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<s>[INST] I have been detected with Grade 3 Fatty infiltration of liver . I would like to know the following: 1. What are the causes of fatty liver? 2. What are the external symptoms of fatty liver ? 3. What does Fatty liver grade 3 lead to ? 4. Is there any cure for the disease ? 5. What is the line of medication ? 6. Is there any dos & donts ? [/INST] Hello USG findings indicate fatty changes in liver. Most commonly it is due to obesity and sedentary life. It is also related to alcohol intake etc. I suggest investigations like routine hologram, Random blood sugar(RBS), Liver function test(LFT), Lipid profile, Renal function test(RFT) to my patients. You should try to lose your weight as you are overweight. Fatty liver is a reversible condition, and it can be reversed by diet and lifestyle changes. You may need some medicines after full investigations. It may take 6-8 months to reverse the findings. You should be active in your daily life. You should avoid red meat and high fat milk products. Cook food in olive or canola oil. You should also avoid fried and junk food. Take a lot of fruits and vegetables and increase your physical activity in the form of walking and exercise. Take Care Chat Doctor. </s>

<s>[INST] Hi, I have a brother who is currently incarcerated. When I went to visit him today, he told me about a lump on his chest. He also told me that the doctor there was giving him medication but was telling him the wrong name of the medicine. I was just wondering, arent they suppose to do some type of exam on him to determine what it is before they just give him medication for it. The reason I ask this is because he told me that they said it was nothing that they could do. So I was wondering if they were suppose to diagnose him with something before just giving him medication? [/INST] Welcome to Chat Doctor. 1. The history is a bit inadequate, as you have not described the lump and its location on the chest, however I will try to explain to you the possible causes.2. The most possible cause could be infective etiology, hair follicular infection with collection within - which needs antibiotic in early UN complicated condition, where late and complicated needs excision.3. Other possible cause will be lipomas which needs to monitored unless until symptomatic where excised.4.Finally, bone lesions arise on the chest wall, and hernias. Which need to examine and do needful treatment.5. An ultrasound scan will help in the assessment of the nature of the lump, its source and extensions.6. Suggest to get examined and diagnosed and treated appropriately.7. Probably the doctor would have visually able to make out the type of lump he is dealing so started treatment. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. </s>

<s>[INST] Hi My Dad 61 yrs old is had a back pain complains so after and MRI the result is L5/S1 DISC - posterial protrusion indenting the thecal sac and impinging on the traversing roots at the lateral recess; mild bony canal narrowing is present. L4/5 Disc - Diffuse posterior budge with annular tear indenting the thecal sac and touching the traversing roots at the lateral recess. L3/4 Disc - Posterior central protrusion indenting the thecal sac and impinging on the traversing roots at the lateral recess. Whole spine survey: c3/4 and c5/6 discs - posterior protrusion indenting the thecal sac and cord . no cord edema seen. - is surgergy necessary for this? [/INST] Hello, Welcome to Chat Doctor. I am Chat Doctor Psychiatry from India. I have read your question carefully and understood it. Furthermore, I can understand your concern. Furthermore, I will try my best to answer your query. The condition you are mentioning here is called prolapse intervertebral disc with neuronal compromise. I will make you understand this disease. Our vertebral column is a bony structure which is made up of many bones called vertebrae. Vertebral column is hollow towards posterior side to accommodate spinal cord. In between two vertebrae there is a cartilaginous disc which is a main part of vertebral joint. Sometimes due to wear and tear or injury to vertebra, an intervertebral disc gets prolapsed and bulges posteriorly. If this prolapse is severe then this disc may impinge upon the spinal cord and emerging spinal nerves roots. This condition is dangerous as it may cause paralysis of lower portion of body. In your fathers' case it is more complicated due to multiple levels of involvement at both cervical (neck) and lumbar region. Sooner or later surgery may be required. I suggest you to follow the advice of his treating neurosurgeon who may advise correctly the right time of surgery according to functional capacity of your father. I wish your father a better health.</s>

<s>[INST] Hi, I just had a tooth extracted, bottom molar (#19) and it was about 13 hours ago. I am still feeling numbness, but that is not the biggest concern because it is slowly going away. I have always had trouble clotting and the oral surgeon put collagen in this time to help it clot? Im not sure what that all means. Anyhow, it bled for hours, even though I was using gauze properly for 30-40 minute periods. Finally, all blood stopped. However, I dont think I have a clot. I have seen clots before and this doesnt look like my many other extractions. I shined a flashlight on it and it is brown, white and flat. There is no hole in the extraction site, but its not a clot either. Should I go back to the oral surgeon tomorrow or should I wait two days. I am just wondering if he can do something as to form a clot. I have trigeminal neuralgia and dental visits are so terrifying to me, but pain is worse. I have taken abided by all advise from office. I only drank cold drinks and NOT from a straw. I have only had cold pudding, jello and a mashed up banana today. I have not spit, rinsed or brushed my teeth. Any words of wisdom?? I feel like crying. Pain in any part of my mouth will trigger my Trigeminal Neuralgia. [/INST] Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have undergone extraction of wisdom tooth don't worry much, if you feel like bleeding or foul smell from extraction socket, then you consult your dentist immediately, As you said that you have said that are not brushing your teeth after 24 hours of extractions you can Do warm saline gargle two - three times a day, do mouthwash twice daily, to maintain good oral hygiene, Hope this will help you. Wish you good health</s>

<s>[INST] my boyfriend went to the dentist because his tooth cracked, the dentist said it wasnt a root canal so they cleaned it and then put a grown on it, the grown felt loose so he went back and they did some more things to the tooth and then put another grown on it, he wont get his perm. grown till 5/6/2014. ever since he left the dentist on 4/18/2014 he has had this horrible pain he says he feels like the nerve. they said it shouldnt be hurting so he is going back tomorrow, i feel like they dont know what they are doing, every time he goes there for help they just add more pain. is this normal to have this pain while having a temp. grown on the tooth or is something wrong? please help [/INST] Hello, thank you for consulting with Chat Doctor. Actually when a tooth is fractured horizontally, and the fractured line goes between crown and root of teeth then you should go for root canal treatment of tooth. But if the fracture of tooth is vertical, or it is below the root level or in between root, then you should go for removal of tooth. Because in these fractures no fillings or crown is helpful. So better you should go for removal of his tooth. Hope it will help you.</s>

<s>[INST] Hi,My name is Jon. You can consider me as a health freak since the start of this year. The reason being is that I just had an episode of high cholesterol, including stressful situations in office, therefore experiencing heart palpitation, nausea, sweaty hands and hard of breathing.Thank God, I had a change of mindset (coz i dont wanna die) and had to eat proper foods (mainly vegetables, fish, no dairy products,and lots of fruits) and exercise. After 3 months, things got back to normal, except the feeling of anxiety. I thought then its an blood ph imbalance, so i ate more fruits, but to no avail. Ive had my insides/abdomens checked (ultrasound),all are normal, had my liver and kidneys checked, results are normal,had my triglycerides and cholesterol checked, normal,except for LDL (.5 units lower than the lowest in range, i think its caused by lots of jogging). There was this time wherein i physically felt as if the anxiety just turned off without any reason at all, and it lasted for 2.5 weeks, then it turned on again. I hate this feeling. It feels like there s an impending doom, therefore causing me to have sleepless nights. I dont know what kind of doctor do i have to go to, hematologist? endoctrinologist? nutritionist? can you please guide me on this?Jon [/INST] Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your symptoms seem to be related to anxiety. Low cholesterol levels can contribute in sleep disturbances and in anxiety too. Coming to this point, I would recommend consulting with a specialist of this field (psychotherapist or psychiatrist), who can help you to deal with your anxiety professionally. Yoga and meditation can help too. I would also encourage you to continue on your healthy diet and your daily physical activity. Hope you will find this answer helpful! Kind regards, </s>

<s>[INST] From last two weeks,I have body full itching and swelling on face and legs especially during night times. the symptoms slowly develop from evening and severe at night.i am taking medicine for allergy everyday night . this itching lead to rashes on whole body and it disappears by morning.why this allegy came and why it is persisting??? please help [/INST] Can you think of changing any soap oil cream or shampooHave you introduced any medicine for fever cold pain or multivitamin these can cause thylakoid Using mustard coconut walnut groundnut almonds soda oilcan apply olive and can use olive for cooking the housekeep temperature between 25 to 35 degree of room temperature can take Basting 10 MGM plus Atari 10 mg at night for 3 week can apply fluticasone and histocalaminedo for 3 weeks till you find answer l</s>

<s>[INST] is letsi tab helps in concieving baby soon.i want to get pregnant soon dr prescribe me letsi2.5mg tab. my age is 25yrs, wt-51kg,i had d n c on oct 15 now i am trying to concieve my reports are normal.after intercourse sperm comes out from me is it means i am not concieving.plz help me [/INST] Hi, I think it is normal for the semen to come out of vagina after contact. This will not prevent pregnancy, because sperms can swim up into the uterus even if it is in contact with your vagina for few minutes. Lie down after contact for 10 to 15 minutes. Lets tablets help in the growth of your follicles and induce ovulation. So, it increases the chance of pregnancy. You can track your ovulation by repeated ultrasound or ovulation detection kits. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Hope I have answered your question.</s>

