive always been healthy but I have this problem since my 20s. Whenever Im nervous, anxious, emotional, really unhappy about something or really happy about something, I start sweating, my chest and neck become very hot and red blotches appear mainly in my chest very rapidly. Is is very disturbing in social situations. What can I do to solve this problem? Thanks [/INST] Blushing is a common reaction. It may be a part of social anxiety disorder or social phobia. If blushing, sweating, along with possibly tremors or stuttering occur when you are in a social situation; you may seek the help of a psychiatrist. The other features of social phobia which you may be having are:1) Fear that people will evaluate you/ judge you negatively when you are in a social situation. Such fears are more likely in public speaking, talking to a crowd, or meeting many people at a party or social gathering.2) Many people have symptoms described in 1) above. But they should be severe enough to cause limitations in your functioning. Or you find the anxiety so severe that you avoid situations completely. This then leads to further social problems.3) You think this fear is excessive, but seem to have no control over it. There are medications as well as Cognitive Behavioral Therapies (CBT) for dealing with social anxiety. The disorder is sometimes almost a part of your personality, that it stays throughout life. However, medications or psychotherapy will help you deal effectively with the symptoms. Do seek a psychiatrists' opinion on it.</s> |
<s>[INST] I have a metallic taste in my mouth that started 2 days ago, along with:abdominal bloating - 1 year constipation-1 year on and off joint pain (mainly in knees and ankles) - 6 months tingling in right arm - 6 months unable to loose weight - 2 months tired all the time - 1 yearI am a 34 year old female, 5 foot 7 inches, and weigh 205 pounds. I had all bloodwork done in February 2011, along with abdominla CT scan and echocardiogram, that all showed that I was fine. [/INST] Hi. Some tests are already done, and you say they are normal. Yet you have Metallic taste-this can be due to intestinal infection or medicines. The Bloating, Constipation Should be investigated by CT scan again to rule out Gastrointestinal Cancer or Tuberculosis. Joint pains and tingling in right arm have to be investigated by Thyroid tests and RA Factor and Calcium tests.</s> |
<s>[INST] Hey there I ve been having these slight heart burns for two weeks after taking mdma mixed with weed & a little bit of alcohol & I was wondering If I am gonna recover from this? Parts of the day I feel normal & then the heart burn creeps up on the random. I feel lost, no sense in reality, low energy, & I start to get quiet. Most of the say I feel like im dieing slowly. [/INST] Hello! Thank you for asking on Chat Doctor! Coming to this point (facing your actual complains and overall clinical scenario), I strongly recommend you to consult immediately the nearest ER service in your living area, as those cocktails (MDMA, weed, alcohol, etc.) are very dangerous for your health, especially for your heart. They may exacerbate form mild blood pressure fluctuations, to serious arrhythmias, sudden heart attack, and even cardiac arrest and death. So, do not lose any more time, but ask medical help, to undergo a careful physical exam, resting ECG, several lab tests (like complete blood count, CK-MB, troponin, AST & ALT, renal function tests, blood electrolytes, etc.), and rule out serious health conditions, as well as start an appropriate therapy for your health status. I strongly recommend you to avoid having such dangerous substances in the future, to protect your health and life. Hope to have been helpful! Greetings! </s> |
<s>[INST] I am experiencing a right side dull pain in my temple and at times sharp. My right side cheeks and face feels kinda tender when touched. I know I have been experiencing headaches and neck pains as well. Im just concerned due to a previous aneurysm on right side in back of my head lower to neck. [/INST] Hello, I can understand your concern. It is logical that you can assume it to be aneurysm again as you have had it before. However, if it was aneurysm, you should be feeling symptoms like pulsations, numbness over the area etc. What you are experiencing is a sharp and dull pain episodes in the cheek area which seems like pain from infection of the oral cavity or due to sinusitis. It could also be pain related to Trigeminal or Facial nerve. I would advise you to visit a dentist for examination of the oral cavity to look for presence of infection in the area. If dentist clears you for any loci of infection, an ENT specialist or physician can examine you for sinus or nerve related problems. By the time you see a doctor, you can take Ibuprofen 400 mg or Motorola 10 mg up to thrice day to have relief from pain. I hope this information helps. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,</s> |
