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<s>[INST] Hi. My son just sent me a picture from school. Looks like he is breaking out in brown spots on his face. It s not acne, but he has been on acne medicine antibiotic for a while. He also has has a bad cold and took one Advil cold and sinus this morning. Should I be concerned? [/INST] Hi...this looks like an acne which is getting exacerbated. This is not Chat Doctor. I suggest you see a dermatologist for this. 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] just finished chemo and they said my doctor may want to discuss internal radiation. I am not interested in this at all. Been trying to find out what the step by step procedure is done prior to a treatment. I do not believe in foley cathethers so they would be told from get go NO if they said they do this and also the anal barium will not be allowed either. It is an exit not an entrance. I was told I am cancer free so I don t see the reason for it plus the side effects. I have been through enough as is and will not allow any form of pain,discomfort and the embarrassment of the whole procedure. When I shad my surgery I was told if I refused the catheter they could refuse to do my surgery. I went ahead against my better judgement and I had trouble with my bladder for 3 weeks. Painful.I was told they would only leave it in for2 or 3 hours. It was left in until the next morning, I feel most catheters are left in to make the nurses job easier. This way they don t have to help you get up to go to the bathroom. Never again. I do not need to hear from you as I pay enough medical bills currently and all I wanted was an answer and I will just wait until I go to my doctors again. Should have known it would be too good to be true to get an outside opinion. We over pay as it is . Sorry I wasted my time. [/INST] You have not mentioned what cancer you are suffering from, but from what you have written. I presume it is uterine or cervical cancer. Internal radiation is mandatory for these conditions. Therapy is incomplete without ICR, intracavitory radiotherapy. Cathers are required, but these are placed temporarily only. Remember life is more important than anything. Instead of having undue fear of ca tethers, think of other things in life and go ahead with therapy </s>

<s>[INST] I have pain in my shoulder because in the month of May I fell in snow mountain , I got MRI donefor Multi-eco, multi- planar MR of the shoulder joint without IV contrast, report says Bones show normal alignment marrow edema was noted in the greater tuberosity the gleno- humeral cartilage is intact the labrum is intact.There is no evidence of effusion in the gleno-humeral jointe [/INST] Dear sir/madam sir I would like to know after how many days of injury was MRI done, and get evaluated clinically first, the go for radiographs if necessary, and if still suspect soft tissue pathology I will go for MRI, baded on little clinical information provided probably you should have got mild injury to shoulder, which should subside with rest and analgesics, mri says you have a normal shoulder, don't worry about the marrow edema reported. </s>

<s>[INST] My mother age is 49 and she is suffuring by maigrane headche last 4 years now its seviour and also problem of high BP,recurrent UTI , Renal Disease ( As per DMSA Renal scan report scaring in the left kidney and right kidney with avidence of scar ,Left Kidney function 7% and Right Kidney function 93%) Current Medicince Daily - Calcigard Retard, Metapure XL 50, Telma Q, Rozucore 10. Mg. minipress 2.5 Mg, Nephrosave( for Serum Creatinine 1.5 ) Febutaz/Fubujet ( for Uric Accid ) and yesterday my family dr. prescribed injection Nerokind for headche. now i am totaly blank because since 2003 i am faced the all problem what we can do? Now BP is normal range where as need to be continued above all medicine. because due to all dosage body hit gone up, Please........... Please..........Help me 0000. [/INST] She appears to have chronic infection of the kidneys with almost non-functioning left kidney and compromised right kidney as well as the creatinine is slightly high. She needs to control her BP in the range of 120/80 to 130/85 as well as avoid any further UTI. Furthermore, she seems to be doing alright with the current medicines. If she again has a UTI you might need to add a daily bedtime antibiotic tablet to prevent her UTI. Otherwise, you should continue with they same medicines and a close follow-up </s>

<s>[INST] Good afternoon doctor , i was put on Warferin for life, i suffer extreme pain in my back and hipjoints i want to stop the warfiren and use Disprin cardio care as it says on the package it unclots the blood same as what warfein does. is it safe for me to do so? [/INST] Hello, I am not sure what Disdain cardio care is, but it sounds like it might be aspirin, in which case it would not be safe to replace your Warfarin with it. Whatever Disdain is, it is unlikely to be as effective as Warfarin is for preventing blood clots. Since blood clots can potentially be very dangerous, I would definitely not stop taking the Warfarin without discussing it with your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s>

<s>[INST] I am 42 female, with no history of heart problems. When I was a child a heart murmur was dectected but not heard in a very long time. I rarely have palpitations but today I have had them a few times and my right arm is achy and tingly. should I be concerned. I am 5 and 254lbs. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related symptoms is more. But since you had heart murmur in childhood, we should rule out arrhythmia (rhythm disturbances in heart) for your palpitations and tingling arm sensations. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. You are approaching menopause. So hormonal imbalance is likely and this can further add stress and anxiety. So get done hormone levels and if imbalance then you will need hormone replacement therapy (HRT). Also consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] age 35 . female 168, weight 73.we have heridatary cancer from my dads family. can u pls help me ? [/INST] Thank you for choosing Chat Doctor, you didn't mention cancer of specific organ your family had a definite lineage. The most common hereditary cancer are cancer of ovary, breast,large intestine and prostate. First identify the cancer your family inherited. Know the RISC factor, early symptoms for that and consult family doctor consult about this. Whole body check up is not advisable at all. Better do some screening test such as colonoscopy for ca of large intestine. </s>

<s>[INST] I have numbness in my arms, shoulders and legs. What should I do to prevent? I ve had brain surgery and back surgery.Plus, both arms tingle in the early morning along with leg sensation and have A/FIB. Plus, a shunt was place in my head due to enlarge ventricles with fluid on the brain. [/INST] Hi, Welcome to Chat Doctor forum. As you describe, you had numbness of shoulders, back, and legs. Tingling of arms, and legs. You had surgery on brain, and back. I advise you to consult a neurologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically, calcium supplements, and painkillers. Avoid taking potato, other tubers, tomato,egg, chicken, and and seafoods. Wishing for a quick and complete recovery. Thank you. </s>

<s>[INST] Yes I am a 50 yr old man and I waited to use the bathroom last eveninguntil I got home.I dont like to use public restrooms for #2 so I held it 20min. In th middle of the night i woke up in pain.My lower abdomen, right side of hip, thigh and growing seem to be a little better today but I am concerned.Could I have strained muscles or could it be more serious? [/INST] Dear Patient, I do not think that the pain in the middle of the night is related to the event of the last night. Keeping the urine for 20 minutes normally should not produce extreme pain big enough to wake you up during sleeping. Of course that having strained the muscle may give you pain, and maybe you strained the muscle during holding the urine. What I suggest is to wait for 2 more days. If you experience again the pain, or other symptoms please go and make the urine and blood analysis, to check for prostatitis, urethritis or any infection of the lower urinary tract. Kidney stones may give you pain also, but they are after localized in the back, lumbar region.Meanwhile, I would suggest You Chat Doctor. Please feel free to write me anytime, and thank you for choosing Chat Doctor. All the best, </s>

<s>[INST] I woke up sick on Monday with dizziness, excruciating pain in the back of my neck, high fever and nausea. I broke the fever at 11:00 pm on Monday evening and felt fine when I woke up on Tuedsay. I was fine until Wednesday morning and I became chilled, have a low grade temp and now have that same pain throughout my spine. Should I be concerned? [/INST] Thank you for sharing your complaint, dear friend your fever rec cured once again with neck/spine pain so I suggest once you should go for investigation like CBC in blood and urine-routine micro to know the cause of fever. If investigations are normal no need to worry. You can take analgesic like paracetamol or for severe pain paracetamol in combination with ibuprofen for relief of pain. If you feel severe symptoms consult your family doctor first. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon dear friend </s>

<s>[INST] my daughter has recently had a operation and has lost a lot of weight, her boobs are very small and she says she can feel a little pes sized lump in the front of one of her boobs and she is quite worried , she has been through enough as it is, is it normal for tiny boobs with no fat to feel like this. [/INST] Hi, dairy have gone through your question. I can understand your concern. She may have some benign proliferative breast lesion or other lumps. She should go for mammography and biopsy of that lump. It will give you exact diagnosis. 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] Hi, may I answer your health queries right now ? Please type your query here... Hi, Is it possible people to suffer from Marke disease, and if yes is the vaccine the treatment? My mother is with rare tumor - neuroendocrine, but has something additional she use to work as a vet assistant [/INST] Hi, dairy have gone through your question. I can understand your concern. Mareks disease is an infectious disease of poultry caused by a herpesvirus, which attacks nerve and causes paralysis or initiates widespread tumor formation. It is not contagious disease and human is not affected by that. So don't worry it does not infect the human. Vaccination is not required for that. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. </s>

<s>[INST] Hello k have a question about my mom..... so years ago she went to the dentist and she got told that her teeth werent going to be able to get fixed, so they sand down the 4 front teeth amd put false teeth and now those broke right now she cant not afford going to the dentist but Iam looking for something temporary for her like some type of false teeth I think its called a crown and buy her a special glue till we can get money and take her what do you recommend? or how can I look it up ? Thank you so much [/INST] Hello, I have gone through your query and understand your concern. As you think of, it is possible to apply superglue on broken dentures and let the glue Chat Doctor. This need special tools. Purchase an emergency denture repair kit from your local pharmacy. Read the kits instructions carefully and make repairs with the bonding adhesive where needed, such as for repairing structural fractures. Clean your dentures if necessary with a denture brush and denture cream to remove old adhesive, and ensure your dentures are completely </s>

<s>[INST] Hello, I just wanted to know about my daughter s eventual complexion. She is just 2.5 weeks old and her entire body is fair except her face, which is slightly tan. Her mother is fair and I myself being a father medium light color. Please help answer if you could? [/INST] Thank you for the concern. Congratulations on becoming a proud father of a beautiful daughter. Today is daughters day, and you are blessed At this time your only concern shall be her health, development, feeding habits and timely immunization. As far as color is concerned she will keep changing every day, week, month and years to come. When she will need education, physical activity lots of love and encouragement irrespective of her color. Concentrate your energies in providing this and developing her in to a beautiful person at heart, this will make her most beautiful and loving and caring daughter in the world. </s>