<s>[INST] Hello,I am researching EDS and probable link to alopecia areata. My daughter is 13 and has yet to be diagnosed though she has hypermobile ankles and flat feet, severe corrosive refux disorder and shows amazing flexibility with her joints, fingers and elbows et al. She also suffers ongoing dizziness. She lost most of her eyebrow and I was wondering if this too is related to EDS or other connective tissue disorders. Thanks Trish [/INST] Hi, Alopecia or hair loss has been reported in Euler Carlos syn Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST] hi my doctor said that one of my fallopian tubes is bent but last time he checked it, he said he straightened it but said it would stay straight for only about months until it goes back to being bent again. this was a year ago when he made it straight and is been over 6 months now. me and my husband have been trying to get pregnant and I was not able to conceive even though I was told I have good quality eggs and I am fertile. We tried now with insemination for the first time and it hasnt worked. what could be the problem? please help [/INST] Hi, It is not clear from your history what your doctor meant when he said he straightened your fallopian tube, if there were any adhesions which were lased. There are several factors which are responsible for failure to conceive, and tubal factor is one of the most important. I would suggest a proper evaluation by an infertility specialist. You need to test for tubal patency and tubal motility. If nothing can be done, IVF is the ideal solution. Without tubal propulsion of the ovum, insemination is not going to help any better. Hope this helps.</s>

<s>[INST] hi iv just discoverd a bump at the back of my mouth on my gum next to my my tooth and when i poked it really bad smelling puss came out its the same sort of smell my breth had when i had a throte infecion once im not sure what it is? im 20 and have had teeth out in the past and braces and this week i have been to the dentist she said i had a cavity but that was on a different tooth and iv only found this bump a second ago feels like an ulser but really smells [/INST] Dear friend. Thanks for sharing your concern. The bump at the back of your mouth could be due to periodontal pocket, an abscess that contains bacteria and pus in it.Also, due to presence of braces many a time it is difficult to maintain hygiene and results in decay.Therefore, in my view you must seek your dentist help in this regard and get the suitable treatment done. The earlier, the better it is, in case of gum problems and tooth decay. Hope it helps. Thanks. Take care.</s>

<s>[INST] Hi, I wondered if tb symptoms can be like a very bad cold or flu? I am 50, sorry I dont know my weight. I have had a tb test two years ago and also a lymph gland removal. I have now developed a persistant cough and constantly runny nose, which has been for well over a month. Im exhausted... [/INST] Hit symptoms can include a productive cough and fever, but it could just be bronchitis. You need to see a doctor for an exam and tests since you probably need a course of antibiotics</s>

<s>[INST] So lately, ive been having problems on my vuvla/anus , were its itchy till it burns and my skin starts to peel, and it hurts when i touch it. It feels like my skin teared in some places, and sometimes it feels really itchy, and now i feel a lump near my perineum? [/INST] Welcome to ChatDoctorPerineal itching can be due to vaginal infection or worm infestation and may suggest diabetes. The lump which you are feeling may be perianal abscess. You should see your surgeon the earliest possible because pus/abscess needs urgent Chat Doctor. If there is no formed abscess antibiotics will help. Also, gynecologist opinion to rule out vaginal infection is needed. Tab Albendazole 400 mg single dose empty stomach is sufficient for worry infestation. Regards.</s>

<s>[INST] Dear sir some fat node on my face from three years i had checked to skin specialist he told me it was lipomatosis neurofibromatosis desease but not any treatment of this desease he told me it was not dangerous deseases Is this true no any treatment of this desease [/INST] Hi, It is not a dangerous disease and benign nature. There is no any treatment which can dissolve these lumps. These can be more than one and after removal recurrence is there. Ok and take care.</s>

<s>[INST] I can only walk short distances and then I become very short winded. I was told that I have High blood pressure in my lungs and wonder if this could be the cause, or is it because I am overweight? What are the treatment for high blood pressure in the lungs? I really want my life back. [/INST] Thanks for your question on Chat Doctor. I can understand your situation and problem. High blood pressure in lungs is known as pulmonary hypertension (PHT). And It can be the cause for shortness of breath after walking. There are many causes for PHT. The common ones are1. Primary or idiopathic (without known cause)2. Secondary to pulmonary causes.3. Secondary to cardiac causes.4. Rarely storage disease. Most common causes are secondary to pulmonary and cardiac causes. So get done1. PUT (pulmonary function test)2. Chest x-ray and CT thorax.3. 2d echos better to consult doctor and discuss all these. You first need to identify the cause for your PHT and then start treatment accordingly. As treatment is different for various causes.</s>

<s>[INST] hi my name is kaylee and ive been having very bad back pain for about 3 days now. i also have the runs and constantly have to run to the bathroom. i have even thrown up a couple times. i dont have a fever, and everything else seems fine, but my lower back hurts worse then when im on my period. i havent really been able to eat or walk around at all cuz of the pain, do u know what might be causing this? [/INST] Hello, Severe lower backache with vomiting is most commonly associated with kidney stones. I would advise my patient to take antispasmodic for pain relief. Ultrasound of the abdomen and pelvic may be needed to arrive at a diagnosis. Infections may be ruled out due to absence of fever. Consult with your doctor and seek medical help.</s>

<s>[INST] my age is 30 and L.M.P is 20.8.2011 and 5.4 height. 52 kg. doctor priscribed me nicardia tab . plz for wat purpose she priscribed [/INST] Hello, Picardi contains nifedipine. Nifedipine is a calcium channel blocker. It is used in treatment of hypertension and angina. Specific reason for starting this tablet may be known if you describe your symptoms for which you consulted your doctor. Take care. Hope I have answered your question. Let me know if I can assist you further. </s>

<s>[INST] Can an ovarian cyst cause a stretched, pinched feeling up and down the center of your abdomen? I have a history of both endometriosis and cysts. I had a laparoscopy October 2009 for both. [/INST] Hello. Welcome to ChatDoctorYes, an ovarian cyst if large enough can cause a feeling of stretching in the abdomen. You have endometriosis which also contributes in this discomfort as endometrial tissue is commonly found in soft tissues of abdomen in this condition. Depending on your age and status of family completion, hormonal therapies have to be planned. Take care.</s>

<s>[INST] My 19 month old got what I thought were mosquito bites yesterday afternoon. After about 2-3 hours they got very enlarged, irregular shaped and swollen through the night and this afternoon they are very red, raised and blotchy and oozing a yellowish pus. Should I be concerned and take her to a doctor. No fever, no strange behavior and it doesn t seem to hurt or itch. [/INST] Welcome to the ChatDoctorI completely understand your concerns but don't worry. Many a time our body releases histamines in response to some insect bites which leads to such type of reactions. You may take the following measures to help her:1. Apply lactocalamine lotion on the lesions. It will be soothing.2. Start her on an antihistamine such as Spy Ben Chat Doctor. 3. In case the condition worsens, steroids and a</s>

<s>[INST] Hi , 3 weeks ago ; i have alittle pain when touching near my left rib cage and below the breast area. The pain is now gone , but when i stretch my arm high ; theres pain for the 2nd week. Now , being the 3rd week ; not much pain. However , i could feel that theres this vein or muscle im not sure; probably from beneath my left nipple attached to my left rib which seems to be stretched when i lift my arm ; and i could feel it. Theres no vein on the other side of my rib. When i tend to press and pull the vein ; theres pain. Can i know whats going on ? Thanks. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms are characteristic of muscular spasm and muscular pain. So apply warm water pad on affected. Take painkiller and muscle relaxant Chat Doctor. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements. Don't worry, you will be alright with all these in 2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST] I am 8 weeks pregnant and I have started spotting. It is light and pinkish red in color. I have a uterine septum as well. I had an ultra sound this past Friday and she said everything looked ok. Should I go to the ER or can I wait to see my Dr. tomorrow? [/INST] Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Any kind of spotting or bleeding during pregnancy needs close attention. You should be cautious about it, but need not panic. I will suggest you to take bed rest. Use of vitamin C tablets, capsule GAEC CVP will be of help. Also, Use of Tab Austen SR 200 mg 2 times a day for a week is advisable. You can repeat USG if necessary, also Injection Chat Doctor 5000 II. U can be taken once a week till 14 weeks of pregnancy. Please continue with B 12 Folic acid as before. Do not worry. Be cool, calm.relaxed. I hope this answer helps you. Thanks </s>

<s>[INST] Hello, I believe I recently came down with the flu as it started suddenly with a sore throat and body aches through the upper back and neck . Spent yesterday with a mild fever and lots of coughing. I am an asthmatic so the added inflammation in my bronchial passageways is less than pleasant to say the least. Today I feel like I am on the up&up and the cough is no longer producing white sputum , but when I cough hard there is a metallic-type taste in my mouth. I figured it s normal since I spent the better part of 48 hours, day and night, hacking my lungs out. Anyway, is this normal or something to be concerned about? Thanks so much! -Jonathon [/INST] Hi, Viral fevers are known to be debilitating and sap a persons' energy quickly. They manifest as anything from colds, to cough, to fever, to gastric disturbance and body aches. Altered taste in the mouth, or in your case, metallic taste is one of the symptoms of a viral infection because a virus can affect your sense of taste. Also, since you are an asthmatic, it is also possible that this added infection has caused you to breathe predominantly from your mouth making it Chat Doctor. Deny</s>

<s>[INST] My son is six years old. He has got heat boils all over his face. But now he has got a boil on left side of eyelide and below the eye and there is swelling below both the eyes. Is it curable by medicines or shall I consult a surgeon for the same. please advice [/INST] Hi...by what you quote I feel that it could be a pyoderma of the face, and it is curable with medicines. But, Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.</s>