<s>[INST] Hi, and thanks for checking up on me. I have not yet figured out why I cannot move in the daytime, but in the dark and at night I can. I considered hemochromatosis, but the symptoms don t really fit. I have started an herbal tea medicine to work on the bone marrow, and it seems to be very slowly improving. But I still can t explain why it happens in the first place. Thank you for your help. It is very appreciated. - elaine silverman [/INST] Hi Elaine, Thanks for asking. Based on your query, my opinion is as follows.1. No, hemochromatosis does not cause difficulty to walk. 2. I am not sure if it is anything related to hemochromatosis as you can walk at nights and not in day. Are you able to move your limbs during daytime? If you are able to move any of the limbs, then you will require psychological support and counseling.3. Routine hologram along with serum iron investigations will give a guide on hemochromatosis. Liver biopsy can confirm it. If more details are available regarding investigations and clinical history, I can be more helpful. Hope it helps. Any further queries, happy to help again.</s> |
<s>[INST] hi my name is Ashish and I am a student.I having some problem in my head. my mind is always go out of world thinking useless.I cant stop even if i want due to over thinking my head from back start paining.This always happen when I am not doing anything or when I am studying.If this is a kind of any disoder or dieases then let me know.I forgot to tell u that sometimes thingking in nights do not give me good sleep [/INST] Hi there! Mind is not vacuum, it cannot remain empty. Being young, you have a lot of energy, please channelize it in proper manner, please do at least 30 mins of any aerobic exercise, not only for physical fitness but also for mental peace, it releases happy hormones. Please form list of goals, short term and long term too. Keep the track of every hour may be at least 6-8 productive hours a day in Excel sheet, to know what you did in that hour. Have half glass of hot milk an hour prior to sleep, this will ensure good sleep and will boost generalized wellbeing in you. From the information what you have given i don't feel It's something serious to worry., but please consult a Psychiatrist/Counselor if you don't improve with above measures.</s> |
<s>[INST] Hi, may I answer your health queries right now ? Please type your query here... Yes, I have a 6 yr old daughter that has an irregular heart beat when she sleeps, is it normal. She seen a cardiologist when she was 2 yes old and was diagnosed with vasogeal syncopy. [/INST] Slight abnormal with respiration is normal, otherwise visit again to cardiologist, get ECG, 2d echo report, it may require treatment</s> |
<s>[INST] Hi I have a question for you.I have hep B and am very Jaundice also Liver disease , yet not sure yet how for the liver is gone yet. I wanted to know what foods or drinks are healthy for these problems? I ve been eating alot of steamed vegetables,whole wheat,crackers,oatmeal,bananas, apples and lemons including the peel.Thank you in advance for any information you can provide me with.. [/INST] A liver disease diet for viral hepatitis includes:In viral hepatitis as such no special diet is required so do not follow restrictions by yourself. If doubt ask your Gastroenterologist. High carboy Chat Doctor. </s> |
<s>[INST] Dear Doctors,I live in The Netherlands. A friend of mine has gangrene fingers and the doctors do not know what it is so they are not sure how to stop it spreading before they amputate his fingers. I am trying to find a gangrene specialist. Preferably in Europe but otherwise anywhere as my friend is willing to travel to see a doctor they has more expertise knowledge. I have not been able to find any specialised doctors through Google. I am approaching you to ask if you can recommend a doctor/specialist/surgeon.Kind regards,Sarah [/INST] Helloi appreciate your concern in my opinion it could be thromboangitis obliterensif he is smoking tell him ti quit smoking immediately advise him to take tab ibuprofen as anti-inflammatory Chat Doctor. </s> |
<s>[INST] hihiFrom last one and half year am trying to get conceive... but still got not any positive result ..Done every test likr HSG,Hysteroscopy,thyroid profile, also done husband test...that all tests are normal.... Last month once again done Prolactine level,thyroid profile and AMH Levels test done, In that prolactine levels and thyroid stimulating hormone are high so how to move further on this... Please advise me on this [/INST] Hi, The cause of your infertility is hormonal as is evidenced by the high levels of Prolactin. You should see an endocrinologist and get further management to attain normal hormonal status. Meanwhile, please maintain a healthy weight, healthy diet and regular exercise. Do not go for ovulation induction prior to achieving normal hormonal status as this may not be successful. You would need Chat Doctor. Hope you find this information helpful. Take care.</s> |
