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<s>[INST]Why does husband have saggy balls that hang low and can t seem to last long when having sex? Seems like he gets off within 5 minutes and he claims he can t or don t know how to last longer, even though I ve told him some techniques to try but still says he can t and/or don t know how. His balls aren t full and firm either like my ex s were. Also have been trying to conceive for a long time and have not had any success, what is going on??? How to know if he is even ejaculating sperm and not just semen/fluid, what is the difference. Healthy sperm should be white or more yellowish??? Really need some help please......[/INST]HelloThanks for query. The scrotal sac differs from person to person and has no relation to conception. The problem of premature ejaculation and less libido are most of the time mind related and due to what is called as performance anxiety. Following measure will help you to boost up his confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. He may take Sidewall (Viagra)as on demand to have sustainable erection to have enjoyable sex. As regards conception get his semen analysis done to rule out any abnormality. Chat Doctor. </s>

<s>[INST]My kid is 2 years 11 months old.. She frequently getting cold, cough and ear infection.... I vusited doctor 4 times.. In these 4 months.. Even after using antibiotics it is not completely cured.So i am looking for good medicine for my kid.She is going to day care.i never face this issue before this winter.[/INST]HelloRepeated cough and cold is more commonly occur due to viral infection or allergic disorder. But if it is due to bacterial infection(diagnosed after thorough clinical examination and investigation) immunodeficiency must be ruled out. If fever is not associated each time with other symptoms and there is positive family history of allergic disorder;it is more suggestive of allergic in origin. Most of the time upper respiratory symptoms are associated with ear problem, irrespective of its viral, bacterial or allergic. In allergic disorder montelukast/levocetrizine syrup along with nasal Chat Doctor. I would suggest you to consult your pediatrician for proper evaluation and to find out whether it is really bacterial infection(for which antibiotic is needed) or something else. Regards</s>

<s>[INST]Hi,I have a toothache pain in my one of my bottom teeth no dentist open for 2 days can you please recommend best pain killers to take i plan on visiting my pharmacist who may be able to give me emergency antibiotics tomorrow I have ponstan for my migraines available at home not sure this may be effective[/INST]Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have pain in your tooth it can be due to caries or due periodontal problem. Consult dentist and go for investigations IOWA X-ray done if it is carious then go for restoration or Root canal treatment and if periodontal problem then go for Scaling and root planning. You can take painkiller for temporary relief One tablet Diploma twice daily for 3 days One Capsule vitamin B complex once daily for three daysConsult dentist and go for treatment. Hope this will help you.</s>

<s>[INST]I have been suffering from a herniated disc for the past 3 years now. 3 months ago I suffered some excruciating pain from this condition. The pain went away after about 24hrs but ever since then I have been walking with a slight limp, I have very little strength in my right calf and my lower leg swells up every day after walking for about an hour.[/INST]Hello, If This disc bulge is not compressing nerve root, so conservative treatment may work. If symptoms persist then surgical decompression may help. Medication like methylcobalamine and pregabalin will reduce pain which can be started consulting your doctor. You can focus on spine extension exercises. Some exercises which can be done include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If not relieved you can take epidural injection. Hope this helps. Wish you a speedy recovery. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care.</s>

<s>[INST]very last tooth on the left side bottom had broken also had a cavity it my dentis repair cavity and file tooth down next step will be a crown well i have been experiencing servere pain, June 21 toke two ADVILS right after my stomach became upset chin became numb and little tingling on lower bottom left lip, dentist took exray yesterday and told me my gum is infected put me on AMOX TR-K CLV 875-125MG TAB, I go back on june 25th If infection clear a little dentist is going to open tooth up and put pain medicine down in tooth is this a good idea.[/INST]Hi. Can understand your concern. As per your complaint pain in tooth after cavity filling and preparation of tooth for placing a crown clearly indicates that the nerves of the tooth have been opened up due to preparation of cavity to retain the filling causing inflammation and condition is known as Chronic Irreversible Pulpits . You should consult your dentist and get an X-Ray done, and it will definitely show exposed nerves and blood vessels present in central portion of tooth in a small chamber known as Pulp. The treatment is first to get the filling removed under local anesthetic followed by Root Canal Treatment and the advised antibiotic AMOS TR-K CLV 875-125MG TAB twice daily, along with it a painkiller is to be taken to relieve pain as antibiotics can reduce infection but to relieve pain painkiller is needed. You can take Ibuprofen for moderate pain but in case of severe pain Motorola or Tramadol can be taken. Hope this information helps. Thanks and regards... Chat Doctor. .</s>

<s>[INST]Hi iI have been diagnoed with thymic cancer, I do not like to take the drugs for pain that are prescribed,as they have side effects that are harsh.So instead i have been taking ibuprophen .for abot 4 months ,as dosage recommended, I have beenexperiencing respitory issues lately and wonder if this is the cause.I have been doing radiation and chemo treaments ,it has shown improvement in all aspects except for my breathing .I read an article on cleveland clinic facebook this mourning that said this might be why,,,...Thoughts on this please? ths ccsc[/INST]Thy mic cancer causes respiratory distress. After a thy mic tumor is found and tests have been done to get a sense of its Factors important in choosing a treatment include the type and stage of the cancer, whether it is respectable (able to be completely removed with surgery), and whether you have any other serious medical problems. Because thy mic cancer is rare, it is often hard to accurately predict the effectiveness of treatment strategies, and in many cases the best way to treat this cancer is still not preselecting a treatment plan is an important decision, and you should take the time to think about all of your choices. The main treatments for thymus cancer are:Surgery, Radiation and chemotherapyRespiratory distress can be managed by Stalin nebulization, USG guided pleural fluid tapping and steam inhalation. Regards and take care</s>

<s>[INST]My husband had a spinal cord injury in Sept. 2013 which left him paralyzed and unable to urinate on his own for one month. He is now walking with a cane and can urinate on his own but still not properly. He is on Flomax to help. He is also on water pills because his legs will swell up. An emg showed nerve damage. My question is his shins are very shiny and they occasionally blister or split open even when his legs do not look swollen. This is a great concern to me. Even though he does not work or walk around like he used to, he is certainly not sitting around all day like he was when he was first injured. Any ideas?[/INST]Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The Blisters can be due to 1. Autonomic Neuropathy2. Vitamin Deficiency3. Involvement of Autonomic Pathways in Subclinical and Lab Evaluation is needed to Narrow down the diagnosis and start appropriate treatment. Please consult a Neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask</s>

<s>[INST]I am a 48 years married woman. My USG shows liver is enlarged with heterogenous parenchymal echopattern. Intra hepatic billary channels are not dialated. No focal solid or cystic SOL seen. Lever span at mid clavicular line is 15.3 cm. what does it mean?[/INST]HelloYour findings suggests mildly enlarged liver and heterogeneous parenchymal echo pattern may indicate liver parenchymal disease. It may be due to many causes like hepatitis, metabolic disorder etc. You may need routine hologram, viral markers, random blood sugar, liver and renal function test, lipid profile, urine RE/ME. Liver biopsy may be needed after evaluation. You may need few medicines after evaluation. Get well soon. Take Care Chat Doctor. </s>

<s>[INST]Hi! I just changed into my pajamas and noticed that I have many (somewhere around 15) small bruises on the insides and backs of my thighs. In the past few days, I have done nothing that might cause these. It s happened a few times in the past, but not often. A few days ago, I started having a sore throat and I was wondering if there could be any corrolation. I cannot remember if the last time this happened was during a time at which I had a sore throat. So far, no unexplained bruising has occured on my stomach, back, chest , etc and very rarely on my arms (though I assume that it s only unexplained because I don t remember hitting something). However, the bruises which have just appeared are not in any place I would bump into. I m a 21 year old otherwise healthy female. The only concering aspect of my medical history is that my mother, my half-sister, and my grandfather on my father s side have all died from cancer . Two cases of melanoma and one of colon cancer. Could the bruising be a result of my sore throat? Or should I be seeing a doctor?[/INST]Hi!welcome to Chat Doctor!SPONTANEOUS BRUISES point towards some bleeding disorder, coagulation defect or thrombocytopenia that is reduced platelet count. Certain viral infections that cause sore throat may also cause platelet to fall resulting in spontaneous bleeding. They are not related to cancer, but you must see a doctor get examined and tested for platelet count and coagulation profile. Hope this will help you!take care!</s>

<s>[INST]Hi, wondering whether or not you think its possible my pregnancy is still viable? Ive neever had any real symptoms other than going to the toilet more. My LMP was 22 October, I did my first pregnancy test on 26th December, strong positive, did another one one new years eve with a clearblue test and it said 1-2 weeks pregnant and said to add 2 weeks on for how doctor would date it. Did yet another test due to no symptoms on 14th January which said 3+ weeks and again to add 2 weeks for doctors dates. I paid for a private scan on the 21st January and they believed by the size it was only 5 weeks 3 days, 10days on and still no crmaping,no bleeding and no symptoms?[/INST]Hello, and I hope I can help you today. There are two possibilities of what could be going on with your pregnancy. If you really did conceive back in October, your pregnancy should be about 12 weeks. This would have been found on the ultrasound examination that you had, but instead the fetus measured only five weeks three days. At five weeks it is not normal to see fetal heartbeat so that is not used in the consideration to make a diagnosis. However, it is possible that you conceived later in the cycle after your. In October. If you actually conceived in late November early December it is still possible that the fetus could be viable and that is just younger than it should be by your dates. So the way to tell the difference would be to get another ultrasound examination and approximately two weeks; by then you should see some evidence of the fetal heartbeat if the pregnancy is normal. Contrary to popular belief, the majority of women do not have pregnancy symptoms. The most reliable sign of pregnancy is a missed menstrual cycle. Furthermore, judging the number of weeks of pregnancy on a urine tests is extremely inaccurate. Pregnancy tests are designed to pick up the hormone Chat Doctor from that whicChatDoctores out in your urine. However, your urine can be diluted by different amounts of water depending upon what time in the day you tested and how much water you Chat Doctor. Most urine pregnancy tests ask that you use your first morning urine, which has the most concentrated sample, however, even within those restrictions there is a large margin of error. So I would advise, in your situation, that you repeat the ultrasound examination in another 2 to 3 weeks. In the meantime take good care of yourself for the pregnancy by: eating a well-balanced diet, </s>

<s>[INST]Bruised and torn muscles around ribs in auto accident. X-rays showed no fracture or break. Pain is pretty bad. Does pain radiate to breasts. When bending which I cannot avoid sometimes I get a shooting burning feeling in the breast on the side that the ribs are bruised[/INST]Thanks for your questioning my opinion you had tissue / muscle injury following that accident as a pulmonologist would like to recheck the X-ray of chest to see if any injury is thereof everything goes fine I would prescribe some analgesics, muscle relaxants and some enzymes so that healing is fast no need to worry that much, I know it's a matter of concern visit a pulmonologist, he can guide youthanksfeel free to ask more questions</s>

