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<s>[INST] a colleague has just been diagnosed with fibroids, she has had a scan and has to wait until the 17 nov to see her gp for the results due to her gp s holiday. she has just identified a lump in her breast, has seen another stand in gp which happened to be a man so she did not feel very comfortable talking to him about her breast. he has referred her so hopefully she will hear soon. is there any connections between cancerous fibroids and breast cancer please? [/INST] Hi, According to the FDA, if the woman also has uterine cancer, this procedure can risk spreading cancer within the abdomen and pelvis, making it harder to treat. Uterine fibroid are non-cancerous growths in the uterus. They are very common and often do not cause symptoms. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] I have been trying to figure out why my legs are hurting so much, about an 8-10. Also my knees are hurting and are swollen all the time lately and are week, they give out a lot. I m recoding from thoriac back surgery, my surgeon cut a couple of chunks out and straightened my spine then fused from T8 to L1 were he tied into the 14 screws he placed while fussing L1-my sacrum in 2009, I now have 26 total screws. I m wondering if I injured my femoral nerve because my groin and inside of my legs hurt all the down to my ankles, along with my knee and leg pain? [/INST] Hi, Regarding your concern, I would explain that it is important performing some investigations to differentiate between two main possible causes that may lead to your symptoms: - a joint inflammation- a articular pain radiating from your back (nerve compression). That, is why I would recommend performing some tests:- a nerve conduction study to examine your nerves-complete blood count, PCR, sedimentation rate for inflammation. You should discuss with your doctor on the above issues. Hope to have been helpful. Let me know if I can assist you further. Kind regards,</s>

<s>[INST] My 7 month old grandson was sitting on the floor and tried to crawl forward and hit his eyebrown bone on the cabinet. He cried and then shortly after spit up alittle-not vomit but spitup. He calmed down quickly and seems fine. Should he go to the doctor [/INST] Hi dear, I understand your concern, you should observe baby. If baby will not have vomiting, headache, will not cry continuously, then don't worry. Apply Pile to affected area with gentle massage 3-4 times for 5 days</s>

<s>[INST] Hello my baby is 15montjs old and she is around 7kg she is very week and now its been 2days she got vomiting and also it been 2days she start having lose motion plz advice me what to gave her also is holicks harmfull for her or i cam gave her ..thanks [/INST] Hi, I had gone through your question and understand your concerns. Weight of your baby is very less for age, you have not mentioned her birth weight. Your baby seems to suffering from gastroenteritis give her ORS, zinc. You also need to show her to your pediatrician early as she is weak and prone to severe infection without warning signs like fever. You need to give her a balanced diet with variety, and supplements after consulting your doctor, Cowlicks alone is not going to help , I usually do not recommend it. There is also a need to find cause of her poor weight, was she born with low birth weight, what diet is she taking, is her appetite poor or weight not increasing despite good appetite ? All questioned needs to answered and her diet to be planned accordingly in consultation with your doctor. Hope this answers your question. If you have additional questions then please do not hesitate in writing to us. Wishing your child good health.</s>

<s>[INST] I eat meat regularly, but rarely eat steak. The other day I had steak for dinner and later that night it felt like there was a knot in my stomach, then finally had a large bowel movement and felt like a million bucks. The next day I had the leftovers and later that night the cramping came back and has lasted 2 days so far. I keep feeling like I have to have another large bowel movement but am only able to get rid of a few pebble-sized feces. My wife who had the same dinner is fine. What can I do to alleviate this? [/INST] Try digestive enzymes for digesting red meat. Your body might not process or digest rich meats well. I have the same problem and if I eat a real good lean steak I get bad gas and have to "purge". Sometimes the same night</s>

<s>[INST] I got my wisdom teeth removed a month ago. I ended up getting dry socket and an infection so the doctor gave me more medication. I started to heal and even flushed out the sockets. Not I have a lump along my jawline that is tender to the touch. Is it possible that food got stuck in the socket? [/INST] Thanks for your query, I have gone through your query. The lump over the jaw line can be because of the infection of the bone that is garret osteomyelitis. Nothing to be panic, complete the course of antibiotics particularly amoxicillin and metronidazole combination. Keep the socket area clean by rinsing with saline. If it is not reducing in a week, consult an oral physician and take an causal radiograph to confirm the diagnosis. I hope my answer will help you, take care.</s>

<s>[INST] I have a golfball sized lump inside the right side of my neck. I have developed some spots that have crusty heads at the back of my hairline also they havent went away for about a month. Im also tired and either feeling really hot ot really cold. Please help. Lynn [/INST] Thank you for asking Chat Doctor. My name is Chat Doctor. You have mentioned lump at right side of the neck and have some spots that have crusty heads at hair line back, along with that feeling of being tired/hot /cold. You need consultation of your physician for detailed evaluation as such lumps need clinical examination for establishing diagnosis and further management, and you may have to go through some Labs. You can get rid of this by visiting a physician and treatment. Hope this may help you. Let me know if anything is not clear. Thanks.</s>

<s>[INST] both my legs are very swollen and retaining fluid in the calf, ankle and foot. I have done nothing different except stopped my blood pressure 25 HCTZ meds in the last few weeks do to no insurance and I am very stressed the last few days due to the fact that my dad , who lives out of state, is dying and I need to get out to see him asap. I have definitely noticed a worsen as the day has gone on??? What can I do to fix this please? YYYY@YYYY [/INST] Hello, Swelling in foot and calf is due to fluid retention in them. This has happened due to stopping of antihypertensive medications. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] hello my father has oral cancer and its of 4 stage he has recieved 3 chemotherapy sittings 2 operations and 1 month radiation treatment .he has also recieved target treatment and now he is undergoing ozone therapy but still has 5 tumors on his face age43 help him [/INST] Your father has received almost all possible treatment modalities available. At the moment only palliative treatment looks possible. If the tumors on his face are respectable then surgery should be done. Otherwise, palliative chemotherapy should be given. For details regarding the chemotherapy options previous chemotherapy given, current performance status of patient, age of patient and baseline lab investigations would be required. Please discuss it with the treating oncologist and if you have any further query I would be more than happy to answer.</s>

<s>[INST] Hi My three year old son has had Diarrhea and vomiting with extreamly high temp (104+), this was 6 days ago but his stools are still very lose (Liquid) and his urine is cloudy, we are Hydrating him as best as possible but he will not drink enough himself and is getting pains in his abdomen??? most of the time he is his normal self but then goes down hill as the day goes by....Longer, more frequent naps and becomes very soukey.. Can you help as we have spoken to a Dr who told us that this will need to run its course and to keep him hydrated this is now becoming a worry for both of us and he has droped quite a lot of weight? [/INST] Hi according to your information your child is having some gastrointestinal problems mostly due to viral causes and settle by it own, but distinguishing features from bacterial illness is mucus containing stool or blood if it, so it might need antibiotics check your child s stool full report and channel a doctor you also mentioned that his urine also cloudy so better check his urinalysis as well thank you</s>

<s>[INST] Took Keflex for an infection on my eye lid, now I have a horrible red rash on my chest and it is slowly going away. But this morning I woke up with a red rash under both breasts. When will it clear up? It has been 5 weeks now. I stopped the Keflex two and half weeks ago. I have Triamcinolone Acetonide Cream 0.1%, will this clear it up? [/INST] Hi, It seems that you are having candida infection. Do not apply triamcinolone, it is steroid and will exacerbate the infection. You apply clotrimazole or fluconazole cream at night and clotrimazole powder during daytime. And orally, take itraconazole cap. Daily for two weeks. Do not apply soap at bath. You can use detail liquid for bath, pour few Chat Doctor. Wear cotton clothes. And have blood test to rule out DM. I think, you will be alright . I hope you got my answer. Thanks.</s>

<s>[INST] HI MY SON IS 5YEARS TWO MONTHS OLD .HE HAS DEXTROCARDIAC SITUS INVERSES AND ALSO A HOLE IN HEART AT THE TIME OF HIS BIRTH .BUT WE HAVE NOT UNDERGONE ANY TREATMENT OR TEST AFTER THAT . NOW PROBLEM IS THAT HIS GROWTH IS NOT UPTO HIS AGE AND HE OFTEN HAS SEVERE COLD AND COUGH .SOMEONE HAS TOLD ME THAT THIS MAY BE DUE TO HOLE IN HEART NOW WHAT SHOULD I DO WHAT ARE THE TREATMENTS FOR IT AND IS THERE ANY AGE LIMIT FOR THESE TREATMENT I AM AN INDIAN .SUGGEST ME [/INST] Hi, It could be because of the hole in the heart which can lead onto increased pulmonary blood supply and wet lungs, or it could be a different syn Chat Doctor. </s>

