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<s>[INST]I have just returned from Venice and have multiple bites. they started on the last day, but now im home, i am continuining to be bitten. The lumps are small pin prick bites and when scratched, the area around it goes white and hard. please help. have i brought something home with me?[/INST]Hi, dear. I have gone through your question. I can understand your concern. You need examination. What kind of bite marks are there. It may be some skin disorder or may be some self-inflicted mark in psychiatric disorder. So consult your doctor and go for examination. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.</s>

<s>[INST]What causes shingles (other than the compromised immune system)...poor nutrition, stress, lack of sleep? My 76 year old man friend just broke out and he will see a doctor tomorrow, but I would like to know the why and how we treat it. Am I liable to become infected if we are intimate? What is the incubation period? What is the standard treatment, please? Is the condition likely to return again? Thank you. Gina email: YYYY@YYYY[/INST]Hello, Thank you for asking at Chat Doctor. Shingles generally happens due to a virus that sleeps in the neurological system on a person that has had chicken pox before. This is very common especially in cases you mention, but elderly age is a reason also. It is generally self limiting but very uncomfortable meanwhile. There is oral acyclovir he might use to speed up healing, it should be started as soon as possible and there are Chat Doctor. Local cold compresses can help with pain also. As for you, you are not in risk if you are not in contact with the fluids that come from the vesicles. Very little chance it will spread to you by contact, it generally comes from the inside of the patient (the sleeping virus) but to be safe please try to avoid contact with the area that has the vesicles. I hope this is helpful and answers to your question, but please feel free to write us in case more clarification is needed on this. Kind regards, Antoneta Total, MD</s>

<s>[INST]I was doing some sweeping of my house yesterday. Ever since the I have been extremely dizzy. I have had at least 9 concussions and have neck issues. I also have 2 buldging discs and have had a compression fracture of my spine. I have done some research and think it could be Cervical Vertigo.[/INST]Hi, From history it seems that this problem might be due to pinched nerve pressure due to problem in your cervical spines. While giving uneven pressure on neck like sweeping or nodding movement at neck might give pressure causing nerve irritation producing pain or vertigo. Go for neck exercises, cervical traction, short way diathermy etc. Avoid putting pillow under the neck while sleeping. Ok and take care.</s>

<s>[INST]I have a bad smell coming from my nostrils it the smell you get usually when your sick and you have a congested nose or something, but I have the smell all the time and wont go away no matter what the doctors at my clinic tell me to do. My nose gets really stuffy at night only in one side. But I also have bad breath I can brush my teeth and an hour later it wont smell fresh anymore. And sometimes I have postnatal drip.[/INST]Hello and welcome. Please let me know when did you last visit your ENT specialist?There could be a sinus infection. Why do not you meet ENT specialist and get an x-ray done for sinus. Once you get the reports, start with decongestants. It does not appear to be dental infection as per the history posted here.Meanwhile, you can do warm saline rinses and do steam inhalation for immediate relief. Hope it helps. Thanks. Take care.</s>

<s>[INST]I do masturbation in prone way by lying down against pillow of floor. I never had any problem with this method. However, I have read that doing masturbation in this method puts pressure on penis and people who do that will not have good pleasure during normal sex. Is it true?[/INST]Degree understand your concerns went through your details. I suggest you not to worry. The position you are taking is safe and normal. People invent numerous methods and most common are hand masturbation and your style. This method is adopted by millions across the globe and none of them had this problem. You can enjoy sexual life for sure. There is one advantage with hand masturbation. After some time, the penis slightly bends towards right or left. This bend penis shaft gives more pleasure during sexual intercourse than straight penis. Hope this answers your query. Available for further clarifications. Good luck.</s>

<s>[INST]My son is 21 and healthy. He came to me last night feeling dizzy and nearly passed out. When he felt a bit better, I took his BP. It was 116/53. THat seems low.Could that have triggered the dizziness? He seemed to be fine after he ate CHerrios with bananas and sugar.[/INST]Howell come to ChatDoctorI really appreciate your concern, the dizziness may not be significant because no associated history is there even the blood pressure may not be the cause, the most common cause at this age is hypoglycemia, if this is being happened first time still condition needs to be kept under observation for further episode because it could be let onset of epileptic seizure. Advise:- Ct brain is must, with routine blood work, EKG. Hope this information helps.</s>

<s>[INST]Hi, I am a 54 year young lady and in 2002 I was diagnosed with invasive squamous cell carcinoma in my righr sinus cavity. After my face was layed open and tumor removed then went through 29 radiation treatments, and all has been great until a few weeks ago I have started having simular symptons and I waterpick sinus cavity now at least 3-4 times a week. Any suggestions? Thanks,Robbin[/INST]Hi, Thanks for writing in. Squamous cell cancer of the sinus cavity might become recurrent in some people. It is important that you follow up with your doctor and then get evaluated for possible recurrence. Medical literature says that squamous cell cancers have definite metastatic potential, and patients should be followed regularly after initial treatment. Overall, local recurrence rates after treatment of primary cancer ranged from about 3% to 23%, depending upon anatomic site. About 58% of local recurrences manifest within 1 year, 83% within 3 years, and 95% within 5 years. Please consult your doctor at the earliest and take treatment should there be any recurrence. Please do not worry.</s>

<s>[INST]i quit smoking a little over a month ago. for a month now i have had the strong, uncontrollable cough with phlegm and i am always out of breath which makes me lightheaded. i also have had some fevers here and there. also my nose is stopped up a lot. every time i blow my nost the back of my head and neck hurts so bad.[/INST]Thanks for your question on Chat Doctor. I can understand your concern. Since you were a smoker, we should rule out lung infection and bronchitis in your case. Both these diseases are common in smokers and cause similar symptoms like cough, expectoration, fever and breathlessness. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You will mostly improve with antibiotics, inhaled bronchodilator, inhaled corticosteroids and other supportive Chat Doctor. Don't worry, you will be alright with all these. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]Hello, I have been having problems with my feet and ankles retaining water, for at least two months now. Went to the doctors, he gave me water pills but they aren t helping. My mother has a thighroid problem and I was told it could be passed on from mother to daughter and so on. I have been putting on weight all of a sudden, and usually I can control the weight but now I cant. Could all of this be caused by a thighroid problem?[/INST]Hi, thank-you for providing the brief history of you. As you have thyroid problem I think it should be hyperthyroidism, since due to This there are chances of adding on weight and also the legs feeling fluid retention. The first foremost thing required is to check the thyroid levels in your body. Undergoing a TSH test should help understand the levels. Post which the medication has to be used to control the levels of thyroid in blood. Also, along with medication you need to perform regular physical exercises as the combination of Chat Doctor. There will be a slowness in the physical activity of your muscles due to thyroid issue leading to early fatigue and reduced metabolism. Having a combination of </s>

<s>[INST]I have been to the doctor several times for recurring pain in my chest. Its right in the middle sternum and it feels tender to the touch and comes and goes for months now. It hurts when I move like standing up from sitting down. What else do I say to get some kind of response ?[/INST]Hello, Regarding your concern, I would explain that your symptoms are not typical of any cardiac disorders. A musculoskeletal pain (including Costco Chat Doctor. Coming to this point, I would recommend taking ibuprofen for the pain. If the chest pain persists, I would recommend performing some tests: - a resting ECG and a cardiac ultrasound- a chest X-ray study-complete blood count, PCR, ESR for inflammation. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]what should i do about severe body /arm and leg tremors. Im scared to take any medications that i was prescribed for sleep/depression/anxiety because of this severe tremoring . I have been basically totally inactive for weeks and lost about 4 kilos and i think this may have caused the tremors because my heart feels extremely weak. I dont want to cause a further problem by taking a medication for 2 weeks. Should i get my heart and cardiovascular system checked before taking and medications. It feels like i am almost going to have a heart attack when i lay down and my whole chest tremors.I even fear i may have already had a small heart attack or something. im 37 and my appearance looks normal/a bit thin. What specific tests should i get done?[/INST]The tremors in arms/legs and chest tremors (palpitations) are likely to be due to anxiety. You should give a trial to the medicine prescribed by your doctor. At this stage, in my opinion, the symptoms are likely to be due to an anxiety disorder. When you follow up with your doctor, you may ask questions you may have about specific medicines. You may consult a psychiatrist if your doctor is a general practitioner. A psychiatrist is a medical doctor specializing in psychological and behavioral disorders (including neurological disorders with psychological symptoms). A psychiatrist is in the best position to judge what tests to order in the beginning and whether to seek additional consultation of a cardiologist or any other specialist. I hope this answers your question.</s>

<s>[INST]HAVE BEEN EXPIERENCING WHAT THEY CALL BRAIN ZAPS FOR ABOUT A WEEK NOW. ON 40MG OF SELEXA AND 150MG WELBUTRIN BUT STARTED WITH THE ZAPS SO WENT DOWN TO 20MG SELEXA AND KEPT SAME DOSAGE OF WELBUTRIN. GOT A COLD AND HAVENT TAKEN EITHER FOR TWO DAYS NOW AND AM GETTING ANXIETY BUT ZAPS HAVE MINIMIZED. SHOUL I PROCEED THIS WAY AND BREATHE THROUGH ANXIETY?[/INST]Hi, Welcome to Chat Doctor forum. It is confirmed the brain zaps are due to the Selena, you have stopped it now. Welbutrin alone may be sufficient, if your doctor feels it is not sufficient, he can prescribe some other medicine from the thousands of other Chat Doctor. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health resistance against the infections. Practice yoga, meditation, reading books, and hearing music as diversion procedures. Wishing for a quick and complete recovery. Thank you.</s>

<s>[INST]I was suffering from impetigo due to a bacterial infection on my face and it spread to many areas of my face which caused the skin to peel off and become raw. After taking oral antibiotics and applying triamcinolone acetonide 0.025% ointment on my face, the skin healed. However, they healed brown. Why did it heal brown and how can I make them fade away quickly?[/INST]HelloWelcome to Chat Doctor, Impetigo is a skin infection caused by the bacteria Staphylococcus aureus or Streptococcus Diogenes, and it causes fluid-filled spots or blisters. Usually it will be a small fluid-filled spots that are about 1 to 2 cm in diameter and rarely be able to see these because they will quickly burst and then crust over and turn yellow and honey colored. The spots will eventually Chat Doctor. You will normally need antibiotics either as a cream or orally to treat the infection and to prevent you infecting others. Antibiotic cream called juridic acid are effective in clearing up most impetigo infections within seven days, and you will need to use it two to three times a day. If the infection doesn't clear and widespread you may require oral antibiotics like flucloxacillin and azithromycin. Thank you.</s>