<s>[INST]HELLO i AM 33 YRS OF AGE, IM 510 AND WEIGH 225 POUNDS. I HAVE AN INFECTED WISDOM TOOTH AND IM CURRENTLY IN THE ER AWAITING TO SEE THE DOC. I AM ALLERGIC TO PENICILLIN, WHAT OTHER MEDS ARE OUT THERE THAT WILL WORK JUST AS GOOD AS PENICILLIN FOR MY SITUATION.[/INST]Hello, Thanks for consulting ChatDoctorRead your query as you have infected wisdom tooth infection in tooth can be due to some reason like if tooth is carious or decayed tooth with Periapical pathology may be Periapical Abscess or due to Impacted or Partially erupted tooth with Periodontal abscess. If you have infected tooth I will suggest you to consult dentist and go for its treatment Root canal treatment or Extraction of tooth. In meantime you can do warm saline rinses, you can take Antibiotic like Ofloxacine by consulting with your doctor and Analgesic like Paracetamol or Diploma if you are not allergic with vitamin B supplement. Hope this will help you. Wishing you good health Regards, </s>

<s>[INST]I brought my son home from nursery this evening and noticed a red spot on his right leg inner thigh since then i have changed my son again and have noticed there are several more appearing some with yellow heads on theyve grown quiet big n look angry red[/INST]HI...by what you quote I feel that it might be an n allergy like a simple urticaria or a rapidly spreading pyoderma as you quote that there are lots of yellow heads appearing. But I want to stress on something very important - 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]Started out with burning sensation after ejaculation and then progressed to burning sensation on and off with slight pains in the penis and groin area that come and go that seemed to be relieved by ibuprofen . also have more frequent urges to pee. The burning after ejaculation is gone but still have the feeling of having to pee constantly.[/INST]Hello appreciate your concernLooking at your description this could be signs of ITII would like further information to help you better libelous age, sex and relevant medical history like diabetes or other metabolic diseaseSince how long you have this problem? I would advise you to consult your doctor for battery of investigations like urine microscopy as well as urine culture and sensitivity testy may require a course of antibiotics depending upon the reportage plenty of fluids which will flush off the urogenital tractMaintain good hygieneThanks for your question wish you a speedy recovery Best wishes</s>

<s>[INST]Hi, My boyfriend has been having stomach pains the past few days, he thought he ate something bad, but now hes unsure. He hasn t really been eating the past few days because the food doesn t seem like it wants to stay down. He feels like he may want to throw up but doesn t, its like he may want to use the bathroom but doesn t really get the urge[/INST]Hi ! Good morning. I am Chat Doctor answering your query. If I were your physician, I would advise your boyfriend for a general clinical examination of the abdomen, routine stool test for ova and cyst, a liver function test, and an ultrasound abdomen if considered essential by depending on the clinical and investigative finding. Till that I would advise him some anti-emetic, a proton pump inhibitor, a probiotic, and an anti-spasmodic if need be. He should also go for a high fiber diet and enough liquids if tolerated by him and completely avoid food from outside. Further management would depend on the clinical findings and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.</s>

<s>[INST]Im in a lot of pain in my stomach, abdominal pain, and chest pain! I woke up this morning with some swelling in my face, lips swollen! Since October 2008 Ive been having breathing problems, cause i was working around chemicals and fumes! I wa put off work in June 2009 and forgot one important thing my gallbladder was removed in August 2009 with gallstones in it and the doctors thought at that time that my liver and kidney was damaged as well due to the fact of how bad my gallbladder was! But Thank God my liver and kidney at that time was okay! Can someone try to explain to me or try to help me on whats going on with me! Ive been to a few doctors and I feel that no one shouldnt suffer like Im suffering![/INST]HI. Noted the history of gall bladder removal and reports about your kidney and liver that they are normal. This is good news. Now : about your problem about pain in the abdomen and the chest, along with swollen face and lips. The probable diagnosis of your problem can be ::You have a pleural inflammation due to something that causes simultaneous pain in abdomen and the chest This can be best diagnosed by CT scan of the chest and upper abdomen. This can also be due to acid peptic disease. Upper GI endoscopy will help. Disc compression in the upper thoracic area can cause the pain of this nature. Please go for all the relevant tests: Get a diagnosis to get a proper treatment.</s>

<s>[INST]hello recently I have developed a rather sharp pain above my naval. I have looked into a bacterial infection and have been cleaning it with alcohol and to no success. the pain has traveled and hurts in a 3 inch diameter above my groin and to the right a tad. I have also looked into an umbilical hernia but I am a bit skeptical, and I am not sure it is appendicitis.[/INST]Hello, Appendicitis is a high probability. The pain in appendicitis begins in the per umbilical region(that is around the naval) and then migrates to an area called as McBirney point that is at the junction of the medial 2/3rd and lateral 1/3rd of a line joining your naval with the anterior superior William spine. This area is roughly the same as you have mentioned. Further evaluation is needed. Blood counts, urine examination and ultrasound scan of the abdomen are required. In appendicitis the blood counts will be high, urine will be normal or show mild hematuria and USG abdomen will show an elongated or enlarged appendix. Treatment is mainly surgical, however in some rare mild cases, medical management with painkillers and antibiotics may be tried.</s>

<s>[INST]My 9 year old daughter is complaining of chest pains. She says that it feels like something is stuck in her chest. She is pretty healthy although I just took her to the doctor because in the last year there has been rapid weight gain. She is 95 lbs whereas a year ago she was 68 lbs. As of yesterday she is 55 inches tall.[/INST]Hi thanks for contacting Chat Doctor... Here your child complaining chest pain... As no specific symptoms like cough, fever etc. present chest x-ray done for investigation .... As she is a small child there might be foreign body ingestion that can lead symptoms .... Auscultation also done . According to cause treatment done ... If foreign body there removed through bronchoscopy if needed ... If no cause identifiable then chance of pain by muscular strain ... As your child gaining weight rapidly investigate for hypothyroidism .... Consult pediatrician for this. . Take care ....</s>

<s>[INST]my wife is in remission for lupus but is still on prednisilone.she now has adrenal fatigue,but due to taking prednisolone cant have her hormones tested.she has been told to up her prednisolone doseage full stop.she has osteoporosis and does not want to incresase her preds.[/INST]Good evening sir. It is very common problem that our body stops secreting natural steroids once we are taking it from outside on a long term basis. A Chat Doctor. If she is not experiencing any problems like pigmentation, low blood pressure, low blood sugar, I am not too sure how increasing the steroid dose would help. Especially if she has osteoporosis one needs to be careful. If you could provide us with some insight on a</s>

<s>[INST]What is he progression of mantle cell lymphoma? My 74 year old husband had only 2 treatments when the oncologist determined the treatment was not working...his platelets were 72 and his WBC was 358,000. They basically told him to go home and die. That was a month ago. He has become steadily weaker. He has an appetite, but cannot eat much at one sitting. He has edema in his feet. He is now complaining of a pain in his upper right quadrant; somewhere around his under arm and radiates to the back of his shoulder blades.We are totally clueless.[/INST]Thanks for your question on Chat Doctor. Mentle cell lymphoma is one of the most aggressive tumor known till day. It is resistant to chemotherapy and rapidly worsening in days only. In your husbands' case as he is having right sided back and chest pain, I think he is developing malignant effusion. So better to rule out this by chest x-ray. If effusion than pigtail catheter insertion will help him symptomatically. So get done chest x-ray and pigtail Chat Doctor. Also discuss end of life issues with him. This will give him more support.</s>

<s>[INST]Hi my left bottom wisdom tooth is coming through and painful but also my lymph nodes are swallen and soar Im sure its perconitus but I also have like a large patch on my cheek which looks like what I can only describe as acny like on my left cheek. , is this normal and can it be treat without a dentist[/INST]Hiwelcome to ChatDoctorduring the eruption of wisdom tooth it sometime cause pain. If the tooth is infected then it may lead to enlarge lymph node. First get your OPG X-ray runabout patch, if its white then depends on weather its cheek bite, leukoplakia or candidiasis etc. Which can also be confirmed by seeing the patch. For both thing visit dentist. Meanwhile for wisdom tooth do warm saline gargles and can get painkiller. Thank you</s>

<s>[INST]I have been having moderate headaches for quite some time - pain mainly in the back of the head - high on the left side. Is it worth an MRI? Pain meds seem to help but the pain often radiates to other parts of the head. I do have a swelling on the left side of my neck which my physician said was not serious.[/INST]Hi, I have gone through your medical history carefully and can say as following: You are saying to have moderate headaches, manly in the back of the head and high on the left side. Meanwhile, swelling on the left side of your neck is present. If I was your caring doctor would advise running X-ray of neck first to evaluate the swelling. Most probably spondyloarthrosis is suspected especially if such pain is subsided after taking pain medications, however, need further diagnostic tests to run. For the moment, I advise continuing taking pain medications and do not apply anything locally until the real nature of the swelling in the neck is totally elucidated. Hope it was of help! Chat Doctor. </s>

<s>[INST]A friend went to the emergency room this past Monday morning with severe flu-like symptoms. On Thursday, she was diagnosed with meningitis. On Friday afternoon, it was determined to be viral, and she was rereleased with instructions to stay home and rest for 1 week. Yesterday she was beginning to feel better, but is not feeling as well today as yesterday. Is this fall back today a normal part of the recovery process, or Is it a sign of a possible relapse? Should she perhaps be gotten back to the hospitals? Thanks for your time.[/INST]Hellos you mentioned that your friend is having meningitis (virus, causative organism) . Doctor discharged your patient from hospital because this is self limiting due to antigen antibodies (maybe the type of such virus, that's why patient discharged). So this tiredness is an in recovery phase, if fever is not present then , need not worry. So be careful, take care good nourished diet as well complete rest but remain contact with doctor.</s>

<s>[INST]Hello, my wife has been dealing with left leg pain and weakness for the past 15 years. Recently my wife developed left arm, face and tongue weakness and numbness. She was diagnosed with a 5mm Chiari malformation and was given steroids to relieve migraines. After seeing a neurosurgeon she was told she was ineligible for surgery and has been told that she may be making up the symptoms in her head. We don t believe that, basically her left leg, arm and now face experiences pain and weakness and we have no idea why. She was tested for MS but with no lesions and multiple side symptoms that was rules out. Any advice you can provide would be appreciated.[/INST]Hello! Thank you for asking on Chat Doctor ! I read carefully your question and understand your concern. Coming to this point, I would recommend performing a cervico-thoracic spine MRI study to exclude possible syringomyelia, which could cause her symptoms. This is a common complication of Chary Malformation. Anyway, it would not explain the numbness in her face or tongue. Another option would be starting an antidepressant, especially considering the fact they she suffered from migraines. These Chat Doctor. Hope you will find this answer helpful! Best wishes, </s>