<s>[INST] Hi,2 days before i went to Sehat Clinic (Chennai, India) for hair loss problem. The doctor witnessed me and prescribed two tablets named "Nano Hair Revitalizer & VB7 Forte". I have not yet started taking those tablets, i have a question whether is there any side effects taking those tablets?Please answer my question..Thanks,Suresh S [/INST] DearWelcome to Chat Doctor ! Your details have been evaluated, and I find that certain vital details are missing. If I were your dermatologist, I would have asked you detailed history, examined you and the affected hairs, got some investigations done to substantiate your diagnosis. Most common causes of hair loss are halogen effluvium in which there is diffuse hair loss from all over scalp and the other one is An Chat Doctor. These two are common causes, but other diseases have to be ruled out by history and examination. In my opinion, it is recommended that first a diagnosis is made, and then proper treatment is instituted. I request you to provide the other required details so that your hair can be as healthy as those of normal person of your age. In the meantime, please avoid massaging too vigorously, have a healthy diet, adequate rest, and use a mild shampoo once or twice a week. This will surely aid in early recovery. Best wishes.</s>

<s>[INST] Hi I have cushing disease, lyme disease, fibromyalgia, occipital neuralgia and have been treated with antibiotics for over a year now and wbc and neutrophils are still elevated and dont understand why if being on antibiotics for over a year could this mean something [/INST] Cushing's disease itself can cause elevated WBC, so this may not necessarily be related to an infection. Certainly a year of antibiotics should have taken care of most infections, depending on what antibiotic was used. Unusual infections or internal infections (e.g., abscess in a muscle or organ) might cause a persistent elevated WBC, as might a chronic inflammatory condition. You would probably be having other symptoms, such as persistent fevers, pain, or weight loss, if that were the case. You don't say how high the WBC count is, so it is hard to assess its severity. Be sure the Cushing disease is well treated first. If you are still having elevated WBC, you might need further evaluation or need to see a hematologist to get a specific diagnosis. Hope this helps.</s>

<s>[INST] Hi, I will be coming back to India/Bangalore in the last week of jan 2009. I have a 2.5 month old son & he is having the Acid Reflux problem, here we give the Prevacid Solutab medicine to him everyday. Will this tablet/medicine be available in Bangalore?? [/INST] The medication which you have mentioned is Lansoprazole. The medication is not available in the brand name of Prevail, but it is available in other brand names like Rancid, Landry, Ransom, Landon etc. The main treatment for the acid reflux for the baby is to properly burp the child after every feed which will help the air to come out of mouth which it has swallowed while taking feed.</s>

<s>[INST] My boyfriend put nair on his penis and left it on to long, he has burns on his p enis. On one particular part the skin is peeling, he says now that everytime he touches it it burns. Does it sound like a std? We are having unprotected sex and I dont hve any symptoms [/INST] HelloThanks for query. Your boyfriend has developed peeling of skin over shaft of the penis after applying hair removal cream. This is mostly due to allergic reaction to hair removing cream. He needs to take broad spectrum antibiotic like Definite and anti-inflammatory Chat Doctor. Along with topical steroid cream like Renovate for local application twice daily. Ensure he washes his genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. Since both of you are known to each other and have in sexual relationship since a long time and absence of any symptoms suggesting STD there is no possibility of STD.</s>

<s>[INST] My mother aged 61, has Tripple Vessel CAD with two blockage 100%. Doctors advised Medical management over bypass and Angioplasty as She is Diabetic, Hypertension as well as her arteries are vary narrow. What should we do, as even on hugh medicine, she contineously has breathless ness entire day. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. She is a ideal candidate for bypass surgery. Triple vessels' disease with hypertension, diabetes, high cholesterol are an absolute indication for Coronary artery bypass grafting (CABG). She is symptomatic (breathlessness) despite medicines. This also favors surgical management more. So better not wait and get done CABG. Consult cardiothoracic surgeon and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.</s>

<s>[INST] I had a grand mal seizure about 3 weeks ago, I am 72 years old and had never had a seizure before. I was under severe stress, no sleep for many days and was caring for my husband who died a week later. Anyway I was kept in the hospital for three days because I had developed before the seizure the ability to carry on a conversation and my words were staggered. Tonight I think I took my afternoon Dilantin and I took my night time one because my pill box for the afternoon dose was empty. What do you think is the right way if this happens again? [/INST] Hi, Thank you for posting your query. First seizure needs evaluation to find out the underlying cause of seizures. I presume you underwent MRI of brain, EEG and other blood tests. Regarding Dilation, you need to take 5 mg per kg body weight. So, if your weight is about 60 kg, then, a daily dose of 300 mg is needed. A capsule of Dilation is 100 mg, so, you would need three capsules daily. Since the duration of action is 24 hours, for convenience’s sake, you can take the entire three capsules together at night. Other options include taking one in morning, after noon and night each OR one in morning and two at night. Best wishes, Chat Doctor. </s>

<s>[INST] Hi, I am 37 and have psoriasis, I never get any other stype of spots but over the last few days I have large red spots with yellow puss heads breaking out all over my body, I can count sisteen so far and they came from nowhere. I never had these before, what can bring them on suddenly [/INST] Hello and welcome to Chat Doctor Presence of pustular lesions in Psoriasis indicates that the disease is going to flare if hasn't already. The presence of pustules is the sign of an unstable disease. Causes for a pustular flare are topical irritants like coal tar, anthracite, with Chat Doctor. </s>

<s>[INST] Hi i am from chennai. i have few black spots in my face which makes me look dark. This is my only problem pls help me with a good solution [/INST] Hi prithiWelcome to Chat Doctor Black spots on face or hyperpigmented spots which have developed later on in life could suggest hormonal imbalance or due to excessive sun exposure best results it is advisable to consult a dermatologist cum cosmetologist who can study your skin type and provide appropriate remedial then try to have a balanced diet, plenty of water and exercise for at least half an hour. Use only mild glycerine soap and sunscreen daily.avoid the afternoon sun 10am to 4pm if possible. You can try fresh lemon juice or natural lover application to decrease the black spotsThanks W</s>

<s>[INST] A couple of months ago l discoverd a very large blood blister on my large toe, l went to our local center for them to look at it they decided to cut away the skin and release the blood. Then they cut more skin away and dressed it. l was told that it must be dressed every day that has happend with my wife cleaning the wound and making sure that it stays clean. Now after two months the hole where they cut away the skin has not improved at all, being a diabetic on insulin l am beging to worry about gangerine. please advise me as to my next move as l live in spain and do not have access to a doctor as yet, we are going through the proccess now, sincerly Paul Wintershausen. [/INST] Hello Mr. Paul Wintershausen Since you are a diabetic and taking INSULIN and wound is not healing in spite of the treatment. This is a" diabetic foot" :Presentation of diabetic foot is of three type :1 Neuropathic foot in which neuropathy dominates .2 The neuroischemic foot, in which occlusive vascular disease is the main factor .3 Non-neuroishemic but purely infected foot. Since you are a diabetic patient, so any of above possibility may be the reason of NON-HEALING DIABETIC FOOT. In my opinion you must consult a PLANETOLOGIST and get his opinion. If color of infected toe is reddish bluish and foul smell is there then you may have developed GANGRENE. So at earliest consult a PLANETOLOGIST and get his opinion. Hope this will help you.</s>

<s>[INST] Hello. I dont know if i do have an allergy? because at every beginning of winter season I get cold and i start to caugh and this would ended until the coming of spring. I suffer a lot from caughing and my eyes? my throat and nose would never stop itching all the time. please doctor help me at least with a piece of advice [/INST] Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Although more details would help, from your current symptoms, I would first think of allergy.2. Were I treating you, I would suggest you montelukast and levocetirizine regularly during your "bad" season. You can also start montelukast 1 week before onset of "bad" season which may reduce your symptoms.3. If still you have cough, I would suggest you to get your chest examined by a doctor who will listen to it with a stethoscope and may identify the cause of cough.4. I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid them.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.</s>

<s>[INST] Hi, i have been prescribed Citalopram today by my doctor, i have been reading through the side affects (good & bad) and still a little unsure if this is the right step to take. I work in a safety critical enviroment and cannot afford to have time off work. So i am wondering is this right for me. [/INST] Hello, Citalopram is safe Chat Doctor. You can safely continue citalopram. Nothing much to worry, and your treatment is in the right track. Hope I have answered your question. Let me know if I can assist you further. </s>

<s>[INST] i have stage 3 ovarian cancer I have had surgery chemo for a year the growth has slow down I was told I would not be cured. Therefore I stopped chemo. What well happen or what symptoms will I see next or how soon I am feeling more tried. Eating least, feeling full easily. [/INST] Hi, dairy have gone through your question. I can understand your concern. As you stop chemotherapy, your tumor will grow at faster rate. You may develop abdominal pain, vomiting, anorexia, weight loss, ascites in short time. You should not stop the chemotherapy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.</s>

<s>[INST] Hi, I occasionally have a combination of 3 things at once, lasting for less then a minute. I get very dizzy, with metallic taste in my mouth and tingling feeling on the side of my tongue. Nowadays it occurs about once a month and leaves me with no after effects. I am a 48 yrs old male and have had this happening for about 10 years now, seemingly getting more frequent in the last couple of years. I am an ex-smoker with high blood pressure, asthma and Crohn`s disease. [/INST] Hi, Thanks for asking the query, This could be due to the medical conditions. Take multivitamin supplements. Take complete balanced diet. Get the complete examination done by Physician. Take care!</s>