<s>[INST] Hi Doctor, My couisin who is a male child of 16 years has been diagnosed with depression . He tends to act violent whenever attack strikes him. His Visa interview date is been schedule in July month itself, and he has been diagnosed positive for depression last month only. I just want to confirm that is any cure is available for depression patients .Moreover , is it safe for us to send him out of India away from family for studies??? Many thanks for your help [/INST] HI Srivastava.sneha88. THANKS FOR YOUR QUESTION. IT IS A CASE OF AGITATED DEPRESSION OR BIPOLAR DISORDER WITH CURRENT PHASE DEPRESSION.OK.WHATEVER THE DIAGNOSIS Maybe IT CAN BE TOTALLY CURABLE BY PROPER MEDICATION AND IF NEEDED BY COGNITIVE Behavior THERAPY.BUT Chat Doctor. IF YOU ASK MY OPINION THEN I TELL YOU DON'T ALLOW HIM TO GO OUTSIDE IN NEXT 6 MONTHS WITHIN THAT HE WILL BE CONTROLLED BY MEDICATION THEN YOU CAN SEND HIM OUTSIDE.DON'T HESITATE DEPRESSION PATIENT DOING VERY WELL IN THEIR ACADEMIC AND PROFESSIONAL LIFE ONLY THEY NEED SOME FAMILY SUPPORT. THANK YOU </s>

<s>[INST] My Kid 2years 6 months old is having fever thats goes up to 104 F and then goes down on giving fever tables (calpol) and antibiotic(Adventis). He is also showing red rashes all over his legs and hands since morning . Can you please advise what it could be? [/INST] Hi dear, I understand your concerns sudden onset high grade fever along with rash is most likely a viral illness. If he does not have any other symptoms, is playful when fever comes down, and taking feeds, just give him paracetamol 3-4 times a day. Let him take rest and Chat Doctor. If the rash is itchy, apply calamine lotion over there 2-3 times a day. If bothersome, I used to give antihistamines like HY</s>

<s>[INST] Hi, I was wondering if you would recommend "Panicyl" as a natural remedy for social anxiety and depression or is there another natural remedy for my problem? Thanks. [/INST] Hello, welcome to Chat Doctor. Panic is used to treat social anxiety and panic attacks, but it is not advisable to take it without proper medical supervision. You must visit a psychiatrist who would prescribe the correct medicines as per your requirements. Wish you good health.</s>

<s>[INST] I am a 50 year oldman 5,8 168 lbs and i have sore feet in the morning as well as a sore back ive been driving towtruck for 20 years alo my hand swell especially at night and in the morning are these all related? [/INST] Welcome to Chat Doctor at your age it is better you get a medical check up and follow advice may be you are having some spine problem or osteoarthritic problem medical check up and few investigations will help reach a diagnosis and to get proper treatment</s>

<s>[INST] my liver function test all parameter normal except pt -79 ,ot-120 , usg says mild fatty liver ... taken atorva -5mg for last 3 years .. drinks very less... sugar recently little higher , started med and now for last 15 days under control....age -48 height 177 cm wt. 77kg [/INST] Hi thanks for contacting Chat Doctor... Noted you have fatty liver that is stenosis in which fat accumulate in hepatocytes. It is reversible condition. It will take few months for complete clearance.... For that follow below advise..... Take low fat diet. Use very less oil in cooking and use only sunflower like good oil. Regular exercise need. Refine food avoided.... Fruits more... In lunch and dinner take salad of carrot, spinach, cucumber etc.... Avoid alcohol... Non veg, pizza, meat, cheese etc. like trans fat food avoided.... Udiliv tablet can be taken.... Take care... Chat Doctor. </s>

<s>[INST] My 9 year old daughter has a rough red veiny rash that is tender to the touch on her collar bone and neck. At first I thought it was sunburn, but now I think maybe it is a result of being in a hot tub with the temperature too warm at a party. It burned when I applied Benadryl cream. Thoughts on what it could be? [/INST] Hi. It can be a skin burn or allergic reaction. So for a confirmation consult a Pediatrician and get evaluated. For now do cool compresses over the area. It will help in reducing inflammation and redness. Avoid exposure to heat and other irritants. Oral Ben Chat Doctor. Please let me know if I can assist you further. Regards. </s>

<s>[INST] I have suffered from asthma for decades. I get it when I climb uphill or when i have chest cold. I used to take ventilin as needed for being out of breath and flovent for wheezing. I am going to be in the southwest france for two weeks and in Paris for two weeks in September. I want to take meds in case I have an issue. Please advise what meds and if I should take them ahead to prevent an attack. [/INST] Hi dear, there are many good inhalers available in market like MDI, rotahaler etc. with excellent effect in few seconds, so if you're suffering from asthma and going abroad u can take it with u but only after pulmonologist consultation. So go to the doctor and ask for your solution.</s>

<s>[INST] hi my 10 week old daughter has been on asthavent for the past 5 days. she has also been taking an antibiotioc cefaclor oral suspension and adco prednisolone once a day. The dr prscribed these as she had a bad chest cold that bordered on asthma. we also nebulise her three times a day.unfortunately i have contracted the flu and baby seems to be getting sick again. i was wanting to know if we could give her ponstan syrup for babies .... can this be used for coughs and colds. her nose is quite runny now ...PLEASE ADVISE [/INST] Hi, As per your statement you are taking treatment for your 10-week-old daughter for Bronchial asthma - that means your child has respiratory infection associated with cold and bronchial spasm (difficulty in breathing). It is a common phenomenon. As you are suffering from flu and your child has recurrent attack it is better to consult a pediatrician for further management. She may need change of antibiotic. Bronchi dilator can be given till difficulty in breathing (asthma) stops. Regarding prednisolone, it has to be given in tapering dose and that too with the advice of the Chat Doctor. Constant may take care of fever associated body pain. Regarding your child a review by the pediatrician and simultaneous treatment for you by a physician is a must. Keep away from the child for betterment of both of you. Best wishes</s>

<s>[INST] I m a woman who s 37 years old for the past 8 month I have experience sharp pains under my left boob . I been to the hospital had my heart check and was told it s ok , my family doctor said it was a floating rib then 1 month later it changed to gurd I was given medication that done nothing for me . I went back and was told it was my gallbladder so I rushed to the hospital only to find out my gallbladder was perfect and nothing was wrong didn t even have gallstones , today I woke feeling in pain like I was having a heart attack rushed into the hospital only to be told to give a pee sample , the sample came back their was blood in my pee . And once again to go see my family doctor what is the cause of my chest pain it feels like it s heart attack ? [/INST] Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart attack because your heart related reports are normal. You are having blood in urine. So possibility of kidney infection or stone is more. In both these conditions, pain and blood in urine are present. So better to get done ultrasound examination of abdomen to rule out kidney related problems. Of this is also normal than no need to worry about any major diseases. Your chest pain is mostly due to musculoskeletal cause, may be due to floating rib. So apply warm water pad on affected areas. Start painkiller and muscle relaxant Chat Doctor. Avoid movements causing pain and strenuous exercise. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.</s>

<s>[INST] hello doctor, in feb 2005 i found i was HBsAg reactive i consult a doctor and he prescribed me hepsera medicine for 6 months later my my test showed these result hep b core antibody igm non reactive, hep be antigen non reactive,hep c antibody non reactive,hiv 1&2 antibody non reactive. thus i was informed that my virus is finish and i n normal now i can eat n live like a normal person. than in december 2008 i got a job to work in uae where i had medical test twice, one in my country and the other in uae it self and there were no issue i was medical fit and all my reports were normal there was no sign of hep b virus at all. but now in jan 2010 i plan to change my job again i had to go through another medical test where i found out the i m HBsAG reactive my LFT shows sgpt 35 and creatinine 0.5 mg%. later i consult my doctor and he took few more test which is as follow, anti hbc igm negative, hbe antigen negative, anti hbc total reactive cut off value 1.0 patient value 12.47. now i am unfit for the job as medical reason. please advise what should i do, any thing to worry about, m i stil normal . how long will this virus stay . is there any way hBsAg come non reactive. [/INST] Did you engage in any high risk activity in the meantime which could have reinfected you with Bag?</s>

<s>[INST] Hi..I take ovralg to get my periods..I have son 4.5 year old through IUI and now I want another child and I m still taking ovralg...do I nees to go through the same process again or is there any chance I can conceive naturally...will 14 th day formula apply on me as I read that first day of ur last count 14 day if you will do then can get pregnant as i get my periods through ovral g so will this work for .please assist [/INST] Hello.thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.remedy for getting pregnant...right.well.there are plenty of remedies in the present world. One of them u have already tried during your first baby.right.as u told that, you are taking overall, it's given for regularization of menses. Once periods will regular, chances of getting pregnancy is increased.that's why your treating doctor prescribed u.lastly want to say that, YES.there are chances of getting pregnant with natural formula, as u know 14th day formula. It is also called fertile period(it is from 10th to 16th day of cycle) during this period chances of getting pregnant is high. Because on the 14th day ovulation occurs(follicle rupture n ovum comes out), so that we doctor advice to do coitus from 2 days before n after this 14th day, so that sperm can fertilize the ovum n pregnancy will happen. With the above discussion u can try out my suggestions-1. DON'T WORRY.RELAX, u can get pregnancy with natural methods. There is chances.2. Once your menses will regular, chances of getting pregnancy will increase spontaneously. So regularize the menses then try the 14th day formula.3. If u r in hurry then visit to nearby infertility specialist.he/she can help u out. Regards- Chat Doctor. )</s>

<s>[INST] Er...for some reason, Im scared of my own heartbeat. Ever since I learned about it in detail in biomedical science class. The fact that its there, pulsating, moving around a bunch of BLOOD, I just cant stand to feel my own pulse. Hearts gross me out, just,.....ewwww! [/INST] Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are quite distressed by your recent problem. From the description of your symptoms, it appears that you are suffering from an Anxiety Disorder. Since this is causing you so much of distress, I would suggest that you seek professional help. So, I would advise you to see a psychiatrist in your place for a detailed evaluation and further treatment. Treatment will involve counselling and in some cases, medication can also be helpful. Wish you all the best.</s>