<s>[INST] Hi Doctor,I am suffering from sever cough allergy, I have taken medication from last two months with no outcome. the moment i stopped taking medicine it starts again. also the medicine i am taking containis steroid for which i cant even plan for pregnancy. pls help me [/INST] Hi thanks for contacting Chat Doctor ... You are having severe allergic cough...since long duration .... So needs for identifying causative allergen.... You can consult pulmonologist for physical examination and auscultation... You can do allergy test for identifying allergen like dust, certain foods, mold ,pollen etc.... Patch test is example for it.... And then causative allergen exposure avoided.... Chat Doctor. ... Smoking not done if having habit ... Environmental pollution exposure limited... Fruits taken more.... When allergic congestion antihistamines </s>

<s>[INST] I am 29 years old and all my results came our normal. I had two follicles of 16 and 15 mm on day 12. Doctor asked me to come on day 15 for scan and ChatDoctor injection. But on day 15 we found that 2 of my follciles had ruptured naturally. There was lots of free fluid so they said it had ruptured recently. They did an IUI within 4 hours of the scan. My husbands sperm count was 41 mil with 15% motility. Was this a well timed IUI? When did ovultaion occur? What are my chances? [/INST] Hi there, I have understood your concern. Please do not panic. You have ovulated within last 6 to 8 hours. And your GUI is done in the correct time frame. Secondly, as per research chance of getting pregnant is almost 16%. Which is considered as a very good result. Thirdly, please get husbands semen analysis done later on with 4 days gap of sexual activity. His counts are ok but 15 % motility needs attention. Please seek opinion of your treating doctor for the same. I hope this answer helps you. Thanks. </s>

<s>[INST] Dear Sir / Madam . I am a boy 20 years old .. From Karnataka ( Coorg ) i hv a prblm in my face .. fully pimple and Black hds ...!! am alresdy used more thn 10 types of face creams .. no use,..... plz help me .. wt is the best medicine for pimple in the world wr should i gt ... ??? plz help me ...... [/INST] Welcome to Chat Doctor Good Dayton need to confirm with the Dermatologist as to what is the problem in your skin. For severe acne with nodulocystic variety Cationic acid cream is the best. Do avoid sun exposure to your face. Chat Doctor. Eat fresh green leafy vegetables every day. Visit your Dermatologist and request the medication for the specific problem and also chemical peels are available. Kindly do request these in this regard. </s>

<s>[INST] Hi, My Mom was diagnosed with Stage IV colon cancer in March 2013. She never had a symptom. The only issue she had was out of breath when climbing the stairs..Tapped lungs, etc. She started chemo in April -did 2nd ct scan in August, showed tumor grew from 3.5cm to 3.7cm.. Started her on different type of chemo, just had another scan a month ago showed the tumor stabilized and the other small nodules have shrunk, however, scan showed a blood clot in her artery, she is now giving herself 2 injections a day which the Dr. is hoping will dissolve the clot. She hasn t had any chemo treatments for about 3 weeks now and is actually eating great and feeling better. My concern is I just talked to her and she had a pounding headache, any advice would be helpful, thank you- worried Daughter [/INST] Hi and welcome to Chat Doctor, thank you for your query. In her case there are several possible causes of headache. Most serious is metastasis into brain, but this is not so often in colon cancer. I think this is probably due to chemotherapy and headache is common side effect of it. So she should take some stronger painkillers such as opiate analgesics and do ct brain scan to rule out metastases. Wish you good health. Regards. </s>

<s>[INST] My husband and I have been trying to conceive since Sept 2012. My past period started on 1/2/13. We had sex once a day from 1/8-1/16. On 1/17 I had severe cramping-which I don t recall ever experienced in the middle of my cycle (only during my period). Then today (21st) I noticed a puddle of slightly white/clear discharge on my underwear. I thought maybe this discharge was a sign that I am currently ovulating...took ovulation predictor test-came back negative. What do you think this discharge is? [/INST] HelloThanks for writing to us with your health concern. See, the ovulation predictor kit is not always 100 % reliable. Also, the discharge increases AFTER ovulation. It is at its peak just before your period is due. That could be one reason you got a negative test. You had ALREADY ovulated. However, you are still in the clear since you were sexually active during the requisite time. Being sexually active well past your expected ovulatory dates will also increase chances of pregnancy. Another possibility is conditions like POD which are keeping you from normal ovulationTake care. </s>

<s>[INST] I have pain in the underarm area that is radiating down towards my breast, The symptoms started about three months ago only during my cycle. The second month it lasted longer than my cycle. The third month it is still present 2 weeks after my period. I have some swelling but no rash, cuts, or injury to the area. I have already tried changing bras. Just prior to this starting I had a mammogram and an ultrasound that included the underarm area. My greatest concern is cancer. I have an appointment with my doctor tomorrow to be sure its nothing serious but do not want to brush it off. I have read several articles and my symptoms match some of the time depending on which article I read. Very worried. [/INST] It is understandable to be anxious about unusual pain in the body, especially associated with the breast. A very common process in the breast that can cause pain & seems to be affected by menstrual cycle/hormonal fluctuations is a benign entity called fibrotic change. Also, another benign lesion called a fibroadenoma can be responsive to hormonal cycles. Of course, the only way to definitively diagnose your symptoms includes a physical exam with your doctor, which you are scheduled for. </s>

<s>[INST] I was at gym doing dead lift with heavy weight. I felt extreme pain when putting down the weights. I thought pain will just last for few days, but pain never stopped. After 2 years, I did MRI and xray and got these information. Grade I retrolisthesis of L5 over S2. (Xray correlation). Diffuse disc bulge at L4-L5 is causing bilateral mild neural foramen narrowing. Right paramedian disc extrusion at L5-S1 is causing thecal indentation, marked right lateral recess stenosis with impinged right traversing S1 nerve roots. Left lateral recess and bilateral neural formen are mily narrowed. Welldefined STIR hyperintense intramuscular lesion at right posterior gluteal region. cystic lesion. What do I need to do now? What kind of exercise would you recommend? Thank you. [/INST] Hi, These are the following recommendations for you in your case1. Avoid weight lifting as much as possible2. Avoid forward bending3. Do spinal extension exercises4. Give hot fomentation twice a day5. Avoid riding two-wheelers6. Use lumbar support in your car7. Take tab Gawain NT8. Use any topical gel9. Take at least 10 physiotherapy sessions10. Use a lumbosacral belt in the daytime These are the recommendations from my side and if still your pain will not be relieved opt for surgery. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Hi. My 18 month old daughter has a reoccuring itchy rash that appears behind her ears, on her scalp, neck and sometimes the side of her face. It will disappear and reappear in different areas of her head. It seems worse in the evenings, however is there throughout the day. The rash is dark red and appears dry. There are a few raised bumps. About 2 week ago she had a cold/virus with a mild ear infection. She ran a fever of about 101. They treated her with antibiotics for the ear. The rash appeared about 3 days into taking the antibiotics. The doctor recommended we discontinue the antibiotics in case of allergic reaction. She has been off them since. Any ideas? [/INST] Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. </s>

<s>[INST] Hi I was doing my routine cleaning when all of the sudden my lower back started to get sharp stabbing pain. I am unable to sit or walk without having the sharp pain. I was also involved in a car accident back in April and had chiropractic therapy for 8 wks . I was doing okay it s been about 3 wks since I was discharge. [/INST] Hellowelcome to ChatDoctorim afraid to tell you that you might have a DISC PROLAPSE i.e a protective disc in between vertebral bones might have bulged out which is causing pain you are suffering from the immediate step should be to get an MRI OF LUMBOSACRAL REGION OF THE BACK n then consult an orthopedic with your reports of MRI so that he can prescribe you the appropriate treatment...till then you can take following medicines for immediate relief from pain(1) TABLET DICLOFENAC 2 times a day (2) TABLET CHLORZOXAZONE 3 times a day(3) HOT FOMENTATION in the region of pain 2-3 times a dayregardsChatDoctor </s>

<s>[INST] hi i am 52 and male i recently had a urine infection was treated with anti bios and seemed to clear up but now i have a very painful right testicle i have been 2 docs and she prescribed more anti bios ,the pain has nearly gone but noticed 2day my semen is very bloody looks like puss [/INST] HelloThanks for your query, based on the facts that you have posted it appears that you had UTI which was treated with antibiotics and now have pain in Rt Testicle. The pain in testicle and cloudy and reddish semen is secondary to UTI. Please consult qualified Urologist for clinical examination and get semen examination and semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.In the meanwhile start taking antibiotics like Augmenting and anti anti-inflammatory medication like Diclofenac twice daily and.later on switch on to appropriate antibiotics as per culture report. Please note that it takes long time for infection of the testicle to get cured hence you will need to antibiotics for 3-4 weeks. Chat Doctor. R </s>

<s>[INST] Ive had a lump in my right armpit for quite awhile now Im currently a 15 year old female and Ive had this lump for almost over a year now it started out small about the size of a marble and was slightly painful to hold the doctor told me it was nothing, I saw the doctor again after some months since it seemed to get slightly bigger he said to get an ultrasound of it but nothing was seen, currently its slightly big and it feels like a piece of fat thats slightly firm about 3-4 cm big Im just worried since its still there any advice? [/INST] Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be hi Chat Doctor. These lesions usually occur on the underarm, especially after shaving or plucking and/or usage of deodorants with strong chemical contents. Hair follicles get infected. Inflammation and subsequent abscess formation occur. Other possibilities are cystic lesions, fibrous or lipoma (fatty deposit). Medical (proper antibiotic regimen) and surgical (excision or incision and </s>

<s>[INST] My period was late this month. I had cramping on one side of my lower abdomen for a few hours, on and off. Later, I started bleeding. I havent bled enough to fill a panty liner, maybe one or two spots, first brown colored and then bright red. Is there anything else that could cause that besides pregnancy? I took a pregnancy test before the bleeding and it said negative. [/INST] Hi, Brown vaginal discharge is most often associated with old endometrial tissues. In other words, if your period is late you might get a brown, rather than red, discharge. It could also mean that for whatever reason during your last menses the entire uterine lining failed to completely exit. And since your period is late this time round, it is quite likely that its because of dysfunctional endometrial elimination. So as long as other symptoms don't appear, you have nothing to worry about. I hope this answered your question. </s>

<s>[INST] 97 year old father admitted to hospital with pneumonia. Levaquin drip started. White count has remained high after a week (39000). He has subsequently been transferred to rehab and put on oral Levaquin. Concern is that he may possibly have leukemia because white count isnt coming down. [/INST] Hi and thank you so much for this query. I am so sorry to hear about this high white cell count and the pneumonia that your father has. A high cell a lone is not very suggestive. Leukemia would present with abnormal cells that would have raised this suspicion. Because this was identified in the context of an infection, it makes sense to think it is related to the infection and not otherwise. If reasons to remain to suspect it after the treatment, then the doctors would consider that. A count of 39000 seems not too alarming for the infection he has. Let's monitor again to see whether it remains that high. I hope this ad Chat Doctor. If you have more related questions, feel free to ask me and I will gladly add </s>

