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<s>[INST]hi,please answer as im afraid. about two weeks ago when me and my boyfriend were making out and I slipped my hand down his pants but still outside his boxers. while rubbing him i felt some wetness at his tip im guessing is precum. when we finished i washed my hand with dettol. what im worried about is some time later i scratched my area, but i still had my clothes on. is there anyway i could be pregnant?[/INST]Hi, thanks for using Chat Doctor.I understand your concern. Pre-cum also contains sperms if its alive and comes in contact with your vagina then you are likely to become pregnant. Sperms can survive outside the human body only for a few minutes. Since you had your clothes on, there is less chance of getting pregnant. Moreover, you have also washed your hands prior to that. I feel you need not worry. Hope I have answered your queries. Good day.</s>

<s>[INST]I have been looking around on the internet and stumbled across a procedure called jelqing. It is aimed at increasing penis length and girth while erect and some swear by it. I was wondering what a physicians opinion on the matter is. Ive googled around a bit and have read many warnings over the dangers of jelqing, which could cause damage to penile tissue. But I was curious if one were to take this slow and follow adviced routines, if this would be able to be done without any harm to my penis. I am an 21 year old male. 192 cm tall, weighing around 90 kg (fluctuates a few kilos) and my penis size is 17 cm in length and 13 cm circumference. I am not circumcised.[/INST]Dear user, Thank you for writing to Chat Doctor. I read your concerns to increase penis size. In fact, penis size or circumference has no effect on sexual satisfaction of either partner by penis vaginal containment. Only lower vagina (outer 1 and half inch only) has nerve fibers. Inner vagina is largely insensitive and lacks nerve fibers. If you want to arouse the partner during vaginal containment, you should focus only on outer vagina. For this erect penis size more than 2 inches is more than enough! This might be surprising for you but its reality!! You may revise your concerns to increase the penis size by unproven, probably costly and potentially harmful techniques. Wish you good health dear.</s>

<s>[INST]I have been diagnosed with iron deficiency anaemia. My nails are starting to split vertically and I am also getting hot flush/sweating episodes later in the day. Are these recognised symptoms. Tomorrow I am having a capsule endoscopy. I am concerned that I may have a tumour as I had a malignant melanoma 20 years ago.[/INST]Hi, dairy have gone through your question. I can understand your concern. Your symptoms may be seen in iron deficiency anemia. You should check your blood count and iron status. You should also go for ultrasound abdomen. 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]Hello doctor, I m 26 yrs old male. suffering for chiken pax since 5-6 day. I am taking zovirax, leecet, levocetrizen, alkazip, caladryl. but still there are new spots are coming. Please advise how much it will take?, it is first time for me. please advise any effectie medicine?[/INST]Thanks for posting you query to Chat Doctor .in adult age group severity of chicken pox is more than compare to child Chat Doctor. It is a viral infection and cured after completion of life cycle of virus. In second wk appearance of new lesion will be stopped and complete recovery will take place within 3 wk of time. Medication you are taking is alright as it will decrease severity of your symptoms and prevent complication. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards,</s>

<s>[INST]my gf took ipill 2 hrs after sex...on 7april..her periods were due on 28 april...she had some bleeding on 23 april for around 2hrs....n then light light for another one or two hrs...after dat she havent had any bleeding yet...we had pregnency test 3 times...each after a gap of one week,since 15 april,dat says negetive...m very afraid...is she pregnant....or is she f9.....[/INST]Hi, Well the fact that she took a pill after having sex was a good idea, as it greatly reduces the chances of getting pregnant while having unprotected sex or on the breakage of a condom. Now, you must understand this, even though your girlfriends period is generally regular there are times when it is irregular for everyone, which means she can have her period later or earlier than normal. The fact that the home pregnancy test has given a negative result 3 weeks in a row is a good thing and in all likelihood means that she isn't pregnant. But if you're still having doubts about the results you can go to a doctor and ask them to test your girlfriends blood, it is by far one of the most efficient and accurate tests around, but takes time, since you have to make an appointment and see a doctor. I hope this answered your question.</s>

<s>[INST]I am pregnant with 7 weeks to go, and still get morning sickness, which is mostly just bile. i was sick tonight, but not bile, it was big lumps which were hard to bring up, and there was alot of dark red blood. even the lumps looked like blood. I now feel as though i have lumps stuck in my throat as it hurts when i swallow. what could this be?[/INST]Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) First do not panic. 2) Whenever there is increase in the acidity of stomach it also causes irritation of lower end of food pipe. At both places this acid causes superficial injury to the lining of food pipe and stomach. This leads to bleeding. This blood comes out with vomiting. It is fresh red if it is recent bleeding and dark red if it is old bleeding. The stuck up feeling is due to irritation and spasm of food pipe. 3) I will suggest you to take small and frequent feeds. Avoid deep-fried foods and bakery products. Sucking Of ice cubes helps A lot. Tab ODEM MD 4 mg twice a day before food for ten days will be of help Also liquid anesthetic antacid like McCain gel 2 SF thrice a day for 5 days will be of help. I hope this answer helps you. Thanks Chat Doctor. </s>

<s>[INST]My Baby is 15 months old now.. he has 2 front upper teeth and 4 front lower teeth now. He is not biting any kind of food(even boiled potato). He is just swallowing. we need to blend or grind the food everytime. How to practice him with biting and eating foods?[/INST]Dear, Welcome to ChatDoctorWe understand your concerns went through your details. Your infant is not conversant with chewing and eating, and needs to be trained. Usually, before this period, the child is supposed to chew on soft toys. Parents or caregivers should encourage chewing on soft toys during the period of 6 months to 1 year. That is the basic training step. In between feeding, you should provide your finger or some semi hard food between his teeth and encourage him to chew. Regarding the digestion part, the child Chat Doctor. Therefore, the current scenario is not at all alarming. You should provide the food well blended or ground. 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 detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Happy New Year. Take care.</s>

<s>[INST]Hi I am a 32 year old woman 120 lbs, mother of two little girls, dedicated to excercise and healthy eating. I run 3 to 4 miles a day, never feeling any discomfort, or shortness of breath during exercising, but this last few weeks, I feel slight discomfort in my chest off to the left and sometimes in the shoulders. Went to the doctor (internal med.) he said he felt there was nothing wrong with me, maybe stress and anxiety. So do you think I have something physically wrong with me or am I just too in tune with my body and am telling myself there is something wrong when there is not?[/INST]Thanks for your question on Chat Doctor. I can understand your concern. Since you have Calcified already consulted doctor and everything washed normal, no need to worry about this pain. Stress and anxiety can also cause similar kind of chest pain. So avoid stress and tension, be relaxed and calm. Avoid movements causing pain. Take sound sleep of 6-8 hours.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]hello sir this is puneet. i am 24 years of age. from last 1 & half years i was suffering from an anxiety. thats why i lost my hair density. my hairs are going thinner. i heard that hair loss due to anxiety is temporarily. it comes back if anxiety is removed. tell me it is true or not? or do me a favour[/INST]Yes chronic anxiety can cause hair loss"Daily shedding of up to 100 hairs is normal. Excessive hair fall can also be due to male pattern baldness, anemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Avoid routine application of gels or frequent blow Chat Doctor. Use a sulfate free shampoo for your hair twice a week. Biotin containing hair supplements can be taken for 3-6 months. Hope this helps. Good luck!</s>

<s>[INST]Im 27 years old,im addictive in masturbating,i do it almost 6times a day,imediately i see womans ass inside a trouser,i rather leave wat i was doing,does this goin to effect me for having children,i have girlfriend far from me,nothin can stop me doing it[/INST]Dear, We understand your concerns went through your details. Excess masturbation cannot in any way affects the possibility of having child Chat Doctor. You can be assured. But in your case, 6 times a day masturbation, is harmful because masturbation consumes body energy. Body energy loss can cause physical stress. Continuous physical stress can have mental stress and anxiety. Otherwise, there is no negative effects for masturbation. I suggest you to reduce the masturbation habit frequency to thrice per week because it is the safest and healthy frequency. You should consult a psychologist for counseling and dead diction therapy. 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 detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Happy New Year. Take care.</s>

<s>[INST]Dr. I had a epidural that led to paralysis of my right leg. A emergency laminectomy and decompression was performed the following day. There is little soft tissue between the L4/L5 and severe stenosis and herniation at the L5/S1. I m only 46 so nuro surgeons will not perform a disc replacement at my age. Use of my leg has returned over 6 moths of physical therapy. I am on percocet and baclofen to control spams and mask pain but neither bare overly effective. What other options may be available to me to return to a somewhat normal life?[/INST]Thank you for asking Chat Doctor. My name is Chat Doctor. As the recurrence rate of disc prolapse is high, you need to take some general precautions in daily activities to avoid further distress. Well nice to know that your leg power are back so following lifestyle changes will help you: 1. Avoid heavy weight lifting 2. No more bike riding if you were riding before. 3. No stairs climbing 4. Apply lumbar coarse belt for three months.Painkillers, muscle relaxants and Gabapentin 150 mg BD can be taken for few weeks and regular follow-up visits to neurosurgeon will be much helpful to you along with above-mentioned precautions. Hope this may help you. Let me know if anything is not clear. Thanks.</s>

<s>[INST]Hello i been having hyperthyroid since age 14 , im now 25 i have a 5 year old daughter i concieved having thyroid disease i had a healthy baby girl but did get induced at 37 weeks to do preclapsia , i recently got off my birthcontrol i was on the uid paraguard , im trying to consieve again I got blood done and my dr told me my levels r high agian. She switched my current medication So if im trying to get pregnant again it wouldnt harm the pregnancy. My question should i avoid getting pregnnat with my thyroid levels high ? Should i rather go to encrologist[/INST]Hi, I think you should first bring your thyroid profile in normal range and then try for pregnancy. Increased values can lead to abortions and fetal complications also. When your thyroid profile is normal, you can try naturally for 3 to 6 months. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. If it doesn't work, then you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 cycles. Hope I have answered your question. Regards Chat Doctor. </s>

<s>[INST]hi, my friends newborn baby has been bleeding from her mouth since she was 2 days old and doctors can t find the problem. She is no longer on breast milk but makes no difference as she is still getting clots in her mouth. She istwo weeks old at the moment and 9pounds[/INST]Hello, I can understand your concern. It seems that the child is suffering from a bleeding disorder. Any tooth or gum related disorder can not cause this much amount of bleeding and blood clots in the mouth. If you have not done so yet, I would recommend blood tests of the child that includes complete blood count, bleeding time, clotting time and detection of deficiency of factors that cause hemophilia. After the test results, diagnosis can be made and treatment can be advised. Pediatrician or periodontist can also be consulted with the reports. I hope this information helps you. Thank you for choosing Chat Doctor. I wish the child feels better soon. Best,</s>