<s>[INST]My 4 and half year son got the USG report of whole abdomen, it is mentioned that Liver is slightly enlarged in size homogenous parenchymal echotexture. No sizable focal lesion seen. Infra hepatic biliary radicles are not dilated. Portal hapatis measures 7 mm. kindly suggest for this. Kindly not that he doesn t want to have any meal at any time. We have to forcefully feed him and it takes more than one hour to feed him every time. Moreover sometimes he vomit too. kindly suggest.[/INST]Hi and welcome to Chat Doctor. You should do liver enzymes findings. The most common liver disorders which is found by ultrasound is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. Wish you good health.</s>

<s>[INST]Every time I cough I feel excruciating pain in the middle of my chest. It feels like something is going to explode in my chest. I also have the chills then the sweats. I do have asthma but it does not bother me. I am taking 2 I hailers ( Advair and salbutamol ) iv also been taking clonazepam to help me sleep. I have no appetite and am feeling very weak. When I cough I cry from the pain. Nothing comes up when I cough. It s just a dry cough. Please help me[/INST]Hi Kellstarr, Thanks for writing your query. Afterreadingyour post, it seems that the pain you are experiencing can be due to muscular in origin due to excessive coughing. The inhalers you have mentioned will help in bronchodilatation and help you in asthma. For Chat Doctor. I would suggest that you should have following investigations done :-1. Complete Blood Count(CBC).2. Absolute Eosinophil Count.3. Chest X-Ray (PA view).4. ECG. Steam inhalation can also help in relieving your symptoms. You should eat fresh fruits and vegetables for increasing the immunity and regaining health. If the problem persists, get yourself examined clinically. I hope this is helpful to you. Thanks.</s>

<s>[INST]Hi,I am 31 years old and trying to get pregnant since 3 months now. Have done all the tests for myself and husband and everything seesm to be normal except Prolactin level shown as 26mg which doctor said is slightly high. I have taken 2 tablest of caberlin .5mg as prescribed by the doctor. Do you see any issue for me to concieve. I have perfectly regular periods of 30 day cycle.[/INST]Hi, Please repeat your prolactin levels after 3 months, although I do not see a marked rise in it now. This may interfere in your conception. If you are keen on knowing the cause of high prolactin levels, you could probably get an MRI of the brain. But, I am not sure how beneficial it would be for you. My gut feeling says, your levels would be normal after 3 months and that you should conceive soon as well. Wish you good health.</s>

<s>[INST]Department of PulmonaryDear Sir/Madam,I am writing you from Dhaka, Bangladesh. I want to make online help with a senior Pulmonolgist.Patient is my wife. She is 37 and her name is AAAA Her symptoms are as follows01. Allergetic Rhinitis02. Allergent to dust 03. Sneezing & Running Nose frequently for 10 years.04. Bleeding from nose while taking nasal spray "AVAMYS nasal spray"Summary of her Diagnosis areTest Result* Cir Eosinophil Count 165 /cu mm * Serum IgE 83.60 IU/ml* Skin Allergy(Hypersensitivity) Test Name of Allergen=Coconut-4, Beef-4She is Taking the following medicines01. Avamys Nasal Spray 0+0+102. Tab Provair 10 mg 0+0+103. Tab Unicortin 400 mg 0+0+1/204. Seretide Evohaler 1+0+1In this circumstances i would like to help you better consultation and diagnosis.Waiting for your reply eagerly.With[/INST]THESE ARE ALLERGIES ALLERGIES ARE CONTROLLING FOR DISEASE BUT NOT CURING YOU ALL SYMPTOMS ARE OF ALLERGIC RHINITIS SINUSITISWHEN DISEASE GROWS THESE MEDICINES CANNOT CONTROL DISEASE SOMETIME AND GO INTO NEXT SYSTEM SUGGEST YOU TO GET SKIN PRICK ALLERGY TEST IN WHICH YOU CAN FIND OUT TO WHICH THINGS TO ARE ALLERGIC FOODS CLOTHES POLLEN AND DUSTSELIMINATE FOOD AND FOR DUST AND POLLEN GO FOR IMMUNOTHERAPY WILL HAVE PROMISING RESULTS BECAUSE YOUR AGE IS GOOD FOR RECOVERY</s>

<s>[INST]Hi, i m 21 yr old male . I have bump in my left groin area . There is no pain as of now . I think it is inguinal hernia ( as far i have get from other online sources i dont know whether i m right ) . Can you tell me more about it and suggest the treatment[/INST]Hi, dairy have gone through your question. I can understand your concern. You may have inguinal hernia or some other mass. You should go for examination. If attire of coughing or straining your lump increase in size then it is hernia. If needed go for ultrasound study. It will give you exact diagnosis. Then you should take treatment accordingly. Hernia repair by meshplasty is the treatment of choice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.</s>

<s>[INST]Hi how are you well my mothers 85 years old she had sever stoffmach pain so my sister who lives with rushed her to the hospitals emergency room they ran many tests and found a small spot on her spleen that might be cancer a and in the pass she complained that most foods for the exception of foods that sugary and sweet have hardly any tast so she prefers mostly sweets now recently she tells me that all food tast sweet could this be a side affect of cancer and if so what are her chances of serviving this could the right diet revers this give us your best advice we really would appreciate..[/INST]Hi.First there cannot be a cancerous spot on the spleen. IN a patient who is 85 years this can be due to an infarct or hematoma. And cause severe pain. Since you have given history related to food habits and taste, it is possible she has other forms of gastrointestinal disease, which needs a thorough investigation. I would advise CT scan of the abdomen, upper GI Endoscopy and tests of blood, urine and stool. I can understand the feeling you have about your Mother. If there is no cancer, she can live much longer.</s>

<s>[INST]hello doctor I am 33 yr old woman with one failed ivf result A,M.H is 1.1 right now going for another IVF cycle again this year. what all medicines and how long to prepare my body with best supplements to have ? does COQ10, l Arginine and dhea works wonders in low amh values ?[/INST]Hi, Thanks for the query. I understand your concern. Before planning for IVF, plan for minimum 3 months before., - Get your & your partners' health check-ups done & get treatment for any health problem you have. . - have healthy lifestyle along with nutritive diet, exercises, sound sleep. - Take vitamins .specially B6 & vitamin E. - Prevent contacting any illness to either of you. - Get Rubella vaccination 5-6 months before planning for a baby. - Join IVF support group - Know about IVF in detail & be prepared psychologically, Understand how complicated the procedure is & how failure can be there, but always there is a positive result. - A positive attitude helps. - Follow doctors advise strictly after the procedure. Thanks.</s>

<s>[INST]i took a abdominal scan in which i got a liver measuring 13.0 cms with impression of mild hepatomegaly with fatty changes and divarication of recti with small umbilical hernia defect size 8 mm, anteverted and bulky uterus. what is my problem exactly? I have abdominal pain for past 10 days in my upper right stomach and around the navel.[/INST]HI, thanks for using Chat Doctor The ultrasound found mild enlargement of the liver (hepatomegaly) with deposition of fat in the liver. Fatty liver is one of the more common causes of liver disease presently, it may reverse if lifestyle changes are made or progress to inflammation of the liver. The lifestyle changes would be increased activity and dietary changes such as reduced carboy Chat Doctor. Variation of the recto refers to separation of some muscles in the abdomen (the rectus abdominis). An umbilical hernia is a protrusion through a defect in the umbilicus. The anteverted uterus is not concerning and would not cause any issues. A uterus can be bulky for different reasons such as fibroid, pregnancy, endometriosis, adenomyosis, molar pregnancy, cancer. It is possible that the hernia is the cause of your pain particularly since the pain is around the navel. I hope this helps</s>

<s>[INST]hi,sorry to bother you.ok, sle, spinal cyst , low pain tolerance, lots of drugs.... 4 red areas on skin, like a critter crawling up leg: chilicerra just under 1cm apart, from what i can tell, 4 spider bites from yesterday .. live a mile as crow flies from lake superior, brown recluse just moving in. slight ulceration starting at entry points of first bite i am sort of into nature, did not see the spider but pretty sure these are spider bites. had flood last year and had an adult in basement that came with the flood. they dont hurt...... so/? mycitracin, benadryl, asparin, baileys ? just watch? it is rather fascinating thank you gwen[/INST]Hi and thanks for the query, A spider bite generally produces an acute inflammatory reaction or allergy. This shall require use of anti-allergic Chat Doctor. Anti histamines are generally effective in stopping itches and swelling. Steroids, either or local or injectables could also be useful in the management process. A key aspect in the management is surveillance. This important for failure to respond or aggravation of symptoms might require other </s>

<s>[INST]I have been having a slight pain on the right side of my lower abdomen approximately 6 inches right of navel and have been constipated for 3 days. The pass 4 months Ive been drinking alot more do to a break up but have stopped and now im scared i may have appendicitis or something cause from drinking. I have been on web md all day. please help!!!!!!![/INST]Hi. Thanks for your query and an elucidated history. Web MD will confuse you more as there is no interaction with the Doctors. The cause of mild pain on consuming so much alcohol on the lower side of abdomen can be due to Colitis or syphilitic or appendicitis. I would advise you the following:Tests of blood, urine and stool. Physical examination by a Surgical Gastroenterologist. CT scan and colonoscopy will help in the proper diagnosis and for planning the management ...</s>