<s>[INST] I have ben very achy the last few days, and as of last night my stomach seems hard and distended and it painful when I breathe deeply. I have also had a chronic cough for over a week, along with a headache, the coughing also causes pain in my abdomen and pain in my temples. [/INST] Hello, Welcome to Chat Doctor, Chronic cough will increase the intra-abdominal and intracranial pressure, which is leading to your symptoms. Pain in the abdomen and the temple are evident that you are having vigorous chronic cough. You may require sputum examination, chest X-ray and blood examination, this will guide us towards the possible cause for the cough. After identifying the cause treatment becomes easy. I would suggest you take1. Oral Antibiotics2. Oral Antihistaminics3. Cough syrup4. Analgesics. Consult your doctor do all the investigation, and you can take this medicine by taking prescription from him. Thank you. </s>

<s>[INST] Hi, deep inside my belly button recently has been excessively itchy and then today I was getting changed and I noticed that there was a little bit of discharge coming out of my belly button and this has never happened before. It is only a little but but it doesn t smell nice and it hurts my belly button, please can you tell me why this is happening ? [/INST] Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that you should get culture and sensitivity, Grams Staining from the discharge. Once the organism and its sensitivity is available you can take the treatment accordingly. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you. </s>

<s>[INST] My son saw a dr on tuesday and was diagnoised with a viral infection and some fluid in his ear but told it was ok. Also if he wasn t better by Friday then we needed to been seen for a mono test. The fever broke last night, he s complained of stomach pains off and on and now his ear hurts him a lot. could mono be a possibility? My ears hurt when I had it years ago. [/INST] Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Your symptoms suggestive of Otis media like ear infection. It can be viral infection as per symptoms. Your Endoscopy ear examination should be done. Decongestants like Ben Chat Doctor. For pain Paracetamol SOS can be prescribed. Steam inhalation and salt water gargle can be done. In mononucleosis cervical lymphadenopathy and hepatosplenomegaly usually present. If this is present than get investigated for it. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Hi, i am having dermographism . most of the time associated with hot and cold rashes. Have taken antihiatamines and mast cell stablissers like olopatadine. But it gives me only timely relief But I want a permanent cure. Please help me out. Even i can take alternate medicine. [/INST] HAI, This is a condition of hypersensitivity of the skin which is a peculiar characteristic of your body constitution. It is due to the presence of weak membranes of a cell in the body called mast cells which contains the histamines responsible for allergic reactions. When slightest pressure exerted on the skin, mast cells release histamine to take trail of area where pressure was applied. Since the defect lies in the cellular level, I suggest a treatment plan that would require regular follow-ups for more than a couple of months. Since it is a type of urticaria rash, Utica urns 30 can be thought of. It helps reduce the hypersensitivity of the skin. Hope the answer helped, Wish you good health. </s>

<s>[INST] i broke my ankle 18 months ago it as always remains swollen and as excess fluid recently it keeps going red and throbs all the time in that one joint i wear insteps in my shoes all the time,when i take them out i am in agony and can not walk,what is causing this and what can i do to help my situation [/INST] Hello, Thanks for writing to us, I have studied your case with diligence. As per your history pattern there can be persistent tear in ankle ligament. I will advise doing MRI ankle for soft tissue involvement. Till time, you can continue physiotherapy exercises and also use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. If there is complete ligament tear then arthroscopic ankle ligament repair can be done or if capsular tightness is severe then release can be done. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. </s>

<s>[INST] I have pain on the lower right hand side of my stomach. It hurts when I breath and when I sit and when I get up. The pain on the scale of 1-10 is about an 7 or an 8. I am sitting in chair now and it hurts. My stomach is also bloated. I have had this pain for about 2 to 3 days now. The pain is more intense today then it was the past 3 days. I have been taking the supplement CLA for weight loss. I have taken one capsule a day but I have not been taking it regularly for the past two months. I take it with 1400 mg of Fish Oil. What is wrong with me. Could I have pancreatic stones or gall stones. I do not have a fever and I am not vomiting. [/INST] HI. Gone through the history you have provided. Odd to know there is no fever, no vomiting in spite of pain in right lower abdomen.7 to 8 ON scale is severe enough. It hurts when you breath-there are few things like appendicular lump, kidney problems and inflamed gall bladder that can cause pain like this on the right side of abdomen. The best way to get the clinical examination by a Surgeon and ultrasonography to find the cause. Pancreatic stones do not present like this. </s>

<s>[INST] I have a lump in front of my right ear lobe on side of face. Noticed three weeks ago but it has increased in size and is now very painful when touched. Some swelling in the cheek area. Have applied both heat and ice which have not helped. No pain inside of mouth. I have also been exhausted for days, sleeping about 17 to 18 hours a day for the last three days. Have hot and itchy rash on both elbows which has been a reoccurring thing. And just got over having sores in my mouth which also has been a reoccurring thing. 56 year old female with ckd and a filtration rate of 42. My doctors soonest appointment is two weeks away. [/INST] Hi and welcome to Chat Doctor. I understand your concerns and I will try to help you as much as I can. This looks like some benign subcutaneous lesion. In many cases there are glands (lymph nodes) around and behind ears that commonly swell when you have a cold or sore throat. More serious infections may cause the glands to enlarge and become very firm and tender. Also, considering your description this may be some other benign subcutaneous lesion such as lipoma, fibrous or atheroma and if there are no skin changes such as redness, pus discharge or pain and fever then you should not be worried since it can be easily surgically removed under local anesthesia. Infections should be treated with antibiotics. If there is no improvement you should see ENT doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. </s>

<s>[INST] Hi, I am 33 weeks pregnant and have been suffering from flu for two and a half weeks now...tired, weak, headaches, shivers, exhausted etc...Had a blood test which has shown high levelas of alkaline phospotase (over 500), other results normal, apart from ALT (?) level slightly elevated at 53. Basically, my question is, should I be worried, am feeling so ill, naturally I am worried about my baby? Any reassurance /advice would be gratefully received. Thanks! [/INST] Hello, and I hope I can help you today. Unfortunately, being pregnant does not mean you cannot get sick like anyone else. Pregnant women get much sicker from the flu than other demographics, because their large belly makes it harder to cough and their body caring for the baby Chat Doctor. However, your body is designed to protect the baby. And regarding your blood test, it is normal for your alkaline phosphatase to be elevated in pregnancy. But if you have not been officially diagnosed with the flu, or have not had an evaluation of the baby since you started feeling sick, I strongly suggest you go to the hospital for evaluation for you and the baby. There are other conditions that can cause shivers and fatigue during pregnancy, and if you have a fever higher than 104 (or 40 Celsius) it can harm the babies. So please get a full medical evaluation as soon as possible if you have not yet done so. In the meantime, you can safely take Tylenol (Acetaminophen) or Paracetamol at the regular adult dosage safely while pregnant. Also </s>

<s>[INST] I have these little red dots on the tip of my tongue. I ve had them before, this is the second time and last time it lasted a week or so. It doesn t hurt when I eat or anything but it stinks when I brush my teeth. Also, I ve had fever blisters since I was two years old. Could this be oral herpes on the tongue? [/INST] Hello, Welcome to Chat Doctor, The herpes simplex 1 is known to affect the area around the mouth, and it will not affect the mucosa, and it is confined to area between moth margin and the skin. The symptoms which you are giving are more in favor of authors ulcer which is red and painful, and it is mainly due to deficiency of vitamins. The sharp teeth, spicy food and the Chat Doctor. It can be prevented by avoiding these risks. I would suggest you to apply Angel cream on the lesion and consuming daily vitamin B complex. Thank you </s>

<s>[INST] Hi doctor , I m having discomfort in lower right abdomen for few years . And for the last few months I have pain in the buttock and lateral side of the hip. I had blood test which showed elevated ESR of value 123, hb of 12.9 , mch 26.6 and MCHC 32.1 . I have got bit of tingling in my body especially in night time on feet . I m 33 years old male . [/INST] Hi. The pain in such a situation can be due to Sons Abscess (a muscle at the back of abdomen). You have a very high ESR indicating chronic problem. I would advise such a patient to undergo MRI of lower spine abdomen and hip area to confirm the diagnosis and go for further management. MY view goes into favor of ruling out the tuberculosis of the spine tracking down along the muscles. Please let us know the findings. </s>

<s>[INST] my son is 22 yrs old and is suffering from thoraic scoliosis convex on the left side with cobb s angle of 18 degrees and lumbabdegrees. no bone destruction, disc space narrowing or paraspinal ossfications. the gravity line is anterior to S1. what should be the medication to this, can the curves be corrected to normal position? my husband is also suffering from cervical osteophytes, he s treated with muscles relaxants only as no serious bad condition to suffer from according to doctors. which is which? [/INST] Hello, A 18 degree cobs curve is not a matter of worry in scoliosis at age of 22. In our routine OLD we advise physiotherapy in such cases to strengthen the back muscles. A scoliosis of more than 20 -40 degree need surgical interventions. At present physiotherapy and electro-therapy are sufficient for your son as a treatment. Hope I have answered your question. Let me know if I can assist you further. </s>

<s>[INST] Hello sir. I have been diagnosed with ckd. My doctor told me that my kidneys are highly echogenic and my left kidney appear small in size. During dtpa, they found that my net gfr is 56 and split is 18 for left and 37 for right kidney. But I don t know the underlying cause for my kidney damage. Doc said no biopsy. [/INST] Hi, welcome to Chat Doctor. Looking to your history, it seems that you have Chronic kidney disease stage 3 with shrunken kidney. Biopsy is a diagnostic procedure to determine the cause of kidney dysfunction. But, biopsy can not be performed on shrunken kidney. It will not give us any answer. Check basic urine report, 24 hour urine protein and BP. These can give us some clue about type of your kidney disease.Don't worry. Consult your nearby Nephrologist or you can communicate with me also with reports. I think this would be helpful to you. Best wishes. TC. Chat Doctor. </s>