<s>[INST]What does this mean, Delayed planar images demonstrate mild uptake within the left L4-L5 region.SPECT -CT of the lumbar spine was obtained. This demonstrates no evidence of disc uptake however, there is very mild facet uptake at L4-L5 on the left. Hypertrophic facet degenerative changes seen in the region on nondiagnostic CT.[/INST]Hi, Thanks for writing in. The uptake seen at L4 - L5 with hypertrophic facet changes are indicative of degeneration because of aging. Such changes occur with age and can cause mild lower back pain and spasm of muscles. A pinched nerve can also arise from this condition. You must consult a neurologist and probably also get a lumbar spine MRI scan done to know if there is a disc herniation or nerve impingement which is not seen clearly on SPENT CT should you experience severe pain in the region. It is important to know why you got a spent CT done and if it is related to any cancerous condition for which you are taking treatment. There is no serious concern for the above findings.</s>

<s>[INST]I recently found out that I was pregnant, I told my boyfriend about it. He always jokes about me getting pregnant so was not expecting his answer. He wants me to have an abortion. I went through the consultation for the abortion and just strongly disagree with it. I told him about this feeling and continually have nightmares about it. He does not want to hear this and is gong ho about this abortion. I feel even if it was an accident why are we killing this baby, it was not its fault it was conceived and now i feel its my job to protect it but I am scared about just up and leaving, he has threatened that if i leave he will find me and take my baby that he does not want and raise it with his ex. what should I do[/INST]Degree understand your concerns went through your details. I suggest you not to worry much. The cause of your fear is due to conflict of opinion. That is normal. Also, you have a good human view point towards this issue. But you must also understand your husbands view. He could be compelling you to abort because of some compelling issues. Talk to him about this. Understand his feelings and points. Do not argue. Arguments always provides no result. Discuss. Discussions always produce results, decisions. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.</s>

<s>[INST]I fell approx. 9 years ago on my coccyx. I now have pain from coccyx area that radiates to both hips when I walk. It happens if I am up on my feet all day, but stops when I sit down. I have spoken to my doctor, but he thinks it may be weak stomach muscles. What is your opinion? Thank you. I am 62 years old.[/INST]Hello! Welcome on Chat Doctor ! Your symptoms could be related to a pinched nerve in this region (also called neuralgia), or a bulging disc in the vertebral column, probably due to the trauma. For this reason, I would recommend consulting with a neurologist and performing a CT scan of the lumbosacral spine, coupled with a nerve conduction study. You should discuss with your doctor on the above issues. Kind regards, </s>

<s>[INST]Hi..my baby is one month old...he cries a lot at night...sumtimes he s inconsolable...he s on breastfeed n top feed..we burp him regularly Aftr every Feed...still he cries a lot..we hav been suggested by our friends to give neopeptine as a mild dose n colicaid only if necessary ..wht do you suggest ...our doctor refused. Us fr any medicine.[/INST]Hi.... Your doctor is 100% right. I, too, do not suggest any medicine. I will give an explanation why so... This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there. Next time check if she is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put her in lying position after feeding till she burps out the swallowed air.2. If she is still crying - put her in prone position and keep patting her back gently so that she passes off the flatus and gets relieved. Regards - </s>

<s>[INST]Hi, one of the bumps right at the back of my tongue (lingual tonsil area) is a yellowy colour, not pink like the rest.i was looking because i have a bug at the moment and a congested throat/nose...now i am manically googling tumors! Any idea what it could be?[/INST]Hi. Welcome to Chat Doctor. I read your query. In tongue there are naturally larger taste buds at the back of tongue as compared to front. Also, there is lingual papillae As you mentioned you have an infection, chances are it could be an enlarged taste bud or papillae due to infection, medication or some allergy. It can also be an ulcer. Normally This happens with fever and infection and regress on their own. I suggest you to check if it is discolored, enlarge or have uneven borders, then get it checked. Else you can wait for healing up of your infection. Take your prescribed medications. Take multivitamin tablet one per day. Maintain God oral hygiene. If warm water is tolerated, do warm saline rinses. Maintain good diet and HY Chat Doctor. If it burns while eating, you can apply oral anesthetic gel 5 min before eating. Hope the answer helps you. Thank you!</s>

<s>[INST]My husband suffered a stroke in Oct 2016. In the beginning his attitude was bad, he cussed at the nurses and physically fought with them, when he was in a acute hospital the Dr gave him Ridlin it helped, then he was transferred to a skilled nurses rehab place. The Dr there gave him SEROQUEL, he is better but looks and is tired and the therapist say he is sleepy and I don t think he gets a good session. The state of Ca will no let them use RIDLIN. Help! he is coming home and I would like a better mood med. Judie Denney[/INST]Hi and thanks for question. Many times we see that person with stroke will present with behavior disturbance.it is mainly due to lost control over emotion and due to disorientation. So during that time sedative will give for treatment. you are very much anxious regarding how u controlled when he will come home.I suggest u to continue Seroquel. If he has leg pain along with he has salivation more than prior than consult psychiatrist nearby u.</s>

<s>[INST]I feel fine in the morning and all day but for the last two days I have been getting very dizzy at the end of the day, around 4:30 to 5:00 and a little lightheaded. I havent changed any eating patterns or anyhing, what is the most common cause for random dizziness?[/INST]Hello, If this is only a symptom that has been happening for the past 2 days I would recommend you increase your fluid intake for the next several days using pure and fresh WATER. I would cut out caffeine and caffeinated beverages. Make sure you've been getting plenty of rest and I believe you should start feeling better. You say you haven't changed your eating patterns but do you eat your meals on time or do you skip depending on the need at school or at work? Otherwise, if your symptoms are not self-limited over the next day or 2 you may wish to schedule an appointment with your doctor for an examination and some laboratory analyses to check on things such as electrolyte disturbances, blood counts that may point to anemia or infection, etc. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s>

<s>[INST]I have had severe lower back pain around L-5 on my left side. I have been on meds 400 ml ibuprofin for approx. 1 year, now the pain has traveled down my left leg and I have had to increase the meds as needed. Aprox. 5 years ago i fell down a small flight of stairs with approx. 25 lbs in hand. I struck the last step on the right side of my buttox which caused an enormous contusion superficially. However, I have had lasting pain in the area but no one has been able to identify the source. I believe that the injury on the right side has eventually caused the continuous pain on the left[/INST]Hi, I had gone through your question and understand your concerns. Pain traveling down your leg and increasing in intensity means advancing of disease. In this case most probably there is herniated disc disease, so I suggest you to consult a Neurologist and to discuss the possibility of imaging study of your lumbar spine. Since there has been trauma you'll need plain radiographs and MRI imaging. Treatment modalities should become clear after this. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions.</s>

<s>[INST]My Son persuing Engg course is 22 years now was suffering a few years back from low confidence, fear, self defeat, thinks all are talking about him had recovered, now is back in same mental frame, has confusion, indecision, weird feelings like his pennis is small, shrinking & may severe off, please help[/INST]Degree understand your concerns went through your details. I suggest you not to worry much. Low self-confidence, low self-esteem, confusion, indecision, weird feelings etc. are by products of misunderstanding life. He needs to see a psychological counselor who shall be able to impart self-confidence to your son and make him aware of what he is and what he is capable of. Please consult a psychological counselor. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.</s>

<s>[INST]I have been very anxious the last couple days and my heart rate has been high. It has been over 130bpm at some points and then as low as 80 when I am relaxed. I have panic attacks but usually my heart rate does not get that high. Could his be dangerous?[/INST]! I have read your question carefully and from that I can say from my clinical experience that the heart rate increases due to stress. However, as you are very concerned, it will help you to get an ECG done, and blood pressure checked. Once these turn to be normal, I think you must meet a psychiatrist and get a detailed evaluation done. Only After listening yo your problem and your current status one can decide the line of management. I have seen that such ceases respond greatly to paroxetine in a dose of 12.5 to 37.5 mg daily. The doctor may ask you for therapy, which I think will give additional benefit and help you control some part of anxiety and stress. Hope the reply is helpful feel free to ask more questions Chat Doctor. </s>

<s>[INST]hi,,,,,i am 32 years old woman....trying to conceive from last 1 year.....got the follicular study done couple of times and was found ok....now my doc has referred me for iui....please let me know what could be the reason for not conceiving after every thing being normal.... my hsg test was also normal..[/INST]Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns. Among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive. Since your doctor has already started treatment I presume that all baseline infertility investigations including semen analysis are normal. Then this is called as unexplained infertility. The cause cannot be found with available investigations. What your doctor has done is right step. Have GUI after induction of ovulation with Gonadotrophin. You can have 3-4 cycles of GUI. I hope and pray you conceive with the help of GUI. If you do not get pregnant with this treatment, the next option would be IVF (in vitro fertilization). I hope this is helpful. If you have further concerns, do contact me through Chat Doctor. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. I hope this is helpful. If you have any further concerns do contact me through Chat Doctor.</s>

<s>[INST]I have pain in my left arm,feels like muscle when I rotate my arm to the right and lift up its sharp. Shoveling snow today didn t help and now its a steady throb. not sure if a xray will help or if I m going to have to have a mri . it s been going on for at least a month or longer.[/INST]hello must attend an orthopedic clinic for proper examination and investigations.it could be supraspinatus tendinitis or biceps tendinitis (inflammation of tendons which attach muscle to bone) or even shoulder joint problem. Do hot fomentation and take Advil tabs after meals thrice a day and rest arm in a broad shoulder-arm sling till you attend orthopedics clinic. A weeks rest to 10 days would be good in sling along with medicines. The final treatment can be decided after examination and X-rays if necessary, MRI, if needed only thanks</s>

<s>[INST]My mother in law is in remission from limited stage small cell lung cancer and she wants a partial hip replacement. Her doctors gave her clearance for the surgery but I m afraid she won t heal well. will this surgery possibly cause her to relapse with cancer due to stress on her body?[/INST]Thanks for your question on Chat Doctor. In my opinion you should not worry about relapse. Partial hip replacement is done under spinal anesthesia and stress level and risk both are less than general anesthesia. And doctors have declared her fit for surgery means she is able to cope up with the surgical stress. So no need to worry about relapse. Get done surgery. And continue her chemotherapy cycles as per schedule.</s>

<s>[INST]I m looking at the effects of low blood pressure starting the day 97/61 with a heart beat of 64. Movement to cerebral biofeed through oxygenated hike in the trails of autumn under rainy and 10 degrees conditions. What I find consistent is; only after a sweated workout do I sense the pathological pain pressures of the left parietal quadrant; that quadrant is completely separated and pain in persistent. The reason for the workout is for picking up the chi energy of the 4 oclock cycle.[/INST]Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that low blood pressure can be associated to different symptoms: - pressure headache-blurring vision-shortness of breath-ear noise-fainting and loss of conscience. It is quite normal to experience low blood pressure after a lot of physical activity. It may be related to sweating and deny Chat Doctor. Hope you will find this answer helpful! Kind regards, </s>