<s>[INST]I WAS GOT DEPORTATION FORM 2 YEARS AGO WHEN I WAS ON CANADA AND I DIDENT GOT ENY QUIRE NOW I FEEL LIKE I LOSE MY MIND AND I WAS BE SO ABSENT I LOSE MY WIFE AND MY WORK EVRY THINK AND EVERY DAY I WEAKD UPLIKE NEW MAN WHAT SHOULD I DO I WAS GO 2 Psychiatrist FORGET UR WIFE AND UR LIFE AND FORGET CANADA I LOVE CANADA SO MUCH IT WAS THE FIRST TIME ON MY LVE I FEEL AIM HUMAN HERE IN CAIRO EGYPT AIM NOTHING SO I TACE SOME MIDETION AND AFTER THAT I FEEL EVRE DAY IAM NEW MAN LIKE NEW LIVE I HATE MY FAMILE MY DR EVREY THINK HERE EVEN TALK ARABIC I HAT THAT WHAT SHULD I DO AND MY FAMILY THEY ARE RESESS THEY DOESNT LKE AMRCAN OR CANDIAN PEAOPLE AND I HATE THAT I FEEL LIKE AIM BABY HERE I 31 YEARS OLD[/INST]Degree understand your concerns went through your details. I suggest you not to worry much. From the given description it is very difficult to diagnose your problem. It does not seem like amnesia or memory related disorder. This could more be like some sort of anxiety disorder or depression. You need to work with your psychiatrist to have a proper diagnosis and treatment. 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]hello doctor, I am physiotherapist. my query is about consanguineous marriages, My parents are arranging marriage to my cousine only, i have a doubt about children health.Please guide whether their will be any physicall or mentall disabilities in the children.[/INST]Hi...scientifically seeing consanguineous marriages are not advisable as the kids may be prone for some inherited disorders which might be running sub-clinically in the family line. Another issue is that it can lead to pregnancy complications and birth weight issues. But at the same time it doesn't mean that all consanguineous marriages will lead to defective babies. It is not so. The best way for you will be that - Consult a genetics specialist (both of you) and get evaluated and then take a decision of the marriage. Regards - </s>

<s>[INST]Hi. I am 32 years male and suffering from itching since few months. I also have fatty liver (mild) with high cholestrol.After checking blood reports and symptoms doctors said this is due to some food i have to find. But Still i was unable to find the root cause.[/INST]Hello, Welcome to Chat Doctor, As you are itching following intake of some food, it should be identified. Mild fatty change in the liver is May due to alcohol, diabetes, hypertension, obesity, and dyslipidemia. As you are having high cholesterol it may be leading to fatty liver. Itching and rashes for few months may be due to allergy to food, dusts,chemicals and mite. Reason for the itching should be identified by undergoing Skin prick test for different allergen to which you are being exposed. Thank you.</s>

<s>[INST]hi I am a 14 year old girl who has been sucking her fingers since she was in her mums tummy.. i cant seem to stop and i have tried everything.. no creams can make me stop because i just seem to suck the stuff off. and hugging pillows or blankets doesnt give me the satisfaction of my fingers.. im really worried for my teeth .A dentist has told me before that the way i suck my teeth isnt harming the way they are.. but i still want to stop and i just dont know how. My fingers sooth me and keep me calm so i can sleep in a way nothing else can. i only do it at night and when im really tired.. please help[/INST]Hi and welcome, Finger sucking and thumb sucking habit is very injurious as dental health is concerned. Although thumb sucking is a normal habit it causes serious teeth problems if it continues long after the eruption of permanent teeth. Prolonged finger sucking can create crowded, crooked teeth and bite problems. You may also develop speech problems or problems with swallowing properly. Protrusion and displacement of front teeth are usual results of thumb sucking. This can affect your facial appearance and cause further emotional problems. You can follow few steps to avoid the habit :Ask your family member to carefully remove your fingers from mouth during sleep Don't be in anxiety or fear. If you have any emotional problems, or under stress, and you need comforting, you may need to resolve those issues first before successfully stopping the habit. Use a finger sucking guard. - your dentist might suggest the use of special devices to stop thumb sucking, called finger guards. A finger or thumb guard is a device with a plastic cover of the thumb that is attached to wrist. . Treatment with thumb guards usually lasts four weeks and helps to stop thumb sucking successfully. I hope this helps, take care</s>

<s>[INST]I have been diagnosed with biceps tendinopathy and supraspinatus tenosynovitis of the right shoulder following a vehicle accident over 7 months ago and despite a steroid injection and months of physical therapy, I can barely move my right shoulder, is there any real help for this?[/INST]Hello, As you met an accident where you were diagnosed with biceps retinopathy and supraspinatus tenosynovitis I wonder why the shoulder functions have not resumed even after 6 months. Have you taken an MRI of the shoulder? If so what was the reports? If not then please do take it. I suspect this to be a rotator cuff injury. Because any injury happening to the shoulder with two muscle injury falls in the group. The rotator cuff muscles are weak. You need to work out behind it. Shoulder function can resume only when we have good range of motion in passive for all the movements and also if we overcome the pain. In fact, I should share one of the rotator cuff injury cases of mine. It was a case of 65 years old female with the above-mentioned injury. No passive or active shoulder movements. But to overcome the problems, I use to make the muscle tire by active ROM exercises and no weights. Just gravity assisted and gravity resisted ones. In fact all the shoulder movements like - flexion, extension, rotation, abduction, adduction and circumduction. At the end of the 12th week, she had the best movements without any kind of pain and shoulder was much stronger than before. I will advise you to look for a competitive physiotherapist who can help you get the best outcome score. If left untreated it will lead to other pathologies which are not accepted. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. </s>

<s>[INST]Hi,I have had severe pain in my back near my lungs when i breathe deeply for the past two days and ive been coughing up green mucus.I went to the emergency room today and had tons of blood work and chest xrays and everything came back normal aparantely.They said i have bronchitis and they cannot explain to me what is causing my pain in my lungs when i breathe.they put me on antibiotics for 5 days and said if im not better then to come back.I just wanted to see if there could be any other explanation on what is causing my lung pain.Im a very healthy and active 21 year old female who doesnt smoke.Thanks if you have any helpfull advice.[/INST]Thanks for your question on Chat Doctor. I can understand your concern. Bronchitis causes pleurisy (inflammation of pleura). And this pleurisy is the cause for chest pain during breathing. You should apply warm water pad on affected areas of chest. Take simple painkiller and anti-inflammatory Chat Doctor. Don't worry, pleurisy with gradually subside once bronchitis is cured. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]Hell doc I am a male I had some book test done for std and I had not had intercourse in 2 years I got a call about my test results the nurse said I was clear of std deases but I had a form of herpes now how does that happen when I have not had intercourse in about 2 years?[/INST]Dear user feel your quarry and I would like to tell you that genital her peal cavity then touching your genitalia cause you to get infected you have may be because of another factor rather than sexual contactalthaugh sexual contact is the main method of transmission of genital herpes, but genital herpes may be caused by indirect contact methods you may have hsv1 infection and then touching mucus membrane or oral cavity then touching your genitalia causing genital herpes also you may touch another person who carry the virus through hands or kissing then touches your genitalia that causes genital herpes so sexual contact is not the only method of transmission, but you should refer your doctor to confirm diagnosis clinically you need not get worry wish you healthy life</s>

<s>[INST]Hi, may I answer your health queries right now ? Please type your query here... I weigh 100 lbs and I am diabetic ---- last month I was diagnosed with MRSA ----- I had a sore on my back that got infected and grew to over half the size of an orange ----- since then I have lost 4 lbs and have had a severe pinch under my right rib and some swelling ----- I do not have a gallbladder anymore it was removed in 1996 please advise what I should do and dont tell me to go to the hospital I will not step foot in one again that is where I got MRSA from in the first place thank you Chrystal[/INST]Thanks for posting your query to Chat Doctor. MRSA is a bacterial infection found resistant to many of the antibiotics mainly to beta lac tum group of antibiotics. If not treated properly may lead to serious systemic infection. Vancomycin is the Chat Doctor. You should contact to your physician and advice him to give to full course antibiotic treatment as per your culture and sensitivity report .take care .</s>

<s>[INST]MY 29 yr old son went to the emergency room 1month ago with a quarter size lump in his neck below the ear. they tried to drain it because they originally thought it was a cyst or an infected hair follicle. With in 4 days the lump was the size of a hockey puck and extremely painful. They did surgery to remove it, but didn t take it out 2x s. Once before a mri and petscan, and once after, but both times they just sewed him back up and said if they removed it, they would be doing more damage than the tumor. He says he has a non-cell malignancy. He told me today it is stage 4 melanoma. He is in his 4th week of daily radiation, but he said that he has been told he is inoperable, uncurable, but manageable. He originally told me that the tumor was solo, and not attached to anything when he had an ultrasound, but 4 days later when they did the 2nd surgery it has wrapped itself around things in his neck. What kind of cancer does this? Is he terminal?He lives in another state and I think he is keeping information from me to spare my feelings?[/INST]Hi, Thanks for writing in. It appears that your son has a melanoma that might have spread to neck lymph nodes. This is a possibility and has to be confirmed by doing a biopsy. What happens is that lymph nodes are found in many regions of the body and are small unless they are stimulated by disease process. When there is a disease in a person then the lymph nodes of a particular region get enlarged and this is a reaction by the immune mechanism. Since your son has been told that he has a melanoma, it has probably involved the neck lymph nodes. The lymph nodes in the neck are close to the carotid artery and internal jugular vein, and it is possible that the lymph nodes have wrapped around these. Doing a surgery in this condition is not possible and radiation usually works. It is suggested that you spend some time with your son by going over to his place and know more about the treatment he should be taking for his condition. Please do not worry.</s>

<s>[INST]Hi, I have just been prescribed Pexep CR 12.5 mg (1 tablet per night). Off late I have felt very burnt out due to work stress, have had lot of mood swings (there are days when I feel depressed, feel like crying), cant get any work done. I also suffer from poor quality sleep (for the past 1 year) & the doctor gave me some sleeping pills (Lonacen 0.5 mg). He has told me that both medications will be stopped at the end of 2 weeks.He has also put me on a multivatimin tab & Omega-3 supplement. Do these medications sound correct for my problem? What are the side effects & withdrawal symtomns? Vikram[/INST]HiT hanks for using Chat Doctor I think, you have adjustment disorder or depression. In that case, you need antidepressant with low dose benzodiazepine. Paper contains paroxetine and it is an antidepressant. Better to take these Chat Doctor. That would help you more. It has some minor side effects like delayed ejaculation, gastritis, anxiety symptoms etc., but that resolve in few days. In case, you need further help, you can ask. Thanks</s>

