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If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
My son, Kanishk age : 15 Yrs, is suffering from mild fever between 97.5 ~ 100 degree F varies day to day.1. A lot of tests of Blood has been conducted.2. Chest X-ray clear.. normal3. In ultra sound, the report is as under.............Liver is mildly enlarged in size, measures 16.2.cm and shows mildly coarse echotexture. No focal tension seen. Intrahepatic biliary radicals are normal.Portal vein is normal, measures 8mm.Minimal fluid is seen in subhepatic space..Gall Bladder is distended and shows smooth walls. Lumen is echo free.CBD is not dilated.Pancreas is normal in size, shape and echotexture.Spleen is mildly enlarged in size and measures 13.5cm.The Kidneys are normal in size, shape and echopattern. No calculus or hydronephrosis seen. Corticomedullary differentiation and parenchymal thickness is preserved.Right Kidney measures 9.8cmLeft Kidney measures 9.9.cmNo enlarged retroperitoneal mesenteric nodes noted.Impression : Mild hepatosplenomegaly with coarse liver echotexture and minimal asites.==================================================We are in touch with Dr, he says no problem, wait and stopped all medicines.No weight loss in last 3-4 months.Please, help.
### output:
| Hello and welcome to Chat Doctor, The presence of low grade fever, mild hepatosplenomegaly at 15 years of age is highly suggestive of infectious mononucleosis. However, there are many other conditions which cause similar symptoms and signs. Infectious mononucleosis is caused by Epstein Barr virus. There are many other viral infections causing fever with hepatosplenomegaly. These viruses are - CMV, rubella, etc. Other infections are - leishmaniasis, malaria, schistosomiasis, etc. Malignant conditions can also lead to similar picture e.g. lymphoma, myeloproliferative disorders, etc. Infections are more common than malignancies. Monospot test is a test done for confirming infectious mononucleosis. Consult your doctor for further investigations and thus management. Thanks and take care Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
good day sir/maam i just had my urinalysis,blood chem and hematology test but my doctor is im worrying bout my condition heres my test result. Urinalysis: MACROSCOPIC: MICROSCOPIC: color: dark yellow WBC:2-4/hpf transparency: slightly turbid RBC:2-3/hpf reaction:: 5.0 Epithelial Cells: rare specific: gravity: 1.030 amorphous materials: rare albumin:Trace Mucus Threads:many Clinal Chemistry: conventional units S.I units examination result reference values result reference values creatinine: 0.87 0.4-1.4 mg/dl 76.91 35.4-124 mmol/L Sodium(Na+) . 131.4 135-155 mmol/ l Potassium(K+) . 3.36 3.4-5.3 mmol/ l HEMATOLOGY: Hemaglobin: 156 hematocrit: 47 WBC: 5.1 (Differential Count) Segmenters: 46 (normal values 55-65%) Lymphocyte: 37 (normal values 25-35%) Eosinophil: 04 (normal values 2-4%) Monocyte: 13 (normal values 2-6%) Other exam.: Clotting time: NV:2-5 min Bleeding time: NV: 1-4 min hope u can help me...i got a PKD(Polycystic Kidney Disease) but last 2 yrs i never go to doctor then i went today because i felt something weird in my lower back...and my doctor is away after i got my result...