<s>[INST] Good day my mum bilibrium is high and her alkaline phosphate is 381 also here Asog And Asop is high any time she eat something little her stomach will look like a pregnant woman she had 4miscarriage please what is diet solution to contract her liver back to normal please thanks expecting your reply.please where is the best place to study film production course and others things to know about computer thanks from gift nwannah [/INST] Welcome to Chat Doctor. Thank you for posting your question. I can understand your concern. I can understand that you are very anxious about your mother. I think you are talking of GOT and SGPT. She could be having hepatitis, Nonalcoholic fatty liver disease (NAFLD), gall stone disease (cholecystitis) . The abdominal swelling could be due to collection of fluid in abdomen called ascites. It would have been great had I examine you on my own. You need to undergo a few tests to find out the exact cause. I would suggest you to ask her to- Avoid oily, fatty food- Chat Doctor. Stop alcohol-Have a BLAND DIET.- Get an abdominal ultrasound, Complete blood count, Liver function test, platelets, urea, creatinine, electrolytes done - This will help in the diagnosisVisit a gastroenterologist. He or she can examine her and correlate clinically. Do not worry. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. </s>

<s>[INST] Sir my daughter three n half yrs under weight 12 kg and suffering from 100 fever as well as very bad stomach ach it comes n go seems cramp spasm i performed whole abdomen which shows echo pattern is homogenous and gb is partially distended and excessive bowl gas is seen in the abdomen crocin syrup thrice day given along with maftal p andcefrozil syrup as an antibiotic as blood report performed shows esr35 creactive protein reactive and TLC count 16000 hb 10.6 sgot 40 sgpt 35 and gave lanzole child tab two times but her symptoms of spasm increase and she become vwry weak as she doesnt eat and ddont even take liquide diet plz guide me as i have to go to dubai with family for week so iam worrying is it seriouse? And plz prescribe few good medicine so can rid of pain n fever thx ubhaskar patel [/INST] It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. </s>

<s>[INST] Hi, I m 24 years old, located in Texas, and I work as a vet tech.. I have a few questions to ask. My first is about infertility.. I ve been trying to have a baby and I keep up with my cycle and all but every month I keep getting my period. But my periods have been odd lately. My periods will always start out very very light and the next day will be light to medium then the third day I just kind of spot throughout the day but then I keep spotting for about 5 days after my period ends. My last recent period the very first day the blood was dark brown almost black then the next day it turned into red brown but with my normal flow then the third day I spotted red lightly throughout the day. Then spotted for about 4 or 5 days after. Is something wrong or am I just not fertile.. An also I don t have a lot a money to be spending for expensive doctors [/INST] Hello. Thanks for the query to Chat Doctor Forum. As your age is 24 years and menses history mentioned is an indication of scanty menstruation or also irregular bleeding, so the cause may be .1 Hormonal imbalance so get in blood for estrogen, FSH /LH ratio and an Chat Doctor. 2 Poly Cystic Ovarian Disease is the second most common causes of infertility and such type of bleeding, so get in ultrasound of both ovaries .3 Fibroid in uterus may be the another reason of such bleeding, get in ultrasound of uterus for confirmation.4 Semen analysis play an important role in conception so get in semen analysis of your partner. Still you feel problem then get ovulation study for ovulation. If further any query I will reply. Good luck. </s>

<s>[INST] My husband had Cervical Surgery (C2-C7 10 screws 2 rods) due to Cervical Stenosis 2.5 months ago. He now has swelling in his hands and anles/feet with severe pain. He has been tested for arthritis (all) Lupus, Fybromyalgia and numerous other tests. He takes Blood Pressure with a Diueretic and a water pill and numerous pain medications due to the pain. What else can be causing this???? [/INST] Hi, thank you providing a brief history of your husbands case.to look forward with this, lets look for the surgical issue what he has undergone. Post surgery is your husband doing any physical simple stainless exercises? If not a physical therapist will be of help. The surgery was performed.to help get ease of symptoms. You can discuss the same with the surgeon about the physical therapy and your husband will.be helped. For swelling in the feet and hands you need to keep moving the hands and legs, so the metabolic waste keeps getting excreted.a physical therapist will guide you for the best. With the grace. Of God I wish your husband a speedy recovery. </s>

<s>[INST] I have bloating , tenderness in the lower right quadrant. I went to the ER center, where I had blood and urine test done. I don t have a fever. The results show no infection and no sign of appendicitis . The doctors checked for hernia and failed to locate one. This has been going on for 2 months. I am 29 years old male. Thanks [/INST] Hello and welcome, Thanks for your query. It is a good thing appendicitis and hernia were ruled out, but hopefully through both a physical examination and an ultrasound investigation. As you have not mentioned an ultrasound investigation, I would advise you to go through with one, it is not painful at all, and can greatly help in visualizing any source, that could be causing your tenderness. The bloating could also be due to an irregular diet and unhealthy eating habits. Are you experiencing other symptoms like vomiting, or meal related pains (i.e. pain increases after a meal, or is relieved by a meal)? Has your stool changed in color or consistency? I understand we can only provide limited help to you without being able to directly communicate with you, I hope I have helped in some way or the other. You can always write back to us for further clarifications, and with more information. In the meantime, you could get an ultrasound done. Wishing you good health and lots of luck. Best regards. </s>

<s>[INST] hi, recently i had a blood vomit . in consultation with a doctor i under went a abdominal ultra sonoraphy. the following are the results. -fatty liver -enlarged spleen : 125 mm i have been prescribed the following medicines. silimarin 140mg pantodec dsr beplex forte digecaine syrup after following the prescription for a day, i now have mild fever and stomach ache with irregular bowel movement . can you please suggest a way out. [/INST] Hi, Vomiting blood is not normal. It could be due to ulcer disease or due to varices secondary to liver disease. Since the ultrasound scan shows enlarged spleen, bleeding due to varices is more likely. An upper GI endoscopy should be done to confirm the source of bleeding. If it is varietal bleeding, it can be controlled endoscopically. You may have to be on long term medications. If it is due to ulcer disease, then you have to be tested for H.pylori infection and treat it if found to be positive. I hope that answers your question. Regards. </s>

<s>[INST] I am 59, and recently had surgery to remove a very large lipoma from my back. The surgery was done in an operating room due to the large size of the lipoma. I have a severe allergy to latex - type 1 IgE mediated with anaphylaxis, and strict latex precautions were in place. I also have severe asthma secondary to the latex allergy. I do have diabetes - type 2 insulin dependant, and I am post graves disease. I was intebated. When I was extabated, I had trouble breathing. The Anesth gave me an updraft of epinepherine, and I turned blue, and my O2 sat dropped to 70%. The epi was stoped and I recovered, but had severe chest pain. I was admitted and had the chest pain again the following morning. Evidently I showed an atypical rise in my Troponin T levels, with a negative CKMB. I also had some EKG changes. I was transferred to the large medical center, and was evaluated quite extensively - all was negative (stress echo, nuclear stress, )no angiogram was done. I was on a nitro drip and also on heparin IV. Nothing showed except this elevated troponin t level, and they discharged me without a real diagnosis after 24 hours. What do you think happened to me? Could it be related to my latex allergy? ? histamine release?? My tryptase level was 18.5 Could I be allergic to epinepherine? I also showed some fluid around the heart - ? why? [/INST] Hi, Troponin level could be raised because of lots of conditions including severe anaphylaxis, post-surgery apart from cardiac disease. But an ECG change along with raised Troponin level is highly suspicious of cardiac disease (blockage in arteries of the heart) and also you had the chest pain. Plus you are a Diabetic. I could not think of anything other than a cardiac-related problem. We do not recommend doing a stress echo in patients with positive Troponin, dynamic ECG change and with chest pain. I will advise you to see another cardiologist and get an Angiography done soon. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s>

<s>[INST] Im having pretty sharp lower left abdomen pain, on a scale from one to ten its about a 7. I had a pretty severe kidney infection several years ago, and it doesnt feel like that location-wise. It started late Thursday/early Friday, and its progressively gotten worse. It now is very painful to move and almost painful to talk. Should I wait until a QuickCare unit opens or go to the ER? [/INST] Hi. Thanks for your query. With the severe pain in the left lower abdomen, which does not allow you to move and almost painful to talk. This indicates peritonitis, and you need to rush to ER for clinical examination by a Doctor and investigations :Test of blood, urine and stool, X-ray of the abdomen in standing position, Ultrasonography. If the clinical examination gives a rebound tenderness, this is a certain sign of peritonitis and most probably you may need surgery. </s>

<s>[INST] I am 54 years old female with a history of back pain.microdiscectomy december 2008 L5 area which was a success. in the last 2 weeks have had severe back pain down rhs leg and buttock, unable to stand sit or walk, chiroprctor states its a flare up, I cant afford to be off work as dont get paid or the chiroprctor fees, on full pain relief and cold compresses but no relief-have gp appt on friday for unrelated medical problem should I see gp sooner as have type 2 diabetes and right foot numb? [/INST] Dear patient Severe pain in whole leg with numbness in foot indicates significant disc prolapse either at same level (L5) or higher level. So it's a serious condition and you need to consult expert spine surgeon asap. MRI of lumbosacral spine with screening of whole spine is required to ascertain level of disc prolapse and amount of nerve compression. Please do that and visit spine surgeon asap and do not neglect your health. </s>

<s>[INST] so i am a 20 year old male who has asthma i have recently started coughing up mucus and have a hard time breathing there is alot of tightness in my chest and my albuteral is basically usless i have taken a bronchiol tablet and i took an antibiotic today but nothing has helpled [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Worsening chest tightness and coughing in asthma patients suggest acute exacerbation of asthma. This is acute emergency. If you don't treat it now, it will worsen more. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral corticosteroid is also useful in some cases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] I was woken up in the middle of the night with a severely painful thigh which is causing me difficulty in walking and moving generally. As it is Sunday it would be difficult to obtain a Doctor s appointment. Not sure what to do. My name is Sandy Bell. Please reply to my partner s email address below. [/INST] Thank you very much for contacting Chat Doctor. You have problem of severe thigh pain that may be because of diabetic neuropathy. Check your blood sugar level. Any injury to thigh may cause thigh pain. Take one x-ray of thigh. Any bony lesion may cause severe pain at thigh.X-ray give exact idea. Anemia may cause sever pain. Check your blood hemoglobin level also. Consent a physician for further diagnosis. Proper physical examination and history give exact idea. I hope my guidance is helpful to you. . Take care. Thank you very much. </s>