<s>[INST]hi i am a 33 yr old fem. and have a kidney infection caused by proteus and I am on my 5th day of anitibiotics (Cipro). The pain is almost gone as well as the high fever, but i have been extremely dizzy. I was expecting that to subside with the other symptoms, is this normal? i just dont quite feel right.[/INST]Dizziness is not likely to be due to the infection unless OT is so severe that it had reduced your BP, but that is now unlikely considering that you feel the fever had come down. Ciprofloxacin is an excellent Chat Doctor. You can take a multivitamin preparation for whatever it is worth as well. I suggest you take plenty of fluids and eat well for the next couple of days till you complete your antibiotics course but if you are not comfortable, please stop the antibiotic and get yourself examined by a doctor.</s>

<s>[INST]Ive given my son his first 5ml dose of Zithromax for an ear infection before bed. His ear has been sore & Ive been regularly giving him some calpol too (well within recommended dosage). Now Im reading the small print & noticing I should have consulted the doctor if my child is taking or has taken any other medication recently along with the Zithromax. Im just checking that the calpol & Zithromax combination are ok?[/INST]Hello! I have been through your question. Related your concern you shouldn't worry because that it is known that azithromycin and paracetamol don't exist any data to have interaction between them. So, what I suggest is only to give your child Cal pol not less than 4-6 hour between, if need it and continue to give the dose of Zithromax based on your son weight. I hope my answer help you. I wish your son a quick recovery.</s>

<s>[INST]Hi, can I answer your health question ? please type your question here....Gestational Age :BPD : 8.7 cms .... 35weeks 1dHC : 31.1cms .... 34weeks 5dAC : 30.9 cms .... 34weeks 6dFL : 7.2 cms .... 37weeks 2dweight : 2693gms + /- 224gmsLiquor : Adequate{AFI:: 11.2cms}[/INST]Hello, Thanks for sharing your health concern with us. I have gone through the query and would like to offer my opinion. The sonogram findings indicate a gestational age of 34-35 weeks. The disparity in the femur length is perhaps due to the fetus being lengthier than usual. You may repeat the sonogram after a week for a proper appraisal of the situation and plan further management. Hope this helps.</s>

<s>[INST]HI my 18 month old daughter has red eyes for 4 days, they are not overly red so I don think it is pink eye, however she is rubbing them as if they itch, it started with one eye and now appears to be both, thus far she has had no other symptoms and is eating, drinking and playing as normal[/INST]HI...by what you quote I feel that she might be having a viral conjunctivitis. Usually it will start in one eye and the spread to another. Sometimes it can get secondarily infected with bacterial infection and hence might need antibiotic eye Chat Doctor. I suggest you consult your ophthalmologist because - EYE 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. Regards - </s>

<s>[INST]Started as an yeast infection,cleared up. never had one before.Have flaking skin on but.peels,iches,oozes,look like it almost heal up.starts the cycle over and over again.now on one of my finger.can t get rid of it.have it for several months.please help.[/INST]Hi, It may be a contact allergic dermatitis most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. Apply mild steroid cream on the lesions. Take antihistamines like Levocetirizine. Take oral steroids like Methyl Prednisolone in a tapering dose. Avoid contact with soap, detergents, dust, grass or other suspected allergens. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]My boyfriend was recently diagnosed with Wolff-Parkinson-White Syndrome. I did some research, and discovered that he has nearly all of the symptoms of heart block and many of the symptoms of heart failure. Whenever he has an episode with his heart, he gets very dizzy, nauseous, has chest pain and cold sweats, and eventually has a blackout. Is there anything that I can do to alleviate his symptoms when they occur?[/INST]Hello, thanks for reaching out to us. I understand your worry towards your boyfriends' health. For treatment of patients with Wolff-Parkinson-White, it depends on lots of factors like presence of other diseases that might be present, the degree of severity etc. The best advice I have for you is to encourage him to see his cardiologist to know the best treatment possible in his case. I hope he gets better soon. Warm regards</s>

<s>[INST]Dr., This is Himadri Dhar, my son Adriz is 3 years old and today around 4-5 hours ago we have taken cheese popcorn from outside stall and right now he is crying like anything for stomach pain. We are also suffering from gas formation. He does not have any other problem and not taking any other medicines at present. Can you please advise medicine for him?[/INST]Hi, welcome to Chat Doctor. I see similar cases in my clinic every day. Your child probably has food poisoning. If I was your treating doctor, I would have given syrup Cyclops 5 ml PO three times a day for 2 days and syrup zoxakind-O 3.5 ml PO three times a day for 3 days. However since this is a prescription medicine, i advice you to meet the local doctor to confirm the diagnosis. Also, avoid food from that stall to prevent similar problem in the future. I hope this has helped you. Take care. Regards - Chat Doctor. </s>

<s>[INST]I have very frequent uti and my Husband and I are trying to conceive so we are having intercourse more frequently. I know this could be the cause of the uti but lately sex is pain full and there is a lot of discomfort with Oder just in the urin. And when I pee I feel like Im never done what is wrong[/INST]Hello dearWelcome to Chat Doctor.come have gone through your concern in depth.@ Pain may be associated with or without urinary infection as inadequate relaxation of vagina, anxiety induced spasms @ Causes of frequent UTI during intercourse are - transmission of bacteria as E.cold and others - use of certain irritating feminine products as powders or sprays - retaining urine long time after intercourse - organisms of herpes, gonorrhea, chlamydia, cytoplasm etc. - improper hygiene of private parts - inadequate water intake in much hurry of conceiving - others Hope this will help you definitely. Feel free to ask any further queries in future anytime. Thanks for so much peaceful evaluation of my answer. Regards dear take care.</s>

<s>[INST]Hi, my daughter age 19 just returned from Uganda. She is experiencing pain at her back rib on lft side. A phys therapist that was on the trip thought she may have popped a rib. She has no insurance. We can go to an urgent care facility but they dont have xray. Would that be required for treatment? Thanks.[/INST]GREETINGS! ANSWER : Fracture or dislocation of the rib can be only confirmed through X-ray. If it's a fracture or dislocation then, There is no specific treatment for rib fractures, but various supportive measures can be taken. In simple rib fractures, pain can lead to reduced movement and cough suppression; this can contribute to formation of secondary chest infection. Adequate analgesia can avoid this! Flail chest is a potentially life-threatening injury and will often require a period of assisted ventilation. Flail chest and first rib fractures are high-energy injuries and should prompt investigation of damage to underlying viscera (e.g., lung contusion) or remotely (e.g., cervical spine injury). Other treatment includes internal fixation of rib!</s>

<s>[INST]My 2 year old has had a rash / hives in her diaper area front and back chronically, but has been worsening over the last 6 weeks. She does have a dairy and egg white allergy, but it has been eliminated from her diet all together although she has had 2 very minor exposures. Now the rash is visible red raised welt-like hives that flare and we treat with Triamcinolone that was prescribed by her pediatrician. Should we be looking for another cause of the hives? Her diapers or pull ups? She has no other symptoms except she get s a small patch below her mouth and on her cheek at the same time.[/INST]Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.</s>

<s>[INST]Hi, I have had pneumonia for a number of weeks now & am on my 3rd round of antibiotics. Although I am feeling a lot better I still get very tired & am experiencing a lot of discomfort in my chest around my right arm pit. The x-ray showed the left lung was most infected. Is this something I should be concerned about or just continue to ride it out? Thanks you[/INST]Thanks for your question on Chat Doctor. In my opinion you should get done repeat chest x-ray to see whether1. The lesion is improving2. The lesion is static3. The lesion is worsening. In pneumonia identification of causative organism is very important, so that we can give proper antibiotics. So if your lesion is improving than no need to worry. But if it is static or worsening than get done CT Thorax and Bronchoscopy with BAD (Bronchoalveolar Lavage) analysis for culture and sensitivity. By doing these we can start the specific therapy and titrate antibiotics too.</s>

<s>[INST]Hi I had an ubaliacil hernia operated on, on the 15th September. It started oozing puss a week later through the wound. The wound stopped oozing out of my wound and then the same day it started coming out of my bellybutton. I put up with it for 7 weeks then my specialist did an exploration and left a 2cm cut just inside my bellybutton and said that there was just a pocket of the puss and that it would dry up it s been over a week now and it hasn t stopped and is getting more green every day what should I do ?[/INST]Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. This green pus is suggestive of severe infection. I advise you to do Grams staining, culture and sensitivity from the pus. It must be antibiotic resistant bacteria that is causing healing more difficult. I advise you to take the Chat Doctor. This will make the treatment more effective, cheap and rapid. Please maintain good hygiene of the wound by frequent cleaning and </s>

<s>[INST]Hi doc, I have pcos and i am 30, my doc recommended me taking mephrate its been more than 10 days but still i havnt ha my periods also i have lot of stress related to personal and office life...please can you suggest i always have negative thoughts because of this. What can i do to releive myself from stress and other tension.[/INST]Hi, You can expect a with Chat Doctor. For the specific treatment of POD, there is a protocol of investigations to be done and treatment is planned according to the specific problem detected. These include a complete hormonal assay, glucose tolerance test, RHEAS levels, tubal patency if trying to conceive, trans-vaginal sonogram to view the uterus and ovaries. Maintenance of a healthy body weight, regular exercise and a healthy diet go a long way in the treatment. Meditation can help ease out the stress; please take the support of a psychologist if needed. Take care.</s>

<s>[INST]I have a very swollen cheek along the jaw. I visited the dentist on Tuesday morning and was told I have an abscessed tooth where the infection has gone into the cheek. I have been on the prescribed medication since Tuesday lunchtime and today the swelling is far more prominent and I am having difficulty opening my mouth.[/INST]Hello, Your infection is not under control and symptoms are increasing. Call your dentist to report that your condition has not improved and is worse. Your dentist will need to increase the dosage or change your antibiotic. Make sure you are following directions on taking all medication. I usually recommend Amoxicillin 500 mg or 875 mg depending on how often you take the antibiotic. Your dentist will recommend the next step for treatment of the abscess. You may need other oral conditions evaluated as well. Take anti-inflammatory medications in addition to the antibiotic. Tylenol and Motrin are effective choices. The choice of the antihistamine Ben Chat Doctor. Keep well HY</s>

<s>[INST]I underwent stone operation( laser technique) in the month of october, the stone blobked the right ureter and one stone was in the right kidney, the kidney stone was not removed..one month later the DJ stent was removed. But since that day till date I am feeling pain in the operated area. After ultrasound a month ago the right kidney stone was not there and the reports were normal.[/INST]His your kidney stone is not seen in the recent Ultrasound abdomen, pain due to stone can be ruled out. Most probable cause is Injury to the Urinary tract during the procedure. If the pain is not relieved by Anti-inflammatory Chat Doctor. Most common cause is Chronic Appendicitis. Unless it is grossly enlarged, it cannot be seen in ultrasound. You have to go for CT scan abdomen with Contrast to rule out other causes of pain abdomen. I will be ready to answer your query once you come back with CT scan abdomen. Wish you good health</s>