### output:
| Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Your problem of APD(adult polycystic kidney disease), is probably the cause of your back pain. It's also causing microscopic hematuria or blood in urine. The kidney function is normal.(creatinine). You need to get a ACTIVE (contrast CT) scan done, to evaluate, the extent of kidney cysts, in both kidneys. Pain can be relieved with a mild analgesic, like Paracetamol tablet. If you've any doubts, send it as a direct question to me. Chat Doctor. Manga. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I am 33 and just told I have a horseshoe kidney I went to doctor with severe back pain I am 33 and just told I have a horseshoe kidney I went to doctor with severe back pain I always have back pain but this was 10 times worse the acute care doc thought it might be a kidney stone even though CTscan didn t show anything she said blood showed up in my urine sample sent me home with pain pills and strainer and had me make appt with my regular doc the next day my reg doc said she thought it was more just back related as I am overweight and she said no blood really showed up in urine sample even though other doc said it did? She is the one that told me about my horseshoe kidney she ordered xrays of the back it showed calcification of the ligament and narrowing of the spinal canal then scheduled me for an MRI a couple weeks later and put me on light duty at work the MRI didn t show a whole lot and it came back as no narrowing of the spine?? Along with my back pain I sometimes get pain in my left leg and like a heaviness or numbness in it even though MRI didn t show any nerve pinching?? Back pain also seems to radiate into my sides and low abdomen this has been going on for years oh and left ankle always swells I am doing physical therapy for my back but so far its not helping I am starting to feel like I m crazy any suggestions on what s going on? Could the horseshoe kidney cause any of this? I also have PCOS(polycystic ovarian syndrome) any information would be appreciated!
### output:
| Hi, Welcome to Chat Doctor Forum. Horseshoe Kidney is a Congenital Urologic Condition which is the most common type of Kidney fusion anomaly and is usually found as an Incidental finding. Usually it is symptomless and in rare cases it causes abdominal pain and distension as a result of urinary obstruction, vomiting. It is a predisposing factor for formation of Kidney stones, which may be the cause of back pain in your case along with spinal muscle spasm, if at all stones are not present. You said you are overweight and pain radiates to your sides and legs, it may be related to Spinal Arthritis owing to your excess weight. Intravenous paleography CT scanning is the best initial radiologic study to determine anatomy and relative renal function. You need a thorough work up and Physical evaluation by both Orthopedist and a Urologist. Good Luck and Take Care. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
my son was in a snowmobile accident one year and two months ago..he has spinal cord injury ..he is on a blood thinner right now ...has a large blood clot in top of right leg ..hemhroids..large one..two hernias.....he was supposed to have a colonoscopy but Dr.cancelled it because of his blood level....he has an appointment at Sunnybrooke hospital in two weeks....I personally see no reason why his clots and hemhroids..can not be removed...what are your thoughts on this matter...I am his mother asking these questions.
### output:
| HelloThanks for posting query large blood clot in top of right leg, in medical language it is called DVT (deep vein thrombosis) of lower limbs Tendency of blood to form clot happen when there is prolonged immobilization mostly after trauma. Spinal cord injury itself is very high risk for clot formation in deep veins. Problem of this disease is this formed clot may dislodge and travel through heart and might obstruct large artery which is known as Pulmonary artery also known as Pulmonary embolism. Pulmaonary Embolism (PE) is potential life-threatening condition, people can dye immediately in main pulmonary artery is obstructed. To prevent this life-threatening condition blood thinner(anticoagulant) is used (warfarin or low molecular weight heparin) and if you can correct underlying risk factor then it will be required life co-management of anticoagulant is real challenging and things become more tricky if there is increased chance of blooding for example in your situation it is hemorrhoids they can bleed in the presence of anticoagulant. We usually keep balance if it actually starts to bleed then temporarily we stop blood anticoagulant and fix the bleeding problem and restart anticoagulant any procedure or operation then again temporarily stop anticoagulant and restart initially short-acting anticoagulant injections post procedure. After few days when there is no increase risk of bleed then we switch on long acting oral anticoagulant You discuss with whole issue with treating doctor and request them to have good Liaoning among different specialty doctor because require of one specialty may be undesirable to other, and we have to find midway to reduce the risk of life first then reduce the morbidity 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 to your son. Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
good moning dr. i have allergic rhinitis.. i hd undergone tonsillectomy whn i was 6 yrs old.. i used to hav frequent sore throat and high fever.. so i hd to undergo it. until 15 yrs old i didnt really hav a prob xcept once whn i was down with sm undiognized fever 4 20 days. frm d past 5 yrs ,on slightest exposure of cold wind on my hands n ears.. i strt sneezing n i feel my body fails to keep warm than others.. i always carry a sweater with me. m having dark circles since 10 yrs nw.. are thy cause of allergy? n how should i treat it? steroids n antihistamines hav failed to work.. d allergy is back after i discontinue their use. how should i get rid of it? i hav undergone allergic test tht says i m allergic to fungus, dust, house mites, dander? plz help me overcome it.. dis allergy is hindering my day to day activities..