<s>[INST]I am a 23 year old.I had a tumor in my breast and got it removed by operation.Now after 5 years i have developed other tumor in the same breast but in a different location. what could be the reason for this and are there chances for breast cancer.Kindly suggest a solution.[/INST]Hi. What was the histopathology of the tumor removed 5 years ago. In young females fibroadenoma is the common tumor type. They are benign tumors and can be easily diagnosed on mammogram complimented by sonomammogram (ultrasound scan of breast) and confirmed by FNAC (fine needle aspiration cytology). If you can share the histopathology report of previous surgery, I would be able to advise you better. Meanwhile, all breast lumps should be investigated in the manner that I have mentioned earlier to rule out cancer (malignancy). Wishing you happy health. Thank you for choosing Chat Doctor for your medical queries.</s>

<s>[INST]I have had a niggling pain in my abdomen for 5 days. It started as a very mild annoyance, it wasnt unbearable, and it was located on my right side, mostly towards upper right abdomen. It has progressively worsened, and today it feels as though my entire right abdomen is sore. It hurts slightly to press upon it. There have been times when I have felt the pain radiate through my groin also. I would not describe the pain as severe, more like a 5 on a scale of 1 to 10, but it is annoying. I cannot lie on my right side, in fact it is most easier for me to lay on my left side with my knees drawn up. This is unlike any pain Ive ever felt, and it does not feel as though it is ovary pain. The pain is constant, dull and gnawing.[/INST]Hello, Thanks for the consultation. After going through your symptoms, The pain in this part of tummy usually happens because of Stones of the Gallbladder, kidney problems and Gut Problem such as appendicitis. Because of unavailability of clinical findings of a physician and complete history, I want you to undergo little blood test Such as complete blood count, Liver Function tests and Urine examination. I would also advise you to undergo Ultrasound Abdomen and pelvis.Meanwhile, you can start painkiller which suits you as i DNT know the allergy status. Please do all these test and can revert to me. Hope You get well soon.</s>

<s>[INST]hi, i am 13 years old and my penis hasnt grown at all since birth, nothing, at all. i do try to produce sperm but i never did and never succeeded. please tell me what to do to make my penis bigger without any pills or drugs or doctor and operations but just doing it alone and naturally. thank you.[/INST]Dear serve understand your concerns went through your details. The average erect penis size is less than 5 inches. You are just 13 and your penis should grow for another 6 years. Please do stop worrying about your penis and its length and sex etc. They all should be perfect when you grow. Concentrate on your studies. 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.</s>

<s>[INST]hi sir, i m himani gupta 24 years having pimple marks on my face .so my dermatologist give me chemical peeling treatment for that and also for enhancing facial color and after second sitting i got some dark spot on my face.so he give me hyclean for that before 3 days. i m so scared about my face.please tell me that this is right treatment or not.please suggest.[/INST]Hi Human, Do not worry. You have made correct decision by opting chemical peeling. Chemical peeling is done when topical Chat Doctor. However, sometimes redness or scarring do occur after setting, but it will go off over period of time. But after chemical peel, you should take some care as follows.1] Stay out of sun.2] Moisturize the skin with moisturizer that contains sunscreen with minimum SPF-15. The doctor might advise use of Retina depending on the skin condition before the next chemical peel. Take care. Best regards,</s>

<s>[INST]My boyfriend got hit by a baseball about 5 weeks ago and had to get stitches above his lip & inside his mouth. The doctor took out the stitches above his lip but said the stitches inside his mouth would "dissolve" or fall out. However, not all of them have fallen out. Is it normal to take this long or should he call the doctor?[/INST]Thanks for your query, I have gone through your query. The absorbable sutures dissolve or absorbed by the enzymatic process, this might take around 1 to 2 weeks. Sometimes it might take months to get dissolved. If the sutures are not absorbed even after a month then consult a surgeon and get it checked. Nothing to worry it will not harm you. Maintain hygiene in that area. I hope my answer will help you, take care.</s>

<s>[INST]I was put on Maxzide on Monday for bp. I am 30 yr old female weighing 123lb. Ive been having chest pain but it doesnt last long. Just a second maybe 2. I also have had pain in my shoulder and in my left arm in my bicep area close to my elbow. I get short of breath just from doing usual house work and usually it only happens when my pulse goes up. Anywhere between 90 and 106 is when I notice. Should I be alarmed or go to the hospital?[/INST]Hi and thank you for your question. I read carefully your question and understand your concern. Giving the history of Hypertension, shortness of breath, your chest pain looks like a cardiac chest pain. I would recommend strongly that you see a cardiologist and do some diagnostic studies since your age is too young for having hypertension and cardiac chest pain. I hope my opinion can be a help to you. Wish you good health. Kind regards Chat Doctor. </s>

<s>[INST]My 12 year old daughter has suddenly developed some odd marks along her spine area around the T10 to lumbar region, (in the last 2 days). She has also been having back pain for about a month, lower right lumbar...what could the marks be and is it related to her back pain that she developed during cross country training? (She s thin/lanky)[/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]My nephew is 25year old. He is not into the habit of drinking smoking then too his sgot level is 70. Is it dangerous. What can be done. What are the food habits to be avoided and accepted. and in how many months he should be testing again for re-check. How does the level increase it is due to what reasons. Please reply. I am concerned.[/INST]Hi, thank you for posting. High GOT(serum lunatic oxaloacetate transaminase) level is caused by many causes. If someone has high GOT level, this doesn't mean he/she has liver damage, because the high GOT level causes are different. I think that he needs:1- Abdominal ultrasound, to exclude gall stone.2- Blood test(erythrocytes rate and hemoglobin level). 3- Heart ECG(electrocardiogram), to exclude heart damage. In rare causes high GOT level is caused by muscle injury(that is caused by a disease). He should visit a gastroenterologist to determine the exact diagnosis. Regards.</s>

<s>[INST]Hi, may I answer your health queries right now ? Please type your query here...Hi i have looking on the internet of the effcets a cannabis vaporizer would have on a person with copd and other respiratory problems, i have found out using a vaporizer can significantly lower symptoms but that is it, would you be able to shed any more light on this subject for me. Thankyou[/INST]Thanks for your question on Chat Doctor. I can understand your concern. Cannabis is centrally acting (acts on brain) abusive substance. It causes depression of brain centers including respiratory center. Respiratory is main part who regulates breathing. So when someone takes Cannabis, his breathing becomes slow. This is therefore reason why COPD patients feel good after taking Cannabis. But this is life-threatening in long term use. Long term Cannabis intake can cause respiratory depression (no breathing) and ultimately death. It is also habit-forming agent. So better not to use Cannabis in COPD patients. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]i am suffering from bronchial asthma from last 20 years.Since the last 2 years the severity has increased.after every 3 months problem increases.Medicines prescribed for me are forocot inhaler 400,ipravent ,montek, doxofyline 400.is there any alternate way to improve my condition?also I had a doubt whether the WBC count is related to it.The total count for me is 9000 and the reference range given in the report is 4000-11000.is it ok or I have to take medicines to improve immunity? I am using the forocot 2-inhalations 3 to 4 times a day.will there be any side effects?what are the precautions to be taken while using inhalers? please suggest me. age-48 years height-5 feet 5" weight- 61 kg[/INST]Dear patient inhalers are the main stay of medications in bronchial asthma which needs to be taken correctly as per your doctors' advice. Get lung function test to assess the control of the disease. Your WBC count is normal. If it is more than reference range it indicates infection your asthma may be allergic. Get evaluated by allergy specialist who can identify the triggers and advice IMMUNOTHERAPY, which is permanent cure for the allergy. Your medications usage and disease severity will come down</s>

<s>[INST]hi im 24 yearrs female.im having chest pain sine a week.i went doctor and doctor took xray and did soem blood investigation.all the reports are normal.but now when i bend also my chest pains and i start cough.and i feel my legs are heavy when i walk.i feel my hand and foot numb.[/INST]Hi. I can understand your concern. Chronic cough is commonly seen in bronchitis and lung infection. Since your chest x-ray is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Possibility of musculoskeletal pain is also there. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant Chat Doctor. Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. Hope I have solved your query. Wish you good health. Thanks.</s>

<s>[INST]Hi I am Santosh, I am experiencing slight heart pain in lower part of left chest and on the left side of the chest. I have undergone stress test and 3 ECG in last 4-5 months and all yielded negative results. The pain in the chest is still on and i m worried about the same.[/INST]Hello Santosh, your chest pain is definitely non-cardiac in origin as your 3 ECG's and stress test were normal. It is likely that you may have muscular pain or dyspepsia.I suggest you to get X-ray chest PA view and ultrasound of upper abdomen done, to rule out any pathology in lungs, ribs and one upper abdominal pathology.Meanwhile, you may take simple analgesic like diclofenac 100 mg twice a day along with Pantoprazole 40 mg once a day for 5 days. This may relieve your pain,</s>

<s>[INST]Hi, Ive lost my voice and still coughing up pleghm. I did have a flu/cold just before losing my voice but was getting better. I dont have symptoms of the flu/cold now, just a little stuffy nose and frequent coughing, what over the counter meds should I take? I have been taking small doses of meptin and breacol, is this ok?[/INST]Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have flu symptoms which are pointing towards upper respiratory tract infection leading to coughing up phlegm which can be caused by bacterial or viral infection. Need not worry. Yes you can take Leptin and Breach for short duration. I would suggest you to consult ENT specialist for proper examination. Avoid hot, sharp, spicy food. Doctor may order test like viral culture test, throat swab test and blood test to confirm the diagnosis and rule out causes. Doctor may prescribe antibacterial amoxicillin or anti-viral acyclovir depending upon the diagnosis along with decongestants. You should take steam inhalation along with vaporizers. For now continue doing gargles and Chat Doctor. Hope your concern has been resolved. Get Well Soon. Best Wishes,</s>