<s>[INST]My son is 21 years old and is basically healthy. Over the last couple of days, he has developed what looks like canker sores on the sides of his tongue and he says it hurts and difficult to talk and eat and it feels a bit swollen to him. He thought it might be allergies, but Benadryl did nothing to help. His medications are Cymbalta, and naproxen and Imitrex as needed for migraines. Suggestions please?[/INST]Hi, As per your complaint it seems that ulcers on sides of tongue can to be due to Pathos Dermatitis leading to inflammation inside mouth and along with it there seem to be pathos ulcers or canker sores. It can be a side effect of the medication, other causes can be deficiency of iron and vitamin B12, stress, physical trauma to the tongue, allergies, acid reflux etc. I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like blood tests can help in diagnosis. Treatment of underlying cause will relieve the symptoms. As of now, you can start gargling with a numbing mouthwash containing Lidocaine to relieve the symptoms. You can also take a multivitamin tablet. You can take anti-inflammatory painkiller like Ibuprofen. Suck ice and do cool water rinses. Avoid spicy food. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]my daughter has been diagnosed with pollen allergies since she was 3...she is 6 now....we ve been on different medications, but the longest she took something was l-montus kids, for a yr.....she gets congested, irritable nose and redness around eyes from the pollen...rt now its winter in georgia, USA....pollen levels are minimal...but I still have to give her the medicine or her eyes get red and swollen....any suggestions?...want to minimise medicine usage[/INST]Your daughter seems to have quite a severe form of pollen allergy, normally called hay fever ---it appears that there is quite a lot of discomfort --inspire of montelukast medication in addition to symptomatic decongestants ---at this point the main idea is to take her away from the allergen --pollen --sometimes when this irritating agent can be given in small doses may desensitize. The plan of management includes --keeping away from pollen, decongestants, creams, she may need steroids short courses to help her during acute discomfort or pain. The good news is her airways seem to be free and no cough</s>

<s>[INST]Do u charge a fee? Leg pain fem top right side of tail bone down,,,,, for past few years. seems to be a problem, Every time my shoulders go off. one is higher than the other as if out of alignment. Also I can.com.com feel some lumps on muscles of leg. What is this?[/INST]Hello, As per your history, it may be due to thrombophlebitis. For further assessment you may require ultrasound Doppler of both legs, complete hologram after consultation. Along with that keep yourself HY Chat Doctor. Take balanced diet. Till then for pain you can take tablet acetaminophen. Apply diclofenac gel or ointment Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]i am a lactating mother and am experiencing slight tightening in my middle of the chest for a week now. no pain or great discomfort but a feeling of tightening throughout the day? i am 34yrs old, 5ft 4" height 72 kgs weight, have no major healtChatDoctorplaints, sugar BP all normal.[/INST]Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about major heart and lung related diseases because you are young and having normal blood pressure and sugar. Sometimes, stress and anxiety can cause chest tightness. So better to 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. 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]I have been having lower back pain with shooting pain in both legs. Also have been having bouts with diarrhea several times weekly with pain in the lower part of belly right above the pelvic bone. I am wondering if these two things might be related.[/INST]Hi I am Chat Doctor. . In my opinion you have a kind of sciatica due to nerve compression, actually these two symptoms are not related, but bowel movements may exaggerate the pain sensation. For my patients I may recommend physiotherapy, hot massages, spinal straightening exercises will be helpful, painkillers like Advil tabs when needed, gentle massaging with anti-inflammatory gels, B12 vitamin supplements, muscle relaxants will be effective for most of the cases, in more severe and chronic cases steroid tabs or injections are prescribed. If pain persists I recommend MRI scan on your spine to exclude any spinal disc herniation and follow them up with your neurologist for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.</s>

<s>[INST]my father experience numbness in his right hand after CABG 8 month ago. Doctor said it is normal side effect of post CABG. But my fther not happy with the numbness. so last week he start smoking ( he is a heavy smoker before but quit smoking after the CABG. he quit smoking for 8 month until recently ). He said the numbness gone after he start smoking. My question is, is nicotine or any substance in the cigarate have some effect on the the nerve or what so ever that can reduce or heal the numbness.TQ[/INST]Hello No it doesn't have any favorable effect on nerves, it's just his psychology and the urge to smoke in his subconscious that is making him feel in a better way. Smoking even after a CABG is highly inappropriate as smoking promotes atherosclerosis and can lead to a very early graft failure that could ultimately lead to a heart attack. So you have to make sure that he should stop smoking completely. Wish him good health Regards</s>

<s>[INST]Hi,I am Aditya 22 years old working professional and I am suffering from hair loss kindly suggest me some steps or any medicine to stop it and to regain the same. I have heard about biotin capsules if its good for hairs so please let me know in bangalore where its available.[/INST]Thank you for the question. Hair loss is associated to many factors. But hair loss due to heredity is usually seemingly get yourself first checked for routine blood investigations such as hemoglobin etc. If all the tests are normal, then you could start applying Minoxidil solution 2% or 5%. This should be supplemented with multivitamins. Biotin is usually found in multivitamins. Regular exercise/yoga, street free lifestyle and balanced diet will all be helpful in reducing hair loss. You will begin to notice hair growth after a period of 6-8 weeks after following all the steps which is advised Best Chat Doctor. </s>

<s>[INST]I have been told that I have a chest full of lympnoids some people say you dont get lympnoids in your lungs but my c- scan says otherwise i am scheduled for a biopsy sometime in the next couple weeks and I am very nervous and scared of what is happening..[/INST]Thanks for your question on Chat Doctor. I can understand your concern. Chest cavity has mediastinal group of lymph nodes. And common causes for mediastinal Lymphadenopathy are 1. Lung infection 2. Sarcoidosis3. Tuberculosis4. Histoplasmosis (fungal infection)5. Lymphoma s (malignancy). So biopsy is needed to confirm the diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]basically i have been repeating myself alot lately i used to do it in the past but its been more common. its not like a stutter or stammer its only with one word out of a sentence. i will be speaking normally and then it hits me and i find my self repeating the word or sentance over and over sometimes even up to 20times. the wierdest thing is i can break away from saying it but to carry on telling the story i have to repeat it again. i was wondering if you have any answers as to what could be happening.[/INST]Degree understand your concerns went through your details. I suggest you not to worry much. From the description it is not easy to diagnose you properly. But I see a case of obsession here without any underlying physical / physiological cause. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. 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]32yo female,smoker, taking 90mgs of generic adderall for the past 6months, got EKG came back normal-no other health problems. having heart palpitations since starting meds, feels like its skipping or stopping then goes back to normal, ck my BP numerous times a day- its always between 80s -90s.. now my left neck vein feels like it is throbbinig or something- and sometimes i can feel it in my left arm veins too. worried my heart is going to give out or something!![/INST]Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You must know that Adderall is a stimulant of central nervous system. It affects chemicals in the brain that contributes to hyper reactivity. Through stimulation of nervous system in a secondary way it stimulates the electrical system of the heart. This stimulation might cause fast heart beats over 100 or generate other electrical impulses in parts of the heart different from normal sinus Rhythm. This causes premature heart contraction that we call extra systolic beats. In this situation you feel your heart like running, making pauses or skipping beats. You might feel anxiety, difficulties in breathing deeply, palpitations or pulsations to your veins all over. Every kind of stimulation of nervous system might cause this rhythm issue to simple emotional stress, coffee consumption or pathologies like anemia, hyperthyroidism, this kind of medicine that act directly to the system. So, nothing serious is happening to your heart. it's a reaction to this stimulation. My opinions is to discuss this effects with your doctor and decide together what to do with and fit is possible or allowed to stop it. Hope I was helpful. Best regards.</s>

<s>[INST]Doctor I had problem regarding my foreskin . Generally my skin is over my penis & when I am not in stage of erection i was able to move it back but last month i got infection and cracks on it which later i treated with some soap and cream . right now i am unable to move my skin back and unable it to clean with water which i generally do while bathing. I am feeling little itchy inside it. I am practicing it to move back it is not so and feeling uncomfortable while sitting and relaxing[/INST]This is a condition of inflammation of foreskin, as per your explanation. Possible causes can be contact with any allergens, fungal or bacterial infection etc. It is very important to diagnose the problem exactly. Sometimes if you have this issue, using of soap and other creams can aggravate the issue. It is advisable you contact a dermatologist and get treated as soon as possible, and if it is due to any allergy (some people will even have latex allergy), avoid the contact with such allergens, and if this particular problem started after a sexual intercourse with a particular person, inform that person also to get treated. TC</s>

<s>[INST]hi sir, My mother is 70 year old femal suffering fever for a week . he has seen both lung markin with old fibrocalcifiedlesion in both upper zone. no active tuberculosis, consolidation or effusionis seen on eighter side heart size normal no pulmonary congestion is seen no lymphadenopathu is seen bony thoracic cage is normal tell me about her. is it serious ?[/INST]Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. I have gone through the CT report you have mentioned. Fibrocalcified lesions are suggestive of old healed lesions. These are mostly due to previous lung infection or tuberculosis. No need to worry about these lesions as they are scarred inactive lesions. Rest of the report is absolutely normal. So no need to worry about lung related cause for her fever. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]my husband recently got examined for company meedical test (age 37/ height 170/ wt 60) . his cholestrol level is 238 & LDL cholestrol was 152.6. also when tested for cardiac ischemia it was positive(the stress depression > 2 but it was recovered later). i jst want to knw is this a severe problem & can it be brought to normal?[/INST]Dear Mrs, If he has a positive stress test for ischemia, it means that one of the vessels with supply blood to heart is narrowed. It is not very common in his age, but possible. The risk of this disease is that such patients can develop a heart attack. The next step should be coronary angiography, it is an examination, when heart arteries are imaged, it will show the exact vessel and the percentage of narrowing. And if there is a need doctors may intervene and open the vessel with stent. His doctor will prescribe him medications to prevent further blockages, and he should follow healthy lifestyle: avoid food containing animal food, not to smoke and Chat Doctor. Hope this was helpful for nourishing a good health to your husbandmen back if you have any further questions</s>