<s>[INST] Every now and then...every other week or so....i have a knot that shows up right next to my spine and it itches....in my lower back....by the end of the day it is gone....what could it be? [/INST] HI, Dear,Thanks for the query to Chat Doctor. I understood your concerns about the shin lump. In my opinion its -Urticaria-CIU (Chronic Idiopathic Urticaria)Treatment-a-Take opinion from your ER physicianb-He would do Blood test for eosinophilic / Stool for the worms and amoeba. Hope this would resolve your worry. Hope this would help you to plan the treatment with Your family doctor. Wishing you early recovery. You are always Welcome for further query to Chat Doctor in this regard. Have a Good Day...!!</s> |
<s>[INST] i am needing to take a deep breath yawn like breath every minute or two. its getting irritating and cant sleep that good. Im 21 years old and this has been happening for the past 4 days. I breathe ok but every minute i need or have the urge to breathe deep and cant seem to breathe deep sometimes. [/INST] Hello As you explain the history probably, a stress situation might be the cause. Regards </s> |
<s>[INST] I am 6 1/2 months pregnant. Woke up this morning having chest pain. I didnt pay mind to it and continued with my day. Afternoon I took two Tylenol thinking the pain would go away and it hasnt. The pain is my dead center chest, in between my breast. Feeling like I cant breath. Like my chest is Caving in and someone punched me there a few times. What is it????? [/INST] Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. But better to rule out cardiac chest pain first. So get done blood pressure monitoring and ECG. If both these are normal then no need to worry about heart diseases. Apply warm water pad on affected areas. Avoid movements causing pain. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s> |
<s>[INST] I have a swelling on my ankle above it a few inches up is a round circle about the size of a dime with a plus sign in it. It. Isn t painful but weird looking. I also have what one Dr. Believes is Baxters nerve in the same foot. Extremely painful and then goes away then comes back. [/INST] Swelling on ankle joint is quite common it depends on your lifestyle and working nature to rule out stressful bruises sometimes leading to swelling at ankles my advice for you is to do regular small work-outs between your work sitting for long hours can also cause ankle joint swellings I hope you will recover well Baxter nerve is just a medical condition don't worry about that</s> |
<s>[INST] Hi.. i had my Hestroscopy 4 months back and my both the tubes were blocked but now they r opened. my doctor gave me lezra2.5mg tabelets which i took on 3rd day of my cycles and finished on 7 th day .. total 5 tablets and then 4 HMG 75massone injections for for days, injection each day and then a one day gap and on 11th day of mensus i had IVF-5000IU two injections. now are they hope for me to get pregnant ? I am 26 years old and my weight is 70kgs and my height is 5 feet and 8 inches [/INST] Hi, I think there is a good chance of pregnancy if you had got even one follicle. Injection must have been given to rupture the follicle. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test after that. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. </s> |
<s>[INST] Doppler Scan reports Report in the case of female aged 50 reads as follows.: 1)Liver enlarged in size (167mm) with diffuse increase in echotexture - No focal Alteration in echotexture. Intrahepatic biliary radicles appear normal. Common bile Duct is normal in calibre. Portal and hepatic veins appear normal. Request Your comments and advise. [/INST] Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. Enlarged liver with diffuse increase in echo texture is due to fatty liver. This is a condition in which fat gets deposited in the liver. Check your blood glucose and cholesterol levels. Reduce weight if obese and avoid alcohol. Get a liver function test done. I hope that answers your query.</s> |
<s>[INST] I have had severe right side pains that have been going off and on since yesterday, but tonight they have been pretty unbareable. I have taken Ibuprofen at 9:30 and again just now. I have no swelling and no fever, just pain...I am guessing in and around the 11th and 12th rib. Pain seems to be mainly in the back. I feel better when I stand up, however around 12:00 this morning I took a warm bath and followed up with a warm shower and pain was gone completely! I was able to sleep till now where pain is back, same place and is a dull stabbing pain. Looking at symptoms could this pain be kidney stones? [/INST] Hello, I read carefully your query and understand your concern. The symptoms can be related to kidney stone. I suggest doing an abdominal ultrasound for further evaluation. Meanwhile, I suggest using a plasmolytic such as Tuscan to relieve the pain. Warm compresses can also be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. </s> |