<s>[INST]Hi. I have a rapidly growing lump in my right jaw. it is very tender to touch. At first I thought it was a deep underlying pimple. But now it feels like the size of a small grape. could this be dental related? I tried warn compresses bit it has not helped. It seems to be getting bigger every day over the past three days.[/INST]HI. This may be dental-related. Have you got a bad tooth in the area around this? Tenderness means there is an infection. It would be wise to get examined by a Doctor/ Dentist for clinical evaluation (which is very important) may be to go for dental x-ray and to take appropriate antibiotic and anti-inflammatory medicines in appropriate doses. Carelessness may lead to an abscess formation and delayed healing.</s>

<s>[INST]Hi! Thanks for any help you can offer. My entire life Ive gotten white blotches on my legs after standing for a period of time. Sitting down is the only thing that makes them go away. My legs dont hurt, itch, or anything else. Is this just something to do with my circulation? Im 21, 53 and 117lbs. I dont get a lot of exercise, but I eat healthfully. I drink solely water, and dont drink alcohol that often.I suppose thats all the information I have that could possibly be relevant. Thanks again for your help![/INST]Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Standing for a long time, commonly edema could be seen, which could be due to increase vascular perfusion.2. Color Doppler of lower limbs is necessary to rule out any varicose veins.3. Check if any veins are prominent around the white blotches.4. Image of the white blotch, complete hologram and color Doppler investigation details necessary for further opinion. Hope it helps. Any further queries, happy to help again.</s>

<s>[INST]hello my name is swathi, I have cold problem so doctor suggested to use azeflo nasal spray once in four days from 2010-2011 but i did not use it.....i was ok in that year but again from 6 months i have the same problem in morning as soon i wake up i get around 10 sneezing after using that spray i wil be perfectly alright again i get the same problen after two days so i need your suggestion can i continue to use that spray[/INST]Hello Swath, Sneezing after using a nasal spray is not unusual, and it is possible your technique of using the spray is incorrect. Steroid nasal sprays take about 4 weeks to start working and therefore using it up to (minimum) 8 weeks is recommended as a course. You can restart again but continue to use it for at least 8-12 weeks is ideal. While antihistamine or atropine nasal sprays can be used on and off also on a regular basis. You also need to get your allergies checked and only then we will be able to tell you when to start and stop the sprays. Hope that helps.</s>

<s>[INST]Dr I am on tablet isotretinoin 20 for my acne along with biotin 5 mg. I would like to know what precautions or care I should take to minimise the side effects. I am married and 40 years old.Have a 15 year daughter. No more planning a baby. Applying cetaphil moisturiser and Olay sun screen. Using petroleum jelly for my lips.[/INST]Dear Kaavya97 1. Isotretinoin is highly teratogenic(deformation to the baby) , even tough you don't have plans of extending the family, it would be appropriate to use contraception while on the Chat Doctor. In few patients have increased triglyceride and the cholesterol levels, thus if u could take a lipid profile test prior to treatment, it would be of value to you and your treating physician, for deciding the future course of treatment . 3. the rest of the preventive measures that your adopting (detail moisturizer, sunscreen, petroleum jelly) will definitely take care of the side effects 4. In advent of a) depression b) visual problems - please bring it to the notice of your treating physician hope I managed to answer your doubt thank you</s>

<s>[INST]Hi my mother 64 yr old caucasion woman. Smoker 40 yrs, weight 8 stone, 5.1 in height. Irish. She has no health issues that we are aware of. She has shoulder pain across her shoulders and shooting pain down both arms, pain comes at different times, it nearly catches her breathe. It only last a short period of time 30 seconds or so. Can you advise.[/INST]Hi, Thanks for your query. Pain in shoulders and shooting pain down both arms is most probably due to cervical spondylitis. In this condition there is nerve compression in neck due to disc herniation in spinal canal. I would recommend her following.1. Get x-ray of the neck to confirm the diagnosis.2. She needs to avoid alcohol and smoking.3. Avoid keeping neck in same position for long time. Avoid using very high pillow.4. Intermittent cervical traction exercises will be helpful for you.5. Take Pregabalin M one daily a nighttime after discussing with her doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care</s>

<s>[INST]Dear Sir, I have a kind of alegerie, basically in the morning i have itching in the eyes, running nose with the headache and stiffness in the entire body, for past five years. Please let me know, to whom do i need to consult and contact in XXXX(Doctor) or what kind of medicines do i need to take?? Thanks.[/INST]HelloWelcome to Chat Doctor You are having symptoms of itching in eyes in morning, running nose, headache and stiffness in entire body. This is happening since last 5 years. It may be due to a number of reasons. Most likely reason is infection in sinus mainly frontal sinus. Chronic sinusitis may cause heaviness in head, running nose, congestion in nose and throat, pain in eyes, and headache in frontal region of head. To rule out this opinion of a ENT doctor is needed. X-ray of sinuses need to be done to rule out sinusitis. Secondly as it is for about five years, continuously and in mild grade. It may be due to somatic symptoms due to mild depression. So if situation persist then opinion of a psychiatrist is must. Thanks</s>

<s>[INST]Hi i am a fifty year old female i have variousautoimmune diseases including diabetes multiple sclerosis,rheumotoid arthritis and psorisis to name a few. I have alot of other arthritis. I am five ten and a half and weigh 245 because i have been on steroids for years. Recently i was in the hospital twice for a severe feet infection which i had very strong iv antibotics. Everything has cleared up i just want to mention it put me in acute renal failure. Again i am fine now my question finally is for the last several weeks my white count varies fom 13[/INST]HiT hanks for askingBased on your query and reports my opinion is as follows1. ABCs are the cells whicChatDoctore to defense whenever there is an infection(neutrophils)2. Also, these cells play a very important role in immunity 3. Various autoimmune diseases are also linked to lymphocytes which is one type of WBC.4. Steroid therapy also causes variations in total WBC count5. Since you just came out of infection, and you are also on steroids, that explains for variations in WBC count Hope this helpsRegards</s>

<s>[INST]I have had a lump on my collar bone for as long as I can remember, I am 17 as of now. Now the lump is getting bigger and now it is painful to the touch. The lump is about a half an inch and is located on my left collar bone. And when I touch it, it moves around. Im not sure what it is, can you please help me?[/INST]Hi! THANKS FOR YOUR query regarding the painful mobile long-standing lump on your left collar bone! Well, as per my experience on the final diagnosis or tissue diagnosis following biopsies of such lesions, I could consider following possibilities in your case:1. An infected skin cyst like sebaceous cyst, bronchial cyst, lymphatic cyst etc2. Inflamed lipoma, neurofibroma or dermatofibroma etc.3. Thyroid cysts like colloid cyst etc4. Acute on chronic lymphadenitis could be related to tuberculosisTherefore, you need a needle biopsy for the confirmation; please ask your doctor today!</s>

<s>[INST]Went to the doctor today because I have been falling and stumbling a lot, I have neuropathy in my foot and no ankle reflex in my left foot. I had back surgery last year and he said that what I have is a result of the surgery. I can t remember what he called it. Do you have an idea of what it is called?[/INST]Dear patient you have got neuropathy in left foot and lost a KE reflex is a part of neuropathy. According to your history you have undergone back surgery what was done and why it was done. Surgery was done at what spinal level? All things should be mentioned if you know about it. I think you have got compressive neuropathy which is leading to all problems. Kindly get a MRI spine done ant it will help for diagnosis and planning further treatment.</s>

<s>[INST]I have had pain/pressure in my upper left chest area over my heart for two days. The right side of my abdomen is also very soar. (I have problems with IBS). Is this gas pain or something more serious? I am not sweating or have shortness of breath. I am not sick to my stomach either. But the pain radiates to my left shoulder and arm and my neck is a little soar (but on the right side), my heart fells like it s pounding and I ve been really tired. My bp isn t high, though I do have high cholesterol and family history of heart disease. I have taken 2 antacids but have gotten no relief. I have been under ALOT of stress lately and have not had much of an appetite. I don t want to go to the doctor unless I absolutely have to because I just went last week for a possible sinus infection. I was given amoxicillin (which I ve almost finished) and Nasonex to treat allergy symptoms. Besides the antacids, those are the only other medications I ve taken. Is this as bad as I think? I hope not.[/INST]Welcome to Chat Doctor .please see as you have taken two antacids with no effect, so there is no point in taking repeat antacid .as your heart is pounding, and you have strong cardiac family history I suggest that you should go to emergency room and get yourself evaluated by ECG and repeat BP checking.please donor ignore if ECG is normal I would recommend paracetamol 500 mg three times for pain and tab pantoprazole 40 mg two times for gas like thing</s>

<s>[INST]To whom this may concern:Ive had a fever (up and down) for the past 8 days and on top of that I am battling with ulcers on the lips and inside the mouth. Ive never had ulcers before and two urgent care doctors told me it is stress related. So I am taking a magic mouth wash and then topical pain reliefer. What baffles me is that I still have a bit of a fever. Could it be because both my wisdom teeth are infected as well. My mouth is so sore that I really havent gotten a chance to decide whether the area around my wisdom teeth is sore because of ulcers or whether they are infected. Can you suggest anything else to remedy my ulcers and is it normal for me still to have a fever, albeit a low one? Thank you! I am 27, 5ft.9in., 152lbs.[/INST]Thanks for using Chat Doctor. Read your query. As your doctors says, the ulcers in the mouth can be stress ulcers more aggravated by the fever and other causes. I would advise you to * Apply Mucosal/ Denote on all the ulcers two to three times a day. If you have more pain, take a paracetamol (fever can be due to this also).*Avoid spicy food.*Reduce the stress level.*Visit your dentist as soon as possible and rule out the condition of the wisdom tooth and do what is necessary treatment for it.*Use Betadine mouth wash for a while. Hope this was useful. Thanks and regards</s>

<s>[INST]Hello,I was just wondering, I have this fungus type thing covering pretty much my collar bone near my neck. It looks similar to ring worm but I have tried a cream for that and there was no improvement. There is also a small spot of it on my right wrist and in my belly button. Is there any simple explanation for this or a over the counter treatment I can buy? Thanks in advance!![/INST]Hello, Welcome to Chat Doctor, As you are having the symptoms of fungal infection in the neck region, which should be examined by the specialist for proper diagnosis and treatment. For your condition I would suggest you to follow 1. Keep the area clean and Chat Doctor. Apply antifungal cream like Cream Fluconazole, which is available OTC.3. Oral antihistamines, to prevent itching which is also available OTC. Thank you.</s>