<s>[INST] my first blood work (when i had a cold) came back that my sgot (ast) was high (50) and my alt (sgpt) 111 was also high, so I went and got some more blood work done and now it say that my sgot is 16 and sgpt is 36. so Im not sure why the difference. Also my HBsAG confirmation is positive abnormal but my HBsAg screen indicated negative... what does this mean, Im very confused.Thank you [/INST] HelloThanks for asking query on Chat Doctor. Transient elevation of transaminase (GOT/SGPT) during an episode of cold could be secondary to a viral illness or tablets you might have taken for cold. But point of concern is Bag confirmatory test being positive, it needs evaluation like HBV DNA level, E antigen and Ultrasound of abdomen. You need to meet your gastroenterologist/physician for further evaluation.</s>

<s>[INST] My little 5 year old yorkie has a swollen neck underneath and seems to be in pain ,but not severe. She is shaking and lying around, but if i give her alittlecarpropen she is back to herself in a few hours. what could this be ? and i am almost out of the meds. [/INST] Hi...this seems to be tortillas, which means a spasm of the neck muscles. Sometimes it can be very painful. You can use any of the over the counter anti pain medications licensed in your country for this age. If not settled I suggest you contract your pediatrician and get a prescription for anti-inflammatory and muscle relaxant medications. Regards - </s>

<s>[INST] I am 27 weeks pregnant. I had a runny nose and sore throat last Friday. The sore throat went away, but my nose completely clogged for 5 days. I took a benadryl but it is still clogged. I used Afrin once, but it is still clogged to the point where I havent tasted food for 5 days and I can barely get any mucous out when I blow it. [/INST] Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you have upper respiratory tract infection also known as Common cold that is viral infection and as you are pregnant you can take only limited medications.Also, viral infection is self limiting and resolves within a day. You can take antibiotics like Amoxicillin to prevent secondary bacterial infection. Take Tylenol for pain. Do warm saline gargles, steam inhalations, saline nasal irrigation and use a humidifier in your room to breathe moist air, and it will soothe the nose and throat. You can take plenty of warm fluids and take sufficient rest. Do warm compresses over the chest and around the nose.avoid chilled and spicy foods. Hope this information helps. Thanks and regards.</s>

<s>[INST] I fell backwards and hit the corner of the tail gate of the truck when I landed I gashed my back and landed on my wrist and back. Back is becoming bruised and really sore, and wrist is sore? Do you think it s just bruising or do I need to get xrays done. [/INST] Hello dear, The symptoms as mentioned in your post are due to the impact as well as accumulation of fluid & blood (Hematoma). Symptomatic relief is obtained by analgesics preparations (like Diclofenac + Serratiopeptidase), ice compression & adequate rest. If it still persists or there are any other associated symptoms like fever, loss of sensation, restriction of movements, discoloration, etc...then it will be better to consult your Doctor. An X-ray of the wrist joint will be needed to rule out any bone fracture or soft tissue injury. Till then, maintain adequate HY Chat Doctor. There is no need to worry, you will be fine. Wishing you a good health. Take care.</s>

<s>[INST] A hard area under the skin just developed. It is where the bum cheek attaches to the leg.its above the vagina and under the anus,off to the side. It hurts.it is about an inch long and halph an inch thick. You cant see it, you can just feel it is hard. [/INST] Hi. Thanks for your query. Noted the history and understood your concerns. The lump under the skin that can be felt at the spot you have explained looks to be due to a boil or an infected cyst. Rare possibility of a Fistula-in-ano should be born in mind. I would advise you the following in such a situation:Consult a General Surgeon for a proper examination, per-rectal examination to know the proper diagnosis. Get started on an antibiotic, anti-inflammatory medication and see the results. Take rest as it is on pressure point. Get operated if advised so by your Surgeon.</s>

<s>[INST] For the last 5 days I have been experiencing strange, irregular heart beats. My heart beat will increase then do this like studder and then one big thump that I can feel up high in my chest/throat and then goes back to normal. It occurs at different times through out the day and can last up to 10 minutes at a time. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility arrhythmia is more. Arrhythmia is irregular heart beats due to defect in conduction system of heart. And it causes similar symptoms you are having. So better to consult cardiologist and get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hour continuous monitoring of ECG). On the basis of these reports, type of arrhythmia can be identified and so appropriate anti arrhythmia Chat Doctor. So consult cardiologist and discuss 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 am being treated with meds and cognitive therapy . I suddenly become unbalanced and sometime cannot move the(legs ). m.d. Psyciatrist says r/t stress Many meds have been tries . It occurs wit an obvious stressors and most time random. I had to leave my job I am currently on zoloft ativan and lamictal . ambien for sleep [/INST] Hi there ~ It is not uncommon for you to experience side effects while being on psychotropics. However, not being able to move your legs is uncommon. I recommend that you see a neurologist if you continue to experience these symptoms. Take care and have a good day !</s>

<s>[INST] my 10 year old son was shooting his bow and arrow when the arrow broke and slivers went into his arm. There is a knot now above one of the little holes like almost on the bone,and it is sore to touch and hurts even when taking his shirt off. This happened 4 days ago. It isn t red on the outside so there is no infection showing in it. Could there be something really wrong? [/INST] Hello, I read carefully your query and understand your concern. The symptoms of your child seem to be related to the injury. I suggest giving him Tylenol for the pain. I also suggest using cold compresses for local application. The pain will relieve gradually. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. </s>

<s>[INST] Hello, I have been trying to conceive but since it was unsucessful for about a year went to a doctor and had done sonography tests in the month of january 2013 and my gynaecologist said i am having PCOS and prescribed to me Oosure tablets for a course of 6 months which I am still taking and then to take Clomipure for five days between day 3 - day 7 for four months. If these medicines do not help me conceive within the next four months what is the next step? I also have occasional pain on my left lower pelvis area which sonography suggested a small cyst but it keeps coming and going every cycle but yet it is very painful. [/INST] Hello, I would be happy to help you with your question. You are on the right course with closed. I agree that after 4 months, re-evaluation should occur. Given your cyclic pelvic pain, this might include a laparoscopy to evaluate the pelvis for endometriosis and patency of the tubes. If this workup was normal, then the next step would be a fertility clinic and possible GUI. I hope that this helps. If you have more questions, please click on "ASK ME A QUESTION" link above to directly ask me a question!</s>

<s>[INST] sir i don t know wats the problem inside me i cant able to control my thoughts something is controlling inside me i don t know wats it is,i cant able to sleep at nights many times i tried to commit suicide but still i am alive i don t know wat to do.i am having full of negative thoughts and imagination thoughts.pls suggest wat give me peace? 22,4.6,38 m [/INST] Hi, I went through your query and can understand your distress. From what you have mentioned, you seemingly are suffering from depression which explains your negative thoughts and even suicidality. Since you have already attempted to harm yourself, I would suggest that you should seek a psychiatric consultation without any further delay. You should also talk with you family members regarding your symptoms. In case of depression, treatment with anti-depressants like venlafaxine or Escitalopram would be highly effective. In your case, the treatment should be started as soon as possible. I hope that you found the answer helpful. Best wishes.</s>

<s>[INST] My truck driving husband, 67 yrs old has been having trouble with his lower back like he has for yrs. The last few days hes feeling weak, achy all over and cant seem to get enough sleep. Hasnt been in contact with anyone sick lately. He also runs a low grade fever and gets chills to the point that he just shivers all over. What do you think might be going on? It isnt easy getting in to see a Dr. out here on the road. [/INST] Hi, Welcome to Chat Doctor. Dear most probably your husband is suffering from lumber root compression which might be due to posture, or disc prolapse along which some medical cause for fever. Please have a MRI of lumber sacral spine and screening of whole spine get done. ESR, CRP, CBC, malaria optimal test, dengue test should be done to diagnose the cause of fever. Hot fomentation, and physiotherapy can help. Avoid forward bending and lifting heavy weight. Take analgesics, anti pyre tics, antibiotics, calcium and muscle relaxants, start physiotherapy. Visit physician for fever. Hope your query get answered. Welcome for further queries.</s>

<s>[INST] Hi there, I was circumcised almost 9month ago but till today I m having swelling at circumcision scar,I asked my dr. why it isn t gone he said You got stiches infection and it will take a year and it happens to 1 in 1000 patients Now that hospital is closed n I m worry pls assist me.... [/INST] Hi, does it cause pain or severe swelling? Have the sutures come out completely? Sometimes retained sutures can lead to such problems. If yes you should show it to another Surgeon and get it removed. You could also ask us a Direct or a Specialist query and send us a photo so that we can advise you whether it would require removal or can be managed without any active treatment. Take care, Chat Doctor. </s>

<s>[INST] Hi there, I have been on Microlite pill for nearly 2 years. Last month my period came one week early ( still had a week left to take it and I did) . Whilst this month it has arrived with 9 more pill days to take. Is this normal, do I need to change pill? [/INST] Hello, When there is some hormonal imbalance then you may have early or delayed periods even if you are on Microliter. Yes, you can get clinically assessed & examined by a gone. Other medical conditions like thyroid issues, PCs, anemia, cervical cyst, fibroid, polyps, etc. can be detected & treated at the earliest. You can change your BC pills if you so desire. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s>