<s>[INST] I have a large pimple-like mass on my mid section. I am also having pain in my groin which causes pain when I stand or walk. I know I should go to the dr, but does it sound serious? The mass shrinks and swells - at its largest has been the size of a baseball. [/INST] Hi, This is likely to be a hernia. This is not serious but to confirm the diagnosis you would need to be examined by a doctor. Pain and swelling are the main symptoms of a hernia. I suggest a visit to your doctor. Chat Doctor. </s>

<s>[INST] hi mam, im 23 years old got married 3 months. I wanna to get pregnant faster im getting my periods regularly now but minimum flow and getting spotting 15 days back is this an ovulation time? I got pcod 1 year back i took crimson tablets is there any problem to conceive? Pls reply me thank u. [/INST] Hello dear, i understand your concern. In my opinion there might not be any problem in conceiving if your cycles are regular. The cause for minimal flow like thyroid abnormalities should be ruled out.Also, as you have a history of POD previously an ultrasound might be needed to check for the POD status. First and most important is avoided stress and anxiety related to pregnancy because they cause hormonal imbalance and delay the conception further. If ultrasound and thyroid profile are normal then nothing to worry. Practice regular intercourse to increase the conception chances. Best regards... Chat Doctor. </s>

<s>[INST] I have a cold with my throat semi soar, this morning I sneezed and below my rib cage left side feels like I pulled something but as the day goes on sneezing and or coughing is extremely painful is can describe it as it feel like a hernia trying to poke thru the skin, it almost drops me to my knees [/INST] Hi, The cause of pain below your rib cage left side could be possible pressure you put while sneezing or/and coughing. I'd suggest taking ibuprofen or paracetamol to ease the pain and inflammation of you throat. Furthermore, if your symptoms will worsen, you should seek consultation with your physician for further physical evaluation. All the best! Chat Doctor. </s>

<s>[INST] I had spinal fusion and disc replacement in my c56&7 in oct 2011 now have a lump on the leftside at the base of my skull close to the spine,I ve had an mri and was it was real bad with osteoporosis and he couldn t even read the mri (which he does on all of his cases) I have very severe headaches and dizziness blurred vision and confusion please help. DeeDee [/INST] Hello, I have studied your case. As per your history it looks swelling of soft tissue which can be lipoma or benign tumor. I will advise consulting surgeon for clinical examination. Bone scan may help for diagnosis. Benign swelling giving rise to pain can be excised. Osteoporosis needs to be treated adequately. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care</s>

<s>[INST] I have dry scaly skin on my buttocks . I attempted to use cortisone initially, but now I think this skin disorder is fungal in nature. I bought a tube of lotrimin and I ve applied 1 treatment so far. I can t believe how bad it s gotten. It has spread all over my buttocks in some upper parts of my legs. I plan to continue the lotrimin treatments. Will it worsen before it gets better? [/INST] Fungal infection you are right tab for can 150 MGM once a week for 3 month stab certain 10 MGM nightie Chat Doctor. </s>

<s>[INST] I am 24 years of age. I had a tumor surgically taken out. After its biopsy it was found to be pure dysgerminoma. The tumor was confined to one overy. It was a conservative surgey. Do i need a chemotherapy? What is the survival rate with and without chemo. 5 year survival rate means the person only has 5 years to live? [/INST] Hi, Thanks for writing in. It is important to take chemotherapy for dysgerminoma after surgery. Stage 1 requires only surgery because it is immature teratoma. However, higher stage is best treated with chemotherapy. Dysgerminomas are usually very sensitive to chemo, and can sometimes be treated with the less toxic combination of carbonation and topside. Giving chemotherapy will control the disease and prevent recurrence. Recurrence takes place in few patients even after surgery. That is why probably your doctors have recommended chemotherapy. With chemotherapy survival rates are high in the early stages. Almost every patient will respond to treatment. In cancer survival 5 year is considered a benchmark for treatment. If a patient survives for 5 years then their cancer is considered treated. Patients can live for a lifetime. Please do not worry.</s>

<s>[INST] I had a c section four and a half months ago after six weeks i was getting a frozen feeling on my right leg and now its on my left leg ive had a full spinal mri and they found a bit ofswelling but the docs said thatsho not bea problem and now they want me to have a head scan. Can you help or advice me. Thanks [/INST] Hi, It could be due to peripheral neuropathy (postpartum). Calcium, vitamin and methylcobalamin in adequate dose should help. Neurologist opinion will be worthwhile. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] I have a small white pain painful lump on the bottom of my foot. It is surrounded by red infected type colour. I first thought I had something stuck in my foot but I cant find anything. Its getting more painful every day and getting quiet hard to put any pressure on my foot. [/INST] Hi, Dear,These painful foot lumps need to be reviewed and consulted by your ER Surgeon. The lump in the throat seems to be abscessed of the plantar tissue of the foot. Take antibiotics / anti-inflammatory Chat Doctor. So consultation with ER Surgeon would fix solution to your intriguing lump problem at the site. This would resolve your query. Write excellent review if you feel that this reply has helped you a lot. Welcome for any further query in this regard to Chat Doctor and to ME. Have a good Day.</s>

<s>[INST] I was in a car crash four months ago and took a huge impact to my right leg. Although the initial bruising subsided it still hurts and keeps swelling. From time to time the bruising also appears again. I algorithm get a tight feeling and intermittent pins and needles from shin to ankle. [/INST] After going through your query it seems you had suffered injury to nerve(common perineal nerve) which lies at outer and lower half of knee. Are you able to walk on your toes and heels? If yes then take vitamin B12 after consultation with your doctor. Take care and wish you good health. Do reply</s>

<s>[INST] I do not think anyone has the answer to my problem. One dermatologist said it is a paper allergy and another contributed it to dry weather causing the problem. My finger tips become numb feeling and then the skin becomes thick and then starts cracking and peeling. Right now one has peeled to the extent of being red and tender. Others are just cracking and peeling. Seems to be a problem of numerous people. I don t know if this is a question but I would like to know what causes this problem. It began about two years ago. I am even wondering if there could be a problem from using all the hand held electronics that people use now. [/INST] Hi sir/madam, Thanks for your question on Chat Doctor. Possible causes:-Contact dermatitis. Actinic keratitis. Atopic dermatitis. Hypothyroidism. Eczema. Hope I was useful helping you. Have a healthy day.</s>

<s>[INST] Hello, I have extremely sore and itchy nipples. I have been using anti fungal cream for a month and its not helping and I also had an ultra sound on my breasts 2 weeks ago and it came back clear. My ex used to cheat on me alot so could it be a symptom of an STI ? Any ideas what it could be? Thanks [/INST] Hello, Welcome to Chat Doctor, Sore and itchy nipples are not the signs and symptoms of Sexually Transmitted Infection. I would be due to some other infections preferably of fungal origin. The fungal infection will be more common in this area because the fungus can survive and grow in the wet and moist area. As you are having the symptoms of itching and soreness it sounds like a fungal infection. I would suggest you to follow1. Keep that area Chat Doctor. Topical Antifungal cream3. Oral Antihistamines4. Oral Antifungal </s>

<s>[INST] I have a red spot on my left knee that at first looked like a mosquito bite but came to a head yesterday and then started oozing yellow pus. Now I have another sore starting on my right calf. Both are itchy. I ve been fighting a bad cold for 10 days and am concerned that these may not be bites. Thoughts? [/INST] HI, thanks for using Chat Doctor It is possible that they are bites that have become infected. Bites can become infected when bacteria are introduced from under the nails during itching. It is not likely that they are linked to the cold that you are currently fighting. The use of topical antibiotics may help but if they do not resolve with topical treatment then oral antibiotics would be needed. You should also consider repellent to prevent further bites. I hope this helps</s>

<s>[INST] In the past couple months I have been having an extreme sharp pain in my left abdomen. The pain causes me to be unable to breath and I fall to the floor unable to move because of how severe the pain is. I went to the doctor for it and gave them all my symptoms, period for 6 weeks, fatigued, headaches, heartburn. All of my tests came back normal, but I have still having this pain and when it hits it is very scary.Do you have any idea of what it could be or what my next step should be? [/INST] Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would go for an ultrasound abdomen to rule out any pelvic adnexal disease or a urinary stone disease on the left side. Apart from it, any kind of pelvic infection or an UTI could also give rise to such pain. To rule this out, you have to get yourself examined clinically by a gynecologist, followed by a urine routine/microscopic/culture and sensitivity test and also an ultrasound of the abdomen. Therefore, I would advise you to take appointment with a gynecologist if not done already. Till then, you could go for an antispasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor</s>

<s>[INST] Hey This is a sex question regarding to pregnancy. Yesterday i was with my girlfriend fooling around and I ejaculated on her chest area. We waited for a minute or less and I started to wipe it dry off her chest. Some semen was still on her neck which I forgot about, and a minute after she went in the shower to wash the semen off her body. She was standing upright, rinsed her body first then used soap all over. She did not wash the inside of the Vagina but just the outside, most likely not allowing any water to get inside. Is it possible that she is pregnant? [/INST] Hi, Thanks for writing to us. This type of sexual activity do not cause pregnancy because semen Chat Doctor. </s>