<s>[INST]Hi, may I answer your health queries right now ? Please type your query here... hi, im 14 and i dont know why but everyday i want to masterbaith although without anything evept some vaseline i masterbaith and cum. I was wondering if i soul quit for aom health reason or stop for another health reason[/INST]Hello, The masturbation usually doesn't cause much harm on health. It is a pleasure giving the procedure. But it should not be compulsive act, and it should remain a method for fulfill sexual desire. The masturbation frequency is advisable to kept up to three times a week to avoid groin discomfort, fatigue like side effects. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s>

<s>[INST]Hi! Im condisering changing contraceptives. At the moment Im using Evra (depotplaster), but Im changing to Cerazette. Can I change before day one of my menstruation? Or do you advise me to wait? WhicChatDoctorplications can I get by changing? In advance, thank you![/INST]Hello, and I would be happy to answer your question today. You certainly can switch from the contraceptive patch to a birth control pill without waiting for yourself to start to bleed. Just wait until your patch is due to be removed, and start the new pills the next day. The Cigarette will be effective immediately as a contraceptive, so you do not need any backup method. However, you should be aware that Cigarette is a progesterone-only pill, which means that it will not give you regular menstrual cycles, and it is less effective than combination birth control pills or the patch. The patch is greater than 99 percent effective Cigarette is only about 92 percent effective, unless you are breastfeeding. So you will not get any complications from changing your birth control method, however, you should be aware of the decreased effectiveness of Cigarette compared to the patch you have used previously. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes,</s>

<s>[INST]I dont take metoprolol or any meds now because my meds made me depressed and now Im having sleep problems and i have so many health issues my doctor even said I a hot mess I have have adhd bipolar and joint problems and Im lactose intolerance and gluten intolerance and I have a bed amune system I get depressed and I have lots of others problems that I cant spell but I need to Know one thing is there hope and any suggestions will be great help I know your talking about metoprolol but still any advice would help[/INST]Degree understand your concerns went through your details. Please understand the facts straight. Doctor said you are having many problems, and then you should get expert treatment. The problems you are mentioning here are fully curable if you take the right steps. Ignorance can cause only trouble. At the same time, if you take proper treatment, all your problems will be cured. What you need here is, proper awareness and motivation. Awareness about your health condition and motivation to go through this ordeal for some time, so that you are cured. You may consult a psychologist for health 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.</s>

<s>[INST]why do women not want to be with me? i have had sex with women but they have not wanted anything more than that but i have i am now 30 years old and have never had a relationship and it is depressing me a lot i recently had a sexual relationship with a woman where ewe just had sex but then she did not want to have a proper relationship i hear how i am such a great and nice guy but if i am so great why does no-one want to be with me? the constant rejection is getting really old and i am just sick of it[/INST]If a lady is not accepting you for long term relationship, not necessarily that you are at fault. But there may be something negative with her because of which she does not want a long term relationship Mere having sex is not the key and beginning of a relationship Focus on other things other than sex, show loyalty, honesty etc. If you reject girls too often, may be some problem with you and consult a psychiatrist</s>

<s>[INST]AA doctor i am married since 2 years i took tablet clomid for three month regular in every periods of my cycle but i did not conceive so my husband for semen analysis which shows advance motailty 10% motality 20% and immotality 30% what would you suggest me i consult with a doctor she advised to take capsule evione 400mg daily for me and my husband both plz answer[/INST]Hello can understand your concerns. If possible kindly reply with the complete semen analysis report of your husband. Tablet Evian is vitamin E. It acts as antioxidant and is said to improve sperm count. I think you both should continue with it. I would also suggest your husband to take tablet paternal. It is said to improve sperm motility. Kindly persuade him to stop smoking and alcohol, if he does so. As you have been taking closed with no success, I would suggest you to go for hormonal assays (FSH, LH, PROGESTERONE). Do consult your nearest infertility specialist. Hope this helps. Thanks.</s>

<s>[INST]Right upper ureter 5.5mm stone. stent placed 3wks ago. Can this stone pass on its own or should I have eswl done? Affraid of side effects or damage such as high blood pressure or diabetes. I am 57 and both run in my family. Can the stent be removed and try to pass on my own?[/INST]HelloThanks for query. You have been detected to have obstructive myopathy due to 5.5 mm sized stone in your Rt upper ureter and D. J stent has been placed in the ureter . The main aim of putting the stent is to restore the flow of urine from kidney to bladder and to save the kidney from damage due to back pressure changes caused by impacted stone, This stent also causes passive dilatation of ureter and in most of the cases help to pass the stone down spontaneously. The stent has to be removed after one month after doing Ultrasound Scanning of Abdomen and locating the site of the stone . In case (if required) the stone can be delivered out by endoscopic procedure URS which is very simple as the ureter is widely dilated. Chat Doctor. </s>

<s>[INST]Hello sir ,in a recent blood test my eosinophil count was 9 Hb 13.9 Wbc 5600 Lumphocytes 55 Basophyl 1 Monocytes 2 Doctor told me i am suffering from relative eosinophilia and llymphocytosis Please suggest ,is there anything serious in my condition and probable ttreatemen. Thank you sir[/INST]Hello and welcome to Chat Doctor, Increased number of eosinophils can occur in one of the following conditions:AllergyParasitic infections tropical eosinophilic, hyper-eosinophilic syn Chat Doctor. The cause of eosinophilic has to be found out, and its treatment has to be planned. High number of lymphocytes can occur in viral infections and chronic inflammatory conditions. Thus, a clinical assessment is required to look of the above-mentioned conditions. Thanks and take care</s>

<s>[INST]I had my period on the following days for the last 5 months: 12/11/2012, 13/12/2012, 13/01/2013, 11/02/2013. I am trying to fall pregnant. We had intercourse before my ovulation date and on ovulation, but I started bleeding on 12/03/2013. I am a bit confused as I thought I would definitely be pregnant. The blood changed during the day to a dark brown discharge . Today I still have the brown discharge. Had very light cramping on the first day and did a hpt , but it showed negative result. Is this just my period I m having? Did I maybe do the test too soon?[/INST]Hello. Thanks for writing to us. The bleeding that you are having is likely to be due to your period itself. Since the urine test for pregnancy is negative, pregnancy is unlikely. You can be more sure by getting a blood test for serum Chat Doctor levels done. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. </s>

<s>[INST]I have had a burning sensation (not really "pain") in my lower chest for the past two days. I wouldnt say it comes and goes, but moreso that I notice it more when not distrated by other activities. Sometimes it feels like its more one side then the other. I am a 36 year old female who is overweight, dont smoke. I have had reflux in the past, but seemed higher near throat. Also the discomfort lessens a bit when I push my chest outward to stretch, often hearing a cracking. I tend to sleep on my left side and wonder if it could be related or if its more serious. Thanks[/INST]Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease) and related symptoms. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning sensation in lower chest. So we should first treat HERD in your case. For this, avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic Chat Doctor. Lose weight and stay fit and healthy. Don't worry, you will be alright with all these. This is not serious condition. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]I have a son who is eight years of age with no noted health history. He has complained of "pinching" in his chest, unrelated to activity, eating, breathing, touching. It usually is not associated with any other symptoms. It lasts for a second then goes away. I plan to call our pediatrician today to make an appointment.[/INST]Respected user, hi I evaluated your query thoroughly.*Causes may include gastric upset, minor respiratory ailment through any bacterial / viral infection.*Usually seems non-significant clinically, but still any underlying minor issues should be ruled out by physical examination & if necessary diagnostic tools Hope this clears your query. Thanks for using Chat Doctor & keeping trust in our medical services. Wishing him happy healthy life ahead. Regards.</s>

<s>[INST]HAI....my mom has been diagonised to be affected with early stages of TB ...she is taking combutol 1000 & R-cinex 600 once a day. she is suffering from heavy joint pain throughout the body....does this occur due to the medication?? is this common for all? please answer!![/INST]Hello, In a patient on combustor users may present like pain and swelling of joints. It may be due to allergy or side effect to the Chat Doctor. Pain may be due to arthritis of joints. Until examination is done it is difficult to say what it is. Please consult with your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care </s>

<s>[INST]Hi, I have pain in the middle of my back and ache all over , a ticlky cough that hurts right down in the lower chest,i feel cold and my hands a very pale, my ears are very sensertive to sound, I suffer from SVT and my heart rate feels increased, What would you suggest i do ?[/INST]Dear patient Chest pain and back pain is due to coughing which strains your chest and back muscles. Excessive cough also leads to weakness of chest muscle due to continue use. Since you are having SVT worsening of this condition may also lead to cough. You should consult cardiologist asap and get yourself examined. Appropriate treatment of SVT will also relieve cough and chest pain. All the best.</s>

<s>[INST]Daughter - 12 yrs old has had several (5-10 in last 3 weeks) of almost glazed look on face with uncontrolled smile for 10-20 seconds. She describes it as spacing out but can t control her face. Sometimes her eyes will tear up as she is in the midst of an episode[/INST]Hi, Thank you for posting your query. I have noted your daughters symptoms, and they are suggestive of complex partial seizures. She should undergo a detailed evaluation to confirm the diagnosis and find out the underlying cause. This would require doing an MRI brain-epilepsy protocol and electroencephalography (EEG). There are good anti-epileptic medications, which can control these events' kin future. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/</s>

<s>[INST]some days ago (4-5 days) I ve been getting this itch on my foreskin. I didn t really pay much attention to it until when I was showering I notice a little red dot(it s gone now) on the corner of under the penis so I thought I ve been bite by an insect or something so I let days past thinking that the itch will go away but now my foreskin is red and it let s go some kind of white liquid. It s not painfully but it s disturbing. Please any suggestions of what it is caused I m starting to get worried.[/INST]HelloThanks for query. Itching of the foreskin with discharge is mostly due to fungal infection of foreskin (Much Cutaneous Genital Candidiasis). Get your blood sugar levels tested to rule out Diabetes. Take antifungal medication like Fluconazole twice daily orally along with topical antifungal jelly for local application. Ensure to wash your genitals with warm water twice daily. This should get cured within a week. Chat Doctor. </s>

<s>[INST]hi my daughter is 3 year old and she is having viral fever. Doctor gave only two medicines, Nutrolin B syrup and Lysonate and told to give calpole 120mg whenever she is having fever. Now fever has gone, but cough remains. I would like to know whether medication is right. fever started5 days back[/INST]Hi...by what you quote I feel that she is recovering form viral illness, and it is very common in kids to have cough while the viral illness is settling. Cough is a precursor that the kid is recovering from viral illness. As the fever has remitted now the cough may remain for another 2-3 days. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - </s>