### output:
| Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I usually suggest my such patients skin prick testing for molds, house dust mites, animal dander, pollen and insect proteins. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over long period for long term basis.2. For symptom control, I usually prescribe my patients regular Montelukast + Levocetirizine.3. Dark circles under eyes usually occur due to long-standing allergic rhinitis. With treatment of allergic rhinitis, they may improve or may not improve, especially if they are since long duration.4. If you have nose obstruction despite use of above-mentioned Chat Doctor. 5. Regular steam inhalation will also help you in a long run.6. In general, please avoid exposure to dusts, smokes, cold air and air pollution as much as possible.7. Regular breathing exercises and a diet rich in vitamins & minerals will also help you in a long run by improving your nose symptoms and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Dr. Can i have question to ask? .I have gastric, especially when after eat. My pain is cramp, n i suffering pain till feel dizziness. I go specialist check, have endoscopy. In scop, dr say i have GERD and h.pylori bacteria. So dr give me medication of nexium, gaviscon, and 2 type antibiotic(klacid). But seem no recover, still same situation happen. I when back see the dr, he advice me take 1 month nexium.But just few days when on, I suffer pain till non stop,is continuely especially is nite time. Until cant sleep because stomach is cramp. I meet back the dr., so the dr do ultrasound for my abdomen. But seem nothing. What should be happen?i suffering pain, is continue pain non stop. I be given another medicine, pariet 20mg, buscapon and gaviscon. but seem not work..What should happen with me??May dr give some opinion. I will be suspect stomach cancer? Latesly my dad also get stomach cancer, but when we know is too late. is already spread to his whole bone. So he pass away. My percentage should be high or not? What test i need to do??
### output:
| Hi. Thanks for your query and detailed history. This does not look like a stomach cancer as the cancer is painless to start and secondly endoscopy would have shown it; so forget about it. Another reason can be severe gastritis which takes time to heal, and it looks you need more than the Medium, Davison, Placid, Part 20 and Tuscan. I would advise you the following in such a situation that a diagnosed case of HERD and H Pylori infection is still causing symptoms in spite of the treatment.-Continue the medicines.-Request for additional Risperidone and a medicine for anxiety and / or stress. -Soft bland and small and frequent feeds. No outside foods and beverages. You can take off from the job or duty till you are recovered well. -Take a second opinion if required.-Investigations of the blood, particularly Liver function tests, amylase and lipase for pancreas, other tests of urine and stool. -CT scan of the abdomen is a must to rule out the problems of gall bladder stones and infection / pancreatitis / cancer as you are thinking of and so on. -Further treatment as per the investigations reports and clinical judgement of the Gastroenterologist |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
My mother has been suffering from ILD for more than 10 years. She used to regularly take methyl prednisolon and Azathioprin tables in fixed doses as adjusted by specialists at Apollo Hospital in New Delhi. Also underwent an angioplasty of left coronaries in March 2012. Around 40 days ago she developed symptoms of sever respiratory infection and increased hypoxia, the medical doctors prescribed her braod spectrum anibiotic (ceftriaxon) to be taken with her routine drugs. However, her infection and hypoxia not treated and she found weakness in her lower part of her body and became unable to walk. Following this we transfered her from My country (Afghanistan) to Apollo Hospital in India on 20 Nov 2012. In the hospital she was admitted at ICU ward and received the treatment for infection, hypoxia and swelling in her legs and hands. she recovered after some five days and she was about to be shifted to general ward, but the medical doctors requested her further stay at ICR. Following this she got another sever infection (called Aseno Bacter). Then her health condition worsened, although she received new courses of antibiotics. Last night she got sever respiratory distress and then the doctors did intubation of her, now she is under intubation. Could you please kindly let me on the prognosis of this level of treatment and how long it may take that she may need intubation?