<s>[INST]Dear Dr Candan. I would like to ask you you how you read the following values for my semen? How is the potential for using these values of semen to make an egg pregnant : Volume 1.5 Sperm concentration (mill/mL) 38 Rapid linear progressive (A) 00,0 Slow/ Non-linear progressive (B) 09,0 Non-progressive 08,0 Non-motile 83,0[/INST]Hello and welcome to Chat Doctor The analysis for your semen is as follows:Volume is 1.5 ml/ ejaculate-This is low volume as the normal volume per ejaculate should be at least 2 sperm count is 38 million/ml- This is normal sperm counts. The cut-off for normal sperm count is at least 20 million/ sperm motility is less than the normal range. Non-motile sperms are 83 %. Normally at least 50 % sperms should have rapid progressive forward motion. There is no comment on morphology and presence/ absence of pus cells, RBC's and other nucleated cells. On the basis of this report your sample is deficient in adequate volume and adequate volume. It can lead to infertility i.e. inability to fertilize an egg under physiological conditions. However, I recommend you to get semen analysis repeated after three days of abstinence. If, again the sperm count remains low, there are other techniques for fertilization of the ovum. You can get details of which from a fertility expert. Thanks and take care Chat Doctor. </s>

<s>[INST]Had blood tests and ultrasound done for abd pain - found nothing. Have now got it into my head that I have hodgins disease because i am also slightly itchy[/INST]Hello. Welcome to Chat Doctor, You are presuming a big ailment for no obvious reason at all. The common symptoms of Hodgkin's disease are generalized lymph node enlargement, may be weight loss and hepatosplenomegaly. It has to be proved by special tests like immunohistochemistry on biopsy samples. Itching is totally unrelated to this. If you had homeostasis causing itching, it would have been detected by ultrasound. It would be helpful to have a gastroenterologist work up with endoscopy if the pain is too much and tests like those for typhoid etc. Take care.</s>

<s>[INST]dear sir/mam, i had my last period on 28th dec 2010, till now i didnt get periods, i undergone pregnancy test its negative, so my dr referred me take meprate 10 mg now i m takiing , last two days i m getting guiltiness and i felt may be am i pregnancy?[/INST]Hello dear, I understand your concern. In my opinion giddiness alone might not suggest pregnancy. The pregnancy symptoms like nausea, vomitings, increased urination, sore breasts, giddiness,tiredness might be there with positive urine pregnancy test. Meprate tablets are given for with Chat Doctor. Also, the pregnancy test is negative. The giddiness might be due to weakness.Don't worry. Take healthy nutritional diet. If irregular periods continue get evaluated for thyroid abnormalities, PCOD. Avoid stress. Stress, overweight, obesity might also cause irregular periods. So relax. Best regards....</s>

<s>[INST]I had a severe allergic reaction to an ant bite about a week and a half ago. Blood pressure dropped to 70/63 and was rushed to the ER and was given loads of Benadryl, went through 2 bags of fluid and had to be put on oxygen. I m still very tired though, I have this running exhaustion feeling. My question is- how long is this supposed to last? Is it normal for me to be feeling so tired?[/INST]Hi, see allergic reaction can be immediate, late and/or delayed from which the later can be last for more than 2 days, so u might have delayed hypersensitivity/Allergic reaction due to ant bite. If this problem remains even after few weeks and u still feel exhaustion or tired then there will be some other cause.u need to see your physician for correct diagnosis but don't worry nothing serious, u will be alright.</s>

<s>[INST]My 13 year old daughter has what appears to be her lower left side rib sticking out.Like a lump where last rib would normally be. She has had it for a few months and it seems to be getting worse. (Sticking out more).She says it is a little tender. She is about 25lbs passed her goal wieght.[/INST]Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. I feel that requires evaluation, that swelling can arise from bone, or it can be soft tissue swelling. You should get her a X-ray Chest, Ultrasound of that area, and if required a FNAC or Biopsy might be required. This is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask stay Healthy. Chat Doctor, MD</s>

<s>[INST]Hi, my daughter has super ventricular Tachycarida. She gets really short of breath when just taking the stairs at school so she used to use an elevator key, but the school took it away. Is there anything that she can do to help her breathing at school and at home?[/INST]Hello, Usually supraventricular tachycardia is usually episodic in nature and will not cause persistent shortness of breath. First thing is that, the type of supraventricular tachycardia should be determined. So get one ECG done and upload it or show it to local doctor. If she is having persistent type of supraventricular tachycardia like atrial fibrillation then only it can cause this type of symptoms. For this rate control Chat Doctor. Secondly we need to find for another cause, for that she'll need echo, hemoglobin testing. In general, she should have salt and fluid including water tea milk coffee etc. restriction to minimum. Very good medicine are available so you either upload her reports or visit local doctor. She'll medicine like metoprolol, horsehide etc.</s>

<s>[INST]thankz doc vel i hav an allergy from last five years ma lyf z like hell could u plz sugest how ma swellin vil go bcoz sometime i hav severe headache breathin problem chest congesion ma complexion z gettin dark plz sugest ma nose vz very pointed nw d adenoisz r grown plz recommend somethin n ur num[/INST]Brief Answer:Needs a Proper stepwise approach. Detailed Answer:Hello Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. Allergies in most of the cases stay with us through our whole lives, it is us who have to learn to control them and to live a good quality life with them. Allergy needs a step wise approach :(1) Meeting a Doctor.(2) Blood and other tests(3) Diagnosing type of Allergy(4) Figuring out what causes allergy (allergen)(4) How severe is it, or it can go(5) What med can control kit(6) What med controls it best(7) Sooner of later that med needs to be aided with some other med or have to be changed.(8) What are the risk factors.(9) Does the patient qualify to steroids or not? Suggestions: I have already told you how would I approach this issue, it needs proper check-ups and follow up to be controlled and treated well, for the time being if I were your doctor I would suggest you take an antihistamine for example loratadine 10 mg daily and an over the counter Painkiller+anti-inflammatory like Tylenol(acetaminophen) 325 mg thrice daily, But this is just to buy time till you can have a good contact with your doctor and all you reports are compiled and diagnosis is made...some people also need steroid to suppress allergy.CONCLUSION: Don't be alarmed there are doctors and clinics specialized in Allergy and it's a daily routine matter for them just follow this issue well and soon as you get settled on a med ...just one or two pills a day, and you will live a long healthy comfortable life ..... Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it. Wishing you good health !!</s>

<s>[INST]Hi how are you doing? I have a question about my health, I just went to a doctor this afternoon and he found out that I have a h pilori desease, just wondering it can be detect where I might get this? My employer has this kind of desease, is it possible that she gave this to me?[/INST]Hello, Welcome to ChatDoctorH. Pylori is a spiral-shaped bacterium present in the stomach of persons. It is commonly transmitted person-to-person by saliva. It can also be spread by fecal contamination of food or water. Crowded conditions and poor hygiene contributes to higher H. pylori prevalence. H. pylori enters the body through the mouth, moves through the digestive system, and infects the stomach or the first part of the small intestine. More than 80% of people will be asymptomatic. But infected individuals are prone to get peptic disease. Hope you are happy with the answer. Thank you</s>

<s>[INST]Several weeks ago, I treated myself with over the counter meds for what I thought was a nasty yeast infection. Then, the following week, my husband complained of itching and a red rash in and on his genitals, but he didnt do/take anything and it went away. Now, I have what I think is a yeast infection again. Could we be passing a yeast infection or something else back and forth? What can I do to make this go away? I have endometriosis. Am I more likely to just get lots of yeast infections?[/INST]Hello, Welcome to Chat Doctor, Fungal infection is most common in the area around genitals and the fungus are the normal comedians of the genitals which are kept under control by the helpful organisms, whenever there is an imbalance in the environment it will lead to multiplication and growth of the fungus in this area. The fungus can sustain for longer duration of time in the wet and moist areas, it is most common in females compared to males as the urethra is short. I would suggest you to follow1. Keep the area clean and Chat Doctor. Topical antifungal cream3. Oral antihistaminesThese medications will help to control the fungal infection. Thank you.</s>

<s>[INST]Hi Doctor, I 36 year old male India, suffering from amobasis since last 17 years. I taken lot of antiboitec but it is not full cure. Now i am toomuch frustarated and i dont want to take any english medicine. If you have any herbal medicine i can take forever to avoid this bloody amobasis. Please help me doctor.[/INST]Hi Welcome to ChatDoctorI Have gone through your query regarding your17 years of amoebas It is after OC great concern. I want to know what all symptoms you face , and for how much time they carry on ? Individuals with weakened immune systems are at a higher risk of amoebas. Conditions such as cancer, malnutrition and old age can contribute to suppressed immunity. Normally seen symptoms are, Sudden weight loss Abdominal cramping & painNausea, Loss of appetite, Flatulence , Tiredness , Dehy Chat Doctor. Treatment also includes certain medications which help to destroy the parasites. These may lead to some side effects such as nausea and a metallic taste in the mouth. Medications to treat diarrhea may also be prescribed. It is important to </s>

<s>[INST]I was diagnosed with scoliosis when i was in middle school. I am now 23. I have days when my back hurts all day. I work as a nursing assistant. I have a back brace that i bought. Its not a medical brace just a ordinary brace. Do i need to follow up and have it rechecked since its been a while since a doctor last looked at my back.[/INST]Dear-thanks for using our service and will give you my medical advice. It is important to have a follow-up of your scoliosis with an orthopedic. This is a condition that can get worse and give you more symptoms as you get older. You née a medical brace, one that has been made for your specific measurements and support. This is something that will avoid getting worse and will relieve the pain. I hope that my advice has been helpful Chat Doctor. </s>

<s>[INST]I FEEL SURE MY HUSBAND HAS HAD AND IS STILL HAVING MINI STROKES. WE HAVE HAD EVERY TEST DONE THAT THE DOCTOR ASK, THE LAST THING SUGGESTED WAS ANOTHER MRI OF HIS BRAIN BUT IT HAS NOT BEEN SCHEDULED YET. WHAT SHOULD I DO AND HOW SOON IS IT NECESSARY. HE CANNOT WALK HIS LEFT LEG IS NUMB AND HE IS HAVING TROUBLE KNOWING WHEN HE IS USING THE BATHROOM, BOTH URINATING AND BOWEL MOVEMENTS. HE STAYS CONFUSED ALL THE TIME .[/INST]Hello, Sorry for your distress. The confusion is a sign of a problem with the brain. The leg numbness and bathroom problems can be due to a problem in the brain or spine. A condition which may tie all these in is known as normal pressure HY Chat Doctor. An MRI of the brain should be able to identify this condition and I would advise you to get that done. The MRI of the brain is also a good way to check for stroke. All the best.</s>