<s>[INST] My 14 year old daughter ( who was diagnosed with fibromyalgia last year) is experiencing muscle weakness in her legs, dizziness, extreme fatigue and problems with cognitive function. MRI s of the brain and spine are normal. Hypoglycemia has been ruled out. She is taking physical therapy twice a week. She walks most of the time with a cane or walker. At times she seems to be improving physically but then has a crash and gets worse again. We re having problems getting appointments with specialists because tests are normal. I m researching everything I can; can you suggest any possible causes or specific tests to run? [/INST] Her history is very suggestive of myopathy. Whether it is isolated or associated with other CNS feature will need detail examination. I would have asked for muscle biopsy and CSF examination as well. These tests need specialist doctors. Try to get early visit.</s>

<s>[INST] I have been told I have COPD. I have been having problems for 2 months. I am now having trouble coughing until I throw up, I am on Advair , Albuterol, Sinus medicine, and Muscus relief. Is there anything that will stop this coughing. My broncial tubes are very sore. [/INST] Thanks for your question on Chat Doctor. I can understand your situation and problem. But COPD (Chronic Obstructive Pulmonary Disease) is a disease in which due to airway inflammation, sputum production is continuous. If infection is there then sputum production is more. So antibiotic may be needed in your case. I also advise you to enroll in pulmonary rehabilitation center where Chest physiotherapy and deep breathing exercise Are done. This will help you in clearing your secretions easily. You can also try bucolic and expectorant like N acetyl cysteine (NAC), Aerosol and guifenacine. Zince all these are prescribed Chat Doctor. </s>

<s>[INST] I am 24 years of old and recently I got a problem in the back spinal cord and it pains in the middle of the back/lower back in the evening and in the morning when I gets up from the bed. I do sleep on a normal bed which is not too hard or soft. But recently when I have done an x- ray of a spine, I got a review written disc reduction space by l5-S1. And there is a light pain. I do get cold often for which I m taking homeopatChatDoctoredicines. But it is have some connection with spine and I do sometimes stitching of clothes. Or is it related to that, and it puts pressure on spinal cord. Or some sitting posture. Please do guide me. [/INST] Hi, L5-S1 space reduction is an incidental finding but the pain you are experiencing in the back is probably due to ACUTE LS STRAIN.(due to your nature of job. Sitting for prolonged period for quite some time causes spasm of para spinal muscles which causes the pain). TREATMENT:1) LS corset (belt) to be used when you are stitching clothes.2) LOW BACK exercises to be done about twice a day.3) Victorian gel for local applicaton4) hot water fomentation This will take care of your problem.</s>

<s>[INST] Hi I had a asthma attack in 2009 which lead me being put into a induced coma from that I developed multi organ failure hypertension septieemia mrsa meningitis and was only given a hour to live the special ist doctor was called in and my lugs was given a adrenaline bath as as last result and it started to work 3 months hospital staff and myself battled for my life and I m here to tell the tail but I ve had on going problems 1st pres was dignosed on going severe head catches left side weakness severe lower back pin forgetfulness lack of concentration hip pain shoulder pain bad eye sight depression stress anxiety tiered all the time and arthritis plus more recently I had a operation on my right knee and they had problems bringing out of the anesthetic due to having a asthma attack while I was on the operating table do you think that I might be allergic to the anesthetic [/INST] THESIS CAN BE E Can't TELL EXACTLY WHAT COULD CAUSE YOU THIS BECAUSE YOU HAVE MULLIGAN PROBLEMS AND ANYTHING CAN CONTRIBUTE TO THAT YOUR MEDICINES ANTIBIOTICS AND VITAMINS PARACETAMOL DEITY SUPPLEMENTS ALL CAN BE RESPONSIBLE FOR IT OR THE MEDICINES OF Anesthesia MAY BE SO WE Can't SINGLE OUT ONE THING HERERO CAN GET TESTS DONE FOR MEDICINES GROUP YOU ARE ALLERGIC TO SO THAT YOU MAY BE ON SAFE MEDICINES TO WHICH DO NOT REACT</s>

<s>[INST] I am 37 years old I am having cheast pain when I walk for even 50 mtr distance or climb starecase .my docter has suggested me pills of heart but inspite of taking it regularly I have still same prroblem after 20 days pls suggest me what to do .my doctor tolled me to come after a month for chackup should I wait for month or go to another dr for chqup . He only took out ecg and said me it is not normal but it is not critical also. And he said we will do orher chackups after a month .and after 20 days I have same problem .suggest me what to do . [/INST] Hello dear, thanks for your question on Chat Doctor. In my opinion you should immediately consult cardiologist and get done1. Repeat ECG2. 2d echo3. Stress test4. Coronary angiography if required. Since you are having recurrent chest pain, your ECG was not normal and despite cardiac Chat Doctor. So don't wait at home, consult cardiologist immediately at start appropriate treatment.</s>

<s>[INST] Hello: I am a 61 year old woman, 5 6 , 148 pounds. I have been taking 10mg Lipitor for about 3 years. I m very worried about the diabetes risk as well as the possible link between tendon/ligament damage..I have been dealing with Plantar Fascitiis (painful heels) for 18 months & recently diagnosed with tarsal tunnel in both feet. I have been a very active person until recently due to the foot ailments getting worse. Do you feel the Lipitor has a link to my feet concerns? [/INST] Hi I am Chat Doctor. . In my opinion Lipitor could cause spasms in your musculoskeletal system and that may vary from person to person but with your past history of plantar fasciitis I think it definitely have link with your tarsal spasms. Lipitor side effects include arthralgia, diarrhea, and nasopharyngitis. Other side effects include: urinary tract infection, insomnia, limb pain, muscle spasm, musculoskeletal pain, myalgic, and nausea. See below for a comprehensive list of adverse effects. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask</s>

<s>[INST] is it always possible to become pregnant the first time you have sex? [/INST] Not necessarily. Pregnancy depends upon on females' ovulation & males sperm union. After females ovulation the female egg remains fertile for 72 hours. After ejaculation males sperm live alive & active for 24 to 48 hours for fertilization. If males sperm & females egg unite & fertilize during that period, then & then pregnancy takes place.</s>

<s>[INST] Hi I have a boyfriend who have leukemia for for ten years now, hes 28 years old. We are committed to each other.I am scared that its genetic, so hows severe or 1%can the kids inherit the disease?I am worry, that I might not enjoy my motherhood if we get kids. And for how long will my boyfriend lives from now on (life expectancy)? [/INST] Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, you are right about leukemia inheritance. Leukemia s are inherited in nature. The possibility of inheritance is depending on type of leukemia. B cell leukemia have high inheritance then T cell leukemia. So please reply me the type of leukemia he is having. And with modern medicine, prognosis of leukemia s are good. Life expectancy is usually up to 40-50 years if regular follow up with oncologist is done. And inheritance in child is up to 5%.</s>

<s>[INST] Hi. Every time my husband mows the grass, when he gets to a certain spot in the yard he starts coughing really bad and has to stop to get a drink. Then he has to put something over his mouth and nose to finish so he doesnt inhale whatever makes him cough again. What would cause this? [/INST] Hello, Welcome to Chat Doctor, This suggests that your husband is allergic to grass. While mowing of grass small particles of grass by Chat Doctor. Your husband should avoid this otherwise repeated irritation can land up in asthma. Thank you.</s>

<s>[INST] I had three fully impacted and one partially impacted wisdom teeth removed a week ago. I had an enormous amount of swelling and pain for five days. I still cannot eat solid foods without pain and my jaw cant open very wide. Ive got really bad breath despite swishing warm salt water every time i eat and brushing gently my front molars and teeth and swishing chlorohexadine 2x a day. Yesterday, i found a flap of gum hanging on the top left side and my mouth keeps making so much saliva that my tongue is getting sites on the side from me swallowing so much. Is all of this normal? Should i be worried? When will i be able to eat solid foods again? [/INST] Hi, Thanks for asking query on Chat Doctor. In addition to what you are doing:you may take choral forte tablets one tablet 3 times daily to reduce pain and inflammation. Take vitamin C tablets 500 mg i tablet daily. You may take an antibiotic like erythromycin 500 mg one tablet 3 times daily to prevent infection. Within 4-5 days you will be able to eat normally. Hope this answer will serve your purpose. Please feel free to ask any more queries if required. Take care Chat Doctor. V. Subrahmanyam MD; DCC. Associate professor of pediatrics, AIMS.</s>

<s>[INST] My blood type is O+ and I was married previous and my pervious husband also was O+. I was pregnant for several times and I never get sick though out my previous pregnancies. After I got divorce I got remarried for a new husband and his blood type A+ and we decide to have a new baby then after I get pregnant I became very sick, I was having high fever, vomiting a lot, and tireless which I never had this symptoms before. My question is since my new husband and I have different blood type is that the cose of my sickness? [/INST] Hi, No a different blood group should not cause you to have such symptoms. A different blood of a new husband could probably give you a slightly increased chance of high blood pressure, and pre-eclampsia in the later part of pregnancy. Fever, vomiting and tiredness, could be an infection unrelated to pregnancy. You should see a physician and get blood test to check for infections and take medicines for fever and the other symptoms. Do discuss the safety of medicine during pregnancy before taking them. Hope this helps. Regards.</s>