### output:
| The condition of the patient is of course serious. About intubation which is life supportive measure that must have been done because of the life threatening hypoxia. As the patient is known case of OLD (interstitial lung disease) which itself reduces the diffusion capacity of lung with resultant hypoxia, & the super added infection which further deteriorates lung diffusion capacity worsens the situation. The decision of the extubation (removing the endotracheal intubation tube) can only be taken considering multiple parameters such as patients consciousness, her capacity of maintaining Oxygen saturation (SPO2), readings of the ABG (arterial blood gas reports), which is somewhat difficult & cumbersome process to make you understand. Considering the symptoms provided by you there are 50 - 50 % chances of recovery as well s deterioration. But let's hope for the better & expect improvement in her health in a day or two which will lead to extubation. But exact days can not be said at this moment. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
After four months of tests and docs, we thought we had finally settled on Graves Disease. But the radio iodine test showed thyroiditis so we changed the diagnosis. In May I was diagnosed with a lung tumor (my doc calls all growths tumors, cancer or not) and my docs disagreed on how to hande it. Now my endo thinks its is "very significant" so they did bloodwork and a 24 hr urine collection today. I have tachycardia that averages 132 and spiked at 168 even with beta blockers. We used to blame the tachycardia on my hyperhtyoidism but they believed it was very high for just being a thyroid issue. They couldnt find any underlying issues and we cant blame it on my thyroid now. They believe this lung tumor is either a carcinoma or a neuroendocrine tumor. They are also checking for pituitary tumors. Can one of these tumors cause all of the issues they blamed on my thyroid (tachycardia, loss of memory, confusion, tremors, night sweats, unexplained weight loss, insomnia, anxiety) or is it something different? Since none of my symptoms have responded to treatment, we are worried one of these tumors might be the culprit. Can they cause all of this? How dangerous are they? Is it cancer? what will they do with me next?
### output:
| Hi, Thanks for writing in. Your symptoms might be related to the presence of a neuroendocrine lung tumor. These are tumors which secrete chemicals called neurotransmitters. This causes about 1 to 2 percent of lung cancers and can cause cardiovascular problems, mental confusion and increased heart rate. Your diagnosis needs to be confirmed at first. Confirmation requires doing additional tests. The basic test usually includes assessment of 5-hy Chat Doctor. This test can pick up a neuroendocrine tumor in 75 percent cases. If you are ordered this test then you must avoid eating tryptophan rich foods (chocolate, certain types of cheeses) for a couple of days before the test. There are other blood tests to be done if urine test is positive. This includes blood tests can be used including tests for 5 IAA, chromogenic A, bradykinin, kallikrein, and substance P among others. Treatment involves giving medications that will counteract the effect of neuroendocrine tumors. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
My daughter is on 300 of lamictal she is 19 years old. Presently she has a strep throat infection and has fever.she is on antibiotics now. She missed her dose of Lamictal and says she will only take it when she starts feeling better. she states that she can take Lamictal when she feels she needs it, and can miss days if she wishes without negative effects. She claims that this is what the Psychiatrist told her. I don t think she is right and want to give her the facts before she messes up her body chemistry. She has a serious case of Bipolar Disorder which is more to the depressive side and less to the manic. Why is she saying these things when she is intelligent and wants to be ok? Are there different views on this medication?