<s>[INST] during the birth of my second child his head circumference was 3cms less than the normal. Dr s told this is primary microcephaly .Now he is 2years old all his activities are normal he speaks identifies objects and does everything normal but looks smaller than other kids of his age group [/INST] Hi, Welcome to Chat Doctor. Kindly don't compare with other child Chat Doctor. The right way to do it is to compare in the children growth card how he is doing. If his head size is growing in the normal means as plotted in his growth card, and he is otherwise developmentally normal, I don't think you need to be worried. Head size is a depiction of brain growth inside and if rest are normal, then brain growth also would be normal. Hope that answers your query. Take Care. </s>

<s>[INST] Hi my name is Darin. I am having surgery on my nose Thursday. They are doing several procedures. I also have 4 bulging discs in my lower back and I take Percocet 10 daily for chronic pain. My surgeon said he was aware that my immune system was down to Percocet because I have taken it for so long. He said he would take care of me....do you know what he might prescribe me? I have panic disorder and I am almost crippled with fear of hurting and the pain killer not working. [/INST] HiT hanks for using Chat Doctor Percent contains oxycodone, and it does not affect on immune system. It is a painkiller and like other painkiller, you can take. If your surgeon wants to change it, then it is difficult to judge which painkiller he would prescribe you. For panic disorder, you can take antidepressant with low dose benzodiazepine. You can also try some relaxation exercise. In case, you need further help, you can ask. Thanks </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] Pat C. a friend of mine is having pain in her inner left thigh. It is 3/4 colored like a blue and dark purple like a blood vessel burst. She has trouble walking , she completed her 6 chemo treatment 2 weeks ago. Should she have this check out , she seems to think it is nothing serious. [/INST] Hi, Thanks for writing in. It is possible that she might have complications arising after chemotherapy due to blood getting clotted. This should not be neglected as she is unable to walk properly, and therefore it might be a concern. A blood clot in the deep veins of the leg has to be ruled out first. Please tell her to consult the doctor a get the painful thigh examined clinically. Clinical examination is required and this might need a Doppler scan of the lower limb to see for any clots. Alternatively it can also be inflammation and bleeding from the superficial veins in the thigh and this is not a serious concern.However, a clot in the deep veins of thigh and leg can be a threat to life, and she should not neglect herself. Please do not worry. </s>

<s>[INST] i fell down 2 weeks ago head first in the parking lot. i have fractured cheek bone. I also had lots of dizziness. it got significantly better in 3 days after concussion but remain the same in last 12 days. I have dizziness in early morning after I wake up. head is not clear as it use to be. feels like it is blocked.may feel dizziness during daytime as well. I requested family doctor to see neurologist but in Canada it may couple months before I specialist. family doctor didn t check anything. they say wait and it will go away. I don t know how much time I need to stay home before i start working again and start running. I am marathon runner, I would like to start my training again. is there any cure for concussion [/INST] Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Dizziness and other complaints you have mentioned persisting for two weeks after fall can be commonly due to two causes 1. Disturbance in the vestibular system. These are small canals with fluids in your inner ear. This will settle by itself 2. Chronic Sub Rural Hematoma. This is collection of blood between brain and its coverings. You need to consult a Neurosurgeon for this So, I would request you to ask for appointment from Neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. </s>

<s>[INST] My son just started eating porridge and cerelac but after few days his poo become a bit wet with green and yellow color and have a sticky blood in it!what would be the cause of changing the color of his poo because before its green and why it have blood? [/INST] Hi, I had gone through your question and understand your concerns. You should be worried but not too much. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to go on stool analysis and stool culture, because it usually signs of intestinal infection. You can discuss this with your treating Doctor. I suggest you to give your baby eco norm 1 sachet 2 times for 3 days, then Similar 1 capsule once a day for 1 month for normal intestinal flora. For further treatment you need experts guidance by child specialist </s>

<s>[INST] DOsosoIsor. Griefgy.I am taking the following meds. for blood pressure: hydralizine,carvedilol, and isosobide.I would like toget off of them. I am tired all of the time and have to energy. I also take pantoprazole for acid redux.I see on the inyternet offerings from various providers for natural products that will lower blood pressure such as herbs bananas etc. Do they have any merit I am in reasonable health for my age.I am 87 and active or was active as I no longer have any energy for activities.Tests show that I am not enemic.Thanks for your heland and adviceJack Deddens e mail YYYY@YYYY [/INST] Hi and thank you so much for this query. I understand taking pills daily at times can make us not feel too great and wish we could do without them. Congratulations on having accepted to take the all this while and keep your health in a good state. There are many products out there which claim to be able to keep you blood pressure well controlled. All by themselves, it is very difficult and in most cases impossible. They are rather supportive measures that may reduce the dose of medications that you need to keep your blood pressure controlled. Also, these products are not validated to be used as medications and sure no doctor would want to expressly prescribe them as main treatment option. Weight loss, low calorie diet, low salt intake and regular exercises are helpful in achieving and maintaining a normal blood pressure. Talk with you treating physician to get more specifics and let him know how you feel about these medications at this time. He may suggest a review based on your numbers. Hope this helps. I wish you many more health and enjoyable years. Thanks. </s>

<s>[INST] I have no idea how I got this bump on my forehead, it is a size of a quarter and raised about 1/4 . I must of hit my head and did not think any thing of it and then one day I felt it. It has been at least 5 yrs. Is there anything naturally I can put on it to reduce it size? I would do it every day if I knew it would get rid of it. Thanks so much for your help. [/INST] Hi, Thanks for the query to Chat Doctor.-I studied your query in depth and understood your concerns.-Cause and Treatment-of the lump on forehead-is mostly due to Sebaceous cyst ? Or Epidermis tumor? Or Desmond tumor. Its benign tumor and harmless and not to be worried. Remedy-I would advise consulting a Surgeon and excise it for cosmetic worries if any. This would help you to plan treatment with your doctor.Don't worry and things will settle Hope this would resolve your query. Welcome further for any query in this regard. Wishing you a fast recovery.Don't forget to Write a good review ASAP. Have a Good Day. </s>

<s>[INST] Hello Samuel, I pray you can help me. I went to the ER @ hospital. They did a catscan and my colon is all enflamed on the outside edge (a long strip of colon) And gallbladder is damaged from car accident in 1996 , pushed up higher than should be. DR in ER said it is a ticking time bomb, and is crunchy and crystalized. I had a colonoscopy a week ago. A polyp was removed, and biopsies were done. Still waiting for appt. for gallbladder, but for over a wekk my bowel movement is mostly just like slime, mucus, and a tiny bit of blood each time. And about 1/4 cup of just slime, some pinkish color, some looks like skin color. My Dad has colon cancer and stomach cancer right now & on chemo. I am afraid, because I have so much pain in colon and stomach, especially after I eat anything. Why do I have so much mucus & slimy stuff ? It actually looks like the inside lining of my colon, that shouldnt be coming out in such great quantities. Please ease my mind, before my appt. w/ the surgeon on Tues. she wants to talk about the biopsies with me. Thank you so much for your help, Martha Thomas, YYYY@YYYY [/INST] Hi, You have mentioned that you have a colonoscopy a week ago. Then what was the exact fining of colonoscopy? Polyp may be found but the important information to have is the number of polyp. Colon cancer can run in family. Proper colon cancer screening protocol is there and that should be offered to the individual having history of colon cancer in family. You should wait for the biopsy report. Nothing to worry right now. Take care. </s>

<s>[INST] Hi, my wife (25yrs) has stone in her right kidney of 9mm size. This was diagnosed 4 months back by ultrasound. That time she was not experiencing any problem. Doctor told to let it there and suggested some do s & don ts. Yesterday, she had severe pain in her lower right abdomen. Local doctor given some injection to relieve. I wanted to know, what are the options for her kidney removal with minimal surgery. Thanks in advance! [/INST] Hi, Thanks for using Chat Doctor. Q. what are the options for her kidney removal with minimal surgery? Shock wave lithography. It uses sound waves to create strong vibrations (shock waves) that break the stones into tiny pieces that can be passed in your urine. This can cause moderate pain, blood in the urine and discomfort as the stone fragments pass through the urinary tract. If not successful then surgically can remove stone using small instruments inserted through a small incision in your back. Discuss with your doctor for the same. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards </s>

<s>[INST] I have a swollen whartons duct w what looks like a white ulcer on it. My dentist is sending me to an oral surgeon(dmd?). Extremely worried, I asked my dentist on a scale of 1 to 10 how nervouse I should be, he said a 2. What would the symptoms be if it is cancerous? [/INST] Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have swollen Watson's duct, it can be due to obstruction, salivary stone in gland don't worry dentist has referred you to surgeon to go for investigations and biography done, As you are worried about cancerous don't worry about cancerous lesion go for proper investigations first, Consult Oral Surgeon and go for treatment done, Hope this will help you. Wish you good health Regards, </s>

<s>[INST] Dear Doc, I got my blood report yesterday and I got suffered from typhoid fever and I have cough also. The doctor suggested me medicine but nothing is improvement in my health. Yesterday he gave ma a MONOCOF 1G injection but also it has no effect. I am fit and fine and I can do my work and cook food, no any body pain, no headache. The fever is rising in morning. If medicine is over again the fever caught. So please let me know what step would I take? [/INST] Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you should think of blood culture for salmonella, and sensitivity of the same. As you taken the treatment Salmonella type will not be isolated in culture. So do two or three culture from different place. Once the sensitivity result on hand start with antibiotics sensitive to particular strain of salmonella. Complete the course of treatment to prevent the relapse. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you. </s>

<s>[INST] my son who is six years old has blood streaked sputum for about 5-6 times today .He is on constant nebulization with duolin,levolin and budecort for past 20 days .Few weaks earlier he was advent forte and crocin due to sore throat and fever.He also has enlarged adenoids ..right noe he iis not having fever From delhi we have come to tour in mysore ...kindly suggest effective medicine for him [/INST] Blood streaked sputum or hemoptysis could be a sign of pneumonia or tuberculosis. The cause needs thorough evaluation as well as follows up. He is already on antibiotic (advent forte) and so the response to it needs to be monitored. The medicines that you are giving along, are proper. Give steam inhalation alongside. Further treatment can only be suggested after proper examination and investigations. Antitubercular medications would be required only if the test reports indicate tuberculosis. </s>