<s>[INST]hello, i am a female, 52 years of age. recently i have bump my arm against a door nob and a large bump appeared on my forearm. a few days later, i happen to hit my hand and yet a bigger bump appeared where i had banged myself. both of these on my same left hand/arm. i am not sure how to make it go away and its not brused, black & blue nor does it hurt... please give me some advise. thank you[/INST]Hi! Good evening. I am Chat Doctor answering your query. From the history it seems to be a hematoma (collection of blood) in subcutaneous tissues due to some minor bleeding by the trauma. If I were your doctor, I would apply a pressure 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]Hi! I injured my knee at a football game 2 days ago, mechanism of injury=I kept falling on my knees,high impact. No instant swelling that I noted (adrenalin) but did feel pain, I admit I kept playing so did weightbear after falls..first fall of significance in first half. Knee started to stiffen up and get more painful towards end of match, knee noticeably swelling and real discomfort on car home and painful to sleep, ache walking and stairs or kneeling painful...used price technique straight away..iced it straight away, tubrigrip compression and elevated..knee now feels better..widespread bruising tender on palpation of joint line/bruises, knee not as stiff but still an ache at end range flexion swelling has reduced. I think when the bruising goes the dull ache in my knee should go too, I feel I dont need physio or medical intervention as its only been 3 days since injury and to let healing process take its course? Am I foolish or should I check if ligaments/cartilage isnt Injured even though the symptoms/mechanism don t match? Thanks[/INST]Hello, I have studied your case. As per your history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. 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]Im 20 male, 164cm, 53kg. i have sinus on one side, have motion sickness, have more hair fall thn normal but no bald sign. i have 2 prob: 1st is i have almost continuous cold like character from 15yrs where my throat is sore very easily if i get wind in night time; if i dont cloth myslf warmer i start hving heavy mucus, if i warm myself properly it ends about 5 days. its not normal because others near me are not hving cold even when i easily have it. 2nd is my inside-belly prob; i easily have stomach ache after 30min-2hours of major meals (like once every 2 week), where i pass out diarrhoe-like stool and the pains goes after shitting all, i need to give some energy to pass these out at first (it jst dont come easily in beging), i use to take 1 metronidazole and furazolidone tablet, which mom tell. My stomach is always in a very mild discomfort nowadays after i eat something but no diarhoe in this case.[/INST]Degree understand your concerns went through your details. I suggest you not to worry much. You should not take self medicines for any health problems. Consult a physician for diagnosis and treatment. Your first continuous cold related condition should be related to allergens and the second one due to stomach and digestion related problems. Please consult a physician for clear outlook. You also might be interested to know that anxiety and obsession and preoccupation with non-present-symptoms can also manifest such symptoms. For such a case, you need to consult a psychologist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck.</s>

<s>[INST]Hi im george. Ive been having pain inbetween my collarbones and shoulder blade where it meets my neck... I am nearly 25 years old male. It started about 6 months ago and only occurred when breathing in whilst walking up a very large hill near my house. Over the past few days its doing it when relaxed, driving doing anything. Today i have noticed my chest is heavy and just now i noticed my right ear feels a little like ive been on an aeroplane... Please help[/INST]Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain in between collarbones and shoulder blade while breathing in. Well there can be many reasons for symptoms you mention in query like muscle spasm, cervical spondylosis, cervical radiculopathy or working in one pose for long time. I would suggest you to apply warm compresses on neck and on shoulder blades, do not sit in one pose for long time and take ibuprofen or acetaminophen for pain. If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order CT scan or MRI to confirm the diagnosis. Doctor may prescribe muscle relaxant along with anti-inflammatory and vitamin supplement for quick recovery. Hope your concern has been resolved. Get Well Soon. Best Wishes,</s>

<s>[INST]I had a panic attack earlier today and had trouble catching me breath. I m ok as long as I sit still if I do any type of physical activity even as easy as carrying groceries I can feel a slight shortness of breath. My wife.Is currently suffering from bronchitis I m not sure if this a symptom that I may have the same thing[/INST]Thanks for your question on Chat Doctor. I can understand your concern. Stress, anxiety and panic attacks itself cause breathlessness. So no need to worry about bronchitis. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]my friend has been suffering from fever for 15 days...tests for typhoid n malaria negative...fever occurs at night with shivering...almost normal during daytime...blood tests show 19500 leukocyte count and neutrophil count at 88...what should be done...doctors at a loss[/INST]Dear friend you certainly seem to be having an infection or in rare cases chronic myeloid leukemia. If nothing else a leukemia reaction from an infection, but your white cell count does reach the lower limits of CML range. You also need to rule out a lung infection or an Please discuss these possibilities with your doctor and before a diagnosis is made please request for a peripheral smear to be examined by a haemato-pathologist to at least screen for CML</s>

<s>[INST]I m a type 2 diabetic. My doctor changed my meds to three pills 5 months ago, Metformin gave extreme gastro side effects. So I have been taking Januvia, Glimeperide and Glipezide. It kept my blood sugar much lower but not perfect. I had 3 episodes of symptoms of low blood sugar but I never got a reading lower than 80. Now my pharmacists has questioned the 3 medication so, as of 3 weeks ago I no longer take Glimeperide. Now I m having mild pressure in my abdomen and sternem, shallow breathing and muscle tension for no reason. Any thoughts?[/INST]Hi sir. Usually diabetic medicines with metformin may cause abdominal problems like gastritis, ulcer.make sure that your sugar level is under control especially HE a1c is under control. Pain in lower abdomen and sternum is exactly due to gastritis so it's better to take anti ulcer medicines to solve this problem avoid taking oily and spicy foods avoid taking tea coffee or milk avoid some vegetables like radish cabbage and cauliflower so that it may help to reduce gastritis. Consult a physician for medications, thank you.</s>

<s>[INST]i have a rash on the inside of my bicep and it just so happens it is over the area where i had my implanon implanted. i had it implanted 8 months ago and am just now getting the rash and it looks a lot like the pupps rash i had on my stomach when i was pregnant. i don t know if it is related but i figured i would add that in.[/INST]Hello.thanks for sharing your query Since it is already 8 months since the insertion was done, I won't think that the Implant should be a cause of the rashes you have. You may apply a mild topical steroid for 3-4 days to see if it improves. If you have itching, oral anti histamines may be taken. However, if your lesions persist, you must visit a dermatologist.PUPPY rash is a pregnancy related condition and resolves mostly within a week of delivery. A few women continue to experience symptoms into the postpartum period, but I think this not be related to the present symptoms. Hope this is helpful. Take care.</s>

<s>[INST]I am 18 years old. I got my period on October 15th and had unprotected sex on October 27th. On October 28th I took plan b. I am on birth control but took it at different times (within a few hours) the few days leading up to October 27th. (8 pm one day, 11:30 pm the next day, and 10 pm the next day) so I was very nervous and took the pill especially because it was around the time Im supposed to be ovulating. Then, I had unprotected sex on November 1st really late at night and the day before that I took my birth control 3 hours later than I normally do. Does plan b push back ovulation so I would be ovulating on the weekend of Nov 1st? Do you think that I have a chance of becoming pregnant??[/INST]Hi, Thanks for using Chat Doctor. Contraceptive pills need to be taken regularly at fixed time. As you have taken pill daily but at irregular time, still It's effective in controlling ovulation. Not to worry. If at all you miss your periods get pregnancy test done. Try to take pill at a regular time daily, If you find it difficult to take regularly better to go for other methods of contraception. Hope this helps regards</s>

<s>[INST]I had sex with my gf last night, I had no groin pain and my sperm looked normal, today we had intercourse again and my right side above my penis near my bladder hurts and my right testical, also my sperm was dark yellow. What could this be? Please help.[/INST]Thanks for asking in Chat Doctor forum Pain might have occurred due to muscle pull/stretch during the intercourse/ blunt injury unknowingly during the act. So, Muscle relaxant with a painkiller will help you a lot. Regarding your color of semen, it sometimes varies normally & during infection. So, please for semen analysis if you have any doubts or any symptoms like burning sensation/frequency/pain while urinating. All the best.</s>

<s>[INST]Hi, I have been diagnosed with degenerative disc disease since about age 15, I am now 48 years old. My lumbar all the way down through sacral has been fused. I have constant pain in right foot/toes that I have been able to control for about 7 to 8 years, but now pain is getting worse in back above fusion and in the front below belly button. I am wondering if I may now have an issue at T-12 ? I am a male if that makes any difference.[/INST]Hi, Thanks for writing in. The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. There might be pressure on the discs in the dorsal and lumbar spine and this is causing slight pressure on the spinal canal at a particular level and causing pinching of nerve roots leading to severe pain in the area supplied by the nerve. The disc problem which had involved the T 12 - L 1 disc might have affected the discs at other levels also. Besides, you also have fused vertebrae at lumbar levels. As your symptoms are on the right it is possible that the nerve roots on the right side are affected. You require to be examined a neurologist and an MRI of the dorsal and lumbar spine if indicated to know if the nerve are under pressure and the location. There are patients who get relief by doing physiotherapy and taking neurogenic pain relievers. Injections are also given for relief. However, this might not always happen. If your pain is severe and not responding to medical treatment then the disc protrusion needs to be removed by doing a small surgery at the cervical neck region. Presently, laser assisted surgical techniques are also available. If the pain is mild then it appears to be a minor problem that is treatable. Please do not worry.</s>

<s>[INST]I am on Subutex , Neurontin , Remeron and Zoloft , Plus Klonopin , Plus I am on Synthroid , and Also 2 Blood Pressure pills , I Still Suffer with Depression and Anxiety , My Blood Work says I am Healthy , But Mentally I am Tired but Still anxious , I know this is A lot of Meds to be on , I feel as Though I am Hooked on these Meds now , I went into a Detox 8 Months ago to get off Morphine Sulfate and Hydrocodone , Came out on all these Meds..[/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. You may try other antidepressants as well as bupropion or venlafaxine or venlafaxine.etc. 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]Had a gaulbladder operation on the 11th May 2011 came out on the 12th stiches on the 20th May 2011. The same night i was addmitted back to hospital i was there for 4 days i was told i have a built up of blood where the drain came out. Before i came out they took a scan they said it was all right but i was still in alot of pain and feel quite ill they told me to see my doctor so after a week i did so he put me on two courses of antibiotics one was 400 mg the other 375 mg for two weekes. After two i had a rest to see if it was any better but it is still the same, i went back to see the doctor today and he send through to get me a scan as soon aspossible can you give me any advice be very grateful thank you .[/INST]Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. This is common complications of gallbladder surgery and may happen if blood vessel is damaged, or it bleeds for the liver bed. You need to do ct scan and check our red blood count in most cases it can be treated without surgery but sometime sit is required do evacuate hematoma and cingulum if antibiotics won't work. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.</s>