<s>[INST] I have been told I have bilateral renal cysts. nothing has ever been done about them, but for the last moth or I have had pain all throw out body includeing to the tips of my fingers. this happens prior to voiding of which I have no control. could this be do to the cysts ? I also have very sharp pains off and on in the lower left back gem18@ [/INST] HelloMostly simple renal cysts are asymptomatic, and it is an incidental finding. It may cause symptoms if there is increase in size or infection inside the cyst. Pain may be due to many other reasons like urinary tract infection, musculoskeletal reasons etc. Your condition need proper clinical examination and further investigations. X-ray of L/S spine and urine RE/ME, C/S should be done. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. </s> |
<s>[INST] My six year old daughter is complaining that when she looks at words or objects in the room that they are shaky and move around. Having some trouble reading. That is used to happen earlier in the week once in a while and now it s happening a lot. Should I take her to her pediatrician or eye doctor? [/INST] Hi... I suggest you take her to pediatrician first. It might be an initial manifestation of learning disability too. Once medical problems are ruled out, you can opt for ophthalmologist. Regards - </s> |
<s>[INST] I had mirena inserted a littles over 3 weeks ago. I ve had some minor on and off cramping which I know is normal. However, since Monday I have been experiencing severe sharp pains in my lower right abdomen . Usually in the morning shortly after getting up. I have an apoinment with my obgyn Monday to have the mirena checked. Is it okay to wait that long of should I seek immediate attention? [/INST] Hallow, I fully empathize your sufferings. Mirena is an intrauterine device. When with IRENA in you start getting severe pain in abdomen, the cause could be:1. The uterus cannot get adjusted with it and is trying to throw it out. This is more commonly observed in women without any previous pregnancy.2. There is infection in the uterus and the device.3. The device is trying to perforate through the uterus. You will have to report to the Gynecologist at the earliest. Ultrasonography/X-ray can reveal about the perforation aspect. Rest two will have to be evaluated by the Gynecologist by clinical examination. You may have to get the device out if it is not tolerated by you. If there is infection, you may require a course of antibiotics. I hope I have guided you with sufficient information.</s> |
<s>[INST] Hi, what is the name of the muscle/tendon/ligament/structure that is very thin on either side behind the knee. You can feel it. I have pain there and felt it pull a few weeks ago. Now I also have pain in front of the knee but this was the start of it so I m wondering what it is. [/INST] Welcome to Chat Doctor I have gone through your query and understand your concern. These structures are called hamstrings. These are semitendinosus and semimembranosus. For pain, you can take analgesic such as ibuprofen. Vitamin B and C help in recovery. For details about injury you can get MRI of knee joints. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.</s> |
<s>[INST] I ve had a white coating on my tongue that tastes chalky when I scrape it off for 2 months at least. I ve been through all the tests and have been told that the culture result shows definitively no sign of yeast or strep bacteria, both respiratory and oral smear. I went it after noticing my breath was not good. I have a PDA so I have very strict oral health. I was on antibiotics for many years, 100mg Doxycycline 2x daily for acne. The initial thought was thrush. It is not the case. My boyfriend now has it, he developed it about 2 days after the bad breath. The white does scrape off and looks a bit like shaggy white carpet. [/INST] Thanks for your query, I have gone through your query. The white chalky coating on the tongue can be because of the food debris, or it can be because of hyperplasia of the papillae. Nothing to be panic consult an oral physician and get it evaluated to rule out hairy leukoplakia. The bad breath can be because of the gum infection secondary to deposits, or it can be because of the food lodgment secondary to decay, or it can also occur in respiratory or gastrointestinal tract diseases. Consult an oral physician and get all this thing ruled out, get your teeth cleaned and use mouth wash like chlorhexidine. Once the cause is found out consult respective physician and get it treated. I hope my answer will help you, take care.</s> |
<s>[INST] hello dr. iam 27 yrs old my height 5 4 , weight 44kgs my uterus size is normal, endometrium at the ruptured time i 8.5mm.right overy size 23.20.20 and left 18.17.17 can i get pregnency or there is any problem i married 2 years back.plz give me the answer. [/INST] Welcome to ChatDoctorRead your prob, your endometrium n ovarian size is normal. If you want to be pregnant then you should do intercourse at 12th to 18th day of period. As ovulation occur eat this period. If you success get blood test for gonadal n thyroid hormone, USG for follicular study for rule out the cause then consult with your doc n start proper treatment.</s> |