<s>[INST] I am allergic/intolerant to dairy products and i have eczema. I am now experiencing really loud annoying stomach growls with a bit of cramp sometimes even when i am not hungry i just had dinner and the loud growls are persisting... I have being stay clear of dairy products but the growls is still there, i dont like it at all, do you know any solutions to my problem.. [/INST] Many persons are allergic to animal protein if you are allergic to diary then also you will have milk allergy as milk is also animal proteins and in some patients animal proteins are not compatible with human proteins with Chat Doctor. </s>

<s>[INST] I had a tooth filled sept 24 it abcessed I developed a cough shortly after was put on antibiotics had to have tooth pulled last wk but still had chronic cough ..Im very asthmatic nothing is working for cough a d now metallic taste aftertaste when I cough [/INST] Thanks for your question on Chat Doctor. I can understand your concern. You were having infected tooth and this can cause aspiration of pus in the lungs and development of lung Infection. So we should get done chest x-ray to rule out lung infection as a cause for your coughing. Your metallic taste is due to antibiotics you are taking. If chest x-ray is normal than no need to worry much for cough. Take antihistamine and anti-inflammatory Chat Doctor. Hope I have solved your query. Wish you good health. Thanks.</s>

<s>[INST] My mom has underwent surgery in her intestine. Now she is having urinary infection. Report says that few pus cells were seen. Moderate Gram Positive Cocci were seen in pairs and chains. Enterococcus faecalis 10000 cfg/ml. Is this a serious condition? [/INST] HI, thanks for using Chat Doctor Enterococcus females is a type of bacteria that can cause a variety of infections though urinary tract infections are most common. It is treated with antibiotic therapy. The infection can sometimes be difficult to treat because the bacteria can be resistant to antibiotics. This does not occur in all cases, and it is quite possible that your mother would respond to her treatment. I hope this helps</s>

<s>[INST] Hi my question is ive been experiencing for a few years now a variety of strange symptoms and they are as follows muscles aches mostly on the left side of the body as well numbness and tingling on my left arm and muscles twitching all over my body. Also a tension that runs down my left leg as well as pain at the top of my left foot left knee and left upper shoulder. And lastly at times full body numbness and dizziness. So my question is what do all these symptoms mean? ive been to my primary care doctor and he performed blood work for fibromyalgia as well as rheumatoid arthritis but everything comes out clear. [/INST] Hello, I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical situation: a bulging disc in the cervical column, vitamin D deficiency, fibromyalgia, etc. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests: - a cervical spine X-ray study-complete blood count, PCR, ESR for inflammation- blood electrolytes for possible imbalance-vitamin D plasma levels. A cervical spine MRI study may be needed, coupled with nerve conduction studies. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST] I was wondering if I could use Diclofenac Sodium 1% cream for pain in my hip from a bursa. I currently take Naproxen 500 mg tab 2 daily for hip pain and Gabapentin 300 mg 2 capsules at bedtime for restless legs and 1 tab of Ropinirole at bedtime for restless legs. I thought that maybe the Diclofenac Sodium could be taken in place of the Naproxen. Thank you Jeanne [/INST] Hi, Yes, Diclofenac sodium can be used as an alternative; but, I suggest not to switch before consulting your treating doctor. Diclofenac cream can be applied locally as well. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s>

<s>[INST] I just had a heart catheter done. I have two 20 % blockages & heart disease. I also seen 3 places on my artie that looked like knots but they didnt close my artie . My cath was only done on the left side of my heart. What are the so called knots ? [/INST] Hello dearWelcome to Chat Doctor.come have gone through your concern in depth.* These are most probably atheromas plaques deposited in the coronary vessels on long term basis. Hope this clears your doubt. Welcome for further assistance. Regards.</s>

<s>[INST] hello, i have asthma and my gp said because i havent been to collect any new pumps for a while im not entitled to getting a flu jab the reason of this is because i have many inhalers and they dont exspire until 2013 and i never run out. but she says i cant have the flu jab and i dont want to get the flu what do i do? [/INST] The flu jab (yearly influenza vaccination) is recommended to all patients with asthma regardless of how their disease is controlled. There is no reason why your doctor should withhold the based on your medication history.</s>

<s>[INST] I think I may have broke my foot near the navicular 4 weeks ago. Regular X-rays said no but it s has a protruding of bone where I hit it and now I m having burning, numbness and tingling in foot. Not to mention it seems like my great to is crossing over the one next to it. Should I go for a second opinion or is this normal. [/INST] Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have burning sensation, numbness and tightness in the feet. Well there can be many reasons for symptoms you mention in query like chronic alcohol use , athletes foot, diabetic neuropathy, hypothyroidism, nerve injury or vitamin deficiency anemia. I would suggest you to consult general practitioner for proper examination. Doctor may order certain tests like blood test, nerve conduction test and take history. Doctor may prescribe iron supplement or refer you to endocrinologist for thyroid problem or orthopedic surgeon for nerve injury. Hope your concern has been resolved. Get Well Soon. Best Wishes,</s>

<s>[INST] I have a hard lump in my lower left abdomen. The area is tender to touch and pain is in my back behindwhere the lump is found. I have a past history of cancer of thyroid and radiation therapy. Frequent bowel movements that are ribbon shaped and occasional bleeding. [/INST] Hi, You should get examined by a Surgeon for the lump and the bleeding. It could be Diverticulitis and/ or Hemorrhoids. You might require an Ultrasound abdomen or some other imaging to see what it is. But do get yourself examined and then only can any form of treatment be instituted, Take care, Chat Doctor. </s>

<s>[INST] Due to pain radiating from my kidneys, I was sent for an ultra sound back in January. After the technician sent results, they referred to what they found as a nodule . I was sent to the imaging center the next day to get a CT scan complete with dye through and IV. In conclusion they found that I have a benign cyst & that I was to drink plenty of water.... My question is: Should I be concerned that it is something more? I have severe pain radiating from my left side (I know for a fact it is not muscular) that is worse at night/ upon awakening. Sometimes it is dull/throbbing and others sharp and painful. I have also been having horrible headaches in the morning, which started about 2 weeks ago. My Grandmother died of Pancreatic cancer in her early 50s. [/INST] Hi, benign cyst of kidney is not so uncommon. They some time cause severe pain, but they require no treatment. One can use oral NSAIDs or heads at the time of pain. In my practice I find them quite helpful to my patient. If the size of the cyst is large, and they cause severe pain effecting your daily activity then they ma require surgery. Thanks</s>

<s>[INST] I have been diagnosed with a cyst on either my esophages or my Bronchi (they aren t sure yet). I have had an MRI and a CT scan both with contrast. I am now being told that I need another gated MRI. I am being treated now for stomach ulcers. I cough all the time. What are the chances that they will be able to fix this without major surgery? [/INST] Hello dear, thanks for your question on Chat Doctor. Esophageal and or bronchial cyst if symptomatic than should be removed surgically. Surgery is the treatment of choice for such cyst. And it is better to remove this cyst as chances of following complications are high if these cysts are left untreated.1. Infection2. Rupture3. Fistula formation.4. Pressure symptoms on surrounding structures. So better to remove this cyst surgically.</s>

<s>[INST] I just had my teeth pulled and am wearing temporary dentures. My teeth were pulled on 10/25. I was given chlorhexidine gluconate oral rinse. I have been out of that medication for a week. My tongue turned a chocolate milk color during using the rinse. Now that I havent used it for a week, my tongue is still turning that color. Infection or side effect? [/INST] Hello, Yes. It is one of the side of chlorhexidine gluconate mouth wash. It is not due to infection. Some other usual side effects.1. Tooth/tongue staining 2. Increased tartar3. Mouth/throat irritation4. Change in taste of food/ Chat Doctor. 1. To decrease staining of teeth and mouth surfaces, brush with toothpaste 3 times daily, brushing more on the stained areas2. Use of a "tartar control" toothpaste and electric toothbrush may be more effective.3. To decrease the effect on how food tastes, eat first, followed by tooth brushing and then chlorhexidine rinse.4. See your dentist at least every 6 months for tooth cleaning/tartar removal.5. Staining from this medication that may occur on dental work (such as crowns or veneers) usually can only be removed by a dentist/hygienist. Wishing you good health.</s>

<s>[INST] I have been cramping for the last 3 days, i am bloated and feel tired all the time. I took a pregnancy test today (first response) and it was negative even though my period is not until the 15th of this month. Could i have taken the test too early? And should i expect more symptoms? I ovulated on the 1st and my husband and I were intimate. [/INST] Hi, It is too early to say about pregnancy. You have gone for test too early.If you do not get period on time, go for test again after 7-8 days passed of your expected date of period. Ok and take care.</s>