<s>[INST]I FILL TIRED IN AFTER NOON .MY HEART BEAT IS IN THIS TIME ABOUT 65.MY PRESSURE IS NORMAL.MY AGE IS 60.ECG REPORT IS NORMAL.I ALSO FILL WEAKNESS IN THIS TIME. 15 DAYS AGO 1 EPISODE OF VETIGO FOR F1 MINUTE IS HAPPNE.MY SERUM LDL COLESTEROL IS 136mg/dl.I AM FIT IN MORNING.IN AFTERNOON WHEN I AM IN REST I FILL SMALL PALPILATIN IN MY CHEST.MY WEIGHT IS SLOWLY LOOSING.WHAT IS MY PROBLEM AND ITS TREATMENT.PLEASE HELP ME.HIGHT IS 172.WEIGHT 59 KG.[/INST]Hi, You need to undergo some examinations, such as ECG, serum glucose, carotid duplex ultrasound. Only after these examinations the right strategy may be found out. Your complaints may be caused by different conditions; heart disease, diabetes mellitus and for the episode of acute dizziness narrowing and blockage of carotid arteries should be excluded by carotid duplex ultrasound. Take fearsome back if you have any further questions</s>

<s>[INST]I have undergone IVF treatment mid way my doc stop because i have not responded well with antral follicle got only 2 the rest have not grown to the expected, she had given me regestrone 5mg for 10 days , need to know what would the effect of the tablet any chances of me getting pregnant inbetween , my hub sperm count is less than 2[/INST]Dear user, welcome to Chat Doctor. With a very low sperm count the only way to get pregnant is through intro cytoplasmic sperm injection (CSI). You should try another time with the maximum dose of HMG (450 IU) or try the short antagonist protocol. If you are obese try to optimize your body mass index (BMI). I can help you more if you mention your age, BMI, day 2 FSH and LH, prolactin, TSH and antimullerian hormone (AMH). I wish you good luck and getting pregnant soon.</s>

<s>[INST]Hello. I found a lump on the left side of my lower back about 2.5 months ago. It is the size of a dime and is not visible and can only be felt when pressure is applied to the skin. It hasnt grown or changed and is painless to the touch. However, I do have back and leg pain. I am a 22 yr old female. I dont smoke or drink and am relatively healthy. No history of cancer in my family.[/INST]Respected user, hi I evaluated your query thoroughly.* According to the narration, it is most likely to be Lipoma (accumulation of subcutaneous fat) which can give rise to local discomfort but not leg pain which seems to be separate entity than this. Hope this clears your query. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving me an opportunity to assistWishing you happy healthy life ahead. Regards dear take care.</s>

<s>[INST]my boyfriends semen is normal looking but has chunky pieces in it jello-like in texture and they stay jello-like they dont melt or anything i know he used to do a lot of drugs before we started dating is it just side effects from smoking crack? (hes been clean for a year and half now) or is it infertility? does he have an STD? cause before we started dating i made him get checked out considering his past and he turned up clean on the tests. he says that his semen has had chunks in it for quite awhile but it kinda conserns me like i dont want to catch anything and i do want to have a child someday[/INST]Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection o urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.</s>

<s>[INST]Can i nebulize my child 5 year old with clenil compositum and atem together?? I used to nebulize him with simple clenil compositum and normal saline every winter season .. but now his coughing is not going.. he recently started penecillin day before yesterday because his chest infection was not going[/INST]Hello, Short answer: Detailed answer: You can use clinic composite together with item. Scientific studies show that when clinic composite (containing albuterol) is given together with item (containing ipratropium bromide), the results are better compared to clinic composite alone. Therefore, you can give both preparations together, 2-4 times a day because they will not harm your baby but at the contrary, will help him. Also, you should find a solution for the chest infection, by changing the type of antibiotic for example, in close contact with your doctor, because it is a cause of your babies cough. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]My mother is diabetic, has a mitral valve which needs replaced buy she is not healthy enough for the replacement. She has a pacemaker which she, per examine, is working 89% of the time. For the last three weeks she has been dizzy, very weak and has short term memory loss. Her primary care doctor says to let her be. Am I over reacting[/INST]Hello! Welcome on Chat Doctor! I passed carefully through your question and would explain that her symptoms could be related to low blood flow to the brain. A stroke or a metabolic disorder can not be excluded either. For this reason, I would recommend consulting with her attending doctor for a careful physical exam. Some tests are needed to investigate for the possible underlying causes: - a brain CT scan-complete blood count for anemia-fasting glucose and HbA1C levels-blood electrolytes- kidney and liver function tests. Meanwhile, I would recommend you to closely monitor her blood pressure values to exclude possible low blood pressure. Hope to have been helpful! Wishing good health, </s>

<s>[INST]I have been dealing with kidney stones since 1979. Recently I was in the emergency for pain from a kidney stone blockage. The ER doc ordered a CT scan to confirm the stone. When the results came back he informed me that I had stones in my liver and my spleen . My questions are: What causes spleen and liver stones; and is any treatment advised?[/INST]Hi Linda, Welcome to Chat Doctor. Since you have stones in the kidney, liver and spleen, you will need to do thyroid function tests to rule out hypercalcinosis, which is a condition in which there is above normal levels of calcium in the blood, which can lead to stone formation in various organs. If hypercalcinosis is detected, then it will need to be treated. Liver and spleen stones don't need to be treated. If there are stones in the Gall Bladder and if they are causing problem, then surgical removal of gall bladder is required. Wish you all the best.</s>

<s>[INST]sir,i was effected abdomen TB last Two years , I complete course and last one years i feel ok not any problem and no medician. Now i feel that my abdomen are large size and tight after food but i have no any symtom like no fever, no pain, no lose wts. I dought for again abdomen TB.[/INST]Hi. Thanks for your query. Read your history and understood the problem. It is good that you had been diagnosed and well treated for Tuberculosis of abdomen. Since you were asymptomatic for last year the chances of an active TB of abdomen is remote. The probable causes for belatedness and tightness of your abdomen can be: Intestinal sub-acute intestinal obstruction due to stricture formation of intestine; this is quite common sequel. Can be a mild gastroenteritis. I would advise you the following. X-ray of the abdomen in standing position. This is the cheapest and simplest test to see for intestinal obstruction. Ultrasonography and CT scan of the abdomen to confirm. Routine tests of blood and urine. Enterocolitis if obstruction is suspected, Diagnostic Laparoscopy: this helps in diagnosis and well as therapeutically. One can cut the bands / release the adhesions. Take a course of an antibiotic and metronidazole for 5 days, is there is a response, nothing to worry. - Maintain healthy food habits, avoid too many fibrous foods as they can cause repeated sub-acute intestinal obstructions. If no relief further investigations and treatment will be required.</s>

<s>[INST]Hi, may I answer your health queries right now ? Please type your qHi Doctor I am shri 25 years running. I am 3 years married. My problem is i am unable to get pregnant. Last Year i was pregnant but i had aborrtion in the month of 2.5 , after that i am unable to get pregnant. I have all tests like TORCH TEST (IGGM, IGM), Glucose test, Menstrual blood test taht all ate normal. I a test i have PCOD problem for this problem doc, advised me TABLET BIGOMET SR 500 for 3 months i am taking this tablet and this is my last month for taking this tablet, with this i am taking FOLIC ACID tablets also. please doctor advise me what should i do for get pregnant as soon as possible. Regards shri XXXXXXXXXXuery here...[/INST]Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Discuss with your doctor regarding this. The problem in PCs is with ovulation. So, you have to take medicines for ovulation. Bigoted alone will not help. Hope I have answered your question. Regards Chat Doctor. </s>

<s>[INST]I have a friend that has MS and has to take shots. He took a shot and there was a lot of blood that followed after he took the needle out. I was thinking his blood was too thin. (I take warfarine and this is why I was concerned) He drinks a lot of Red Bulls drinks too.[/INST]Hi, dear. I have gone through your question. I can understand your concern. You are taking warfarin. It is oral anticoagulant Chat Doctor. It prevents clotting of blood. So it leads to bleeding. You should test your PT and INR. 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. Don't forget to click, thank you.</s>

<s>[INST]On Friday I started getting the chills and noticed I had a fever of 102+. I took Theraflu thinking it was a flu coming on. However, I kept getting a fever every few hours. On Saturday, I started getting watery diarrhea. Later that night, my fever spiked to 103.3. I still have diarrhea and have to use the bathroom every 2-3 hours. I took a tylenol last night and the fever has not come back yet. However, I still have to keep using the bathroom and it does not seem to be getting better. Is there anything I can do to stop this?[/INST]I warmly Welcome you! Thanks for consulting me at virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. I usually prescribe in such cases Rifaximin (Ibadan) 200 mg per oral 8 hourly for 5 days. Use Mediate for revitalization and fulfil the fluid and electrolyte losses. It seems to be due to gastroenteritis due to some unhygienic/raw food. Only Tylenol can not be effective. You may need to go to your Physician for prescription of antibiotics. Hope it helped you today. If you need further, detailed and quick assistance related to any health issues, feel free to ask me a question directly from my profile. You can also attach Lab reports and pictures directly from the question window, or by emailing it to attachments@ChatDoctor .com with the Subject as, Attention: </s>

<s>[INST]My baby is of two weeks. First week breast feeding was good enough for him however from last couple of days it has reduced a lot. Hence we started feeding lactogen but he vomits it out very frequently. What we are supposed to do to ensure he is being feed properly?[/INST]Thanks for posting on Chat Doctor. Breast milk is the best possible food for a baby and there can be no alternatives for that. Lactose or any other formula, is cow milk based and difficult to digest for the baby. So, in such a condition, the baby often vomits it out. Try not to go for formula feeds and go for breastfeeding as far as you can. You may express your breast milk and store it in a refrigerator before you bring it to the normal temperature and give to the baby. In case of breastfeeding, insert the entire nipple along with the areola (not only the nipple) in the babies mouth. Feed one breast at a time and alternate breasts with each feed. Breast milk is produced as per the demands of the baby as express through the suckling. In case of formula feeding, the hunger of the baby is reduced, and the baby suckles less automatically reducing the amount of breast milk produced. So, reduce formula feeds as far as you can. The adequacy of the feeds would be expressed with the amount of urine passed. Passing urine at least 5-6 times in 24 hours is to be considered adequate. Hope that helps. Feel free to revert with further queries if any.</s>