<s>[INST] Could you help please. I have had a blood test carried out this morning as a further continuing blood test plan which was required as the result of a sudden viral failure (caused by a reaction to antibiotics). This occurred seven weeks ago. My eGFR was 4 six weeks ago is now 33. Other values such as Creatine are approaching normal. My GP is impressed with my recovery and results in the main are trending towards the normal range and he has taken me off Dialysis. I have had repeated blood tests every 2 days during dialysis, and now weekly since 12-06-2017. However my platelet count is today 138 x 10^9 /L. (Normal range is 150-400). This was 160 on 12/06/2017 and 167 on 19-06-2017? Is this serious and what can I do to assist returning to the prior OK values? This is a rapid drop - maybe the lab test today are faulty? Possible solution is wait a week for the next test? Please advise. [/INST] Platelet count of 138000/CMM, is not at all a serious issue. It may be transient Chat Doctor. There is no need to take any active measures to increase it to more than 150000/CMM. It is best to repeat a platelet count after 1 week. But if you have any bleeding complaints don't wait for long. Get the platelet count done urgently. Hope I have answered your question. If you have any further questions I will be happy to help. With regards,</s>

<s>[INST] I have a small flesh colored bump just above my pubic bone. Looks like a mole Ive had since childhood so I didnt think anything of it when I noticed over a month ago. Today it had a scab and what looked like it could be a white core in it. What could this be? [/INST] This is a super-added infection to the pre-existing swelling. This might have occurred due to an unknowing scratch or a small injury.</s>

<s>[INST] Today had throbbing golf ball size pain just underneath left shoulder blade in back and with shortness of breath suddenly, lasting 30 seconds. Happened again later in same day, pain lasting 30 seconds this time with no shortness of breath. Should I wait til it gets worse before I goe to docto?. I am 49 female, history of child pneumonia and pleurisy as adult, x-smoker. [/INST] Hi, It seems to be symptoms of angina, Don't delay and visit a cardiologist. Get your stress test treadmill test done. Hope I have answered your query. Let me know if I can assist you further. Sunny Anand, Physical Therapist or Physiotherapist</s>

<s>[INST] hi,I am 25 year old i am trying to concive last 7-8 month my husband test normal then doc. say me follicur study then on 14th day doctor say ovaculation is the my reports good or bad? can i conciving this time? but this time only one time sexwith us. [/INST] Yes your report is normal since follicular study on 14th day showed ovulation. The sperm lives up to 3-5 days in the female genital tract. The lifespan of ovum is 24 hours. So if you have had sex within 5 days before the date of ovulation or on the day of ovulation you can conceive this time. To increase your chances of conception you need to have healthy lifestyle i.e. stop smoking if you are a smoker. Should not Chat Doctor. Your BMI should be around 25. If it is more you need to reduce weight. One more important thing is you should have regular intercourse 2-3 times/ week. If you don't conceive in 3-4 months time period consult your doctor and get the fallopian tube patency test done. If you have any further queries feel free to ask me. Good luck</s>

<s>[INST] For several months now, I have experienced excessive mucus drip in the back of my throat, yet cannot expectorate it. My throat is sore and the middle of my tongue has a raised ridge that appears to be white. Also, I experience some difficulty swallowing when the mucus is flowing. I have a history of allergies, but this is new. I also have asthma that is under control. Over the counter medications for allergies have not given me relief. I have considered food allergies and have limited the mucus producing food products such as dairy products, but still daily I am swallowing mucus and cannot cough it out. Please advise. Thank you. [/INST] Hello dear, The symptoms as mentioned in your post suggest that you might be having Pharyngitis & Allergic tracheo-bronchitis. Management includes:1. Gargle with warm salt water to relieve throat pain.2. Analgesics like paracetamol3. Antihistamine preparations like Allegra can be taken for symptomatic relief.4. Montelukast preparations, which is used as a maintenance therapy.5. Maintain adequate HY Chat Doctor. 6. Also make sure that you are well protected from cold, dust & other allergens. If symptoms still persist...it will be better to consult an ENT specialist. Wish you a speedy recovery. Take care.</s>

<s>[INST] I am 41 yrs old & have type 2 diabetes & recently lost about 15 lbs for no reason. I have been eating better but not that much better & I have a stressful new job that could be the culprit but im scared b/c i know my body & i usually dont just shed 15 lbs in 2 mths with little to no effort. I am drinking more water lately but dont know if thats from the diabetes symptoms or not. Im scared something more serious might be wrong with me. I also pee frequently but I always have even before being dx w/diabetes,i went from 155 lbs down to 140 which is great but im scared b/c i usually have to work much harder to lose weight [/INST] Hello, Thanks for the query. I have gone through the details given and do understand your concern. However, there is no mention blood glucose level (fasting or PP) and HbA1c%, so there is no way to know whether diabetes is well controlled or not. Secondly no mention ChatDoctor. Persons with diabetes do lose weight at times fairly rapidly, particularly when it is uncontrolled with high blood glucose. That causes excess glucose loss through urine as well as increased frequency of toilet visits including getting up at night. In a well controlled diabetic FBG should be If blood glucose is not well controlled eating well can actually lead to more of glucose loss through urine. So my suggestion is please check your fasting, PP glucose levels and HbA1c% and try to bring those in the above recommended range. Then weight reduction will stop. Strict blood glucose control is the remedy. Thanks</s>

<s>[INST] just wondering what t oexspect next he is loosing the use of his body functions and very week he is forgetting who we are and has gone down hill rapidly in the last weekhe is 56 and has been fighting throat cancer for 2yrshe weighs maybe 100 and is 510 [/INST] Thanks for your question on Chat Doctor. I can understand his condition and problem. His symptoms like forgetfulness, weakness, loosing body functions etc. suggest possibility of brain metastasis. Throat cancer is mostly squamous cell carcinoma. And it can spread to brain in some cases. So we need to rule out brain metastasis in his case. Get done MRI brain first to rule out brain metastasis. If MRI is normal then following are the possible causes. 1. Electrolyte disturbance 2. Acute psychosis etc. So first get done MRI brain to rule out brain metastasis and then consult psychiatrist.</s>

<s>[INST] My daughter is 23 year old. Finished college and just starting to work in her field. She was in an accident 2 i/2 months ago where she hit her face on the steering wheel of her car. The CT scan showed nothing. But she now is having small seizures like spells. Mostly when she is stressed out. Just feeling like she is zoned out and not able to focus. She did not have these spells before the accident. She had a MRI and they say that it could be gray matter heterotopia. Can these be treated with medicine, will she be able to drive?. [/INST] Hi, Thank you for posting your query. I have noted your daughters symptoms and MRI brain findings. The accident was incidental and is not the cause of her heterosocial or seizures. The seizures can be explained by the MRI finding of heterosocial. The treatment is medical in most people with this condition. Anti-epielptic Chat Doctor. Only if the seizures remain uncontrolled, surgery may be required in a few people. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health,</s>

<s>[INST] hi, about a month ago i was in an accident. I was punched in the face by a man with hard gloves on a bike. The injury was just above my left eyebrow. the swelling was very big. ice was applied after i gained consciousness and eventually the swelling and black eyes went away. Its been 2 months since then and i have a small lump on my head where the injury occurred. will this lump subside or go away? [/INST] Hello, As per my surgical experience, this indicates hematoma following injury. The duration of 2 months is a considerable period for a hematoma to be organized, so I recommend consulting in follow up with a photo picture of the same as an attachment to evaluate it in the best possible manner. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST] Hello and thank you. I have a fractured back, but for the last several weeks, I have had severe foot pain; they feel numb and tingly. I don t know if this could somehow be related. I fractured my back one year ago this month but the extreme foot (feet) pain started more recently. [/INST] Symptoms you are describing suggest Lumbosacral radiculopathy probably secondary to traumatic PIED. Rule out compressive etiology by MRI LS spine take tab praline 75 my OD for symptomatic relief Hope my advice will help you. Take care. Don't forget to rate me.</s>

<s>[INST] Pleae Can you advise me how to prepone the period by taking PremolutN ? [/INST] Hi welcome to Chat Doctor hi...., the Primal is hormonal tablet which helps in the ovulation., it doesn't reduce the period of the menstrual cycle... also The Chat Doctor. . Hope I have answered your question. Takecare...</s>

<s>[INST] hello doctor, i have been chewing rajniganda from past three years say about 3 medium packets a day,but since a year i have been addicted to it with the addition hera-panna (sweet pan powder) and i eat a packet less a day but i still have it everyday and cant live without it, how do i stop it and what are the effects of this habit on my health physically and mentally ?please advice to the best.thank you. [/INST] Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Stoping it will require some cognitive changes and behavioral modifications. Consider visiting a psychologist for the same. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. </s>

<s>[INST] Hello, I have a dear friend who has been diagonised with colon cancer & mets liver cancer . They could not remove tumor from colon. She is not eating, very large stomache, in pain, thirsty all the time, restless & now today feet are swollen & so are her legs. The doctors are not giving much information. She was diagonised a week ago! How long may she have left? Is it weeks or months? Thank you [/INST] Hello, Welcome to Chat Doctor. I am sorry to hear that. The life expectancy in a stage 4 colon cancer patient can be quite variable. It depends on the aggressiveness of the tumor and the psychological status of the patient. All what you can do is being around her for providing support. Make her feel that she is not going through this alone. Besides, encourage her to eat more. Regards Chat Doctor. </s>

<s>[INST] My daughter was just diagnosed with CA-MRSA and is 33 weeks pregnant. She is also allergic to Duricef, Septra and Ceclor. Are there any antibiotics that she will be able to take safely? The site of the infection has been lanced,drained and packed and then the packing was removed the next day. This is on the back of her leg just below her buttocks. The area of redness and swelling is now approximately the size of a softball. The ER told her there is nothing that can be done for her due to her allergies and pregnancy. [/INST] Thanks for posting your query to Chat Doctor. If your daughter is allergic to Penicillin along with cephalosporin group[you can not give her any medication of this group. But local cleaning and Chat Doctor. You can try Azithromycin or Erythromycin base if she is not allergic to these </s>