<s>[INST] Okay so the past two months I have missed my first birth control pill, I finally got back on track this month and I am 10 days into the packet. I had intercourse last tuesday and have been feeling more than off. Nausea, fatigue, headaches, slightly sore breasts, cramping, a bittle bit of being emotional, dehydrated. Just all out deeling horrible. Ive taken pregnancy tests but I feel it could be too soon. And would I be feeling these pregnancy symptoms so soon after? Also, could it just be that I am finally back on my bc regimen? [/INST] Hello, Thanks for writing to us. Irregular intake of birth control pill & unprotected sex close to your fertile period or ovulation day (occurs 14 days prior to due date) are quite risky for being pregnant. In this case, I suggest you to undergo one home pregnancy test if you miss your next period. Above clinical features are quite relevant with possible pregnancy. Common symptoms of pregnancy:a) Missed period, nausea, vomiting, tender and swollen breast.b) Increased frequency of urination, fatigue, food craving.c) Slight vaginal spotting, cramping, mood swing, constipation etc. Hope, I have answered your query. Good luck and take care.</s> |
<s>[INST] I am 62. A year and a half ago I had a bad virus...afterwords I had very painful stiff muscle pain. Doctor has given me pregabalin and co-codamol. My neck and right arm are very still and my right arm has pain. My left arm can get stiff but not as bad. I exercise every day and keep myself active. Also I am overweight. I now find myself slowing down and I am aware my muscles are not very strong. Why after all the medication am I not getting better? The overall muscle pain is better but the pain and stiffness in my right arm is getting worse. [/INST] Hello, The pains in the neck and left arm muscle that you are having is likely to be related to cervical spondylosis. This can be diagnosed after an MRI scan of the cervical spine. Regular neck isometric exercises can help. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s> |
<s>[INST] hello doctor..... my children , son age 7 yrs and daughter age 3.5 yrs....both cough all night, have mucus...during the day they are fine....but when ever they have some fizzy drink , candy, ice cream...etc...we have a terrible night..........they take seretide evohaler and aeroline inhaler with a spacer once in the morning and once at night.........i ve given them myteka many times for a few weeks but i feel it doesnt make any difference.....am i doing the right thing ?...are they actually asthmatic ?.....or is there an easier treatment?...please help i am very worried now [/INST] Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. 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.</s> |
<s>[INST] My 8 year old son suffers from allergies. He gets severe reddness under both eyes and across the bridge of his nose. His skin looks blistery in the red areas. The skin is bright red like the color of a sun burn. He says in only itches now and then. The rest of his face in normal colored. Please advise. [/INST] Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. 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.</s> |
<s>[INST] I have high BP and recently prescribed a water pill, low dose hydrochlorizaide, I have been suffering from dizziness and think it may be low potassium, I feel better after I have eaten a banana and some electrolye drink, such as Gatorade or Vit Water. The dizziness only lasts till afternoon, so I think it must be dietry related? [/INST] Hi, first I want to know whether you are a diabetic or not. If you are a diabetic and on insulin or oral medicine then it may be due to hypoglycemia. The dizziness may be due to thiamine induced hypotension (excessive fall of BP). Low potassium and sodium can happen with thiamine intake, but less likely with lower doses. Next time please check your BP when you feel dizzy, and also get serum sodium and potassium level done. If the dizziness is due to excessive fall of BP then better take the medicine at bedtime. Thanks</s> |
<s>[INST] Hi Im 31 years old and I had two mcs one in 2010 and the next on 2011. After the second I found that I have the v leiden factor and I m on baby aspirin since then. I also found that my AMH antimullerian hormone is at 1,76 that belongs to low fertility . My fsh was at 7.8 .I m ovulating in every cycle on the 13day. I tryed with menopur and pregnyl to conceive again for 5 cycles but with no result. My last try was on last December. Two months later my thyroid levelsf for tsh found increased at 3,64 they were dropped at 0.00 and now TSH is on 0.35. Do you believe it is unable to conceive on my own? Should I go on an ivf when my thyroid is regulated? It has been over a year that I havent conceive and that makes me worry. [/INST] Hello. Thanks for writing to us. Since you are having a normal ovulation on day 13 in every cycle, you can conceive normally once the thyroid levels have been normalized. Please do not worry. Conception is a time taking process and needs patience. I hope this information has been both informative and helpful for you. </s> |