<s>[INST]2 weeks ago , i had abdo pain, fever for 3 days. went to doctor, prescribed cipro 500mg bd for presumed uti. 3 days later admitted to hospital , abdo pain, fever , rigors. crp 350, ct ,ultrasound of abdo, mrcp outruled gall stones, obstruction etc. pylonephritis (urologist felt secondary , not cause of infection). continued cipro , iv gentamycin x 3 days. blood , urine cultures etc all negative. yesterday crp 24 but lfts raised significantly, microbiologist said to have cipro x 7 more days. discharged home yesterday, now temp 37.9, abdo pain back , some back pain. pain across centre of abdomen. any thoughts welcome.[/INST]HI. Gone through the history. 2 Weeks : fever and pain in ABD- Cipro- admission-pain, fever, RIGORS, CRP - investigations- Genoa- CRP reduced- LFT elevated-pain- back pain- center of ABD... I would advise such a patient... Repeat ultrasonography for pancreas, hepato-billiary. Tidal for typhoid, slide and antibody test of malaria. Add Metronidazole 400 mg thrice daily-immediate clinical response suggestive of an added amoebic hepatitis and will give complete response within 5 to 8 days. Blood culture may help. I would change to another / add another antibiotic. And adjust according to reports.</s>

<s>[INST]hi i am 28/female/married. its 7 yrs passed bt i didnt get concievd, so me and my husband had our routine check ups regarding this nd we got to kno the problem which is vry low sprem count, its about 8million. from last 3 years we are getting our treatment for ths bt it does not help us. recently i have done my laproscopy nd my all reports are as perfect as it should be.. so plz doc help me out for this life disheartening prob. should i go for icsi coz i ve done iui for 2 times bt that also does not help us... and if u r also agree for icsi then plz let me know the best doc or hospital for ths in delhi or ncr..[/INST]Hi welcome to Chat Doctor. I have gone through your question. Low sperm count 8million/ml is very low. I would advise doing ultrasound color Doppler scan for scrotum to find the reason for low sperm count, varicocele, vascularity of testes. If you couldn't get success through GUI then can go for CSI (intracytoplasmic sperm injection) IVF (invited fertilization). In Delhi and NCR there are so many hospitals like aims etc. Hope I answered it question. Would be happy to help you further. Take care.</s>

<s>[INST]I have had a bottom molar extracted a week ago, due to a large abscess. The extraction site was healing well but now has a red lump in the hole attached to one sid. It also feels like the gum at the same side is bulging out a little. Is there still an infection? What would the red lump be. When i press on it, it goes redder and bleeds. Im not sure if there is any pus as i do not want to press hard on it. What can the lump be?[/INST]Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of red lump at the extraction site of a bottom molar which seems to be due to ulceration and gingival laceration due to large force required for extraction and slippage of instrument. Need not worry. I would suggest you to - Maintain complete oral hygiene and avoid sharp and spicy food intake.- You should maintain complete oral hygiene and take antiseptic mouthwash. - Prevent food lodgment in that area.- Take proper course of antibiotics. If it is causing pain take Ibuprofen. I would suggest you to visit oral and maxillofacial surgeon once and get it examined completely. You should go for its removal if it is really troubling you. Hope your concern has been resolved. Get Well Soon. Best Wishes,</s>

<s>[INST]Hi,I am 37 weeks now.This week i had a USG scan.Everything about the fetal is very normal and my health conditions also normal in the report.It is mentioned "Cord loops are seen in the vicinity of the fetal neck".I was shocked after seeing this.My doctor din put much stress on this.She is saying that "we can handle this".This is my first delivery and i don have much knowledge about this.Many of them are saying the cord will get loosened by the time of delivery. I am not happy with a C-section.What should i do for normal delivery???I will be more thankful to u if u advise me on this.[/INST]HI, I understand your concern. Cord loops near neck suggest possibility of cord loop around neck at time of delivery & this condition needs a careful vigilance & decision of LSCS in case of problem of tightening the loop around fetal head. Actually you can not do anything for normal delivery in such case. Every thing depends on the situation. - In case the loop does not surround head. Normal delivery is possible. - If the loop surrounding the cord is loose. Normal delivery can be still possible with care during delivery of fetal head. - but if the loop is tightly fitting around neck while head is high in pelvis, doctor will advise fir LSCS(to help safe delivery/ avoid risk to the baby). Please make it a point to agree with your doctor & co operate, for its ultimately for your & your babies betterment. Thanks.</s>

<s>[INST]On Sunday night I noticed this really sharp localized pain that would occur when I coughed on the lower right side of my abdomen right south of my navel. The pain itself doesnt feel gastric, instead it feels like the muscle is strained or like there is a bruise in the area. At first the pain only occurred when would cough, but now sudden movements hurt too, and the pain is from my lower abdomen up to the the bottom rib on my rib cage and feels like I have a big bruise in the area. The pain has been lurching to the right and the area is tender to the touch, but it is also fairly mild. I dont have any more symptoms; no fever, no loss of appetite, no nausea, and I really havent engaged in any activities to bring this on. I was just wondering if I should be concerned about this due to its sudden nature and the area of pain.[/INST]Hi. Thanks for your query. Read the history and understood your problem. Pain in right lower abdomen on coughing and now even moving but without any obvious other symptoms of fever, nausea or appetite problems. In such a situation the best way is to do the following:Get examined by a General Surgeon for clinical evaluation and physical examination as in these cases the physical examination by an expert can clinch a diagnosis. The investigations may help to rule out certain conditions. Get CT scan of the abdomen and routine blood, urine and stool tests, Colonoscopy if required.</s>

<s>[INST]Hello Doctor....Greetings..!I had intercourse with my husband after 5 days from periods. As it was a unplanned sex i had postpone 72. Will it be effective enough to control pregnancy. ..? Will it give any effects when we actually plan for a baby...Please clarify.. Thanks in advance..[/INST]Hi, I have read your query & understood your concern. Postpone 72 is an emergency contraceptive which prevents pregnancy, when taken within 72 hours of unprotected sex. Earlier the pills are taken. Better is contraception. If the pill is consumed immediately after unprotected sex, the protection is nearly 95%, but this reduces with late consumption of pill. Postpone 72 tends to cause a temporary disturbance in menses & it's not known to cause any problem in future pregnancy. Thanks.</s>

<s>[INST]i had a umbilical hernia repaired 2 days ago. Last night i went to the E.R. because i was in severe pain, and it was hard to breath. Tonight my heart rate is very fast and i have not had a bale movement since the day before my surgery. i am having heartburn and hiccups, and i cannot eat or drink without filling as if i went to the buffet. Please Help!![/INST]Hello, All your symptoms are due to heartburn. Take antacids and ginger tea or supplement to ease the symptoms. Avoid caffeinated Chat Doctor. Have dinner 4 hours before going to bed. Sleep with raised head to ease heartburn. If still, no improvement should see a gastroenterologist for further evaluation and most specific treatment. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]I have sharp chest pain on my left side and my left arm feels very uncomfortable and I feel tingling in my left hand. Even if I laugh I will feel a sharp pain in the same area. Could it be gas? Also it feels a little agitated in my neck, also on the left side.[/INST]Hello, I have studied your case and I want to warn you that this is not gas at all. It can be pain of heart problem known as MI. It is a serious condition, and you need to visit ER as soon as possible. If there is ECG then you will need urgent intervention if form of medications. I would suggest you to do not waste any more time. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks</s>

<s>[INST]Hi, i just got my x ray result, it says there is a suspicious nodulocalcific density in the left clavicle. The heart is not enlarges. The trachea is midline. The hemidiaphragms and costophrenic sulci are intact. Impression: Suspicious density, left, Apico-lordotic view is suggested. What does this mean? :([/INST]Thanks for your question on Chat Doctor. I can understand your concern. Normally, chest x-ray is taken in PA (posteroanterior) view. In this view, many structures in lung apex overlap. Structures like lung tissue, clavicle, ribs etc. overlap with each other. So any lesion in lung apex can not be visualized clearly, and hence accurate diagnosis can not be made. To overcome this overlapping issue, PICO lordosis view is done. In this view, chest x-ray is taken in such a way that overlapping of structures can be avoided and hence lesion in apex can be visualized properly. So get done PICO lordosis view topic diagnose suspicious opacity in your x-ray. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]My wife is 4 months pregnant and has been having an itchy spine/back for a while, when she takes pre-natal supplements it is worse. We cant afford to see a doctor and get tests. What could be causing her back to itch? She says it could be that the baby has a blood type that she is allergic too, is this possible?[/INST]Greetings from Chat Doctor. Thanks for posting your query. No that is not the cause of Itchy back. Most likely it is due to an allergy to one of her pre natal supplements. I advise you stop one of the supplements for a week and observe, if there is a relief from itching then ask your doctor for an alternative for that supplement. If there is no relief then restart that supplement and stop the other supplement and observe. Till then, she can apply a cream called Renovate over her back. Ask your doctor for the prescription. Hope this information is useful to you. Any clarification feel free to ask.</s>

<s>[INST]I have a pinching pain in my left chest area, which feels like is my heart. This has been happening for a while now and will come and go, but last for like 30 mins or so. I am in good shape 34 y/o female. Could this be caused by anxiety, or something else?[/INST]Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having anxiety associated chest pain mostly. But as a rule in left sided chest pain, we need to rule out cardiac cause first. So get done ECG to rule out cardiac cause. If this is normal then no need to worry much for cardiac cause. You are mostly having anxiety associated symptoms. So avoid stress and anxiety. Be relax and calm.</s>

<s>[INST]i have a burning sensation across from the center of my back on the right side of my back in just one spot.it feels as if someone is putting fire on it or someone scrapping it with a knife or something. it feels so miserable. what can i do to stop it or ease it?[/INST]Hi, Welcome to Chat Doctor. After going through your query I THINK IT CAN BE muscular pain with tender spot. You can visit orthopedic surgeon for local injection of escort 40 mg at the point of spot to relieve it. Analgesics (diclofenac) can be taken to pain receive. Sometimes vitamin B 12 and vitamin D deficiency is the cause so get your vitamins checked. If it is low then vitamins' supplementation can be taken. I think your query answered. Welcome to any follow-up query</s>