<s>[INST] Dear Dr Prasad. I had frequent break outs on my skin. A lot of pimples suddenly.As an aside, I also had severe throat swelling and ear pain, unlike the symptoms of tonsilitis.My GP told me it was because of a lymph node infection.Can pimples break out because of this? And what is the treatment? [/INST] ALWAYS MENTION YOUR AGE & GENDER.LYMPH NODES OCCURS DUE TO INFECTION. NOT DUE TO PIMPLES. FOR PIMPLES .KEEP THE FACE CLEAN WITH FACE WASH TWICE A DAY.AVOID OIL FOR HAIR & FACE.USE OIL FREE MOISTURIZERS .WASH YOUR HAIR. WITH SHAMPOO TWICE A WEEK.AVOID HOT & HUMID.FOR THROAT SWELLING USE HOT SALINE GARGLES TWICE A DAY.YOU CAN TAKE PARACETAMOL/IBUPROFEN FOR PAIN.USE BOYLE BENZOATE CREAM FOR PIMPLES.DO NOT PINCH OR SQUEEZE PIMPLES, IT LEAVES SCAR.</s>

<s>[INST] Hii,I recently had sonography & report says liver enlarged with mild coarse un echotexture , it measures 16.4 cms in spam.Subsequent liver function showsrange of Bilirubin as 0.61 & Albumin as 3.60I would like tomention that I am 41 year old Male with regular intake of alchol.Is my condition bad enough & please suggest medication & course of treatment. [/INST] Hi welcome to the Chat Doctor Your bilirubin level and albumin levels are within limit... Hence, chance of jaundice and chronic liver disease is less here... Your further evaluation for enlarged liver should be done with following... -CBC and peripheral smear examination, If target cells seen hemoglobinopathy ruled out by HPLC -Serum viral markers if suspected from history like bag -Serum SGPT, GOT According to cause found further management planed... Alcohol intake should be kept limited. Heavy Chat Doctor. </s>

<s>[INST] Is there any cure for Cerebral Palsy in Nimhans [/INST] Simians is the premier institute for Neurological and psychiatric conditions. You will get the best treatment there. But that does not mean that all conditions are curable. Cerebral palsy can only be managed and not cured. The treatment revolves around medications and physiotherapy and should be provided in the right time. Earlier the intervention the better the response. Hope this helps.</s>

<s>[INST] hi doctors, my name is anita and im inquiring regarding chronic pain ( as of yesterday evening ) in my tail bone, i did not fall just almost tripped from behind but caught myself, since then from my knees down i feel numbness or tickling sensation and the pain is not aliviating, can i get your input and do i have to seek immediate help or home excercise is okay ? [/INST] Hello, I have studied your case and most probably you are having disc herniation with nerve compression in the spine. I would recommend you to get some rest. Take hot water fomentation in the back and also keep your leg elevated over pillow. You should also take tablet Pregabalin M one daily. This will decrease nerve edema and also take care of the pain. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks</s>

<s>[INST] I ve had two colonoscopys; one for chronic diarrhea and 3 years later one of my three stool samples tested positive for blood. Both times the colonoscopy showed funky white (according to the pictues) spots all over my colon. They did a biopsy and it was negative, but the second doctor asked if I took a lot of naproxin or Alleve, which I do. He said that s notorious for tearing up your colon. Is that true? Could it be anythig else like IBS or diverticulitis. Or something? I ve been avoiding Alleve for over a year, but my wrist and shoulder are both bothering me again. [/INST] Hello, They aren't notorious for colon. But stomach they certainly are. They are a risk of an ulcer due to stopping the protective lining of the stomach. The rest, I've no idea without looking at the film and biopsy. Hope I have answered your query. Let me know if I can assist you further. Take care </s>

<s>[INST] i am suffering fro heart burn for 2 years.i have done endoscopy.but result shows mild and moderate ulcer with no hp negative.i took sucral for 1 month.but hurt burn is still going on.i am taking ppi.but is there any permenent sollution? ppis have also side effect , so how i manage my heart burn............please give suggestion. [/INST] Hello, After going through your medical query I understand your concern and I would like to tell you that in chronic ulcer it is recommended for you to not take hot eatables, eat them on room temperature and take mostly cold, avoid spicy, caffeine-containing products and carbonated Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] I have a lump on the right side of my vagina it started out on the outside now it has gotten swoll and sits on the inside of my vaginal area it looks like a hair bump but it only hurts a little when i wipe or when i lay down it itches a little. I thought it was a cysts. [/INST] Hello and welcome to Chat Doctor, A lump in the vaginal wall could be due to cystic lesion. A Catholics gland cyst, a Garden cyst, soft tissue swelling, etc. Inflammation of Catholics gland is quite painful. However, the Catholics cyst lies at the junction of anterior two thirds and posterior one third of the labia minor. You need to consult a gynecologist for clinical assessment. Depending on the type of lesion, further management will be planned. Surgical removal of the cyst will be curative in most of the cases. Thanks and take care Chat Doctor. </s>

<s>[INST] Hello sir!! Im 23 years old and im having problem in my stomach and intenstines since last 3 years.. After every 6-7 months. Im on proper medication but still there is pain in ma extreme right of stomach. I only take 2 meals a day. I sleep in early morning like 4/5 nd get up around 2. It is actually bothering me too much now as my work is suffering and twice I had to leave my job . So what can I do to make things better!?? [/INST] Hello, By history it seems like you're suffering from acid peptic disease. Your food habits and your stressed life and work pattern has a role to play.you're on regular medication but you're not ad Chat Doctor. If uncontrolled you may develop gastric acid reflux, gastric ulcer and duodenal ulcer. Avoid spicy food, tea and coffee.Don't skip any meal. Have frequent small meal. Keep yourself stress-free. Sleep should be adequate. Take Proton pump inhibitors</s>

<s>[INST] I have neurological symptoms pinching burning numbness weakness high pitched sounds in head titching kicking muscle jumping tingling and other sensations and ect my symptom s come and go. my first emg was positive for Peripheral neuropathy lower legs and feet symptoms spread threw body had a second emg was normal even though i still have symptoms in feet lower legs and now threw out my body I also have a lesion on my cervical spine does a emg diagnose multiple sclerosis [/INST] His read your problem, actually peripheral neuropathy is a disorder that occurs when nerves malfunction because they are damaged or destroyed. Causes of peripheral neuropathy-Generalized diseases nerve damage caused by diabetes is one of the most common forms of neuropathy. The risk of neuropathy increases for people whore over weight have high blood pressure are over the age of 40 have diabetes other chronic causes airline disorderHypothyroidismDeficiencies of vitamins E, B1,B6, and B12, which are essential to nerve health NAD functioning. InjuryPhysical trauma is the most common cause of injury to the nerves. Alcholhol and toxins infections and autoimmune disorders. MedicationsTreatment options for peripheral neuropathy again medicationsAcetaminophen and non-steroidal anti-inflammatory Chat Doctor. Medical treatment-TENSErgonomic casts or splints. And you have multiple sclerosis and there is no cure for multiple sclerosis. For the further treatment or investigation consult the orthopedic or euro.</s>

<s>[INST] Recently I have had two really strange turns. The first time I was watching TV and the whole world seemed to tip backwards briefly. It happened again tonight as I picked my son up from after school club. I was stood chatting to the supervisor. I rang my doctor and there are no appointments available for 2 and a half weeks. I have to ring back in the morning. In the meantime, I feel quite anxious. [/INST] Hi, you need to be evaluated for what you are going through. I would like to suggest you do a few simple vestibular exercises which should help you. meanwhile fix an appointment with your GP.</s>

<s>[INST] I was told a month ago I have a tear between L4 and L5, my doctor said he wants it to heal on its own but I ve had this since 08 and getting worse. I have been on pain killers I m sick of due to not eating and sleeping. Plus they don t even help anymore. He told me surgery would be our last resort but I can t deal with the pain anymore ..I was wonder what would be the process and everything that goes along with this kind of surgery and the percentage of this actually helping me. [/INST] Hello, Thanks for writing in. Tear can develop in the disc, causing the disc material to rupture into spinal column. Before proceeding to surgery you have to get an MRI done and be completely sure. You can go for less invasive procedure i.e. laser surgery. You can consult your doctor for better. Hope I have answered your query. Regards.</s>

<s>[INST] Hi I am on 300mg of Effexor for ocd, and I am always exhausted and very vacant. My memory is hopeless, I can give a shop assistant my card and then stress straight away wondering what I have done with it. I know I have to be on medication because I really struggle otherwise but was wondering if I can decrease my dosage or try another medication. Thank you. Wendy [/INST] Degree understand your concerns went through your description. I suggest you not to worry too much. If you are a typical OCD client, then you should have been advised about OCD fully. It is mandatory. The stress goes with OCD, and it is easily overcome. As long as your memory is concerned, it is not failing. It actually is overwhelmed. You are preoccupied with obsessional thoughts which fails your memory. OCD clients should learn how to tackle this, how to think away from obsessive thoughts. You might need OCD therapy and other behavioral therapies. I am more than happy to provide telephone psychological help through Chat Doctor. Contact me through customer care, www.ChatDoctor .com. Hope this clears your some doubts. Available for further clarifications. Good luck.</s>