<s>[INST]Hi, I am a 34 year old women, I got sick in December just before Christmas. I went to the doctor 4 times. He told me that I had bronchitus and gave me meds. The cough got better and o did my chest, but I have had a heavy feeling in my chest for about a month now. When I lie down it feels like I have a lump in my Throat. I dont smoke, never have and am not overweight. Can I have Lung cancer? I am really worried[/INST]Hi.it is best if you consult with a doctor if you are experiencing symptoms. The possibilities based from just your description are varied. Most common causes of lung cancer are history of smoking, occupational exposure to chemicals or inhalation agents that could be deposited in lungs, hereditary. Diagnostic studies such as chest x-ray, ct-scan of neck and chest area could easily rule-out if you have lesions. Hope this helps. Good day!!~ Chat Doctor. </s>

<s>[INST]Hello Dr. I have been having depression and intrusive thoughts for five years now. Tried Zoloft for two weeks and was very ill with it. Stomach cramps etc. I am afraid of side effects of meds like tolerance after a whole and other issues. I am now quite tired of dealing with this condition naturally. What help can you suggest.[/INST]Hi, I can understand your concern about side effects after using Zoloft (Sertraline). Loose motions, stomach cramps, headache, abdominal discomfort, sleep disturbance are common side effects in initial weeks of treatment with Sertraline. Other better alternatives are reducing the dose of Sertraline or switching to Tablet Mirtazapine or Tablet Venlafaxine with Clonazepam. Kindly discuss with your treating psychiatrist. Hope I have answered your query. Let me know if I can assist you further. Wish you rapid recovery.</s>

<s>[INST]from since a young age i always had irregular heart beats. eg i was playing football when all of a sudden my heart started beating alot faster than usual, with chest pains on the right and short of breath. i ocassional suffer these attacks even when i sit down. now i regularly get irregular beats, where my chest hurts and at times short of breath from lying down...[/INST]Hi thereafter going through your query I understand your concern. I would like to tell you, palpitations along with shortness of breath is more likely to happen due to cardiac Arrhythmias, and it requires further evaluation to avoid fetal cardiac events. Kindly get your ECG, treadmill test or stress echocardiography done and see a Cardiologist with reports for further management. Hope to have been helpful. Kind Regards Chat Doctor. </s>

<s>[INST]I have IDC Left Breast stage 2 HER Positive, 1.5 cm Cancer was removed, 2 lympthnodes removed, they were negative. I have clear margins. Pathology report states I am in Low recurrence catagory returning and the cancer is confined to the left breast only. It was at 1:00. I am currently taking 33 Radiation. Im on # 17 with 16 more treatments to go. I went to F/up with my Oncologist today. He prescribed Anastrozole for me to start taking. Possibably for the next 5 to 10 years. I am 73 yrs old, in good health and very actice. With all the side effects stated for the medication prescribed, I don t want to take it. My PET showed I had no cancer elseware in my body. My qustion is, If I choose not to take this medication what are my chances of recurrence and would it be ok if I choose not to?[/INST]Hayes with Chat Doctor. Some breast cancers are made to grow faster by a natural hormone called estrogen. Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. Hot flashes, headache, trouble sleeping, dizziness, stomach upset, nausea/vomiting, constipation, diarrhea, loss of appetite, weight gain, tiredness/weakness, increased coughing, or sore throat may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease (such as history of heart attack), bone loss (osteoporosis), liver disease, high blood pressure, blood clots. I will advise you to take one anastrozole tablet per day for 5 years. Its side effects can be managed symptomatically, Regards</s>

<s>[INST]Hi,I had Spinal Fusion surgery in 2001. From then on I maybe 2-3x a year I would get burning pain and inflammation in my feet and hands. Lately in about last 5 mos. the occurrences have become more often and in the past month my feet especially have been in pain... standing, seating or even laying in bed( if any part of my feet would be touching the mattress). They would feel best raised but I could still feel slight burning and stiffness. I dont know if I should go see my back Doctor because that was a on the job injury or my family Doc.Please help....thank you for your assistance.[/INST]Hi, Thank you for posting your query. Your symptoms are suggestive of neuropathic pain. It may benefit to consult your doctor and discuss, as these may be related to your earlier problems. In addition, you may need to do nerve conduction studies to look for peripheral neuropathy. You would benefit from pregabalin capsules. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/</s>

<s>[INST]Recently we moved from S. Fla. to NC and my husband and I have been waking up every day stiff, achy, and barely able to move. Even my hands and feet hurt. We live in a new log home, so it can t be lead paint or old house issues. Any ideas? Wierd that it affects both of us the same way.[/INST]Hello, Sometimes, neurotransmitters in body act differently with changes of places. This may be due to temperature or weather difference of places. Sometimes this can also occur due to excessive fatigue, deny Chat Doctor. If it is a recent issue then there is no need to worry. Take some times adjust yourself with new place, take adequate fluid and sun exposure. It will go away in 5-7 days. Meanwhile, you may do warm fomentation to relieve stiffness. If there is intolerable pain then you may have Tylenol for relief. Hope I have answered your question. Let me know if I can assist you further. </s>

<s>[INST]My 16 year old son has a swollen lymph node behind his ear and recently noticed a lump in his pectoral muscle near the nipple. He also has said he has experienced fatigue during the last few weeks. He is active in baseball so it is difficult to assume if this is all related.[/INST]Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. The most common cause of the swollen lymph node in India is the tuberculosis. I also suspect the same in your child. For the confirmation of the diagnosis it is necessary that you should do FNAC and ZN staining from the material received. If the test is positive you should also do the TB testing by Inexpert, It is also diagnosed the common resistance pattern and can help you in treatment part. TB treatment have many side effects, please do not discontinue the treatment as it can create resistance pattern in the bacilli. Complete treatment only cures you but also prevents future relapse. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor</s>

<s>[INST]My 1 year old has been having 6 to 8 bowel movements a day for almost 2 weeks and has horrible diaper rash. She was treated successfully for thrush a few months ago, but I don t see any obvious white spots in her mouth. Plus, I don t recall her having frequent BMs the last time.[/INST]Hello, Your baby having loose stools for 14 days along with diaper rashes is suggestive of lactose intolerance. It is seen in babies that have some infection in their gut due to difficulty in digesting lactose and sugar in milk; this makes them pass stool with acidic pH which leads to diaper rashes. Apply Silver Mini cream or any zinc oxide cream on the affected area after cleaning the area, each time after passing stool. Get a stool examination for pH levels done; reduce and change milk to a low lactose formula. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]I have high blood pressure and I was told that my potassium level was low so I bought some potassium gluconate pills today they are 595 mg and I am scared to take them after reading about the side effects. What should I do I have an appt. to see a cardioligist next monday?[/INST]Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Low potassium can increase blood pressure, however, it is usually not the sole reason. You need to be on antihypertensives with consultation from your doctor.2. Taking potassium tablets is risky. Cardiovascular effects, particularly arrhythmia are dangerous. 3. You can concentrate on improving potassium by improving diet by including items like banana, green leafy vegetables, potatoes, fish, yogurt, mushrooms, etc. Improving potassium will reduce risk of high blood pressure, stroke and cardiovascular disease. Hope it helps. Any further queries, happy to help again.</s>

<s>[INST]hello any OBGYNE doctors or other doctors knows this question pls answer me thanks.. what is the success rate of to prevent pregnancy when using Nordette as ECP ? when took 4pcs within 60 hrs of unprotected sex then 4pcs after 12 hrs of the 1st dosage. thanks[/INST]Hello, Thanks for sharing your health concern with us. I have gone through your query and would like to offer my opinion. The efficacy rate of an emergency contraceptive pill depends on the time delay after the intercourse before the pill is used. When the pill is used soon after, the protection offered is 98-99 % while it decreases as time goes by. At 60 hours, the protection offered is around 80-85 %. Corvette is shown to have the same efficacy as any conventional emergency contraceptive pill. Please contact your health care provider for further help. Hope this helps.</s>

<s>[INST]I have had a cold or virus for 10 days now. I have had a bad cough and alot of sinus problems. I was coughing up yellowish flim and I called my Dr. and she perscribed antibotics for me I have been on the antibotics for 6 days. My sinuses seem better but still have a cough but not as bad. I do smoke maybe 5/day. How long will my cough last?[/INST]Hi thanks for contacting Chat Doctor... If your cough still not improving than digital chest x-ray and spirometry (pulmonary function test done for further work up)To detect causative organism throat swab or sputum collection done and send for culture report ... According to which Chat Doctor. .... You have smoking habit .... So it can lead more cough production ... It is better if you can get rid of smoking habit ....Meanwhile, if trouble some </s>

<s>[INST]Hi, I m trying to conceive and I have been taking ovulation tests and last week I got a positive (smiley face) ovulation test, then negative the next day, then positive the day after that, and today (1 week later) I got a positive again! what does that mean? why could that be hapenning?[/INST]Hallow Dear, This dilemma seems to be either due to error in the kits or personal error. Delayed positive test could be due to exceptional additional delayed ovulation from the other ovary. In such confusion, I would advise you to take the help of ultrasonography. Ultrasonographic ovulation monitoring has an edge over the kit:1. It gives visual evidence of ovulation.2. It informs us about the size of the follicle when it ruptured to release egg. Follicles between 18 mm to 21 mm size give best results of pregnancy. 3. It informs about the endometrial thickness also. For successful implantation, at least 10 mm thick endometrium is lucrative. I hope this helps you.</s>

<s>[INST]Family memeber, 85 and living alone, stopped her dialysis; did not have it on scheduled Saturday, talked to her son, Monday evening, then was found she had died in bed later that evening. Blood appeared in and around her mouth. Could you tell me why the blood? I understand she went peacefully.[/INST]Sorry to hear about the demise. In patients undergoing dialysis and having stopped there could be multiple reasons for bleeding. These patients have bleeding tendencies, so she might have bled from any ulcer in stomach or esophagus. Or if due to stopping of the dialysis, she might have developed pulmonary hypertension due to accumulation of excessive fluids in lungs and cause bleeding through lungs which might have surfaced during excessive bought of cough containing blood. These could be the main reasons that I think of from what you have told me in your question. Thank you</s>

<s>[INST]Hi, my dad (84) has been diagnosed with another bleed on the left side of his brain. He had an annuryism in the same spot 20 years ago and he had surgery to correct the bleed then. He was left paralyzed on the left side. Because of his age we have opted not to have any surgery as he has been through so much in the last 20 years. He has spent 15 yrs in a nursing home. The ER doctor who saw him told us of this second bleed and also that he will die and that all they can do is keep him comfortable. How long do you think my dad will lie like this? The bleed was found on Wednesday of last week. I just do not want him to suffer and he seems to be resting peacefully and even ackowledging us with a nod of his head occassionally. He is holding his own as far as his lungs and heart goes and is passing the fluids that they are giving him now. The only symptom he had to alert us something was wrong was is low oxygen levels and this is why we had him taken to the hospital. Any info you can give us will be greatly appreciated.[/INST]Hello, You have most of the information that you should know, and you also have absorbed it the way it should have been. Beyond the present supportive care, there is nothing much that may be required for him. A major part of brain his not functioning for him and at such an old age when organ systems start giving in one by one, one can only try to give him peaceful and comfortable existence as long as he pulls on. Good luck.</s>