<s>[INST]Sir, Is there any possibility of the wisdom tooth having cavity causes tinittus and hearing loss ?I am 48 years old,165 cm ht. 68kg wt. For the last 1 year I feel some symptoms like that of tinittus in my left ear and 60% of hearing loss. One of my wisdom teeth (left lower jaw) is having cavity and pain.[/INST]Hello, Thanks for consulting Chat Doctor, Read your query, as you have tinnitus, hearing loss this is not related to cavity in wisdom tooth. Due to cavity there can be referred pain in ear, but this tinnitus and hearing loss can be due to ear problem for this you should consult ENT surgeon and go for its treatment. For cavity in wisdom tooth you should consult dentist and go for IOWA X-ray of tooth if possible go for restoration of tooth or extraction of wisdom tooth. In meantime do like warm saline rinses, you can take analgesic for pain like Painted or Paracetamol by consulting with your local doctor. Hope this will help you. Wishing you good health. </s>

<s>[INST]HEY I ALWAYS WATCHING BLUE FILM AND I ALWAYS FEELING HIGH AND SUDDENLY I WASTE MY SPERM AND I WEEK I DO THE SAME AND NOW I CAN THAT I HAVE LITTLE WHITE SCARS IS ALRIGHT FOR ME OR I NEED TREATMENT?? SIR PLEASE REPLY ME SOON I WAS SO DESPERATE WITH THIS THING :([/INST]Degree understand your concerns went through your details. Please understand, there is nothing called wastage of semen or sperm. Sperm is produced whenever you are sexually aroused. Such produced semen is stored within your body and is a waste product. Body should throw the stored semen out. Body does it through urine, nocturnal ejaculation or through masturbation or sexual intercourse. You do not need any treatment except correct knowledge and awareness. I suggest psychological counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.</s>

<s>[INST]Hi Doctor,I am 24 yrs old and my Husband is 30. I am trying to conceive from last 3 -4 months. I had a abortion in May2012.reason came out is Tourch was -ve. I have completed the Tourchnil tablet course for 3 months as well.Currently taking the Furtisure from 3 weeks. Are there any side effects for those tablets?. What other tablets/ supplements would help me to conceiving soon?.[/INST]You should not worry much at this moment, as you are trying to get conceive only for 3-4 months .we do not categorize it as secondary infertility. As you have mentioned that you are taking furniture I think it is a herbal vitamin supplement, you can take another tablet which helps in fertilization that is-tab Along(pyridoxine+folic acid tab) and increase your frequency of coitus in mid-phase of menstrual cycle. If even after 2-3 month you are unable to conceive than consult your doctor for complete evaluation. Thank you.</s>

<s>[INST]I was told I have allergies to things out side & I was taking allergy medicine.it helped till about 3 months ago.now my nose drips every day nothing is working! I have nose sprays ,i have done salt water & medicine . I dont know what to do now .I also have breathing problems now too.I cant work because I am to sick. I have no life because of this .[/INST]I give you temporary solution of medicines you can take off and on for as many number of days and as many times without any side effect but eventually you have to consult allergeologist to get allergy tests to find the cause and desensitization therapy for permanent cure tab montage FX(combination of montelukast 10 mg and fexofenadine 120 mg)apply newsprint h eye ointment in nose but seawater Chat Doctor. </s>

<s>[INST]yes please I found a lump about the size of an egg and it seems to sit right above the rectum but I feel it in my abdomen it is hard and it is painful to bend at waist. I had three abdominal surgeries three years ago and I have three fistulas. I have also been running a fever between. 100. and 103.[/INST]Hello lump of the size of an egg is a matter of concern particularly in perianal await could be any of following perianal or ischiorectal abscess Large hemorrhoids Rectal polyp Cancer growth in rectum or anal canal I would advise you to consult a gastroenterologist or proctologist for colonoscopy/ photocopy for confirmation of diagnosis have plenty of fluids lots of fruits and dietary fiber avoid constipation by taking liquid paraffin at night smoking and alcohol to be given up hope this helps you regards</s>

<s>[INST]My 9 year old boy complains of headaches in the eyebrows. He gets it after watching a movie where it is dark than light and when going to bed, going from light to dark.Sometimes he has stomach upset and dizziness as well. We use homeopathic remedies for dizziness and headache. Is there anything else we can do?[/INST]Thank you for following up. We should do differentiation diagnostic of your child headache: Acute single episode:- with meningismi, accompanied by neck stiffness-head injury-sinusitis(dull ache over frontal or maxillary sinuses)- tropical illness:malaria-low blood pressure Recurrent acute attacks of headache:-migraine-cluster headache-trigeminal neuralgia Chronic headache:- Tension headache:stress relief, massage may be helpful-Raised intracranial pressure:typically worse on waking, lying,bending forward.- Medication overuse I suggest -1. Consult your pediatrician and pediatric neurologist2. He might require an ECG For prophylaxis of stomach upset I recommend probiotic- Darla 1 capsule 1 time 1 month Best regards Chat Doctor. </s>

<s>[INST]really quite bad gallstone pain, wonder if stone in bile duct, waiting 17 days for ultrasound to confirm docs diagnosis, dont know what to do if pain gets worse tonight, have some pain meds but if I sweat with pain plan to get husband to take me to ER, hope it doesnt happen, any help?[/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. In acute phase, you need to take plasmolytic, avoid fatty food and rest. In case of progressive pain, go to ER. Your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. You need to change your dietary habits first. Need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. 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 was poking my teeth when suddenly a piece of my front tooth yanked-out. At least, I think it was a piece of my tooth. I can feel a whole in the back of my teeth, but you cant see a whole in the front. The piece I pulled out had somewhat of a chalk-like feel to it.[/INST]Hello, Thanks for consulting ChatDoctorRead your query as you have broken front tooth from palatal aspect don't be worried so much chalky tooth can be due to condition like fluorous or due to nutritional deficiency. I will suggest you to consult oral surgeon for examination of teeth and go for oral prophylaxis. If this can be restored so for tooth colored composite restoration. Inmeantime maintain proper oral hygiene. Do warm saline rinses 2 -3 times a day. Hope this will help you.</s>

<s>[INST]My 86 year old father just got out of the hospital after being diagnosed with anemia . His hemoglobin was 7.6 hematocrit was 23. He had a small bleed , I think they called it an AVM. They cauterized it, gave him one unit of blood and also gave him I ve iron. On Wednesday his hemoglobin was 8.8 and his hematocrit was 28.8. He had another 2 units of blood. He has experienced some foot pain lately, but this morning he got up to go to the bathroom and almost fell. He said the pain in his right foot was bad. I was reading up on and came across information that it could be from a B 12 deficiency. If this is so, Would they have seen this B 12 deficiency on his latest CBC or BMP?. He has has B 12 shots in the past, though I couldn t say when the last one was[/INST]Thank you. There are many causes of anemia. Among them the most common are iron deficiency, chronic blood loss, vit b12 & folic acid deficiency etc.in case of vitb12 deficiency peripheral neuropathy may occur which may causes pain in the hand & feet & other features.it is easy to diagnose. Examination of peripheral blood film show megaloblastosis. As there is history of it b12 deficiency, so it is better to exclude megaloblastic anemia. Take care.</s>

<s>[INST]Hi! My husband has a problem. He used a Veet Hair removal cream for all his body on saturday.(including the balls under penis) And next day he saw a blood in his urine. He told me is soo much:( When he wake up on Monday morning he saw a blood in his boxers. Is it possible to be reaction from Veet cream?Thank you[/INST]Hello, I can understand your concern for the blood in boxers of your husband after applying the meet cream. It appears that your husband has developed irritant dermatitis after applying the meet cream over the genital area. These creams are quite prone to cause the burn on the skin and therefore can cause damage leading to oozing of blood from the affected site. I suggest you to ask him to do cold compression over the affected area. Till the time you meet a family physician you can ask him to apply an antibiotic cream such as funding cream or mupirocin cream over the affected area. Ask him to wear lose cotton clothes so that it should not irritate the scrotal skin. All the best.</s>

<s>[INST]I have had very heavy and painful periods for many years.....I am trying to conceive right now (miscarried in November, ectopic in March which resulted in losing my right tube.....is there any chance for me and could the cause be rooted in my heavy, lumpy and painful periods?[/INST]Hallow Madam, Since you have conceived twice in your life, there are very good chances that you will conceive again. However, the history of ectopic pregnancy cannot be ignored, and you will have to be on the guard for it. The best option is to monitor the ovulation by ultrasonography and time your sexual intercourse on the day of egg release. You will have to submit for the ultrasonography day 9 onwards for about 5-6 days. This should give you better results. If you choose to have pregnancy when the egg from the side on which tube is intact is selected, the chances of pregnancy will still be higher. I hope this helps you.</s>

<s>[INST]my husband had a half gallon of brownish fluid removed yesterday from his peritoneum cavity, it distended almost to the same size within two hours. could he have internal bleeding? they, the doctors sent a sample to the lab how long should it take until we know the results?[/INST]Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You will receive the report with in a day. The fluid collected from the peritoneum is the ascites fluid. It is an interstitial fluid of the body. But it is not the bleeding. But it won't be filled with in a day. You should be investigated for such a fast filling.USG abdomen is very helped full in such a diagnosis. There are many causes of the collection of the fluid most common one is the liver failure, some malignancy etc. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.</s>

<s>[INST]I have noticed for about the last 6 or so months when I sit down in a hard-back chair there is an area in the middle to lower section (about where my belly button would be) of my spine that begins to hurt. I have a bruise at the location of the pain -- probably because I am a student and my back is constantly being pressed against hard desk chairs. When I run my fingers along my spine, I do notice a slight protrusion at the source of the pain -- I m not sure if it can be seen, but I can feel it. I don t have any serious history of either back or muscle issues. I do feel quite restless when sitting down -- I am constantly shifting. I also get the urge to crack my back at least two to three times per day. Any ideas about the pain in the one spot of my spine? Why is it sticking out? Thanks![/INST]Hello ! I understand your concern. In my opinion a disc bulge in that level of your column may be the cause of these symptoms. The protrusion may be an inflammatory lesion, or just the bone related with your spinal nerves at the point of the column where they get out from the spine. Other possible diagnosis, more rare may be lesions of the spine like tumors, cysts, etc. I would recommend you see a doctor and have a lumbar column x-ray and a blood routine test to rule out this diagnosis. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes, </s>