<s>[INST]Hi, My 19 month old daughter got bitten by my house dog 9 days ago. It was just like a small scrape but it bleed a bit. I washed the wound thoroughly and took her to a gp. He said since she been taking all her vaccination we no need to worry as that will take care till the age of 10. So he just washed the wound with sme antibacterial med and applied med for the wound and sent us back home. No injection or antibiotic given. She been fine after that and the wound has dried up. But I am jut worried if I missed anything do I need to tae any jab for her or anything. PLease advice. I am really helpless and confused.[/INST]Hello, Welcome to Chat Doctor, Rabies is a disease transmitted by dog bite which is 100% fatal, but it is 100% preventable by proper and adequate treatment. As your daughter was bitten by your dog which has led to bleeding from that site, according to WHO it is categorized into Cat III which requires following treatment.1. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.2. Passive immunization with Rigs around the wound.3. Oral antibiotic like Tab Augmenting, twice daily4. Topical Tract ointment. Thank you.</s>

<s>[INST]I think i may be having signs of mood swings...im vary angry and dont know why it seems that everything makes me angry i have not eatin today and when i look at the food that had be cooked i just wona destroy it all even tho im vary hungary![/INST]Earle understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. Please understand this fact and make sure to introspect. Find the reason for your disappointment and consult a psychologist if need be. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Do you get angry to circumstances outside your home as you get angry at your house? Your office, bus stand, railway station, neighbors etc. If yes, you might need to get evaluated for anger issues. If NO, just understand and compare the two situations, and you can be better yourself. 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]My son is 3 years old, will be 4 in January. He has had medical problems his whole life, was very delayed and still is to a certain extent, He has very severe asthma and has been hospitalized many times for asthma exaserbation... His pulminologist did a bllod allery test in September2010 and his IGE level at that time was 571, about 2 weeks ago we were shipped off to the hospital again for asthma exaserbation and spent 7 days in Kosair childrens hospital. A week before being sent to Louisville, ky we were referred to a pedatrice allergy doctor for the scratch test to check for allergies, but absolutely nothing showed up... The doctor redone the blood allergy test and yesterday we got the results and his number has went from 571 to 992... I have seched the internet and cannot seem to find any answers for what causes this level to be so high... I was instucted to take him to his doctor here at home to have his spleen and liver checked and tomorrow morning we have to get an ultrasound to see if either is enlarged... I have been trying to find answers for years to see what causes all of my sons problems... He also has epilepsy and has bowl problems, hard stools and has to take miralax to help him go sometime.... My main concern at this time is to figure out what this number means and why it is so high!!! If you could help at all I would greatly appreciate it! Thank you Melissa Cameron[/INST]Hi, From what you said he has some delay in development, epilepsy and constipation- these 3 are interrelated- epilepsy and constipation are very common in delayed child Chat Doctor. The main worry now seems to be asthma and high IGE levels. Asthma basically is an allergic disorder. Some has intrinsic asthma (allergy not related to environmental allergens but part of our inherent body habit) and some have extrinsic one(allergy to environmental allergens like dust, pollen, certain food). Extrinsic one can be controlled if we can identify and eliminate the trigger, but intrinsic is somewhat difficult-here our body overreacts to minute insults / triggers because of inherent characteristics which we cannot alter much. In both types, IGE will be high and symptoms can be managed with inhalers and certain </s>

<s>[INST]USG OF ABDOMEN AND PELVIS lever - normal in size (left lobe not visualized).slightly altered echoes seen kidneys - right kidney measures 10.2* 4.2 cms - Simple cyst seen measures 2.4*2.3 cm left kidney measures 10.7*4.7 cms IMPRESSION USG features are consistent with ; - MILD PRSOTATOMEGALY PLEASE GIVE A REPLY BASED ON THIS REPORT ABOUT THE CONDITION OF THE PATIENT WHO IS 67 YRS OLD[/INST]Hi, Prostatomegaly (prostate enlargement) is common after the age of 50 years. Mild prostatomegaly is normal at 67 years of age. Does the patient have any of the following symptoms:Poor urine flow, intermittent flow, increased frequency of voiding, urgency in passing urine, waking up after sleep to pass urine, having to strain to pass urine or feeling of incomplete emptying of bladder? Prostatomegaly is treated when the patient has any of the above said symptoms. It is important to undergo a digital rectal examination to feel the prostate for any tumors (prostate cancer). After discussion of the pros and cons, the patient may decide on checking PSA level (prostate specific antigen). Both kidneys are normal and the small cyst in right kidney is no cause for worry. I am available to guide you if you need any clarification,</s>

<s>[INST]Hi. My 80 year old mother has had an extremely high white blood count for about 3 years.She has lost so much weight and looks anorexic. They have run tests and she shows no signs of lukemia or any other cancers. About once every 2 or 3 months she gets severe flu like symptoms and then breaks out in hives all over for about a day. Everyone is at a loss.[/INST]Hello and welcome to Chat Doctor, It would have been more informative if you had posted the complete hologram report. A high white blood cell count along with loss of weight is suggestive of leukemia however, you have mentioned that the blood reports are not showing up leukemia. Increased frequency of flu like symptoms and break out in hives suggests some viral infection.However, it is difficult to diagnose the condition on the basis of history alone. A clinical examination of the hives (skin lesion) and their histopathological examination is required. You need to consult a dermatologist at the first hand to know the nature of skin lesions. Thanks and take care Chat Doctor. </s>

<s>[INST]Hi Doctor, I want to stop my sperms coming out. I am 46, married a have 2 daughters. But i have family pressure on me for a son (3rd child). But i not for it. I want to stop sperms when in sex with my wife. Whats the best way. I know vasectomy can help, but will it leave any scar or spot. Because i don t want my wife to know about it. Or is there any other way which can stop these sperms like some injection or drug.. please suggest thanks XXXX[/INST]Hello, * According to my surgical experience, there is a discrepancy between the heading of the question and detailed narration below. * If the family wants a 3rd child, and you are not ready, you have to discuss the issue thoroughly with all the members taking them in confidence, rather than searching the ways of stopping sperm production which can have very many other effects over your psychology. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. Patel, General Surgeon</s>

<s>[INST]Hello I have a question,I was in a car accident,and I hurt my head I had a gash on the side of my head and I was bleeding badly the resure ppl put staples on the place on the side of my head where I was bleeding out, so they sended me to wake med,,but they didnt keep me long,but I am still haveing some lite headness and dizziness every day,sometimes 3 times a day,how long does this last.please let me know I am tired of feeling so bad.thanks terry[/INST]Hi Terry, Thank you for posting your query. Most likely, you are suffering from post-traumatic vertigo. In this condition, after a head injury, dizziness occurs. It may come in episodes. It is not a serious illness, so, there is no need to worry. These symptoms improve over time and may resolve completely within a few weeks. For symptom relief, you may use betahistine tablets. Best wishes, Chat Doctor. </s>

<s>[INST]i am 36 years of age and i dont have much tensions but i always feel like depressed that is not doing any work and i am not getting peace of mind . i have consulted doctor he has given me fludec 20 and one 300 mg licab in the morning and at night but inspite of that some times i take 1mg lonazep in the mornig and one in the evening inspite of that i take ascoril-c cough syrup every day. i tried many times to leave cough surup but after few days i am getting depressed and not feeling to do any thing because of wich i am not ready to take decission of marriage.please tell me if i continue this what can be the side effects. please help me to get out of this cough surup which contains codeine .[/INST]Hello, thanks for the query first the depression to be treated. Which s the cause of addiction you need insight oriented counselling at some rehabilitation center for addiction you require hospitalization. There are several de addiction centers. You can contact to the nearest center. The reason for hospitalization is that during with Chat Doctor. The treatment would be with medications, and a detailed comprehensive therapy program. But hospitalization is a must, and should be initiated at the earliest. Take care</s>

<s>[INST]Hi Dr., My daughter was diagnosed a primary complex when she was 7mnth old,she was treated for 6 mnths kidz3 kit med,then she is now 2&11mnths old now. Last july 7 we went from her pedia because of cough and running nose ,then she was given antibiotic,then we advised to do chest xray,we did July 7 even she doesnt take her antibiotic yet,the result was NON SPECIFIC PNEUMONITIS.PRIMARY KOCH S INFECTION IS NOT RULED OUT. Then her pedia referred us in Pulmonologist,then this pulmonologist gave her mountelukast 4g sachet for 1mnth.We travel for vacation in province Aug.then she was accidentally her head was bump because she was playing with her cousin then we do CT scan, because she do vomit and she have fever that time,it was a tonsilitis only,She was given antibiotic so the result of CT Scan was no acute intracranial hemorrhage or carvarial fracture.Poy sinususitis.Then we cameback in city after a week she has cough and running nose again,I wonder why it is not really cured by antibiotics?is possible that her primary koch s atill active even she was treated already before?The pulmo dr. wanted to do repeat chest xray(must not have cough&running nose)but i am afraid of radation lag that is why till now i did not do it. is it ok to do xray after a mnth she was did xray and CT SCAN?or do I need to wait a year after?Does she need repeat treatment from the top(koch s infection if her infection possible active again?Thank you.[/INST]Hi...1. This is not related to her primary complex.2. No need to repeat X-rays or CT as this seems to be an allergy and not an infection or pneumonia. Allergy cannot be diagnosed on X-rays and CT. Unnecessary radiation with these tests.3. I don't think the primary treatment need sot be repeated. If I have the kids' pediatrician I rather work up for her allergy and start her on treatment for prevention of allergic manifestations. Regards - </s>

<s>[INST]We need your advise about a male patient, 67 years. He was found with carcinoma of the colon 9 months ago.He got 6 sessions of chemiotherapy,but now the ultrasound shows 2 small masses on the liver . Please let us know what you thing and if possible to get a treatment in india?[/INST]Hi, I am so sorry to hear about the diagnosis. Provided the liver looked normal on previous scans, the new masses in the liver would suggest spread of the cancer to the liver. The future course of action will depend on a) whether there is any return of cancer in the colon itself (local recurrence) b) whether the cancer in the liver is amenable for surgical removal and c) whether the cancer has spread to any other parts of the body. There are various centers in India with excellent surgical teams which can potentially treat this patient. Please do not hesitate to contact me for any further details needed. Hope the patient gets well soon.</s>