<s>[INST] i went to the doctor today and found out i have slightly high blood pressure (132/82). im a 20 year old college baseball player and i use hemo rage black (a pre workout supplement) to get the most out of my workouts. is this okay or should i stop immediately? [/INST] Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your increase in the blood pressure seems to be related to the supplements you are taking. You should know that all the pre-workout supplements have shown to increase blood pressure and cause cardiac arrhythmia. But also other secondary causes of high blood pressure should be excluded too. I would recommend consulting with a GP for a careful physical examination, a resting ECG, a chest x-ray study and some blood lab tests (complete blood count, thyroid hormone levels, cortisol plasma levels, kidney and liver function tests, blood electrolytes, etc.). Meanwhile, I would recommend stopping all the supplements that you are taking. Hope to have been helpful! Greetings, </s>

<s>[INST] and general issues in the last montsh. Started with hp infection, then night sweating, and chills. Now warm and joints pain. I did...and general issues in the last montsh. Started with hp infection, then night sweating, and chills. Now warm and joints pain. I did [/INST] HIT hank for asking to ChatDoctorI really appreciate your concern and form the history given here this could be said that because of the infection you're having a fever and joints pain if I would be treating physician of this case then I would surly treat this case with the following medicines,1) Tab Acetaminophen three times in day2) Tab Ibuprofen 400 mg three times in day no need to worry about this every thing would be fine soon take care and have a nice day. </s>

<s>[INST] I HAD DRY CAUGH IN THE NIGHT BETWEEN 2 A.M TO 3 A.M SOME TIMES. AFTER THIS MY BREATHING IS OBSRUCTED. AND MY VOICE BECOMES VERY VERY AND IT MAKES LOUDER NOICE FOR WANT OF BREATH. AFTER HAVING A GLASS OF WATER IT BECOMES NORMAL. DURING THIS TIME I HAD OBSTRUCTION IN BREATHING. WHILE EATING ALSO ESPECIALLY WHEN I AM TAKING FOOD SOME TIMES I GET DRY CAUGH AND VOICE MAKES VERY LOUDER NOICE FOR WANT OF BREATH AND WATER. WHAT IS THE EXACT PROBLEM. I HAVE CLEAN HABITS. NO BREATHING PROBLEM DURING THE DAY OR WALKING RUNNING AT ANY POINT OF TIME. PLEASE PROVIDE YOUR ADVICEMY AGE 47 YEARS,MY HEIGHT 165 CMSNO BLOOD SUGAR,BP 70/110i HAVE BREATHING PROBLEM IN THE NIGHT WITH OBSTRUCTION IN THROAT. [/INST] Hello. Thank you for asking at Chat Doctor. I went through your history. I would like to ask a few more questions here like - What is your weight (Are you overweight)? Do you have any nose symptoms like nasal obstruction, running nose, etc.? Do you have any difficulty in swallowing foods or liquids? Do you have regurgitation of food, especially at evening or after spicy meals? However, from your history, I would think first of gastroesophageal reflux disease or obstructive sleep apnea. I would not think of allergy/asthma at present. I would like to make following suggestions:1. Were I treating you, I would prescribe antacids like omeprazole or pantoprazole half-an-hour before meals for at least 2 weeks.2. Please avoid hot, spice meals. Please avoid smoking, alcohol and caffeinated beverages.3. Please do not eat to full stomach at dinner. Please do not go to bed immediately after dinner. It would be great if you can go for a brief, relaxing walk after dinner.4. Weight reduction (if you are overweight) will help.5. Sleeping in left lateral position or sleeping with head-end of bed elevated also may help. However, if above measures do not help, I would suggest you to consult a physician who will suggest you further investigations after detailed inquiry and examination. Hope this will be helpful to you. Wish you the best of the health. Should you have any query, please feel free to ask at Chat Doctor. Thank you & Regards. </s>

<s>[INST] I had 3 teeth pulled. 2 top right molars 1bottom. Well i think I have dry socket and when I close my mouth and puffmy cheeks out I hear fluid bubble where my tooth was pulled out.I have gum disease too. That why I had teeth out infection. What is this noise? I had the teeth out the 10th of Nov. [/INST] Thanks for your query, I have gone through your query. The clicking sounds near the ear can be because of the disc displacement in the temporomandibular joint. This can occur secondary to opening your mouth too wide for long time during tooth removal. It is not Chat Doctor. Consult an oral physician and get it evaluated. You need to take a radiograph like OPG and TMJ views. Meanwhile you can take tablet proximal. I hope my answer will help you, take care. </s>

<s>[INST] i am 50 years old and a vein near my temple has just appeared, I do not have a headache and there is no pain but when i touch it, I can feel it pulsating, I have not been under any stress nor have I been taking part in any physical activity today. should I be worried? [/INST] HelloWelcome to Chat Doctor ! Your symptoms do not seem to indicate a serious medical disorder. Anxiety could contribute in the appearance of this vein. I would just recommend monitoring your blood pressure values. Anyway, if you start having headache, I would recommend consulting with a neurologist and performing a brain MRI and inflammation tests. Hope you will find this answer helpful! Best wishes! </s>

<s>[INST] My colleagues daughter is having a psychological problem It has recently started some eight month back. we our counseling with a psychiatrist in pune but not much difference. i have heard about Dr Voras acupressure treatment. I would like to know if psychological problems curable. [/INST] Hi Welcome toChatDoctorI have gone through your query regarding use of acupuncture for psychology problems. Acupuncture and Oriental medicine is an art and a science. According to Chinese Medical theory, mental illness occurs when there is imbalance within the body. Imbalance can come from an excess or deficiency of yin and yang that disrupts the flow of QI or energy through the body. Acupuncture is the stimulation of specific points located near or on the surface of the skin which have the ability to alter various biochemical and physiological conditions in order to achieve the desired effect. Not only can acupuncture and Oriental medicine alleviate symptoms associated with mental health issues, it can treat the root cause of the problem by helping to rebalance the bodies internal environment. So you can try this system without any hitch. It has not many side effects, can go well with any other therapy. Hope this helps you solve your query, Allah best Take Cardona hesitate to get back in case of any further query. </s>

<s>[INST] Hi Doctor, We are married and have 2 children. My wife does not like me using condoms. Till date we practice natural contraceptive method using the cycle date, not having sex between 11th and 17 date of the cycle. Now my wife like to use a pill not regularly but just before having sex - may be one before or after having sex, in order to prevent pregnancy. Are there any pills available? [/INST] Hello dairy understand your concerned can use I pill hour after the sex to prevent the pregnancy. But it should be used for only emergency purpose. Regular use can cause menstrual irregularity and lots of side effect. Better to use birth control pill. But it should be used regularly on every day to prevent the pregnancy. Your wife can also use vaginal diaphragm, demo shot and IUD like copper T. So consult the gynecologist and choose the best contraception for you. Hope this may help noncontact Chat Doctor for further health query Best regards </s>

<s>[INST] bad pain behind right shoulder blade, gas, bloating, lower right pain around pelvic bone...took 6 gasx, 10mg dicyclomine, 2 tylenol, 40 mg nexium all of which barely work to relieve symptoms...last gallbladder function and ultrasound gallbladder test normal six months ago...suffer from acid reflux.. all of this started within hours of eating some dried fruit [/INST] Thanks for contacting Chat Doctor. You have problem of acid reflux, so it causes blowing and pain problems. For gastroesophageal reflux disease you have to modify your lifestyle like..... Avoid citrus and spicy foods. Take small amount of meal and chew properly. Avoid alcohol Chat Doctor. Elevate your head during sleeping time. Avoid Immediate sleeping after meal. Avoid stress. Endoscope is helpful for further diagnosis. Consent a physician for further treatment. I hope my guidance is helpful to you. Take care. Thanks. </s>

<s>[INST] Hi, Im a 30 year old female with high blood pressure which is currently at 144 over 102. I just visited my doctor a few days ago and he wants to see me again within a few weeks. Ive been on medication for depression and anxiety for the last 2 years. I was wondering if stress has anything to do with the high blood pressure as well? [/INST] Hi though stress is related to high blood pressure yet grade 3 severe diastolic BP at an age of 30 can not be just because of anxiety young age grade 3 diastolic blood pressure can be because of renal artery stenosis, I would suggest you a renal artery Doppler to find out the stenosis of renal artery. Another possibility is pheochromocytoma therefore I would advise you to check your vinyl mandolin acid and metanephrines, stress can increase b.p but not grade 3 diastolic BP can be just because of stress at such a young age avoid over oily and junk food, work out for 45 minutes a day </s>

<s>[INST] I have been diagnosed with a condition called psoriatic enthesopathy. All of my joints are affected. My body feels generally weak and I have lost a lot of condition - muscles etc. I am rarely in serious pain but fatigue is an issue. Can I expect the condition to go at some stage (i.e. does it have a life span/life cycle)?Regds,Simon [/INST] Hi and thank you so much for this query. I am so sorry to hear about this psoriasis and all its complications. Treatment of this condition consist in giving Chat Doctor. We cannot really guarantee that it would completely go away, but treatment would suppress it to stop manifesting. At times, it recurs and needs to be treated again. Also, it may require that you be on some form of maintenance therapy to stay diseases free. Only treatment monitoring and evaluation can answer this question fully. I hope this ad </s>

<s>[INST] HELLO DOC! i HAVE BEEN SUFFERING FROM LOWER BACK PAIN PAST 10 YEARS. i have degeneration on L4 L5 S1.the pail goes in both the buttocks.I WAS TOLD I DONT NEED SURGERY AS I ALSO HAVE FIBROMYLGIA AND ALMOST 11 TRIGGER POINTS. BUT WHEN I GET SEVERE ATTACKS I CANT WEAR MY TROUSERS OR SOCKS THE WAIST DOWN AREA GETS JAMMED. I TAKE HEAT,PHSIO AND MASSAGE HELP MY MUSCLES TO RELAX. I WAS GIVEN MECOBAL AND VIT D.OTHERWISE I AM ACTIVE BUT SWIMMING ALSO CAUSES PAIN IN LOWER BACK. I HAVE HIATUS HERNIA HENCE NO STRONG PAIN KILLERS ARE GIVEN I AM OK WITH MOBIC 15MG. PL ADVISE. REGARDS ABHA [/INST] Hello, I have studied your case. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care. </s>

<s>[INST] My daughter is almost 4 now and since she turned two she has been getting constipated quite a lot, so much so that sometimes when she needs the toilet she bleeds. I ve been everywhere even a dietician (who says the food she eats is fine) but no one can tell or advise anything! Please help. Also I have since had another daughter (6 months now) and have she is also getting constipated as well, I m not sure but is this related? [/INST] Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. </s>