<s>[INST]I am 86 years old and having good health till 4 months back. I got psoriatic Arthratis but it was diagonised late. I lost 4 months and got treated by the doctor with Saaz. But I found it not suitable for me. I lost 2 month for treatment. Now I have been treated with folitrax 15 mg injection and I found it is ok for me. Pl advise how to get strength as I am bed ridden and could not walk properly without support. Also my back joints L4 L5 etc are giving lot of pain. Pl advise remedy.[/INST]Hello, Low back pain in psoriasis arthritis have different origin. This pain is mostly due to increase in inflammation. In your case two factors are playing role one is your disease & other is your inactivity with your age. In my opinion if you are facing severe problem with low back pain then you may ask from your doctor about intermittent course of low dose steroid. This is very helpful in such cases. Your doctor is the sole person to decide its pros and cons in your age. You should continue or start calcium & vitamin D therapy. Hope I have answered your query. Let me know if I can assist you further. Take care </s>

<s>[INST]hi my lft report range are as follow .Iam bit confused regarding the range serum bilirubin(diazo method)..... .93 mg/dldirect .50indirect .43sgot ifcc method 93.8 iu/lsgpt 148.5 iu/l[/INST]Hellhole me explain to you that, what is got Sept. In your case serum bilirubin level is normal so need not worry. The aminotransferase is sensitive indicators of LIVER CELL INJURY and are most helpful in recognizing acute hepatocellular disease such as HEPATITIS. They include the aspartame aminotransferase (GOT) and the alpine aminotransfearse (Sept). Sgot is found in liver, cardiac muscle, skeletal muscle, kidney, brain, pancreas, lungs, leukocytes, and erythrocytes in DECREASING disorder of concentration. Sgpt is mainly found in the liver. I want to explain to you that any mild disease or any injury to above-mentioned organs may be responsible for high level of GOT. While primarily Sept is in liver, so any cell injury to liver cells may be responsible for liver disease. But this level is not so high so at present need not worry, if you didn't have any other symptoms. Keep regular watch over liver function tests and symptoms. Besides avoid wine, Chat Doctor. Still if you have any doubt get in MRI and ultrasound of liver. Consult a physician and get his opinion as physical examination is also important. Good luck.</s>

<s>[INST]Hello Doc. I am currently taking meloxicam, and was wondering, can I take tylenol for my muscle pain? I take a half of my meloxicam as needed and the last time I took one was this morning. I ve been having muscle pain on my left side about a week now and I am trying determine my pain level. Arlene[/INST]Hello, I have studied your case. Yes you can take Tylenol for muscle pain. Be aware of side effects of Tylenol. Side effects such as dizziness, Chat Doctor. You can take other opioid analgesic if pain persist for few days. Opioids may have other side effects. 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]Me and my gf were fooling around i had gotten cum on my to stop from cuming in her after i pulled out. After i washed my hands with soap and water. About an our later we fooled around again. Could she get pregnant even after i washed the cum my hands?[/INST]Hi their have understood your concern. If you had this unprotected sex act in the fertile period of her cycle then she should take emergency contraceptive pills within 72 hours of unprotected sex act. As you might be aware that pre ejaculation fluid contains sperms enough to cause pregnancy. And it gets deposited without you noticing it. So even if you pull out before ejaculation, it is not a safe sex. It is not due to washed hands but due to pull out method, she stands chance to get pregnant. I hope this answer helps you. Thansk.</s>

<s>[INST]I had a gastroscopy and was diagnosed with the beginning of stomach ulcers , I was put onto a 2 week course of antibiotics (Moxypen & Klarithran) which I m still taking as well as Topzole, for the last 3 days I have had severe swelling of my ankles and feet and even my eyelids are swollen and I feel flushed all the time, could there be a relation between the symptoms and the medication??[/INST]Hi, Thanks for posting your query. I am Chat Doctor. The swelling you have in the ankles, feet and around the eyelids is not related to the stomach ulcers or the medications you take. Swelling like these occurs due to either heart, liver or kidney diseases. Puffiness around the eyes usually occurs in kidney disease. You need to get tests done to see which of these organs is affected causing the swelling of the ankle, feet and around eyes. I hope that answers your question.</s>

<s>[INST]I m on sprintec for few months. I never missed a pill and I always take it on time?But the other day I missed then I took two pills yesterday with one hour in between. Today I took my dose about 2 hours and 10 minutes late. I had sex tonight. Is there any chance to be pregnant? WWW.WWWW.WW[/INST]Hello, Thanks for your query.sprinter is used to prevent ovulation. As you missed one dose and compensated it next day by taking 2 pills. Though you have taken your dose little late but still you have same chances of pregnancy when you use pills promptly/regularly. So don't worry and read carefully instructions provided with your medicine. If you miss one active pill, take two pills on the day that you remember. Then take one pill per day for the rest of the pack. If you miss two active pills in a row in Week 1 or 2, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills. Hope it helps. Take care!</s>

<s>[INST]i am taking glycomate sr igram at night before meal. my fasting sugar was 150-160 range before medication and PP was 170-180. i have strict diet control. after taking medicine for one & 1/2 months now i am feeling sleepy which i do not had earlier. presently my Fastinf sugar is 129-141 anf PP is 140-150. si do Yoga for i/2 hrs, walking for 20 minutes and Gym foe 15 minutes daily. Should i stop medicine.D .mitra age 55 ,male,kolkata india[/INST]Hi Mr. Mira, As you have not mentioned the duration of your Diabetes specifically, let by your narration my interpretation is you have recently detected Diabetes diabetes approximately one and half month back. You have started on Glycogen Sr 1 gm before dinner, along with you are doing yoga, gym, walk regularly diet control. With all these efforts your blood sugar levels are fairly controlled. I would like to advise_1. Strictly follow Diabetic diet regularly. 2. Continue yoga, gym, walk regularly. 3. Continue Tab Glycogen Sr 1gm after dinner. In fact, you can increase the dose up to 1.5 gm and over another 15 days to 2 gm total per day in divided doses preferred to take after meals. (effective dose is approximately 1.75 gm per day) As this medicine rarely decreases blood sugar levels below normal level (rarely causes hypoglycemia) This medicine act on basic pathology of diabetes called insulin resistance. As Diabetes is lifelong disease, as duration of diabetes increases there may need of additional medicines. 4. You have not mentioned your height and weight so that you should target weight loss according to your height. 5. Certain blood test are important like lipid profile, serum creatinine, HbA1C which denote blood sugar level over period of approximately 120 days. Urinary protein creatinine ratio, Endoscopy to rule out diabetic retinopathy. 6. You should also start medicine for lowering lipids despite your lipid level, if it is in normal range start in basic dose and if in higher doses according to lipid level. 7. Also, regular BP checking</s>

<s>[INST]My mother is having lightheadiness and heart palpitations and sometimes her hear races. This has been over the last few days. She just checked her blood pressure and it is normal and her pulse rate is 72. Could she still have a heart attack with normal blood pressure and pulse rate? Thanks, Kelli[/INST]Hi, Lightheadedness associated with palpitations can be caused by irregularities in heart rhythm. Heart rate and blood pressure can be normal in these cases, but it is important to know what her heart rhythm is, and what is usually done is an ECG which documents the electrical activity of the heart. It may not be a "heart attack" per se, but it is noteworthy that she may undergo tests as part of the work-up. And I would suggest a consult with a doctor to be able to check other causes of dizziness such as a musculoskeletal problem in the neck, as well as problems in the eyes and ears which may cause dizziness, apart from a problem in the heart. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]I am 27 years old female. I am having right lower abdominal pain for past 2 years. The pain goes away after taking a course of antibiotics but reoccurs after some time. In the beginning the frequency of reoccurance was after 4 to 6 months, but now its occuring again and again within 15 to 20 days. I have the following symptoms. C1)fatigue, Feeling discomfort and tired always2)nausea always. Sensation is more after few minutes of food intake3)severe pain in lower right abdomen4)feeling burning pain in all over the abdomenal area5)Getting constipation for few days and then loose motion for few days Have done abdomincal scan and showed results as1)Left renal stone2)Minimal fluid in cul de sac Have done blood, urine and stool tests and reports showed these1)Haemoglobin is low2)ESR is high - 343)Showed pus cells in stool, occassional and stool is brown in color.4)showed 1-2 leucocytes and 2-3 epithelial cells in urineMenstrual periods regular(30-32[/INST]Hi ! Good morning. I am Chat Doctor answering your query. From your history, and ultrasound report of fluid in the cul-de-sac, I would suspect you to be having a PID (pelvic inflammatory disease) which might also be associated with a UTI (urinary tract infection), which had to be ruled out by a culture and sensitivity test. If I were your doctor, I after a general physical examination of yours would advise you to get yourself assessed by a gynecologist of your area to rule this out specially if you are sexually active. Till then, I would advise you for a course of broad spectrum antibiotics along with an anti inflammatory and a proton pump inhibitor for a symptomatic relief. 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]Respected Sir,My name is Nishanth singh gurung. I have undergone a root canal treatment 8 months back. One of my teeths in the bottom section is growing at 70% angle outwards. It is causing a problem in the gums. I always feel some sensitivity there and not able to study properly. Please tell me what i have to do. Its urgent[/INST]Thanks for your query, I have gone through your query. The sensitivity in the tooth can be because of the cervical abrasion(Wearing away of tooth structure) since it is in an abnormal position, more force will be applied when you brush. The other possible cause can be a dental caries in between the teeth. So consult an oral physician and get it evaluated and take a radiograph to confirm the diagnosis. If the tooth is a wisdom tooth, then get it removed. If it is some other tooth, you can get it restored a cement material. I hope my answer will help you, take care.</s>

<s>[INST]Hi, I m 38 years old and due to a gun shot through the roof of my mouth.I have worn a partial for years. I m 5 1 amd 91 lbs always been very small child like. I had full dentures put in yesterday and they huge! I m gagging,cant close my mouth,color is very dark,and teeth are like hores teeth. I m horrified. I have called him and he said the will fit when I grow into them. I don t think I m going to be doing anymore of that. What to do? He pulled what 10 teeth I had left now nothing and owe him over 5,000$. Help PLEASE[/INST]Hi, Thank you for the query. First thing is you cannot wear a denture which is bigger than the size of our palate. Definitely you will have a gag reflex as the over extension of the denture is into the soft palate area leading to gag reflexes. Coming to the growth part, you are already 38yrs old, at this age there won't be any growth in your body parts. Only thing what can be done is asked your dentist to prepare another set of dentures which are of your size not huge and size of the teeth should be reduced, and your occlusion should be checked thoroughly and extensions of the dentures are important so that you won't end up in gag reflexes anymore. Best thing is to see a prosthodontist. Hope this information will help you. Take care.</s>