<s>[INST]My father is suffering from chest pain for last 1 week, he went to cardioligst in my home down and he done x-ray, ecg and all necessary tests. he said the heart function is normal and it is normal pain. He has given medicines for 1 month. but still my father is finding pain in his left chest[/INST]Hi thanks for asking question. Usually with chest pain we think about ischemic heart disease, and we do ECG for it. Your ECG is normal so HD chance are less. Second this could be because of musculoskeletal pain. Heavy exercise, heavyweight lift or improper bed posture can be the cause. Simple analgesic and hot compress helpful for that. Prolong acid reflux also lead to such pain. Omeprazole taken for it. Here you have symptoms since 1 month so better to rule out respiratory cause by doing chest x-ray if coughed, fever also present. Take enough rest. I hope my suggestion will help you</s>

<s>[INST]Hi Doctor Currently being treated for back pain due to pinched sac tic 4-6 veritable 2 years now MRI reveled problem. Completed at least 50 PT sessions moved to pain management and concurrently accupunctre treatment surgical solution is radical surgery.[/INST]Hi I am Chat Doctor. . In my opinion from your given past history you may have serious spinal disc herniation. If physiotherapy and medical treatments fail for more than 1 year endoscopic or surgical intervention by your neurosurgeon are recommended. I suggest a new MRI scan and suggest your case with more than 1 neurosurgeon to decide your best choice of treatment. Nowadays minor endoscopic interventions are very effective. 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 husband is going in for a cat scan with contrast on his stomach. Last June he had surgery as he had a hole in his diaphram, and sewed it up and put a four by four mesh piece in and sewed it up. But now it is really bothering him again. They were going to do back surgery on him this Thursday, but postponed it till they figure out what is wrong with his stomach. Thank You.[/INST]Hi, there are various reason for this pain. There can be recurrence (is he obese? ) / intra-abdominal adhesions (sticking together of organs which are not meant to be - this is sequel not a complication)/ Other problems which may not be associated with the previous surgery. Hope the things will get diagnosed and give a guideline for further course of management. We would definitely be happy to know the diagnosis and queries to help you solve the problem your husband is undergoing. Wishing Him a fast recovery.</s>

<s>[INST]Hi, I am female of 30 years and am suffering from Acne & Pimple problem since last 12 years and since last 12 year I have taken varous madicine and acne ointment in last 12 years. now I am very diappointed. It seesm now no any ointment work on my pimples . Is there any cure in homepatic for pimple/acne. Because now i am afread taking so much medicine should not create problem in future.[/INST]Hello thanks for using Chat Doctor . I would be pleased to answer your question there is no cure for acne however the available treatments can help prevent the spots and scars. There are many new options of treatment available which range from salicylic acid peels to capsule isotretinoin which work in reducing the size of the oil glands which are giving rise to the recurrent problem over the years I would suggest that you should see a dermatologist. And get certain anti acne peel treatments done. Homeopathy does not have any cure or published literature that cures acne however, it can bring it under control working indirectly on your hormonal pathways. Thanks and take care</s>

<s>[INST]Hi, i really hope you can help me!!! i had my gallbladder removed in november 2010 after having pancreatitis caused by a gall stone in october 2010. after the operation i frequently felt a squeezing sensation/pain where gallbladder had been. after a few weeks this calmed down, however lately i have been feeling this again. the only way i can describe it is like someone is squeezing really tightly from inside. it only happens for about a second. prior to this i have a lot of gurgling and discomfort in tummy before it happens. the sensation can be graded for slight to strong! at its strongest it can make me lose my breath and force me forward. please what could this be?? has this even got anything to do with my gallbladder removal or is it something else? i have tried looking for answers on the internet but im not getting much luck[/INST]Hello,1) Gurgling and discomfort in tummy is due to indigestion, and it has no any co-relation with gall bladder surgery.2) Squeezing type of pain in gall bladder area after surgery indicate possibility of cholecystectomy syn Chat Doctor. This is very rare complication for which cause is unknown, and it causes severe pain in gall bladder area, nausea, indigestion3) Episodes of pancreatitis from gall stone and then gall bladder removal, suggest chance of minor episodes' pancreatitis long-time after surgery.4) If you had jaundice (elevated bilirubin level) at that time and ERCP was not done then it is possible to have small fragment of stone still impacted either in bile duct or at junction of pancreatic duct which disturb bile flow and cause pain when bile is released into intestine to digest food5) For evaluation, you need USG abdomen, liver function test, CT scan or MRCP (if bilirubin level is high and USG abdomen shows large bile duct), ERCP (If CT scan or MRCP confirm presence of stone / stone fragment / obstruction in bile duct)</s>

<s>[INST]i get infection from harpic toilet cleaner after smelling it . when i smell it i did not know that it is a stain of harpic toilet cleaner. i feel all sine of cold from 2 days like headach, etc. please suggest me it will not show longterm symptomps? or for how many days . i have taken crosin (parasitamol) 2 times.[/INST]HI, thanks for using Chat Doctor Allergic reactions can occur as a result of contact with any chemical agent including this cleaner. The length of time the reaction would persist would depend on its severity, treatment used and re exposure to the agent. When you are exposed, the use of an anti histamine would help to reduce symptoms quickly. These should be available over the counter at your local pharmacy. Examples are Ben Chat Doctor. </s>

<s>[INST]I have only nail clubbing since of the birth. I didn t test chest X ECG or Eco test . No lung or heart related problems were identified. I didn t feel any breathing problem till now can i shot this problem. Specially I haven t these the symptoms and signs of concerning are : Breathing difficulty, Blood in the sputum, Prolonged fever, Cough, Chest pain, Shortness of breath, Altered bowel habits, Abdominal pain or distention, Loss of weight, Jaundice, Loss of appetite, Bleeding per rectum, Bluish discoloration of lips and fingers and I have not any difficulty and I am fine now. I am healthy situation in now. but, I read about nail clubbing it got me worried. 21 years old, male.[/INST]Hello, Thanks for contacting us at "Ask a Doctor". I will try to answer your question to the best of my ability. It is true that finger clubbing can be associated with underlying disease - mainly of the heart and lungs. However, if you have no symptoms and are healthy then you most likely have idiopathic clubbing. This is nothing to worry about, and I would simply ignore it at this time. I hope this helps. Please message me back if you have any further questions. Best wishes, A Chat Doctor. </s>

<s>[INST]Im a 40 year old male and have had bad ocd for about 20 years now. Im currently living in Pennsylvania and me and my wife recently discovered a mouse in our home. We set traps and wound up catching 5 ! 2 days after catching the last one we cleaned out the laundry room where they were hiding. I vacuumed up a lot of debris from there and under couch. We also swept it up and wiped up the areas that had droppings. I am now terrified to learn that we shouldnt have done that. I have been driving self insane with worry. Can someone tell me what percent of mice in pa carry hantavirus? Also I read that it dies pretty quick so I hope after 2 days it was safe. Im extremely nervous . Any help would be greatly appreciated ![/INST]Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. You are 40 years old and have OCD since last 20 years. Now after catching mice and then cleaning house completely you have started having anxiety about getting Antivirus infection. First I would like to reassure you that such infections don't usually spread by just cleaning the house. Usually such infections spread more commonly in closed, damp areas like old ships, go downs etc. Not all mice are infected and prolonged contact is needed to get infection. So as per my opinion there is no need to worry. The fear of infection is probably due to severe anxiety you are having and this has got aggravated because of your history of OCD. Continue to take your OCD Chat Doctor. Two days has already passed you are safe now. Thanks, Take care</s>

<s>[INST]I have had this nagging dull pain between the top of my rib cage but below the sterum. I become nauseated and feel like I need to throw up, but I don t. For the past two days, I have notice a dull pain or ache in my chest area...right between my breasts. Should I be concern about my heart or lungs or both. I have also experienced an aching in my lower left side that radiates to the lower left side of my back. Please tell me what to do. Thank-you in advance.[/INST]Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having mostly HERD (gastroesophageal reflux disease). But better to rule out cardiac cause first for your left sided chest pain. So get done ECG. If ECG is normal then HERD is the cause. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms like nausea, pain etc. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux.</s>

<s>[INST]Hello - i had sesamoiditis in my right foot. that resulted in rsd chronic regional pain syndrome Lukily my rsd is calming down after 6 month i feel 70 per cent better.However since i wear orthotics - the seaamoid area still hurts.i read its the hardest bone to heal.how much time does these two bones need to heal from demineralization? Some doxtors told me 6 months others 5 years. So i am really lost.Can u please send ur answer to YYYY@YYYY[/INST]Hello, As a Sports Medicine doc I am familiar with sesamoid problems. I'm sorry you had to go through all this - RSD is a very painful and debilitating condition. There are several factors that can help with the healing process. Make sure you eat well - a good balanced diet with lots of fruit and vegetables. If you are carrying any extra weight, then certainly losing a few pounds will help. If you carry less weight this means less stress on your feet - including the sesamoids. Make sure you wear well padded shoes - you might want to insert a simple gel insert in your shoes. You can buy these from your local pharmacy. Make sure you put them in both shoes. Try to avoid aggravating the sesamoid area by limiting your walking to no longer than 15 mins at a time. It is very difficult to give you a specific time frame for recovery - everyone is different - and there are many factors to be taken in consideration. I have seen people get better in anything from 1 to 6 months. I hope this helps. Best wishes to you and I hope you continue to improve. A Chat Doctor. </s>

<s>[INST]ive got a lump on the bottom of my left testicleits like a series of lumps that ive had for as long as ive been alive so im talking 10 or 12 yearsin that time, the lump hasnt grown and i havent felt ill or anything for this longim feeling fine but just get curious about what it ismy mates say its a cyst or something[/INST]Welcome to Chat Doctor. 1. Sinece it has been from years together over 12 years - the probable cause could be benign lump in the testis.2. It should be started with examination and an ultrasound that would help.3. Ultrasound will help to evaluate the nature of the lump, its source and where all it is extending. 4. If necessary you need to get an FNAC - fine needle aspiration cytology done to know the nature of the cells involving.5. Depending on the findings' treatment will go on. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you.</s>

<s>[INST]hi i have a question regarding my friend who i believe may be suffering from depression. She is very emotional, and cries alot nearly every other day and feels that she worthless. She is very tired and drained all the time and her sleep patterns are irregular. i know that she has self harmed in past and i dont know if she is feeling like she may do it again. im not sure what i should do to help here, i feel like she should tell someone other than me that she feels depressed but i dont think she wants her parents to know. thanks.[/INST]Hi, I do appreciate your concern for your friend. From the symptoms that you have mentioned, I would agree with you that she might be suffering from depressive episode. The symptoms of sleep disturbance, crying, feeling worthless and lethargic are all symptoms of depression. Since she has a history of self harm, I would be alert this time around too and would really consider getting her into treatment at the earliest. As a friend, you should really motivate her to seek a psychiatric consultation as well as open herself up to her parents. Delaying it can only worsen the condition. Treatment with anti-depressant Chat Doctor. In addition, she would be needing to express her emotions constantly which as a friend you can help her do. You will need to be a patient listener and hear out her and provide emotional support. I do hope I was able to help with your query. Best wishes.</s>