<s>[INST] Hi there, im 31 years male, weighing,75, height5;11. 4 years back i had to under go a nazal surgery, pre-operation tests confirmed hcv, but after further tests doc decided to go ahead with surgery, latter i got six months liver treatment but didn,t go for post-treatment tests to make sure that whether therapy was successful or not, although i feel perfectly alright now but i want make sure whether im hcv free or not, plz guide me where to start ? Or what tests i should go for first? [/INST] Hi welcome to Chat Doctor.... After infection with hepatitis c infection, chance of getting Chronic infection is very high.... There is no particular antidote for hepatitis c ...if antiglobulin like antibody given at the time of exposure within 72 hours then it might help, otherwise it is your immunity that play role in clearing infection... Now six months had gone ... So to confirm its negativity perform ELISA or PCR like molecular method..... If it comes positive then regular follow up to gastroenterologist done....Meanwhile, avoid alcohol Chat Doctor. ... Take care. </s>

<s>[INST] My 77 year old father has parkinsons for sevarl years. He has no dementia but the medications he is on seems to have made him more dull and able to comprehend and communicate clearly. His short term memory seems to be affected. A recent brain scan shows his brain working normally. Should we ask the doctor to revaluate his medications [/INST] Hi, Thank you for posting your query. I have noted your fathers diagnosis and current symptoms. Memory and language problems may occur in people with Parkinson's disease (PD), especially after several years of suffering. It is good news that CT can of brain is normal, as it excludes other problems such as brain stroke, tumors, etc. Medicines used for treating PD may cause e=adverse effects, so, I would request you to send the medication details, along with the dose and timings. It would be also worthwhile discussing the medications with his neurologist. 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] Hello Doctor, My daughter is 2.9 years of age. She has mild eczema. She has been diagnosed with allergic rhinitis. She is on Singulair 4 mg, Osonase spray, Junior Lanzol (15mg) and Relent (5 ml) once a day. She is on this medication for more than a week. Her Rhinitis has been there for almost 2.5 months now. She is not showing any major improvement. Her IGe test showed 33 points. Is it safe to continue these medicines for more than a month? Please help! [/INST] Hello, thank you for posting your query here. Allergic rhinitis is a condition that with proper medication can be controlled, and the child can have a good quality of life. My suggestions are the following:1. Switch from Relent to a plain cetirizine containing syrup, which can be safely given for 6 weeks for allergic rhinitis2. I would advise against Flonase spray as there are no guidelines for use in such a young child, first try the cetirizine for 6 weeks. Fluticasone nasal spray can be used in child Chat Doctor. Singular can be given safely. Give it in the evening time between 4 to 6 pm as it will be absorbed best at that time4. Junior Landon need not be continued unless she has pain in her upper abdomen. 5. Most important of all are to avoid triggers such as August, do wet mopping instead of sweeping, clean bedsheets in warm water once a week, wash curtains regularly, clean AC filters every fortnight, avoid use of agarbattis, perfumes, mosquito coils. She should improve in the next few weeks. Keep an allergy diary with her symptoms and show your doctor at the next visit so that he/she can change medications accordingly. Hope this helps, and she feels better soon. </s>

<s>[INST] my sister just came out of hospital for anxiety and stress she was on meds in hospital to cope but since coming out her speech sometimes gets heavy and her tongue feels heavy also she looks like she is smiling because she can t help it what is causing it just till tomorrow i will take her to the dr but i am very worried please help so i can sleep [/INST] Hello The complaints of heavy tongue, slurred speech etc. are symptoms of anxiety. Other features like tremors, sweating, difficult respiration, Chat Doctor. Anxiety is easily treatable. Both medical and psychological treatment are available. Medicines like benzodiazepine, SSRI, SARI etc. are very effective, kindly discuss with your psychiatrist for opinion. Psychological treatment like behavior therapy, relaxation exercise, breathing exercises etc. are main modalities. So visit a psychiatrist and take advice. Thanks </s>

<s>[INST] Hi, I am prone to kidney stones, I have spongy kidneys and have had 3 surgical procedures to remove kidney stones by using yag laser, now they say I have uncountable stones once again and are suggesting another round of yag laser. The doctor that is doing the surgery (procedure) is a wonderful person and I do not fault what he is doing for me, but, I feel that there is more that could or should be done to cure me of this horrid problem. I have anywhere up to 100 stones lodged in each kidney at anytime. help please, this has been ongoing for more than 10 years. [/INST] HelloThanks for query. You have repeated episodes of recurrence of stones in kidney over a period of last 10 years. This is because of some metabolic disorder and needs to be investigated so that preventive measures can be taken to avoid recurrence of stone .1) Get stone analysis done to know the composition of stones2) Blood tests for serum Calcium and Phosphorus levels which constitute major component in stone3) Serum Uric acid levels .4) Urine routine and culture 1)Ensure to Chat Doctor. 5) Avoid getting UTI by taking prophylactic antibiotics as and when necessary. </s>

<s>[INST] I had one of my wisdom teeth extracted 1 1/2 weeks ago. now for the past few days i have been feeling nausea in waves especially after eating. a gaggy tight feeling in my throat and a strange taste/odor i assume is coming from the tooth socket. is this a sign of an infection? [/INST] Thanks for using Chat Doctor. Read your query. If the tooth socket is not cleaned and maintained post extraction, it can cause the odor which may be the reason for the gag reflex or nausea feeling. I would advise you to keep the area clean. Do salt water gargling. If pain can take a painkiller. If the symptoms persists or increases, have it reviewed from your dentist. Hope this was useful. Thanks and regards. </s>

<s>[INST] I m 14 and I have really bad headaches that last around 5 minutes and happen throughout the day, all of my back seems to ache, I am constantly tired and can t be bothered doing anything or socializing with anybody, I always feel hungry even after I eat, and my eye twitches all the time (don t know if that has anything to do with that) what s going on? [/INST] Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to Cluster headache or SUN CT. I recommend consulting with a neurologist for a careful neurological exam and some tests: - a brain MRI-complete blood count, PCR, sedimentation rate for inflammation or infection-blood electrolytes Based on the above test results, you should discuss with your doctor on the possible treatment options. Kind regards, </s>

<s>[INST] Good Evening Doctor, I am from Delhi , and is suffering from Hypothyroid and Anethesia already , recently doctor had conducted a MRi , and CT Scan due to the memory loss symptoms and sudden and frequent memory blackouts.I am been diagnosed with Alzheimer. Doctor want to know , is their a permanent cure for this as i am just 23 years old and even not married. My doctor advised me not to get married till my mental condition stablise.What do i do? Please advice [/INST] His admire you for positive outlook. If it has been already diagnose, and you have Alzheimer then need to take treatment. I m wonder how it can be diagnosed Alzheimer in just 23-year-old??? I guess it is some other condition in which memory loss occur in early ages need to get proper diagnosis so consult the best neurologist nearby. To be very frank there is no permanent cure of Alzheimer. You can reverse it you just stop progression of it. So do best consultation and diagnoses. Thank you. </s>

<s>[INST] I have pain in the palm of my hand below the thumb. There is a vein that seems enlarged. It hurts to open a jar, button, press thumb back... I don t have any numbness. I had an X-ray a couple of months ago and there was no arthritis there. My internist suggested I see a hand specialist. What could it be. [/INST] Cannot say in your particular case without an examination but certainly carpal tunnel is quite common. This is an irritation of nerves near the wrist due to repeated use.Their can be many other causes first, carpal tunnel can occur from thyroid disease, previous injury, or other disorder. Also, previous trauma can cause irritation to other structures. There could in theory be problems in blood circulation, but this is extremely uncommon because arteries come into the hand from both sides, so it is hard to have a problem bad enough to be noticeable. Can be just a sore muscle or tendon. </s>

<s>[INST] My son was at a birthday party this past Friday where the children were out doors at a spring fed river. The next day, he wasn t feeling well (stomach didn t feel well, and headache). He has had diarrhea since Saturday. This was Friday evening and today, he has foamy light brown poop. What could be wrong? [/INST] Hi, Thanks for writing to Chat Doctor. I am Chat Doctor. I suspect that your child is having Acute gastroenteritis, may be secondary to infected food, or the river polluted river water. Kindly keep a watch on fever, repeated vomiting, too many loose motions, blood in motions, decreased activity and decreased intake of food. This would be signs to visit your pediatrician. Presently you may give the child ORS, 1/2-1 glass after each loose motion, Spy ODEM 5 ml 1/2 hour before food 3 times a day for vomiting. Thanks. If you have any more queries I am happy to answer them. Else, please rate this answer and close the discussion. </s>

<s>[INST] 30 year old female, 380 lbs, 5 5 ,...having tingly hands, sore arms, sore breasts, no period, swelling of legs and feet, tired a lot. No other issues in past other than gallbladder removed in 2009. On Paroxitine, changed birthcontrol 6 months ago, stopped taking it a month and a half ago. [/INST] Hello, Your symptoms are suggestive of a metabolic disorder. I would recommend consulting with your attending physician for a physical exam and some tests:- Complete blood count for anemia-thyroid hormone levels for thyroid gland dysfunction- Blood electrolytes- PCR and ESR for inflammation- Kidney and liver function tests-Vitamin B12 and vitamin D plasma levels should discuss with your doctor on the above tests. Hope I have answered your question. Let me know if I can assist you further. </s>

<s>[INST] hi. i recently joined a gym and started working out and lifting weights for almost 3 weeks now. my problem is that i have a bad toothache and i dont know if it is okay to take pain meds for it coz im afraid i may not benefit from weight training if i take pain meds. Im planning to see the dentist today. is there a chance my toothache has any direct connection to my recent activity at the gym? [/INST] Thanks for your query, I have gone through your query. The toothache has nothing to do with the gym activities. The toothache is because of the tooth infection secondary to decay. Nothing to be panic, consult an oral physician and get it evaluated. If there is a tooth infection, then get the tooth treated with root canal treatment. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole(if you are not allergic). You can also take a painkiller like diclofenac. Nothing to worry, these Chat Doctor. I hope my answer will help you, take care. </s>

<s>[INST] hi there im in my third trimester and my water broke on sunday at 4am went too the hospital at 11:30 am my 1st baby my contractions went from a hour apart too 30 min aprt im just wondering if i should go back too the hospital and get them too induce me its my 1st baby also ive been in labour 28 hours [/INST] Hallow Dear, You should rush to the hospital. After breaking water, usually woman starts labor pains. However, if she does not go in labor naturally, there is a risk of infection which may prove to be dangerous for the baby. So please do not waste time. In the hospital, they will wait for due time if they find it safe and will induce the labor at the appropriate time. Let the Obstetrician take the decision and no one else. Mostly you will be given oxytocin injection slowly in the parenteral Chat Doctor. If all the water has been </s>