<s>[INST] Hi, I would like to know which tablet is good and with minimun side effects to cure High BP, diffrent doctors have prescribed me Listril 10 mg,Lipril,Tazloc 40. Which one I should take my BP reading is 150/100 at doctors place and 140/95 at some other place. [/INST] Hinoted your details you are either in prehypertension stage or grade 1 hypertension tablet amlodipine a dishy Chat Doctor. </s>

<s>[INST] Hi I have notice skin discoloration spots on my lower back & side. Im not sure how long theyve been there I recently noticed a new one in a new spot under my right breast. Theres a big patch right on my tail bone & other spots spread out up my right side. Theyre kind of reddish at first & then turn to a more light browinsh color. What could this be linked to? [/INST] Hi, It seems that you may be having most probably Tina tricolor. It is caused by yeast ...Melanesia fur fur. Antifungal tablet like ketoconazole for 2 to 3 weeks may be taken. Antifungal cream like ketoconazole cream may be applied. Antifungal shampoo containing ketoconazole may be done. I think you might improve. However, you consult dermatologist. I hope you got my answer. Thanks.</s>

<s>[INST] I have been feeling very sick for weeks now like I have a bad hangover. I try and eat something to feel better but I end up feeling worse. No vomiting though. Also I have very sharp pains in my armpits and very sore upper arm muscles like I have been working out a lot. Very fatigued for no reason. And nothing seems to go away. [/INST] Hello have read your query. There is possibility of cervical disc bulge leading to pain in arm. I will advise you MRI spine. I will advise you physiotherapy like IT And TENS. Furthermore, I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.</s>

<s>[INST] Thanks... a bit confused about treatment options and correct sequencing of frozen shoulder Orthopedic Surgeon 1st - Radiographs (?) - Steroid injection into the joint area - Physical therapy sessions (?) for How long ? or exercise/flexibility/yoga/pranayama at home. OR O.D. 1st - Trigger point injections into 1/2muscle with lidocaine, no epi - multiple appts.(unknown amounts of time and money), some manual adjustments , some exercises to open up hips (connection of pain in shoulder to posture etc), some arm exercises but unable to do because of pain My questions are 1. What is the most effective procedure? 2. What is the best sequencing of treatment? 3. Are alternative treatment modalities necessary always after steroid injections and exercise if relief is present? 4. To prevent this issue from reoccurring are there certain exercises/life management and/or dietary adjustments that have proven to be helpful? Thanks [/INST] Hi, thank-you for providing the brief history of you. A thorough clinical assistant is advised. As per your query you need to first meet an or tho for the clinical assessment. Post than may be an MRI will be guided to see the soft tissue Injury. Later, with physical therapy the use of ultrasound therapy and TENS therapy will help reduce pain and inflammation. Later stages, exercises and mobilization will be performed to get the strength and ROM of the shoulder girdle. In my clinical practice, it takes about 3-4 weeks of time for recovery to attain. 99% of patients recover faster if the blood glucose level are under control. RegardsJay In Chat Doctor. </s>

<s>[INST] my mother is copd patient and she is oxygen concentrator for the last 2 years ,since a weekher oxygen leve drops down to 75 without the concentrator,if we put her on the o2 cylinderit is improving ,any further treatment plan can be extended to her.her legs become very fatdue to fluid retensiion we got it cured ,please advice [/INST] Hello In my opinion regarding the history she should be evaluated by the pulmonologist and cardiologist again. Regards</s>

<s>[INST] I found a tick on me 4/11. I pulled it out not realizing it was a tick and left the head. My body muscles hurt like I have the worst case of flu. It hurts to write, it hurts to play the piano. My temperature spikes high, then drops, then spikes high. Blood tests being done by infectious disease but was told may not find what tick gave me. This past Monday I felt great and I know I overdid it, Tuesday morning I could barely move and was in so much pain. I am on doxycycline and side effects are similar to what I have. But sore throat off and on for two days. [/INST] Hi, you need to get a throat culture swab done. Doxycycline has its own side effects and should be avoided. Shift to cephalosporins and Chat Doctor. Taking paracetamol with tramadol will be very useful along with multivitamins. Consult a physician if the symptoms do not reduce. Thank you</s>

<s>[INST] Doctor, my young brother has cycle-cell, he is 30 years old, height 5,7 and weight 59. He has been experiencing abdominal pain, after diagnosis it was found that his liver is swelling. and his stomach is swelling of water. Doctor help us we are poor we cannot aford expensive treatments. [/INST] Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that there is no treatment of sickle cell disease. Only thing you have to do is prevention. Prevention is by preventing low oxygen tension to your brother. If he is on low oxygen tension than he feels attack but if he is on good oxygenation nothing will happen to him. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor.</s>

<s>[INST] I have a degenrated disc at my L4/L5 level. It is at about 25% degeneration. My L5/S1 also has some slight degenration. I found out after pulling a muscle in my back 4 years ago. My right leg is about a centimeter shorter than my left, which is the main cause of the degeneration. I have shoe inserts which leveled my hips and legs. I recently pulled a muscle in my lower back. I have been experiencing lower back pain and stiffness, along with sciatic pain. I have also been experiencing intermittent pain in my left testicle. It comes and goes and sometimes moves to the right testicle. I have also noticed a frequent urge to urinate. I have noticed that not as much urine comes out and I still feel like I have to go shortly thereafter. If I massage the area near the rectum and behind the scrotum, it provides relief. Movement also provides some relief. The pain moves around between the testicles and base of the penis. Sometimes it disappears completely. I have not been tested for an STI, mainly because I have been married for over 5 years and have no other sexual partners. There have also been no physical signs, i.e. discharge, burning/pain while urinating, cloudy or smelly urine, blood in urine/ejaculate, etc. I have had issues with urination for at least 10 years. They include constant urge, inability to urinate when I feel the urge. I am currently uninsured, so I am trying to find some possible answers before I make it into a doctors office. [/INST] Hi, In my opinion the radiating pain in your testicles isn't coming from the herniation or the medications you take it actually came from you renal system which is mentioned of having history of issues for the past ten years, so I think you have some sort of renal stone or a gravel in your ureters that prevents you from urinating freely to the end. You will need some investigation like SUA, RH factor, ASCOT Title, urinalysis and U/S of your abdomen and pelvis to know exactly where is the pathology exactly for specific treatments. I would recommend higher fluid intake, low proteins and carboy Chat Doctor. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.</s>

<s>[INST] Hello, thank you for your time and information in advance. My Name is Deneicia. I actually have two question. Is that okay? If so, my question are as follows. My 7 year old daughter suddenly had a pain in her neck friday night. Within 5 minutes of her saying that her neck was huring, she developed a fever. Within 15 minutes of the fever she was sleep. I woke her up to ask her about her neck about a hour later, it had stopped hurting but she was extremely thirsty. It has been 24 hours and she is stil having frequent fevers every two or three hours, no other irritations other than stomach was hurting about a hour ago. She had a bowel movement and is now asleep. Should I take her to the E.R. Her fevers have been between 99.9-111.5. My next question is in regards to myself. I have been suffering with Bilaterial Galactoherria ( I pray I spelled it right) for over 8 years, however, this past eposide was the worst, I had pain and bloody discharge. All of my test came back negative. The test ran were MRI of my brain to see if I had a tumor on my P.G, mammogram to check for cyst, and I believe the ducts. My breast have been leaking milk, puss and blood, can you reccomend anything? My Email address is YYYY@YYYY and my number is 910-546-9887. Thank you! [/INST] HI, Thank for asking to ChatDoctorFor your daughter upper respiratory tract infection some time stiff the muscles of neck and that causes neck pain viral infection among them is more common but that come around with antipyretic Chat Doctor. </s>

<s>[INST] i am 34 yr old male i exercise regularily i m 6ft tall and weigh 95 kgs i am a regular tennis player for last one year or so i am having frequent chest discomfort no pain . i got my tmt and echo done 3 times in last one year both are absolutely fine with my tmt results going better than 100% whay is this frequent chest discomfort [/INST] Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your 2d echo and TMT (trade mill test) are normal. In my opinion, you are mostly having musculoskeletal cause for your chest discomfort. Your chest discomfort is associated with exertion (playing tennis), so musculoskeletal cause is more likely. So follow these steps for better symptomatic relief in musculoskeletal discomfort. 1. Avoid awkward movements. 2. Sit with proper back and chest support. 3. Apply warm water pad on affected areas of chest. 4. Avoid heavyweight lifting and strenuous exercise. 5. Avoid bad postures in sleep. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST] ok so about 5 days ago i started developing red spots on my upper stomach just below my bra line... i havnt been in contact with anything like mumps , chicken pox , measles or anything of such nature... the spots are much like pimples .. sweat pimples really... but after i noticed the first couple more started developing... i now have prob over 50 of them of various sizes and they range from where they started under my bust line to my stomach, back of my neck and all over my back... i have been to the doctors and all they said was that because i was doing training it could be the fact that i have had a reaction to the mowed grass... or they are insect bites ... but he couldnt tell me exactly what they were... i am 23 and im pretty scared... i have a four year old son and would hate to find out that they arnt that effective t me but could be bad for him.... Please Help [/INST] No need to worry These can be allergic for fungal reactions for mixed keep your area Chat Doctor. </s>