<s>[INST] Hi, My mother is 72 years old. She have low back pain problem for last few years, but now she is getting too much pain while walking. If she gets pain while walking she stops/seats for while then she feels better and then she can walk again for another some distance. We have shown her case to orthopedic and neurologist. They said, for her condition two options are there one injection ( I dont know what kind of injection) and other is surgery. I am not sure (And I am not doctor also) , but it seems Neurogenic claudication. I am from Pune, India. what are the available treatments. I want to avoid surgery considering her age.If unavoidable, is there any risks in going for surgery. She is diabetic for past 11 years and also have BP.please help. [/INST] Hi, Welcome to Chat Doctor. After going through your query it seems to be Spinal stenosis leading to neurogenic claudication. Surgery has good result. RISK of surgery is neurologic defects included paralysis. Other risk is infection more so because she is diabetes. If you want to avoid surgery than Chat Doctor. I THINK THIS will be of use for you.</s> |
<s>[INST] Dear Doctor,I had an itchy and peeling foreskin which would not heal after medication and a doc circumscised me. It became infected. Its ok now, only scarred, but I continue to have itchy genitals and groin and burning sensation, even after almost 9 mnths. what could be wrong? I was treated for fungal infection but still the burning pain is there, especially when wearing clothes. [/INST] Hi, It seems to be lichen simplex chronic us. I would recommend you to take anti-histamine like table thy Chat Doctor. Take care. Hope I have answered your question. Let me know if I can assist you further. </s> |
<s>[INST] Is ventorlin good for child cold and cough ?hi,my 11yearS 4months old daughter was prescribed ventorlin syrup.ventorlin 5 ml 6 HOURLY ONCE times 7days ,she was first having cold with runny and blocked nose.i just wanted to know that dr.prescribed her a correct medication or not because ventorlin is a bronchodilator?it will have any side effect or not?she had no wheezing.it is dry coughing i think. [/INST] Ventolin (Albuterol) is a bronchodilator and your doctor has prescribed it because often in case of such cough, bronchospasm occurs. He has not prescribed the wrong medicine. But if you feel that she does not have wheezing, you may skip giving it and reserve if for times of respiratory distress, if it occurs. The side effect of Ventolin is increased heart rate but let me assure you that this is a very widely used medicine and well tolerated and so you need not worry about the side effects. Give your child steam inhalation twice or thrice a day and I think that she would get some relief. Also add some antiallergic syrup like Relent which will also help in diluting the cough. The cold has been caused by a viral infection and generally takes 5-7 days to recover. Please be patient till then.</s> |
<s>[INST] 95 y/o male, in the hospital 5 times in the last 4 weeks. water retention in lungs. placed on oxygen for the last 2 weeks. heart attack - only 25% of heart function remaining. patient is on ventialtor and sedated due to patient not cooperating. what is recommendation for patient care if all goes well when ventilator etc is removed? would 24 hour care be reccommended? what are the chances of recovery/mortality? [/INST] He will likely need to stay in the hospital for several days after the ventilator is discontinued. He can be assessed by physical and occupational therapists to help with the determination of whether 24 hour care will be required. At this age and with such a weak heart, he will likely need significant assistance.</s> |
<s>[INST] i am 33 yr old unmarried girl, weight 45 kg, height 5.3, my skin seems to be very dull and blackheads on face appears, what to do [/INST] Hi, Welcome to Chat Doctor. You seem to be underweight due to which your skin is dull. You need to have lots of fresh fruits and vegetables along with healthy nutritious food which help you to improve your skin texture as well as your hair. Consume a lot of water which will HY Chat Doctor. You can also use based mixed with HALDE or lemon with honey on your face. A facial scrub will help you remove blackheads. Have a good health.</s> |
<s>[INST] I went get a chest x Ray. All I have is hyper aerated lungs. The doctor prescribe me antibiotics for my cough. The few months before I have had chest pains that come ang go like a heart attack, I think it may be pleresy but would of a chest x ray found it ? [/INST] Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Hypermarket lungs can be seen in following conditions. 1. Normal individuals. 2. If chest x-ray is taken in full end inspiratory phase. 3. In smokers4. In emphysema. So if you are smoker or having emphysema then you need to get done PFT (Pulmonary Function Test) to diagnose the obstructive airway pathology as a cause for your Hypermarket lungs. Smoking cessation and inhaled bronchodilators are the treatment for this.</s> |