<s>[INST] age 19height 173cmweight 135 lbsmalenipples both have a scab that wouldnt heal. i nvr pick it. after shower the scab is ruined and there is clear moisture and i let that to dry up by not wearing t shirt. if too much liquid i use a tissue to soak it up. id say it been like this for more than 1 year, maybe 2,3. i remember it might be caused by some1 twisted both of my nipples 4yrs [/INST] helloThanks for query. Clear watery discharge from the nipple in males is mostly due to infection and needs to be treated with appropriate antibiotic. Get culture and sensitivity test of the discharge done. This will help to detect the organisms and their sensitivity pattern. You can start taking Doxycycline and anti-inflammatory medicine like Diclofenac twice daily and later on switch on to appropriate antibiotic as per culture report. This should resolve the problem. Chat Doctor. </s>

<s>[INST] Hi I am seventeen and had my wisdom teeth removed around four years ago due to a crowded mouth. I have recently developed three small holes in my gums and they are very painful. They hurt and sting whenever I Move my mouth or talk and it feels horrible if any food or drink touches them. I have one on the left side of my mouth towards the front (bottom), one on the right near the back (bottom), and another on the right (top) near the front. They are all near where my gums connect to my cheek and hurt really bad, please help? [/INST] Hello and welcome to Chat Doctor forum, according to the history presented by you, I would like to inform you that i won't be able to provide you with the diagnosis, as clinical check up needs to be done first. You have mentioned that you have sensitivity, this is due to recession of gums and dentin exposure. These holes seem to be periodontal pockets, and need a dentists' attention. As you said your teeth are crowded, therefore in such cases, periodontitis is very common.I would recommend you to visit your dentist, get your teeth cleaned, as well as maintain your oral hygiene.i wish you good health, take care. </s>

<s>[INST] Hi there I ve noticed I ve got a lot of lumps apearing on my body and I m getting a bit worried now I ve got three appeared on my chest bone and a few on my stomach any advise would ease my mind as when I try to get appointed at my gp I can t get a appointment cheers tony [/INST] Hi, dairy have gone through your question. I can understand your concern. You have multiple lumps in body. Multiple lumps may be due to multiple lipomatous, multiple neurofibromatosis or multiple enlarged lymph nodes. However, they are also present in extremities, neck, back and shoulder. Please tell me in detail about your lump, their size, consistency, painful or not etc. So that I can help you further. If needed you should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. </s>

<s>[INST] Hey. Yesterday noon, I was bitten by a mosquito. Its legs were striped white and leg and its butt is filled with blood. It itched and after 30 minutes, the mark was gone. This morning, I felt so hot, but this afternoon, I am a bit warm now. Do you think that mosquito that bit me transferred a disease? [/INST] Hi thanks for contacting Chat Doctor.... See mosquito bite can transmit certain infection like dengue, malaria, chikungunyaLike febrile illness..... You feel feverish....so it could be febrile illness, or it could only be congestive symptom by viral infection..... Symptomatic treatment done.... I would advise following investigation...-CBC -peripheral smear examination for parasites -liver enzymes estimation Take paracetamol for fever... Bena Chat Doctor. </s>

<s>[INST] Hello,I am 33 years of age and recently started having irritating aches in my upper abdomen. I have seen my Dr and she initially did a xray to see if it was related to constipation. She had me take Prylosec and murilax for 2 weeks which really did nothing. Now she would like me to do prylosec for another 6 weeks. I am wondering what my chances are of this being something more serious such as gastric cancer or colon cancer as these are my greatest fears right now. My medical insurance has a very large deductable so I am unable right now to just go get lots of expensive testing.I am not a smoker, I exercise and eat relateively well, I am not overweight and have no family history of cancer. I do drink a little more then I should but nothing to excessive.Any info you give me would be much appreciated. [/INST] Hi. Thanks for your query and an elucidated history. Read and understood your problem. You are 33 years old and have irritating aches in upper abdomen and under Prilosec and MiraLax. Gastric Cancer and Colonic Cancer certainly can be diagnosed only by Endoscopy and colonoscopy and needs to be done irrespective of the Insurance cover or not. This is important as early diagnosis helps in better treatment and prognosis. Get one done ASAP. Another probable reason is an ulcer or cancer, Pancreas problems, duodenal conditions. Till then, I would advise you the following:A 5-day course of an antibiotic, metronidazole and probiotics with symptomatic treatment. </s>

<s>[INST] hellothis is tapamitimy father is an ITP patient,we were doing normal routine check up under DR D bandopadhyay and neurologist DR Angsuman Mukherjee.He was doing well.From yester day only he started feeling very weak,we did platelet test and the count suddenly found to be dereased from 1.54 to 77 thousand.Toady morning he suddenly lost his consiousness on his two limbs.His condition was pretty bad,we went to sisumangal,due to no vacancy of ICCU bed we have to go to Repose nursing home where he has been admitted in ICCU.Tomorrow they will be doing MRI and CT Scan,dont know wat to do now.can anyone please help me.......Please [/INST] Hi I did review your concerned a person with ITP and low platelets loses consciousness the obvious worry is bleeding into brain. I would advise an emergency CT scan as blood can be seen in non contrast CT scan in early phase very easily. It is also possible that loss of consciousness can be something else and not related to ITP as 77000 platelet count is not very bad. Generally chances of intracranial bleed rise a lot after platelets Chat Doctor. I hope this helped me know if you have any more questions or concerns. Wish you all the best. </s>

<s>[INST] hi, I had a MRI done this is the results. at the t9-t10 level there is a small paracentral disc protrusion seen just medial to the left t10 pedicle resulting in MOD. narrowing of the t9-t10 neural foramen. what does this mean? would this be causing me pain in my back? would me falling and landing on my back have caused any of this, since i had no pain before the fall? and what can be done for it? [/INST] Hello, I would explain that these MRI findings are indicative of a slipped intervertebral disk, which is compressing the nerve root. This finding is compatible with the back pain. It could be related to the trauma or to weight lifting. Anyway, I would just recommend avoiding weight lifting, trying to lose some weight if you are overweight. Consulting with a spinal surgeon may be needed if the pain persists. Hope I have answered your query. Let me know if I can assist you further. Take care. All the best. </s>

<s>[INST] Hello, My mother has chronic high blood pressure. And these days she is having a cervical pain in her neck. Can she use heat pads to alleviate the pain in the neck? Can heat pads increase her blood pressure.? Her kidneys have been damaged due to high BP. We have to keep her BP in control constantly. Please advise. Is there anything else she can do to alleviate the cervical pain and dizziness? Thanks, [/INST] Hello, You can definitely use a heating pad, it will relieve pain. However, get an X-RAY AND MRI OF CERVICAL SPINE should be done to get the exact diagnosis. Using a heating pad does not cause any effect on blood pressure and to prevent dizziness and neck pain follow these steps: 1. Use heating pad2. Avoid using a thick pillow3. Use cervical collar4. Take your blood pressure medicine regularly5. Avoid lifting weights6. Decrease salt intake and spicy foods7. Take tab Vermin if dizziness is severe8.monitor blood pressure regularly Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s>

<s>[INST] I am 2mth and half post party s nearly exclusively breastfeeding and on microlut I had one intercourse since delivery on 3-10-14 and the second and third day after intercourse I had cramping on my abdomen and my back after one week I had very mild spotting I have no period since delivery I am afraid to be pregnant I do pregnancy test today the result was extremely faint in complete test line u should put your eyes very close to test window to see it I have no pregnancy symptoms like last pregnancy I don t know the interpretation [/INST] Hi welcome to ChatDoctorduring postpartum period, lactational amenorrhea and breastfeeding protects pregnancy for 2 to 6 months. If you are taking primal regularly without missing even a single dose It's very unlikely that you are pregnant would advise such a patient in my clinic for an ultrasound to see for any retained product or postpartum uterine revolution. You need not worry I assure you that you are not pregnant. Hope this helps you good luck </s>

<s>[INST] I have a sore bump on my gums that makes it difficult for me to put in my implant dentures. What is an over-the-counter drug I can use to reduce this bump and relieve the pain? I have been duding salt rinses, using listering and the rinse my dentist gave me without results. Please help!! [/INST] Thanks for your query, I have gone through your query. The bump on the gums could be because of gum infection secondary to chronic irritation by the denture. Consult an oral physician to rule out whether it is a gum infection or an over growth of the tissue. If it is infection you can take a course of antibiotics and analgesics. If it is a growth then it has to be surgically removed. I hope my answer will help you, take care. </s>

<s>[INST] sir, my father has chronic CVA since jan 2011. initially he was in deep coma due to clot of blood in brain but still now he is on bed and full body paralysed. we give feedings with the ryles tube. give some suggestion ncct of brain:-1. chronic infarct noted in the left cerebellar hemisphere2. few lacunar infarct noted in the brain stem [/INST] Hi, Thanks for writing in.NCCT brain shows:1. Old stroke changes in cerebellum (smaller brain).2. Small areas of deficient blood supply in brain stem. As these are very important areas of brain, the damage is more even if the stroke involves a small area. Your father needs good supportive care which you are giving him I think. Physiotherapy sessions may help his to some extent. This cannot be completely commented upon without seeing the patient. The damage caused by a stroke can be widespread and long-lasting. Many people need to have a long period of rehabilitation before they can recover their former independence. The process of rehabilitation will be specific to you, and will depend on your symptoms and their severity. A team of specialists is available to help, including physiotherapists, psychologists, occupational therapists, speech therapists and specialist nurses and doctors. Hope this helps </s>

<s>[INST] I was bitten by a horsefly about 36 hours ago on my forearm. My arm is very swollen and redness and inflammation is spreading. Its grown by at least an inch in each direction in the last six hours. The swelling reaches my wrist and my hand has a constant dull ache. [/INST] Hello, Welcome to Chat Doctor, As you were bitten by fly 36 hours ago and following which you have developed a swelling on your forearm over the bite site, it could be due to the toxins release by the fly. The fly which has bitten you should be identified to have a proper antidote against the fly bite. The swelling and the pain are the normal response of the body towards the fly bite. For your symptoms I would suggest you to follow1. Apply Ice packs over the bite site2. Parental antihistamines like In Avil3. Parental HY Chat Doctor. Thank you. </s>