<s>[INST] I have been on a diet using ChatDoctor drops. I have been experiencing a bit of unexplained bruising and other areas that are the same pain as a bruise, but no bruise or injury is present. Could this be a side effect of the ChatDoctor? Is this a safe thing to take? [/INST] Hello, I will suggest you to discontinue the hormonal method of weight loss. ChatDoctor Chat Doctor. Lack of vitamin C in diet and other important micro nutrients can lead to browsability. Chat Doctor has also many side effects, one of which a rare one is browsability. It's best to get into a weight loss program using natural methods and not skipping these essential nutrients, under the guidance of a professional nutritionist. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] My husband has had stomach issues for 2 years now. When it first happened he complained of severe stomach pain in his upper middle to left abdomen. He also had a fever. We took him to the E.R. and he was diagnosed with Diverticulitis after a CT scan with contrast. Due to not having insurance at the time, we never followed up until this past month. He had a colonoscopy done and they found nothing to even suggest he has diverticulitis. They also eliminated Crohn s and Celiac disease. The only thing we have noticed that aggravates the pain is steak so he avoids it but still has the pain. He describes it as a bruised feeling. It s a dull pain unless he eats something that aggravates it or if the area is touched then it is a sharp pain, and he says it s not a cramping pain at all, just a very bad bruised feeling. It also causes him weird bowel movements that range from diarrhea one day to close to constipation the next. His doctor is treating him for Irritable Bowel but the medicine hasn t helped at all. [/INST] Hi. Thanks for your query. Read the history and understood the problems of your husband. The diarrhea, constipation sometimes, pain in abdomen, CT scan which showed diverticula in the past, but the recent colonoscopy is absolutely normal. Yes, he is suffering from the Irritable Bowel Syn Chat Doctor. If the medicines are not helping, the probable causes and the treatment area as follows:-Notice more than the steaks, which food stuffs and beverages cause / increase his problems. -Increase the dose of the medicines o give more effect or may be change over to another medicines. -Stress and anxiety are the biggest contributory factors, and he has to keep them under control at any cost, with yoga, meditation and / or medicines.</s>

<s>[INST] I had my monthly period on the 18 of May. Had unprotected sex on the 27. My partner did not cum inside me but I was still scared so I took the plan b pill on the 29 less than 42 hours. Saw spotting on the 4th of June it took 5 days. Missed my real monthly period. Now I have a golf ball size on my left breast which does not hurt. Can I be pregnant? [/INST] Hi, I understand your concern. Plan B is for emergency contraception. It acts by postponing ovulation.This results in delay in routine menstrual cycle, The scanty bleed you had, is with Chat Doctor. The breast signs are due to side effects of the hormone. It will disappear after menstruation. Thanks.</s>

<s>[INST] Rught after hurting my lower back yesterday, both my legs became extremely weak and shakey feeling as though they couldn t support me anymore. My lower back feels very very weak now too. What s wrong with me? Do i have to pay to continue to consult I m sorry, i just read that I have to pay. I have no money at this time. Thank you anyway for taking the time to read my question. [/INST] Dear patient You have got para paresis due to back injury. This is serious issue, and you need to consult spine surgeon as soon as possible. Spinal cord and nerves travels through spinal canal and back trauma may lead to vertebral fracture or disc prolapse with spinal cord compression. Spinal cord compression leads to weakness in both legs and loss of bowel and bladder control. This if not treated in time may not recover. So the need of urgent consultation. I would advise MRI of lumbosacral spine with screening of whole spine to confirm diagnosis. Visit expert spine surgeon with report. All the best.</s>

<s>[INST] I am a diabetic with a foot ulcer on my right foot. My dr put a 3 day cast on last friday, and removed it and put on a new one monday. I am scheduled to get a new one monday. Today I noticed the cast and boot started smelling bad. I have always had sweaty feet. Should I go to the ER or is it normal? Thank you. [/INST] HI, thanks for using Chat Doctor If you are noticing an odor, it would be best to be assessed as soon as possible. The bad odor may indicate worsening infection and, in a diabetic, infections have to be treated as soon as they are noticed to avoid any complications. You should either visit your doctor or the ER today. I hope this helps</s>

<s>[INST] Hi, I have been having neck pain like in the muscle behind the ear going toward the shoulder. My husband says the muscle feels like it has a knot in it. Today my 6 year old came home from school and said his neck had been huring him all day long today. He has not heard me talking about my neck hurting since he was gone all day yesterday. Thanks [/INST] Hello, The pain in the neck can be due to a muscle spasm or due to an infected node in the area. In case there is no palpable node then a muscle spasm is more likely. Hope I have answered your question. Let me know if I can assist you further. </s>

<s>[INST] My 10 month old has had a bad cold and hacking cough for the last 5 weeks. Almost continual streaming nose and lots of phlegm. This morning he projectile vomited up all his milk. I then tried him on solids, but half an hour later he projectile vomited all his solids up. Any advice on next steps? He doesn t have a temperature and seems happy otherwise. [/INST] Hi! I'm sorry to hear that about your child. His cough and colds can trigger the vomiting. You said he has lots of phlegm, the body will try to eliminate it. You can try small frequent feeding, in that way the stomach is not full when he coughs. Also, when you feed him, keep him upright. We want to prevent the risk of aspiration. Monitor him for any signs of difficulty in breathing and or deny Chat Doctor. If any of these appears, bring him to his doctor for proper assessment. I hope I was able to help you. Have a good day! Sincerely, Handle Dulay-See, M.D. Pediatrics</s>

<s>[INST] My dad has lung cancer and just in the last two days he has become very confused and cannot put sentences together, cannot feed himself, walk, or go to the restroom on his own...does this appear to perhaps reached his brain or could this be from the strong pain patches that he has been on for just a few days now? Thanks [/INST] Thanks for your question on Chat Doctor. I can understand your situation and problem. There are few causes for altered mental status and confusion in lung cancer patients. 1. Spread of tumor in brain.2. Electrolyte imbalance especially hyponatremia (low sodium).3. Acute psychosis from the fact of having incurable disease. So get done MRI brain to rule out brain metastases. Get done S. Na+ to rule put hyponatremia. If both are normal than consult psychiatrist to rule out acute psychosis.</s>

<s>[INST] Over the past 3 days, my pelvis has been painful to touch, mostly on my right side as if there is a bruise just under the skin, although I havent done anything that may have caused this. I have no other symptoms or pain, just a lot of tenderness in that area, around a golf ball sized area. [/INST] Hi, from history it seems that you might be having appendicitis pain giving this tenderness at lower right abdomen. Consult surgeon and get examined.Meanwhile, take some antispasmodic like Metal spas for pain. Ok and take care.</s>

<s>[INST] My 8 month old has HFM, and is in a lot of pain. Blisters everywhere, barely able to sleep and is inconsolable when awake. Other than giving him Tylenol and offering cold things to chew on I m not sure what to do to keep him comfortable enough to sleep? [/INST] Hand, foot and mouth disease is a viral infection that is frequently seen now-a-days. Viral infections do not respond to antibiotics and resolve spontaneously in 5-10 days. Management is supportive. Giving Tylenol should reduce the pain and help. Use lidocaine oral gel over the oral lesions, and it will help in relieving the pain. You may give pedicloryl syrup and help the child sleep. I am sorry that you would need to be a bit patient.</s>

<s>[INST] About 8 days ago I was bending over while placing a box on a shelf in the garage, and heard a pop on my side. It came from my lower left side about 6-8 inches from my chest, the shorter ribs i think. There is no swelling or bruising , just painful, especially if I lay on that side. Is it a rib? [/INST] Hi, It might be a simple musculoskeletal pain. As of now, you can take analgesics like Acetaminophen or Tramadol for pain relief. If symptoms persist better to consult an orthopedic and get an MRI done. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] I have pan in my left side in the kidney area and it las maybe 2 to 5 mint, and i have had kidney stones in the past,but every time i go to the doctor they never find anything .Can kidney stones damage your kidney i have had 3 kidney stones in my left kidney only. [/INST] Thank you for being with Chat Doctor ! Kidney stones in the absence of obstruction or infection will not affect your kidney. I hope I have answered your question satisfactorily, and please consider a 5-Star rating for my answer.</s>

<s>[INST] my father is having bad stomach pain. he had this pain before and was told it was alcoholic gastritous. he hasnt drank any alcohol and woke up in pain this morning that has gotten worse. he too a ranitidine at 9am. will an ibprofen help with the pain or be safe to take? [/INST] Hellos your father stated that this pain is due to gastritis (caused by alcohol intake) , sanitizing is not working. When such case visit with excruciating pain, patient need to take antacid (if it contains tetracaine, better)4 T S F (until and unless contraindicated) according to necessity. Also give your father diclofenac 100 mg+ Chat Doctor. Ibuprofen will further produce (aggravate) gastritis. Your father will get relief immediately with this treatment. But this is a prescription treatment so take a prescription from a doctor. Still, no relief within 4-5 hours then consult a physician and get his opinion. Good luck.</s>