<s>[INST]I have been taking the contraceptive pill for over 2 years and have never missed a gap week. i am on my gap week now and still no bleeding? i was sick and had antibiotics and pain killers for my back during my last 21 days but used condoms as extra protection. should i go to my gp?[/INST]Hello, The company which you are saying suggesting me to rule out pregnancy first so for that reason opt for urine pregnancy test but at the same time chances of it to come positive is very less but still would like to rule it out first, then if its negative it means because of your recent illness your periods have got delayed so start taking multivitamin and iron tablet because many times because of nutritional deficiency also periods dates may get altered. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]Hi , myself celina age 26, my relation never worked out with anyone and now I am in a situation that I scare to bring a new person in my life I am not able to trust any body and always think that people are doing conspiracy for me , what should I do ? Now recently I deeply and seriously feel in love with a boy but I never got the attention and concern that I should deserve from him and it made me more insecure though our relation was for two years I never had physical relation with him because my past relation was not good , and I always felt that boys just come for sex and they are never serious with any one .When I was 11 years my mom and dad got separated and I always blamed myself for this I do not know why , and I used to hate the opposite sex , because even in my family my uncle tried to have sex with me , this is the main reason I used to hate boys , now I am in deeply love with this guy but he neither understand my situation neither co operates with me always tries to dominate me I want to come out of this but i feel very insecure due to my experience I cant take it any more , recently after this break up I feel that I am not good enough to handle relationship and also scared to go for any new relation totally lost don`t know what should I do , there is something wrong and I want to correct it please help[/INST]Hello Bad childhood experience, troubled relationships between parents are causing the disturbances in your behavior and relationships. Your close uncle tried to approach you and this resulted in fear of males. But presently you had relationship with a boy, so you have to move on. Childhood trauma results in conflict in mind, and it causes severe distress, and it can cause serious effects on personal and social life. I would advise you to please consult a good Psychiatrist for expert opinion and get your Psychotherapy done. Psychotherapy will resolve the unresolved conflict and will improve your condition. Life skill training is also needed. Try to do relaxation exercises and this will increase your confidence. Hope it solves your query. Thanks</s>

<s>[INST]Hi Dr Grief, My name is Sarah. I have been in the hospital the last three days and have been give Heparin injections. My last injection was this morning and I am continuing to bleed from the site. How can I stop this? I have applied multiple band aids and it soaks through and onto my clothes. Thanks, Sarah[/INST]Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that heparin is anticoagulant and should not be taken if the bleeding is continuous, I advise you to take consultation with your doctor and stop the heparin. Heparin has action of thinning the blood. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor.</s>

<s>[INST]My husband is 52. He has had diabetes since the age of 12. In April, 2010 he had a stroke leaving him with right side paraparesis. He started dialysis in May, 2010. He has a lot of pain in his lower back and woke up last night with chest hurting and the night before with stomach and lower back hurting. What do we need to look for?[/INST]Welcome to Chat Doctor .1. There are few reasons for back pain in this case, due to the underlying paraphrases if the patient is less mobile.2. Underling Diabetes - If it is uncontrolled.3. Age related degenerative changes do may cause the back pain.4. I would recommend an MRI spine to find out the status of the disc and cord involvement, at the same time a plain radiogram (X-ray) spine for bony changes. Hope it helps you. Anything to ask ? Do not hesitate. Thank you.</s>

<s>[INST]i get cold that is in the form of allergy (that is running nose and sneezing) almost after masturbation or even if i get night fall. I am 100 % sure about it , if i dont do masturbation for say 7 - 10 days then i dont get cold (allergy that is running nose and sneezing) for that period of time . Sneezing continouly for 20-25 times is too much to handle for me[/INST]Hello, thanks for your query, I think u have honeymoon rhinitis, any way, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. It is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. Best street meet is Adams(fluticasone) nasal spray twice daily, tab. Monte- LC (montelukast+cetirizine once daily at bedtime. All the best. Take care.</s>

<s>[INST]Hi,The inside right cheek of my mouth does not feel smooth as the left cheek, something like a very fine sandpaper feeling. I looked with a flashlight and it looks different than the left side. Gray cast rather than pink like the left side. It is hard to see close because of the limitations of my glasses and the mirror. Do you have any ideas? What kind of doctor would I make an appointment with. Would it be a dentist, GP, or something else?[/INST]Hello. Thank you for consulting Chat Doctor. You need to consult dentist for diagnosis of this lesion. According to symptoms you mentioned you can have leukoplakia/keratitis / lichen planes/ oral keratinizing candidiasis. I need to know your tobacco habits. I also need to know your gender and mental status either you are under any stress ? I also need to know are you taking any medicine regularly specially steroids ?perfectly the lesion can be diagnosed with microscopic examination of the infected tissues.</s>

<s>[INST]A few days ago, I pulled my lower back quite badly. Since then it seems to be healing with rest, ice and gentle exercise. However, a simultaneous problem has occurred that is causing a great deal of pain. I noticed that my bottom was also very painful, and when I looked there was a red and painful lump at the entrance to my anus. I took this to be a haemorrhoid. However, it is a very swollen and red perineum that is actually causing the pain. Is this related? Are they related to my back? And how can I treat it? At the moment, the combination of injuries means I can barely sit or sleep.[/INST]Thanks for your question on Chat Doctor. I can understand your situation and problem. I don't think your back pain and swelling at anal region are associated. By your history and description, your anal region swelling is mostly due to boil (skin infection). It is common in diabetic patients. So first rule out diabetes. Also consult surgeon and get done clinical examination. You need incision and Chat Doctor. </s>

<s>[INST]Hello, I heard gargling hydrogen peroxide makes teeth white. I tried it, but shortly afterwards my nose started bleeding and also a little through my mouth. Is this a side affect of gargling hydrogen peroxide or may this be caused be something else?[/INST]Hello, Thanks for writing to shy Chat Doctor. Less complex molecules that reflect less light lead to a reduction or elimination of the discoloration of both the enamel and the dentin. The length of treatment depends on the level of discoloration and on the whitening product used. It ranges from short interventions in the dental office to applications at home lasting minutes/hours per day and repeated over a number of days. Single dark teeth can also be bleached successfully. Heavy tobacco stains may need as much as three months of treatment. Whitened teeth generally do not darken after treatment or darken only slightly, and when they do, retreating the teeth can easily be done. Hope this helps you. Wishing you good health... Regards.</s>

<s>[INST]My 24 year old son was diagnosed with strep throat saturday and started antibiotics. By Tuesday his stomach hurt so bad he went to ER....They said after an ultra sound that his gallbladder was swolen. On the IV with antibiotics he felt bettter, now 12 hours later his stomach is bad again, he thinks its the antibiotics. Im wondering if it is just anything he puts down his stomach affects his gallbladder????? Help I dont want another trip to er[/INST]Hello! Thank you for the query. Antibiotics quite often cause some gastrointestinal issues. Like every medicine they can irritate stomach causing stomach ache. Usually it is nothing serious, however if it starts recurring, some diagnostics is necessary. Swollen gallbladder should rather get better after antibiotics. So it is hardly possible that antibiotic itself has caused such issue. More possible is that your son has peptic ulcer which get irritated by antibiotic. In case of peptic ulcer, ultrasound is usually useless. I suggest your son to visit a doctor once again. CRP, and blood work should be done along with an ultrasound. If nothing will be found, gastrostomy should be next. Hope this will help. Regards.</s>

<s>[INST]My boyfriend and i went to the building store about 1.5hrs ago and he started feeling really hot, he started sweating really badly and felt really light headed, hungry and thirsty. He is 19 years old what is wrong? he still does not feel like himselfhe gets hot and then cold and shakes and sweats[/INST]**1. Going by the time period and symptoms it could be acute stress reaction, viral or bacterial infection, heat or cold exposure.2. Visit your nearest physician to check with his blood glucose level [low blood sugar level causing hunger, thirsty, light headdress, sweating] and for EKG [electrocardiograph] to exclude any heart abnormality.3. After necessary examination he may ask for:. Blood culture for malaria. Sputum culture. Urine culture. X-ray of the chests. Since chills are natural response of body to variety of conditions thus prior to opting for any medication kindly visit your health care doctor.</s>

<s>[INST]I was bitten two days ago by a fire ant, three times on my middle toe on my left foot. It became inflamed and red very quickly. I used benadryl, it stopped the itching. Yesterday morning the swelling had spread to all 4 small toes and into my foot. My doctor prescribed prednisone and topical steroid cream. Also told me to take zyrtec or clariton over the counter. I took the steroid and it seemed to reduce the swelling but by the evening two of the insect bites were black and the surrounding area was also black and swollen. I soaked my foot in epsome salts that helped the pain and reduced the redness and swelling some. Today the bites are still very black and swollen but not exceptionally painful. Should I be concerned? Should I lance them and soak again?[/INST]Hi, thanks for using Chat Doctor It would be best not to puncture them because they can introduce infection if the technique is not sterile. You may want to add anti-inflammatory painkillers to your current regimen. They would help with pain relief and also reduce the inflammation due to the bites. Examples are ibuprofen, naproxen should continue your other medication and can also the foot baths. It is possible that the bites may become infected so if there is no improvement you may need a course of antibiotics. I hope this helps</s>

<s>[INST]I am a 25 year old female, weight 130. Generally I am pretty active(going to the gym at 5-7 per week). However, in the last month or so I have been exhausted and sore which made it difficult to work out. I blamed in on worsening allergies(I live in the northeast) and everyone seemed to have worse allergies this year. However, my "allergies" were not relieved by over the counter medications and perscription nasal spray. My symptoms have been getting worse and have been present for at least a month and are flu like. I have had an intermittent fever for at least a week and have chest pain and a cough. I was seen by the doctor yesterday and she ran a lyme disease test and a CBC, I had a fever but my ears, throat and nose looked good and my lungs were clear. I have no relief for my cough, but advil does relieve some of my chest pain.[/INST]Hi, Welcome to Chat Doctor, Fever with runny nose and soreness could be due to rhinitis (allergic or infective), sinusitis,common cold or may be URI. Runny nose is mostly due to viral infection because of our low immunity. You may need to do complete hologram, ESR,electrolytes and X-ray of face to check for sinusitis. You must go to ENT specialist to get properly diagnosed first as there is fever and cough. So, better to consult doctor.</s>