<s>[INST] I Had an u/s done on oct.22,2010 sayin i was 7 weeks due date june 10th. This Wouldve meant that i conceieved when i was with my bf sep.17 2010. But i just went to get another ultrasound done and stated that i was 20 weeks and 1 day on jan.17,2010, giving me a due date of june 5th, if you calculate my LMP(aug.29th) this would be accurate for a 28 day cycle but i have a 31 day cycle. I was with someone else on sep.10th once unprotected, but my bf has been getting all the symptoms, nausea, nosebleeds... should i worry or should i just go by the first u/s? [/INST] First USG scan is the most accurate for calculating LMP so go by the first. USG and take your EDD to be exactly that by first USG</s> |
<s>[INST] my mother is suffering from continuous swelling of lower portion of legs. Her Amlodipin medicine has been changed but swelling persists. Uric Acid normal. ESR and CRP is high. Doppler normal - no stenosis, dilation or constriction of arteries in leg - in short doppler normal - no thrombosis. BP high controlled by medicine. No infection - have gone thru anti-biotic treatment. other blood profile normal - shown many doctors - swelling still persists and reduces slightly during night rest (when feet are up) but throughout the day the swelling increases. Totally foxed - pls suggest line of action. [/INST] Hello, Next thing is she should undergo renal and liver function test, serum albumin levels, echocardiography of heart to look for the cause. She should consume low salt diet and water restrictions. She should also be started on medicine like Tab Dy tor 5 mg once a day in the morning. Get potassium levels five days after starting this medicine. Hope this helps you and get back if you have any doubts.</s> |
<s>[INST] My brother having Hepatitis B infected and as per lab test his HB level is 2.78 there is any critical level & what type of diagnostic attention required RVN [/INST] Your brother has severe anemia. The normal He level in men is between 12-16. He needs urgent blood transfusion.Also, the cause of the anemia has to be investigated asap. Treatment will depend on the cause.Meanwhile, he needs urgent admission to the hosp and whole blood transfusions.</s> |
<s>[INST] respected doctor, i am a mother of a son name XXXXX he is in a age of 8 year he is suffering from some brain problem my doctor had asked me that there bug in his brain and it comes from some food they have prescribe him valparin in medicine. i want to ask you that is it possible can any bug can go through stomak to brain from foods. [/INST] Hi, Thank you for posting your query. Your son is most likely suffering from neurocysticercosis [NCC], which is caused by tape worm infection. This infection comes from the infected food, and enters the brain in some cases. In most cases, the worm passes out of stool. There is no need to worry, as it is fully treatable with medications. Please follow the advice of your neurologist. Best wishes, Chat Doctor. </s> |
<s>[INST] my daughter testing report wriiten the following word......FNAC smear from right breast ill define lump aspiratesshow scattered cluster of ductel epithelial cells with mild overcrowding...DIAGNOSIS:- FEATURE ARE SENSITIVE OF BEING BREAST DISEASES POSSIBLY FIBROADENOSIS...sir is any serious thing in this report....is fibroadenosis can be a breast cencer..pls suggest thanks [/INST] Hi. With the Gods grace fibroadenomas is never know to transform into cancer. So be assured. Nothing is serious except that she may have pains during each menstrual period, tensions.</s> |
<s>[INST] hellow doctor my sister gave birth to a girl baby 0n 24 june and her annal part was closed and on 4july the baby expired doc say some infection , now we took some test on b my sister now ANA test say positive . she was taking in sulin during pregancy and she had continues cough during first and second trimester . wht should we do now . will there b e any prob lem when she preganant . tht was her first bab y [/INST] Hello misunderstand your concerning test is positive suggests she is suffering from SHE(lupus)It is multi system disorderConsult the rheumatologist and best obstetrician as it affects fetus and pregnancy and take proper treatmentTreatment and outcomes depend upon the title of the ANA. Corticosteroid and immune modulator are generally given for treatment. Hope this may help you Best regards</s> |
<s>[INST] Yesterday that is on 4th i met my boyfriend.He inserted his finger into my vagina some 6 times and tried to satisfy me. But all these times he washed his hands with dettol each time he inserted them. Is there any chance of pregnancy? [/INST] Hello welcome to Chat Doctor. Pregnancy can only occur during intercourse where the penis is inserted into the vagina and sperm is ejaculated into the vagina. The sperm has to have contact with an egg from the ovary for pregnancy to occur.</s> |
<s>[INST] Hi, For the past two weeks, I had been suffering from hands and feet numbness (mostly on my left arm) especially during middle of the night. This is accompanied with mild dizziness and also change in vision. Please help as I find it difficult to concentrate in my studies. Thanks. [/INST] Hello, Consult a physician and get evaluated. Detailed evaluation is required to find out the exact cause. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s> |