<s>[INST] back in 1998 I broke my c6 and damaged my dic between c 6 c5 for 3 years I was bed ridin chronic pain 2002 they put me on dilaudid 2mg 4 tm dy which made some diff then added 25 mcg fen now I am at 175 mcg fen one 100 and one 75 also dilaudid 4 mg 4 times day now my doc for trial they want me to try drop the dilaudid and try 30mg of morphin 3 times aday the fen stay the same which would work best or a complete revamp I need to get some life back I am 71 and my name stuart [/INST] Hi Stuart, Dilaudid contains an opioid HY Chat Doctor. So if your doctor wishes to shift you from diluted to morphine, in my opinion, it will be better to ask him clearly what his reasons are for advising the change. If you were comfortable on the previous regimen, then there is no point in making any change. Best wishes.</s>

<s>[INST] I have general gum recession on my bottom teeth and slight recession on my upper canines. Im thinking about getting gum grafts to cover the exposed root surfaces. But as Im currently wearing braces, Im not sure what I should do. Should I wait until the orthodontic treatment is over and then get gum grafts? Or is during the orthodontic treatment fine? [/INST] Dear friend. Thanks for sharing your concern. As you are wearing orthodontic braces for teeth alignment, your teeth will take new position due to it root movements.Therefore, it is best to go for gum grafts only after that. Also remember mild recession can itself get corrected after orthodontic braces removal. It is only in severe recession cases you need to get your gums covered with tissues through grafts. That will reduce your teeth sensitivity as well as enhance esthetically. Meanwhile, it is advised to get your teeth cleaned once, upon consulting your orthodontist, because deposition of calculus and stains also leads to gum recession. Maintain very good oral hygiene, and you can use antiseptic mouth rinses too. Hope it helps. Thanks. Take care.</s>

<s>[INST] I recently had a stent put in my left carotid artery and am on Plavix. I have developed sizable bruise on my forearm which has a hard knot in the center of it. Do I need to see my doctor about this or will it just go away? Could it be a blood clot even tho I am on a blood thinner? [/INST] Hi, Greetings from Chat Doctor. Since you had a stent put on your left carotid artery you have to be on a blood thinner medicine like clopidogrel or aspirin which prevent platelet aggregation and clotting. If you have developed a bruise it is due to clopidogrel overdose. If it's enlarging in size or if multiple bruises are appearing you need to consult doctor and adjust the dose of clopidogrel</s>

<s>[INST] I have a daughter who s hair is starting to fall out since she was a baby. I thought it s normal until 2 months ago, her hair falls double. I went to different dermatologists but they can t give me an answer to what is causing for this hair fall. I thought it s due to malnutrition for she s thin and never had a regular milk to drink for she s allergic to milk. But I have been giving her powder milk and she seems to be gaining weight but the hair fall doesn t stop. Please help me find out what is causing my daughter s hair fall before her hair starts receeding in front. Thank you so much. [/INST] Hi, Hair fall can be due to zinc and protein deficiency. Give her zinc supplements like Sure and high protein diet like meat, eggs. You didn't mention the age, so It's difficult to counsel regarding diet but make him eat good diet according to age and get a check-up from dermatologist for some fungal infection causing hair loss. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST] Hi there, I have been having problems with my stomach for the past few weeks! I feel bloated and vomit after food but I dont throw anything up. I have also felt some lumps on my upper stomach right under my chest bones mainly my right side. The lumps are getting more and when I touch they hurt! Can you please give me some advice. [/INST] Hi and welcome to Chat Doctor. Bloating and vomiting are nonspecific symptoms, but these lumps you're feeling are definitely something that must be evaluated! You should do at least ultrasound to rule some serious diagnosis out. Usually such symptoms are caused by gastritis, gErd or hiatus hernia, so gastrostomy should be performed too. There is no specific cure. If you have only gastritis this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated Chat Doctor. 1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise. But as I said, I really suggest to DI some imaging tests do investigate these lumps. Wish you good health.</s>

<s>[INST] I noticed bruising on both left and right legs after driving 12 hours straight (took four 1 hr breaks in between to get gas and food). Is this unexplained bruising related to sitting down too long in the car or it is something serious that I need to see my doctor. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult your doctor and get done blood investigation to rule out any disease. Skin bruises on bilateral lower limb after prolonged Chat Doctor. So get done PT (prothrombin time), APT (activated prothrombin time) and bilateral lower limb venous Doppler. If all are normal then no need to worry. Hope I have solved your query. Wish you good health. Thanks.</s>

<s>[INST] My 2yr old grandaughter has always had trouble wth constipation and has been under her famly doctor, she has been taking medicine for quiet a while. My daughter in law is worried about her taking the medicine and asked for a Consultant to look at her. The first visit he said try a dairy free diet, this did not make any difference. Now she has a very swollen tummy and has lost weight. She has also been off her food the last couple of weeks eating very little. She has also cut another couple of teeth so we thought it might be that. The hospital have taken xray of her stomach, and she will be having some blood tests in the next couple of weeks. As you can imagine we are very worried, have you any idea what it may be? [/INST] Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.</s>

<s>[INST] I think I am going mad. I cant control my actions, I am scared of hurting people around me, I have tried to get nhs help I have been on a waiting list for a long time, I cant afford to go private but I need help, what can I do? I cant live my life this way for any longer [/INST] Ok dear. Take olanzapine 5 mg BD for a month. And yes do follow up with me. Take single tablet of clonazepam 1 mg at night before going sleep. So don't worry. Hope my answer is helpful and thankful to you. Take care. Plz follow up to know me the effect of the Chat Doctor. </s>

<s>[INST] Hi my name is sahira, 29 age, my husband is 31 yrs old. We are trying for a baby now I am taking Menogon 3 inj on alternate days and 1 pregnyl inj, how many chances of conceiving are with this inj? My hormones and my husband tests are clear. O have 2 fibroids in my uterus, does conceiving effect it? [/INST] Hi, Welcome to Chat Doctor forum. As you describe both of you are perfect in the tests of gynecologist, you need not have this treatment. But if 3 years passed after the marriage, most of the doctors use this treatment. Mention is a purified combination of follicle stimulating hormone and luteinizing hormone. To induce ovulation and enable pregnancy in women. In women, Chat Doctor is used together with other hormones called follicle stimulating hormone (FSH) and luteinizing hormone (LH) in the treatment of infertility. So there is every possibility of getting pregnant. It needs per vaginal ultrasound scanning at the time of expected ovulation, to see there is maturation of the follicles, and ovulation. If you don't get pregnant in the first time, you may become pregnant you will become pregnant in the second cycle. So never get confused, or get anxiety, as they may spoil the process. Wishing for a quick and complete recovery. Thank you.</s>

<s>[INST] My grandson has a bad case of acne and seen Christa Heard CRNP today. She recommended antibiotics and a cream to be applied morning and night, to make a long story short the medicine was 600. dollars and I am a single woman raising my grandchild needless to say he was very upset when we left the drugstore what or where do we go from here? Sandra [/INST] Hello and welcome to Chat Doctor. Thanks for your query. I understand that 600 dollars is a huge amount and it's even puzzling to me why a course of antibiotics and a cream would cost that much. I presume that you don't have insurance, so the only option would be to be prescribed more cost-effective medication. Furthermore, I would suggest that you can let the CRNP know that you cannot afford the medication and request her to prescribe something else more cost-effective and affordable. Since acne is not a serious condition, I don't think your grandson needs a very strong antibiotic or other expensive medication. Wish you all the best. </s>

<s>[INST] hi.i am sanjay age51 yrs, wt 95 kg, b/p130/80,trigliceride155,sgpt32.Usg report says liver enlarged measures 20.1 cm in cranio caudal axis with diffuse fatty parenchymal echoes.no intrahepatic biliary dilatation is seen.no focal parenchymal lesion is detected.Dr. on consultation advised udibon 1-1-1(1 month).shall I proceed with this drug.SANJAY YYYY@YYYY [/INST] Hi there, Thanks for posting in Chat Doctor. Yes you can take Union for fatty liver. You are obese. Weight reduction is the first step in the treatment of fatty liver disease. Also check your blood glucose levels as diabetes is also a common cause of fatty liver. I hope that answers your query. Regards.</s>

<s>[INST] I am having severe pain in the lower foot particularly in one central place and a doctor diagonised as a corn foot and he opened took some dead cells and closed .but i am getting the same pain at the same place.I am having this problem for the past 9 months.what is the remedy and which doctor i have to approach in bangalore [/INST] Hicorn in the foot is a recurrent problem. Pain is due to the involvement of small nerve endings with the corn. Cryocautery or chemical cautery is the treatment of choice please visit a dermatologist, he is the ultimate person to solve your problem take care</s>