<s>[INST] Hello, I have just found out about pollen and fruit allergies. I can t eat many fruits or nuts anymore as it causes my lips to burn and feel like they are swelling, my tongue gets raw and my thoart feels like it is staring to swell. I can t even drink sprite or any citrus drinks due to this. Also, when I eat something I shouldn t I get like a yeast infection but not a real one. I itch terribly in my private areas. Am I really allergic to fruit etc [/INST] Hello. Thank you for asking at Chat Doctor. I went through your history. I would particularly like to ask which fruits cause you symptoms and which fruits you can take safely. From your history, I would think first of Food-Pollen Syn Chat Doctor. </s>

<s>[INST] I am a 62 year odld female who has been on 20mg of paxil for 10 years. Recently i have had changes in my life ( elderly mom who is giving me trouble and having a new boyfriend). Last week I had a panic attack and cannot eat and feel sick to my stomach all the time. I think I need to go back to the doctor and have my meds changed or increased. Please help [/INST] HelloThanks for asking from Chat Doctor Pail or Paroxetine is a good Chat Doctor. You are taking the </s>

<s>[INST] Im a 48 1/2 yr old female experiencing dull pain at the right side belly button which feels worse about 30 minutes after eating. I feel almost all the time. I moticed it about 6 weeks ago but feels worse now. My right ovary was removed 7 years ago during a complete hysterectomy, although the left ovary remains. I went to a doctor who took an abdominal x-ray and blood work and found that my appendix looked normal, and no elevated white blood cell count, although he did find a renal stone that has since passed. I had my last colonoscopy 3 years ago with only a non-cancerous polyp found in the rectum. Im very concered, to the point of not eating. Can you help me, please? Thank you. [/INST] Hi, If your appendix was fine and no elevated white blood cell count, then, the pain you are experiencing might be related to: - stones/crystal in kidney/ureters - urogenital infection- colitis suggest to run further tests including: - abdominal ultrasound-urine analysis-vaginal swab testing and pap smear-repeat colonoscopy- do fecal occult blood testing to further evaluate your condition. Depending on the test results, the most appropriate treatment will be prescribed. Meanwhile, I advise to:- often eat and small portions-avoid gas-forming foods (beans, cabbage, etc)- do not lay down immediately after eating- Chat Doctor. </s>

<s>[INST] Hello , My boy friend of one year went through a divorce 2 years ago. My question is his ex wife is continually telling people in the local community she wants to destroy him . He pays child support , is a successful buisness owner and has a big heart and is very generous. I believe his wife has a condition. She always lies , uses the kids as leverage and always seems to create some kind of drama and involving therapist, filing untrue claims . And my boyfriend is always defendind himself. It seems she is always trying to get attention on false accusations. Im trying to remember the name of this condition When an individual is always creating lie, drama, and trying to get attention from professional sources. Thank You. Miss C. [/INST] Hello You have mentioned that she always tells lie, uses kids as leverage, has attention seeking behavior, projecting mistakes on others. She has habit of false accusations and her behavior is Chat Doctor. See such type of symptoms can be observed in any healthy individual but if they start affecting personal and social life of person then there is need to consult a Psychiatrist. She might be having some personality disorder especially histrionic personality disorder or borderline personality disorder. But to label a person with Personality Disorder a detailed evaluation by a psychiatrist is needed. If possible then consult a Psychiatrist for expert opinion. Thanks</s>

<s>[INST] my wife is in the end stage of severe copd and emphysema had pcemaker put in 2 weeks ago back in hosptial cant breath at all bp is 90 over 52 when she moves around heartrate 140 oxgen drops to78 putting fluids in iv to raise bp but its not helping none hiw much time you think she got left [/INST] Thanks for your question on Chat Doctor. I can understand your wives situation and problem. COPD (chronic obstructive Pulmonary disease) is progressive Pulmonary disease. In late stages oxygenation function of lung is decreased. So this causes right sided heart failure and cor pulmonale. Right sided heart failure is the cause for her hypotension. Right sided heart failure in COPD patient carries poor prognosis. She needs diuretics and cardiac isotropic Chat Doctor. Excess fluid will harm her. So ask your doctor to rule out heart failure by 2d echo and discuss diuretics and cardiac isotropic </s>

<s>[INST] My Ibuprofen is red/brown..200 mg., oval. Your display is white. I may be suffering from a mild concussion. Is it safe for me to be taking up to 600 mg a day. Will be seeing my doctor to-morrow. Am feeling rough to-day but think it is nerves as I am an Agoraphobic. [/INST] Hello, Well, 600 mg of Ibuprofen Chat Doctor. We can use Ibuprofen 200 to 400 mg every 4 hours, so your dosage is safe and nothing to worry about it. About your rough feeling, I do not think comes from Ibuprofen. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST] Hi, may I answer your health queries right now ? Please type your query here...can i take fertyl super without a prescription ? i m married for 6 months and have not taken any contraceptives of preventives but failed to conceive?...i want to conceive very soon ..could u help me ? [/INST] Hello, all the medicines act differently on different people, also every medicine has its own safety profile, dose and side effects. So please do not take medicine without doctors prescription. Also you need to get yourself examined to know what is preventing conception and get treated accordingly.</s>

<s>[INST] i have been waking up in the middle of the night sweating so much i am drenching my sheets. however, when i wake up i am shivering and freezing cold and find it hard to get back to sleep because of how cold i am. i have been previously diagnosed with depression, anxiety, and narcolepsy. [/INST] Hi, As I can figure it out here, you have been diagnosed with narcolepsy and your major concern regarding excessive sweating at night. Sweating in night can be possibly due to heightened sympathetic activity during sleep. Which is normal and should not be a reason for worry, it may be a bit distressful at times. Here I would need to know if there are an Associated nightmares or bad Chat Doctor. Besides an associated anxiety may predispose to excessive sweating. During sleep our thermoregulatory mechanisms are not working, that is the reason why one may find himself cold at night. I would suggest you to discuss your issues with the treating psychiatrist, as It does indicate that the underlying sleep problem is not being managed adequately. An addition of small dose of beta blocker and long acting benzodiazepine, can be discussed with the treating psychiatrist. Welcome for further suggestions.</s>

<s>[INST] hi... my baby is 2months young and she has lot of hairs on her body (hands, back forehead, ears, side locks n upper lips... she is becoming quiet darker also ... i m worried for her plz advice me wat to do abt it.... i ll be thankful 2 u for ur advice....... [/INST] Hello welcome to Chat Doctor. Sometimes excess hair may be due to the hormonal changes that passes through mothers milk, or it may be the Laugh. Laugh is the tiny hairs that baby is covered in your womb throughout pregnancy. I would suggest you to visit your pediatrician, and also you may have to do some hormonal test analysis for your baby in order to eliminate any hormonal disorder.</s>

<s>[INST] I had an MRI scan of my brain last night at 6:30. This morning I woke up and both eyes close to the nose bridge have sunk in. It is very obvious. Is this something I should be concerned with? I am currently under the care of a neurologist and was diagnosed with temporal arteritis . I have been taking prednisone since August. Currently, I am only taking 10 mg. a day. [/INST] Hi, Thank you for posting your query. We need to examine the eye movements in all directions. If the eye does not move to any side, then you should see your neurologist as early as possible. However, if the eye movements are good and normal, then you may wait. These symptoms are not related to temporal arthritis. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/</s>

<s>[INST] Hi. i am trying for a baby since 2 years and i am suffering from polycystic ovary and is it possible to become pregnant and for this i want to meet good gynaecologist. can you suggest some gynaecologist in bangalore. my email address is YYYY@YYYY . [/INST] Hi, For polycystic ovary problem regular gynecologist follow up should be done. Lose weight if obese. Lifestyle modification done for that regular exercise beneficial. To support the ovarian function and to decrease insulin resistance metformin can be prescribed. Contraception pill helpful in regularizing period If conception still can't occur and to induce ovulation and to induce fertility pulsatile provide or camphene Chat Doctor. After all attempt if conception cant occur than assisted reproductive techniques has to be used. With keeping this answer in mind consult gynecologist or infertility specialist nearby for examination and further work up plan accordingly. Hope your concern solved. Let me know if I can assist you further.</s>

<s>[INST] My mom had a heart attack in 2010. Angiography suggested no blockages. In 2011 she had a stroke, after medical care she was fine. Till Feb 2012 everything was fine. From March 2012 her food intake dropped and she complained of her stomach is full. Doctor said her liver is affected and we have to do water tapping. From March till October she has underwent 4 water tapping sittings. Now doctor is saying due to low heart pumping her liver is damage almost 80-85%. I need to know if there are any chances of improvement in her condition? How may times water tapping can be done? Is it harmful to patient? [/INST] Hi thanks for asking question. Noted you have heart problem and because of less function of heart liver not getting enough blood. By liver affection hypoalbuminemia present and secondary sodium and water retention edema occurring... After consulting doctor diuretic can be given for it. Protein supplement might be needed. You had done therapeutic paracentesis for fluid removal. If done under aseptic precaution less side effects... But yes as it us intervention procedure bleeding, infection, injury to other organ etc...side effect can be there.... Supportive care given. If any complication occurs immediately consult to er... Take care.</s>