<s>[INST] I wake up every morning with a feeling to throw up, I sit in front of the toilet for 5 min in excrutiating pain because i never actually throw up anything. This only happens when I wake up from sleep. I also get randomly dizzy during the day, very dizzy it stays for 3 seconds and goes away, but it happens often. I also dont have any appetite, i never feel like eating, i only eat cause my stomach tells me I must. What can I do? [/INST] Hi symptoms does not favor a specific condition First thing to rule out is intracranial lesion for which go for MRI with scanning of cervical spine if positive consult a neurosurgeon the other possibility is depression and take SSRI group of Antidepressant the doctor will give you prescription wish you speedy recovery Chat Doctor. </s> |
<s>[INST] Actually, my body type is very slim. But since the past 6 months or so I find that my tummy is bulging a lot....I have a strong feeling that this is a result of gas accumulation...So how do I find out whether it is fat accumulation or gas ? [/INST] Gas distension you come to know because you will have a lot of burp or farting along with it. In fat this does not happen. Also, the size fluctuates with gas, but this is not the case with fat accumulation.</s> |
<s>[INST] sir, i am a tuberculoma brain person.fits and tong bite caused last year Mar 2012 after this i take treatment. MRI scan report is 5.2x 7.6x 6.0mm. treatment : only 2 month Streptomycine inj and still using tabs INH 300 mg, Rifampicin 600mg,benadon 20 mg,Pentocid 40 mg, folic acid 5 mg and Dilantin 300 mg. In Jan 2013 again MRI Scan report is 4.2 x 4.0 mm (healed granuloma). Sir, My question is what is healed granuloma? is it curable or not ? i am ver worry about this. how will it take time to curable?. because last time Dr told me that U will cure after one year because streptomicine inj. please give direction sir. [/INST] Hi, Thank you for posting your query. Healed granuloma means treated infection, and it means the infection is no longer active, and you have responded to treatment. The current medications are fine, and TB treatment should be continued for at least 18 months. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/</s> |
<s>[INST] I had two silver filling replaced about 2 weeks ago. They were on the last two teeth on my upper left side. The one tooth is still sensative to pressure but not hot or cold. Should I wait and see if it gets better or call my dentist. I think they were pretty deep. [/INST] The filling may be of increased height. Call your dentist .it may be deep also, or the base is not proper.</s> |
<s>[INST] I was at the beach and came home with a sunburn on my nose when it went away i got a very bad rash that itches burns and is bumpy and when i scratch its gets wet its under my chin. please help! [/INST] Hi, Thanks for query, Take bath with plane water, Apply some moisturizing cream, Take antihistamine like cetirizine. If the skin is bumpy, apply calamine lotion. Avoid going in the sun rays. Ok and bye.</s> |
<s>[INST] My son has been getting a rash periodically when we take him to the doctor with it they think it is viral. But he keeps getting them. I just cant see a virus lasting for years off and on. It doesnt flake, puss, or create any pimples. It is only on his face and it will spread all over his face. What could this be [/INST] Hi and welcome to ChatDoctorGiven that the rash is periodic, it is more in favor of an allergy. It could be atomic dermatitis, basically allergic causing rashes over the face, in the creases and also other body folds. Did he have similar complaints from a very young age? It could be an allergy which increases with weather changes, dust, exposure to sun, certain plants, animals etc. Also, certain foods like nuts, seafood, processed foods, etc. You will need to keep a track of when exactly the rashes come up and if there is a common cause each time. Allergies generally reduce as the child grows, but repeated exposure to the cause can make it recur often. Use a mild sunscreen when outside. When rashes appear, apply a demonize cream on the face for 5- 7 days till rash subsides, no longer. Use an antihistamine like HY Chat Doctor. To confirm you can consult a dermatologist and run tests to check allergy levels in blood, also skin tests for possible causes. Hope this helps.</s> |
<s>[INST] my sons stomach has hurt when he jumps, gets up from laying down, it has hurt him now for about a week. today he said it hurt when he breaths. i had him to the hospital one night because it hurt so bad. they did an xray for constipation and a bllod test for appendix and everything was normal so what could be causing this? [/INST] Hello, The most common reason for pain in abdomen like this is habitual constipation. If this constipation is corrected with laxatives and appropriate toilet training then this will go off. The other reason could be worm infestation for which you can use albendazole. Hope I have answered your query. Let me know if I can assist you further. </s> |