<s>[INST]Hi, I need to ask a question. My friend is experiencing burning and itching on his side, and in his chest . He has asthma, but hasn t taken any asthma treatments since elementary because it only kicks in when he exercises. He got stabbed about last year, and they had to stitch him up in the inside too. Can this burning and itching be relavent to the stabbing incident, or is it something else?[/INST]Dear Adnikki15, your friends symptoms are not related to his asthma, also if it was because of nerve injury after stabbing and stitches, it would have presented earlier and not after a year. Most likely he has got fungal infection or allergies. He should get his blood eosinophil count done to check for allergies. Skin cream containing Clotrimazole will help in case of fungal infections. Hope this helps. Stay healthy and stay cheerful.</s>

<s>[INST]neice had several seizures and blacked out. we are at hospital now and they found a lump on base of neck where brain stem and spine connect. they are doing a biopsy but wont tell us anything. she has been perfectly healthy 8 year old with no health problems prior to this. please help[/INST]I am sure your treating doctor would have the diagnosis told you based on the whatever scan reports like MRI or CT Scan which ever was done. But the gold standard test is the biopsy result which is being awaited. It can be anything from a simple cyst to a complicated tumor.check your scan reports. The radiologist would have given his opinion. There is no need to panic now. Let us hope for the best. Have faith in god. Faith can move mountains. Hope this helps you</s>

<s>[INST]I have been having issues with high blood pressure. Lately I am getting light headed and almost feel like i walk through the day high or in a trance. I am fully functional and no one notices, but I don t feel right and need to know what the problem may be.[/INST]Hypoglycemia, postural hypotension and some other causes may be reason behind lightheadedness. Cervical disc problem may also cause it and many other causes resulting in less blood supply to brain. High blood pressure treatment can't be prescribed without knowing little medical history, lab test reports of blood etc. Clinical evaluation is better than seeking blind online opinion until you have something to show in the form of reports etc</s>

<s>[INST]Hi,My name is ALI, i am from Pakistan...... I got Married in 2007 and i didnt get baby because of my poor semen. its only 25% active motility. and non active is 65% and also found pus cell which will be 25-30% so, now i want to know the complete treatment and even want to know that it will be treatable or not.[/INST]Good Day, and thank you for being with Chat Doctor ! I would suggest getting a scrotal ultrasound with Doppler since varicocele is a very common cause of infertility in men. If found positive then treatment is minor surgery called varicocoelectomy. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes.</s>

<s>[INST]I have been having a pain in my lower right abdomen for months now Had MRI of hip and then had injections which didnt work so surgeon said pain not from hip. My leg goes weak every day and gives way My ESR blood test came back high today so seeing GP in a week and got an appointment with a Gyneocolgist in few days .....[/INST]Hi and welcome to Chat Doctor. There are few possible causes: it can be due to joint degenerative changes or limbosichialgia, but also there can be vascular supply insufficiency so along with MRI, Doppler ultrasounds should be done. ESR can be sign of any inflammation process. If this is sign of arthritis then you should take certain anti-inflammatory medicine because injections are commonly not helpful. Lower abdominal pain is also nonspecific symptom. It can be resulting form gun disorders but also many others. First step should be pelvic ultrasound and the plan further tests. Wish you good health.</s>

<s>[INST]I have been having lower rigt rib pain for 3 years. I am 55 Have type 1 diabetes x 43 years, Gastropareses,and fatty liver. Iv had all the tests ct x ray bone scah all are normal. My primay is sending me to a pulminary doc. Why would that be.Thanks Mike[/INST]Hi thanks for contacting Chat Doctor. Noted you are having fatty liver. So first possibility is it could be referred pain from liver or gastric cause. Second pain could be muscular because of muscle strain by heavy exercise, heavy weight lifting or any unaccustomed situation. Third pain could be by Costco Chat Doctor. Take rest. Analgesic for pain. Avoid heavy work for few days. Hot compress can take for pain. You will recover within few days. If still complaint increasing then x-ray done to rule out rib fracture like condition. I hope your concern solved. Take care.</s>

<s>[INST]I have a lump under the skin extending from the tip of my butt crack to my rectum / i have tried prep H (internal) Epsom salt bath / tea tree on pads / very painful to sit walk - feel slightly nauseas / not constipated and my stool is soft / slight discharge - not bloody more like puss[/INST]Respected user, hi I evaluated your query thoroughly.* According to your narration this seems Perianal abscess formation due to any bacterial infection.* Strongly recommend consulting your doctor immediately without delay. Hope this helps you. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving me an opportunity to assist you. Wishing you fine recovery from the same. Regards dear take care.</s>

<s>[INST]My 19 year old son was diagnose with Osteogenic type II b osteosarcoma on the knee (about 5cm). He had limb sparing surgery and systematic Chemotherapy (Adryomicin, cisplatin and methotrexade). He has had his first 3 month check up and every test is clear, his hair is growing back and he is feeling better and better. The surgery revealed that the chemo had killed >95% of the cancer...When I read the survival rates, they are quite low...Is this accurate, is this one of worst cancers, can we be optimistic, is there any vitamin/food that can help...He is doing so well that I cannot imagine this thing coming back....Thank you[/INST]Hi, Thanks for writing in. Osteogenic sarcoma is a bone forming cancer. Stage IIT is early disease, and he is lucky to undergo limb sparing surgery and combination chemotherapy. The goal of cancer treatment is to destroy as many cancer cells and prevent the progress of the cancer. The first step is stabilizing the disease and once this is achieved then the goal is destroying the cancer cells. If the doctors have said that more than 95 percent of the cancer cells are destroyed then your son is in a better position than most patients. He should continue treatment and follow up as recommended. Nutrition is important during treatment and recovery, and he should be eating a high protein diet will vitamins and minerals. The risk of recurrence or disease spread persists and close follow up is the only way early disease manifestation might be noticed and aggressive treatment given. If the disease is under control for 5 years then the risk of recurrence is low. Apart from the primary cancer location, it is important to get chest X-rays and CT scan chest done as required because estrogenic sarcoma stage IIT has a risk for spread to the lungs. Please do not worry.</s>

<s>[INST]I have previously been diagnosed with Carpal Tunnel Syndrome in both hands and a pinched nerve in the cervical region of my neck. Lately I have been experiencing severe pain in my shoulder, upper, and lower arm (right side). I am also having some pain in the joints of both my arms and hips as well as extreme fatigue. I am having difficulty with sleep due to the pain. Could this all be due to my previous diagnosis or should I get further testing for other possible conditions? If so, then what are some other possible causes?[/INST]Hi, Your symptoms of right upper limb articular pain can be attributed to nerve compression at cervical spine. Reason for compression may be disc prolapse or ligamentum flavor hypertrophy. MRI of the cervical spine with screening of whole spine needs to be done to confirm diagnosis. MRI is highly sensitive and specific for diagnosis of spine pathology. Meanwhile, start tab. Regain. Visit to orthopedic surgeon with report for detailed clinical Examination is needed. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]i have almost constant chest pain . Sometimes light sometimes extreme sharp pain in either side of my chest. I also get an ache in the lower left side of my neck, not sore but uncomfortable. I also notice it seems to worsen or be brought on by the slightest strain when using the toilet. I have had a camera down my throat and have been placed on nexiam 40mg for approx 2 months now.[/INST]Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) related chest pain is more. But better to first rule out cardiac cause for chest pain. So get done ECG and 2d echo. If both are normal than no need to worry about cardiac diseases. You are taking medium. It is having pantoprazole. Better symptomatic relief, along with pantoprazole, you need to follow these lifestyle modifications. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 5. Avoid smoking and alcohol, if you have these habits. 6. Lose weight if you are obese. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.</s>

<s>[INST]hai doctor , fromone year past am taking treatment for mild depression, doctor told me that its because of some age problem, so am taking for one year. recently 4 months back he changed the tablem and loweres the concentration of dosage also. after taking that am becoming bit fat, and my weight is increased............................ so i stopped the tablets..................... so i dot no is it happen any problems for me?[/INST]Hello, Anti depressants taken for long time do result in putting weight in the person but ideally these Chat Doctor. The biggest danger of quitting anti depressants abruptly is rebound of your depression. If you feel that your symptoms of depression are getting aggravated, it would be best to talk to your doctor for re issuing a prescription rather than starting medicines of your own. As far as weight is concerned you must take care of your calorie intake and do regular aerobic exercises for at least 45 mi Utes a day. Regular exercises will help you in your depression also. Thanks</s>

<s>[INST]My gums are bleeding for no apparent reason. When i brush them they bleed but sometimes they will bleed when im just sitting in front of the tv. This is a resent issue. In the last month maybe. I will make a dentil appointment but in the mean time is there anything i can do?[/INST]Hello! Welcome to Chat Doctor. Bleeding gums is common in poor oral hygiene. You did not mention your general health if you are in your menopause, taking any medication etc. This is because of the debris accumulated around your teeth. This cannot be removed at home. I suggest you to see your dentist for a professional scaling. You can only reduce the symptoms in the meanwhile. Gargle with warm saline water thrice daily. If you are known hypertensive, please go for any branded mouth wash with anti-plaque action. You can choose chlorhexidine. Seeing your dentist every 6 months for a screening and scaling is advised. Maintain a good oral hygiene. Regards.</s>

<s>[INST]Hi my follicle size is 18 mm on 8th day and endometrium is 6mm itself so pls suggest should we have intercourse today......and my doct says its not a gud cycle..and follicle grow is fast.and sugests to go for iui if endometrium improves....pls sugest[/INST]Yes in your report follicle is with good size, but the problem is with endometrium size. You need at least 12 to 14 mm, so it's not possible to implant in this endometrium size. If this type of patients come to me, I suggest him to do uttarbasti treatment of Ayurveda before also GUI treatment. Sometimes patient not need to GUI treatment also they can get conceive naturally. I would suggest him in this stage to take SIDA Cordelia powder 5 mg with milk two times before food. Since this is prescription base medicine, so you should consult Ayurveda specialist doctor.</s>