<s>[INST] I currently have nerve damage on both my right and left sides of my legs. I also have thinning in both kidneys, fibromyalgia, copd, osteoarthritis. I have constant itching in the middle of my back which also stays numb. What can the cause possibly be? [/INST] Hi, Detailed evaluation is required, you can consult a nephrologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST] I developed c-diff after hospitalization. Now I have it again after taking amoxicillin for a sinus and bronchitis infection. Will I ever be able to get shed of this stuff or is it something I will deal with every time I take antibiotics? Is there a vaccine for it? [/INST] Hello understand your concerns need to ask you certain questions first. What treatment you took previously for c.difficile infection? What exactly are the symptoms you are experiencing now? C.difficile infection are generally treated by Chat Doctor. If it is just diarrhea, it may be a mild infection, it will resolve by discontinuing antibiotics which you are already taking for other health ailment. Probiotics can be used to aid regrowth of normal intestinal flora. If symptoms persists beyond 2 days after stopping antibiotics, then a course of metro is given as mentioned above. If you have already done with this course and here is recurrence with diarrhea, fever,abdominal pain, a second line treatment with vancomycin </s>

<s>[INST] how can i close a big gap in my front teeth without using braces but dont cost very much ? [/INST] how do i fix a huge gap in my front teeth without using braces ?? but doesnt cost very much ?</s>

<s>[INST] Hi, My egg is ruptured and doctor suggested us o take to be in contacts for next 3 days. No other medicine given to me. Doctor suggested that this there are high chances of getting pregnant. But i couldn t. Why should not get pregnant though egg is ruptured? [/INST] Hi, Welcome to Chat Doctor. I read your query and I understand your concerns. Following is my reply:1) egg rupturing is not the only thing required for pregnancy.2) Please get semen analysis done for your husbandmen me know if you have any more queries.</s>

<s>[INST] I am a healthy 48 year old female. two weeks ago I noticed a lump in my throat (sono study indicates nodules and FNBiopsy indicates benign). A few days later a routine mammo shows a density and further studies were done (results pending). Now, a cyst (on my scalp) that I have had for years is inflammed (doctor lanced it and prescribed an antiobiotic). And to top things off I have a cold...is there something else my doctor should be considering since I have had this sudden eruption of cysts (that is assuming the breast is a cyst) [/INST] Hi, Its by coincidence that you have these lumps in throat/breast/scalp which turned out to be cystic and there is no prima facie connection between these all lumps with you. Each has its own existence and different reasoning and would need different treatment in case any complication develops in them. As in the scalp cyst- as it got infected lately, it has to be Chat Doctor. The ambiguity and worry about the treatment would be resolved and for this I would suggest Second Opinion from your Surgeon, who would investigate and would plan proper treatment for each of it. This reply is for to help you to plan treatment for each of the lumps in throat /breast. Hope this reply would help you to relieve worries you have. 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!!</s>

<s>[INST] I am concerned about my daughter-in-law who has had stomach pain for about 10 days to 2 weeks and has lost 10 pounds without trying to. She has none to spare. Shes nursing a 7-month-old baby and cant take medications. The pain is causing her to be really weak and tired. I took her to the emergency room today but the results were inconclusive and they sent her home. Shes finding it hard to function. [/INST] Respected Mam/ Thanks for your query. The information provided by you is too little to ascertain a conclusive cause of pain abdomen. Moreover, any pain abdomen requires a diligent examination. However, I would like to Chat Doctor. This in combination with pain abdomen can be a significant illness. I would request you to consult a good gastroenterologist for this on priority. SincerelySukhvinder Singh</s>

<s>[INST] I get up at night gasping for air and coughing. I was prescribed Reswas previously by one doctor for night coughing. When the symptoms reduced, i discontinued it. But this week i got a viral fever and this same problem started again. I haven t slept for last 2 days.. its getting worse.. I m confused if this is asthma or bronchitis .. whenever i get into sleep im getting up coughing.. Please help.. [/INST] Hi, Welcome to ChatDoctorYour having post viral bronchospasm more so in night hence consult a Chest physician and if bronchospasm is confirmed and there are signs of infection then a prescription based antibiotics, bronchodialtors in inhalation and if need is there short course of oral corticosteroid will help him greatly. After viral infection sometimes bronchospasm is there, and it may not occur for very long time a din asthma recurrence is there with exposure to allergen and seasonal. Take care Good Luck</s>

<s>[INST] Hi Doctor. Am from Bangalore. My father was suffereing from viral fever. Took him to hospital when we did blood check-up first time platelet count was 175000. Nw it is 126000So, I want to know, is this very dangerous or what?What should be the treatment now.On what level the dengue is? please helpS [/INST] Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Platelet count can get low in any Viral Fever. Dengue is also a type of Viral fever. There is no value of platelet count that can define a dengue fever. You should keep a watch on his platelet count and if he develops any bleeding, he should be Transfused platelets. However, it is unlikely that he would develop bleeding at this platelet count. Get his:1. Dengue NS1 and IgM2. Malaria Antibody. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy</s>

<s>[INST] Hi I am a 20 year old female. Ive been having pain in my right shoulder and neck when I breath in, cough or yarn for the past two days now. When I lay down my side begins to hurt making the pain on a scale to 1 - 10 with 10 being the worst, my pain is a 10. [/INST] If It's 10, you should not ignore it. It may not be simple myalgic or say muscular pain. Some kind of cervical vertebral problem due to reduction in intervertebral gaps, osteophytes (not found in young generally), other pressure on nerve emanating from cervical region could be the cause. Painkiller is not answer. Management be planned once we have x Ray reports of c/spine. Cervical collar support, traction, physio, Yoga etc. may be needed.</s>

<s>[INST] Hi, may I answer your health queries right now ? Please type your query here... Hi I just had a culture take from some sores( pseudomonas.) I have had the sores for approximately a year. Every antibiotic known to man was tried. 3 months ago I began feeling very short of breath,like my cardiovascular capacity has only an 1/8 capaccity. An echo cardio was done the ejection fraction was 24 dialated left ventriccal,a catheter was installed finging the ejection fraction is actually 19. I from Schenectady Ny, where is the best hospital for this treatment. Thank You Shane 518-346-1790 [/INST] Hello, How old are you? Since when you're suffering from this condition? Pseudocodes Infection is multi- Chat Doctor. Heart failure or anemia or poor immunity status also may present like this. Pseudocodes treated with Cefoperazone and Sulbactam, Piperacillin Tazobactam or Reopened or Eminem etc. For heart failure, you may have to get it done angiography with stenting. Please consult your Cardiologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care </s>

<s>[INST] Hi, may I answer your health queries right now ? Please type your query here... My 3 year old son wakes up in the night with extreme pain in the legs or arms. I noticed that this happens only when he has has rice or potatos to eat anytime during the day. I stopped both these for several days and no pain. I introduced rice (basmati) and he again woke up with pain. I tried this several times in last few months and result is the same. However, items prepared with ground rice or rice flakes (rice pasta etc) have never caused problems. It s not growing up pains for sure. He also has milk & wheat allergy. It would help if he could have some whole grain rice dishes. Any help? [/INST] Hello! Welcome to Chat Doctor ! The basic rule is if one is allergic to something, keep away from it. If he cants take rice, if it creates problems, there is no need to give him that. Take care </s>

<s>[INST] hi sir gud ming in 1 half month before i have take abersion tablets that time 2 till i have bleeding till now after 1 week before i meet a doctor and doctor precribed me the tablets of ovuloc and one think am the suger pacient.to take this tablets is there any side effect pls tell sir [/INST] Hello, Ovule can be used in diabetes but only monitoring by your doctor because it increases blood sugar and have many side effects like increasing risk of stroke hypertension osteoporosis etc. Monitor your blood sugar levels. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Iam having a question.......i want 2 concieve,on wat days after my periods we can try..........can u plz tell me in detail wat days we can try fr concieving......... [/INST] Hello Welcome to Chat Doctor forum14 days before due date of next cycle i.e, date of ovulation Sperm have fertilizing power up to 48 hours once they have entered the female vagina, to achieve pregnancy intercourse must be done on the days when woman feels sensation of slipperiness at the vaginal opening and the mucus has a stretchy, clear appearance of egg-white, or when the sensation of slipperiness is present and little or no mucus is seen at the vulva. Life span of ova after release is between 12 -48 hours. Wish you good healthDisclaimer</s>

<s>[INST] 5y/o female c/o on & off left side chest pain That is not reproducible on palpatation. She also has red raised pustule rash (about 6 now) under left arm. Hx healthy 38wk full term vag Delvery. Minor heart murmer Vac up to date. On & off cold sx and productive thick green mucus Cough for 1mo without fever or fatigue. 2wk trip to the Phillipines 1.5 weeks ago. [/INST] Welcome to the ChatDoctorI have gone through your question. The most likely reasons for the complaints of your daughter are musculoskeletal pain, lung or pleural infection or neurological pains. Don't worry as they can be easily managed once the diagnosis is established. I would recommend you to visit a pediatrician for complete examination. A chest x Ray will be useful to check the lung condition. Many a times pneumonia and lung abscess can lead to such presentation and can be picked up on chest x Rays. Antibiotics will be useful if a chest infection is found on evaluation. Else, give her symptomatic treatment such as acetaminophen or ibuprofen for pain relief. Hopefully this will be helpful. I would be happy to help you in any further questions. Take care</s>

<s>[INST] hi my 6 year old son has had a cough and on/off temp for over a week now, i took him to the doctors to see the nurse yesterday as he developed a nettle like rash which only lasts a short while, it comes up on his ears, face, arms and legs. he is normally a healthy fit boy, he has mild asthma and is very sporty. what could be the problem? [/INST] This rash may b due to viral infection (viral anthem) itself or may b due to Chat Doctor. If child is not immunized for measles then this may b a possibility also.</s>