<s>[INST]Hello, I am 35 yrs old female, I m having hard time to get going, I feel tingles in my face, my both hands, arms and my back. Also having squeeze in chest area, mainly where heterial hernia. also feels dry mouth requires drinking lot fluids. Any advice would be greatly appreciated. Thank you[/INST]Hello! Thank you for asking on Chat Doctor! Your symptoms could be related to an electrolyte imbalance, diabetes or any other metabolic disorder. That is why I would recommend consulting with your GP for a physical exam and some tests (complete blood count, PCR, ESR, iron levels, fasting glucose, kidney and liver function tests, blood electrolytes, vitamin D levels). You should discuss with your doctor on these tests. Meanwhile, I recommend taking plenty of fluids. Kind regards, </s>

<s>[INST]hi i have taken 4 ipills from 2nd june onwards till 2nd july and inbetween i got my periods but again i got them on 6th july which was only spotting till the 8th july and then the normal flow started and till now i have spotting ...my gynac gave me etosys mf and celin for 5 days 3 times a day to stop but its increasing my flow and then gives a relief for some time so what is this ?? and she asked to get a beta ChatDoctor test done for what reason ? im scared i hope its not aids or cancer ...[/INST]Hi and welcome to Chat Doctor, thank you for your query.Aids and cancers are the last thing to think of. There are many causes of such difficulties and most of them are benign and treatable. You should check your hormonal levels and do ultrasound of uterus and pelvis to see is there cyst or endometrial pathology. Also, you should check your coagulation factors. Usually such bleeding scan be regulated dwith hormonal therapy, so I am sure it will be possible in your case too. Wish you good health. Regards</s>

<s>[INST]Hi I have a small bump on my stomach, kind of looks like what a mosquito bite would look like, but it does not itch. I had it for one day a week ago, and than it disappeared and reappeared today. When I touch it I felt the urge to use the bathroom, what could it be?[/INST]Hi, Dear,Good evening. Thanks for your query to my virtual Chat Doctor Clinic. I studied your query in-depth. In My opinion-diagnosis is-Bed-bug bite / or-spider bite/or insect bite.-Urge to bathroom, may be just coincidental to its touching and I don't feel any relation is there. Still I would advise taking ER Surgeons opinion, who would treat it appropriately. Hope this would resolve your worrying query. Wellcome for more query from you. Good day.</s>

<s>[INST]how long does an i-pill take action, say i had sex with my wife on thursday the 23th of may, will the pill still be effective if we had unprotected sex after four days from the date of consumption of the first pill, if not then for how many days does the pill takes its action?[/INST]Hi, I have gone through your question. I pill, or the emergency contraceptive pill has its action in preventing only that pregnancy which can occur by the last intercourse episode. It does not have contraceptive effect for the next unprotected intercourse. You need to take a repeat course of I pill for this act. I would suggest you to use regular contraception, as repeated I pill intake have side effects and have increased failure rate. Hope you found the answer helpful. Wishing you good health.</s>

<s>[INST]Hi, may I answer your health queries right now ? Please type your query here... My 3 year old boy has just currently started not sleeping and is worried that im going to leave him, he is not going off to slepp well and it takes ages to settle him. Also he is up a lot in the night, help?[/INST]Hi, A common cause of sleeplessness in a healthy 3-year-old is mostly due to frequent nap in the noon or in the evening. They also have the fear that they will be left alone at night, in that scenario either of the parents should be with the child, till they go into deep sleep. I would suggest you make the child play well in the evening and lessen the duration of sleep in the noon and avoid caffeinated Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care </s>

<s>[INST]I have developed numbness and tingling in my finger tips. Have lower back problems as I broke my back as a teenager and have arthritis. I am on thyroid meds for Graves Disease which was treated with radioactive iodine in 2011. I also have a low immune system (low igg antibody) and have frequent infections. Should I be concerned with my new tingling sensation in my fingers and feet.[/INST]Hello. I have been through your question and understand your concern. Tingling in the extremities are a common feature and usually temporary and benign. Still, since you have a rich medical history I recommend you to schedule a Neurological consult and an electromyography plus a nerve conduction study to better evaluate if the tingling is a serious feature. Basically you should not worry because it is very common but still you should consider a neurological consult. Hope this helps Wish you the best health</s>

<s>[INST]hey doc,i am a 20 years old girl.i just dont know what happened to me during the last two year, my blood turned actually thick and purplish red as if it is some old blood. and now i have so many acne scars on my face and a dead skin. really worried please help[/INST]Hello and welcome to Chat Doctor, Thickening of blood and development of acne are most probably unrelated to eacChatDoctorplete blood counts and red cell parameters are required to look for polycythemia. Polycythemia is characterized by raised red blood cells and high hemoglobin. Acne need to be managed conservatively with antibiotics and sufficient time should be given to allow the acne to heal. Thanks and take care Chat Doctor. </s>

<s>[INST]Hi,Iam kellie im 25 year old my health question is im shortness of breath, i cant really breath that well its been like this for 2 weeks now, i do have an heart murmur which ive had since i was about 12 years old, and i have had 2 depo conception injections but ive stopped them now i didnt go back for my 3rd shot which was suppose to have been 2 months ago, could u please give me some information to why im feeling like this, because i do feel very unwell. thank you for your time.[/INST]DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN.HEART MURMUR USUALLY INDICATES A UNDERLYING VALVULAR HEART DISEASED EPO INJECTIONS CAN INCREASE CERTAIN HEART PROBLEMS BUT AS YOU HAVE NOT PROVIDED INFORMATION OF THE EXACT DISEASE YOU ARE SUFFERING IF YOU COULD MESSAGE ME THE DETAILS OF THE DISEASE OR CONSULT A CARDIOLOGIST FOR THE SAME HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS</s>

<s>[INST]Hi, I have been experiencing back problems for several months. It started after i got back from Drum corps which is marching band across the country fro 2 months. We have to hold our bodies differently then normal, I heard that it is common for back problems. Today it was the worst its ever been. I couldn t stand up for an hour.[/INST]Yes it is common .and is because of constant stretch of lower back muscles. That we call as lumbar muscle strain. It will slowly resolve .you need to avoid further injury to back muscle by not doing any activity that aggregates your pain. Consult a physiotherapist for low back exercises. You can use lumbar belt that will help in pain control and will prevent further spasm and injury. If pain is severe, causing problems with your day-to-day activities then you can take some painkillers with muscle relaxant in supervision with an orthopedic surgeon.</s>

<s>[INST]I am getting loose motions with abdominal pain, please help me[/INST]Hello Gurkha;welcome to Chat Doctor Loose motions with pain in abdomen can be due to infection of the intestines. If you are not pregnant and if you are not allergic to any of the medicines then you can take tablet-Oflox-TZ 1 tablet 2 times a day for 3 days which is a combination of Ofloxacin and Tinidazole both antibacterial and antiprotozoal. Also since it can cause acidity and nausea you have to take antacid tablet like Zinetac-300 mg along with the other tablet. Chat Doctor. </s>

<s>[INST]The vein over my left temple is pulsating. No pain, but slight pressure on the edge of my left ocular cavity. I have a history of panic attacks, and this occurs during them, but at the moment, I am not having an attack. Could this be something other than stress?[/INST]Hi, Thank you for your query. I can understand your concerns. It is not a vein but an artery, more specifically, the superficial temporal artery which pulsates. It is a branch of the external carotid artery. Furthermore, it occurs in anxiety disorders. Pulses can be abnormally strong when the patient has an elevated pulse pressure. This would result in a strong, bounding pulse that could also be asymmetric due to anatomic variation. Bounding pulse -commonly seen in hyperkinetic circulatory states where there is vasodilation and increased stroke output. The pulse volume is high (due to high pulse pressure) with increased blood flow. Hyperkinetic circulatory states may due to excitement/anxiety. Other causes of hyperkinetic circulatory states giving rise to bounding pulse are Hyperthyroidism, Severe anemia, Beri Berg (thiamine deficiency), Arterio-venous fistula (e.g. Pages disease or hepatic failure). The most rapidly rising bounding pulse is found in AR(aortic regurgitation), PDA(patent ducts arterioles), coaptation of aorta. Regards </s>

<s>[INST]My MRI report says mild disc bulge noted in C3/C4 level causing compression on thecal sac. Diffuse disc bulge with small posterior disc osteophyte complex is noted at C4/C5 causing compression on thecal sac with narrowing of right neural foramen resulting in compression on exiting nerve roots on right side at this level. Same witj C5/C6 with slight narrowing of right neural foramen closely abuting exiting nerve roots[/INST]Hello, These MRI findings of your cervical spine are consistent with degenerative changes (spondylosis) with subsequent spinal cord and nerve roots impingement. In cases like this, a correlation between MRI findings and neurological examination is necessary to assess the correct treatment ways. I suggest you discuss with a Neurologist for these issues. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]Despite being exhausted last night, I could feel my body pulsating rapidly and heavily while lying in bed and waiting to fall asleep. I dont have a medical history of any complications. By 2.30am, when I was at my wits end, I finally resorted to taking an anxiolytic before I finally dozed off at 3am. Please let me know if my symptoms point twards any particular condition(s). Thank you for your time and kind attention.[/INST]Hello, thank you for putting your trust in our site, my name is Chat Doctor. What you did experience last night is called palpitations which is a rapid hard heartbeat, and the most common cause for heart palpitations is anxiety. Other causes include; hyperthyroidism and arrhythmia, and since you don't have any other symptoms suggested for hyperthyroidism or a cardiac issue then mostly what you had is just anxiety cause you probably stressed out or overthinking about a particular issue, and you will need any treatment just avoid </s>

<s>[INST]High I woke up last night with tigness in my left side of my chest i thought I was taking a heart attack I also have a pain in my left leg I m just wondering would that have anything to do with I m 41yrs of age and I stoped smoking 7 months ago I am on the electric cig[/INST]Hello, Your symptoms could be related to gastritis or gastroesophageal reflux. Anyway, I would recommend consulting with your attending physician for a physical exam and a routine check-up: - a resting ECG-complete blood count-blood electrolytes. An exercise cardiac stress test would help to definitely exclude any possible cardiac issues. In the meantime, I recommend trying an antacid or PPI (omeprazole), before sleep. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s>