### output:
| Hi, As per her history please check this Goldberg bipolar screening chart:-1. At times, she is much more talkative or speak much faster than usual.(yes/no)2. There have been times when she was much more active or did many more things than usual (yes/no)3. She gets into moods where she feels very speeded up or irritable.(yes/no)4. There have been times when she felts both high (elated) and low (depressed) at the same time(yes/no)5. At times, she has been much more interested in sex than usual(yes/No)6. Her self-confidence ranges from great self-doubt to equally great overconfidence(yes/no)7. There have been GREAT variations in the quantity or quality of her work(Yes/No)8. For no apparent reason she sometimes has been VERY angry or hostile(Yes/No)9. She has periods of mental dullness and other periods of very creative thinking(Yes/No)10. At times, she is greatly interested in being with people and at other times she just wants to be left alone with her thoughts.(Yes/No)11. She had periods of great optimism and other periods of equally great pessimism(yes/No)12. She had periods of fearfulness and crying and other times when she laughs and jokes excessively.(Yes/No)Please check her mind as per this chart which we use to screen every bipolar disorder cases and treatment will be given as per patients depressive and manic stage. Follow me with result. I hope I was able to ad Chat Doctor. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks, |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Doctor i am 23 ill complete 2 years of marriage this may , we were planning to have a child for which we tried to have intercourse from November 2010. i had got my last periods on December 20th 2010 and on 20th of feb 2011 . i had visited to a doctor and found that i am 2months 1 week pregnant but on 22nd at a weeding i had danced a lot and on 23rd feb at evening i had a heavy flow of bleeding i visted the doctor immediately he did sonografy and found that the heart beat of the child was still working properly but he said that there is a small blood clotted in the pregnancy bag . he said to take the decision whether i want to get admitted for 20 days and try to control the blood flow and manage to save the child by safely trying to remove the blood clotted or to get operated and remove the pregnancy. i took the decision of getting operated as the doctor was not sure that even if the blood flow would stop the pregnancy would be safe at later stage now it has been more than 15 daysafter the operation i had flow for 6 days thats is till 1st march average flow like water onlyi just wanted to know that can i try again for the baby from 15 of this month would it be safe and no complications would be there please let ,me know as we both want child in our life please reply to it asap
### output:
| Hi, Thanks for the query. I understand your concern. - Ideally 3 normal menses are allowed(preventing conception with three cycles of oral contraceptives help immediate conception after stopping the pills) after surgical removal of pregnancy.to recover from the weakness of pregnancy, bleeding & surgery. You should take iron tonic along with high protein & vitamin diet. Intake of folic acid 5 mg for these 3 months by both partners helps to prevent certain congenital anomaly. -You can plan for a baby after that. Ovulation day is known by LH surge test by a home kit. Have an unprotected sex from the day the test is + ve for 5 consecutive days. - Pregnancy can be diagnosed by home pregnancy test of during after 8 days delay in period & a gynecologist consulted immediately for needful supplementation of hormones (considering first mishap). Avoiding stress & taking comparative rest till 14 weeks is essential along with medicines advised. Wishing you all the best, Thanks, |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hello... I m 23 years old... have three children already... for the past month or so I have been having every pregnancy symptom you could think of... but I didn t think nothing of it until I missed my period & today I m two weeks late. I ve taken 3 hpt in the past couple of weeks but they all have been negative. I have also been experiencing a lot of pain and pressure in my pelvic area. Today my husband and I tried to have intercourse but I was afraid that it would hurt due to the pain that I ve been in. Sure enough we had to stop because I had the worst pain in my life; I never had pain like that in all three of my previous labor! I had extreme sharp pain and pressure in my pelvic area, I could barely move. My husband helped me to the shower were I could only sit because it hurt too bad to stand and I let the hot water fall on me to try and ease the pain. The pain wa so bad that I threw up in the shower. When I got done, I set on the toilet because of all the pressure and it sorta felt like something was going to fall out of me. I ended up having to get my husband to help me to the bed so that I could lay down because the pain was so unbearable that I turned pale and cold and I was sure that I was going to past out, but never did, thank God. That was this morning and for the rest of the day I have been resting in bed and taking Motrin. I only feel a little pain while I m laying down but when I get up, I get the pressure in my pelvis area and I get so dizzy and lightheaded. What could this possibly be? I plan on seeing my doctor but I have to wait until after the holidays. I also have the Mirena IUD . Thank you for your help!
### output:
| Hello, MIRENA IUD is very much effective in preventing unwanted pregnancy with failure rate less than 1%. Pain around pelvic region may be due to pelvic infection, endometriosis, PID associated with insertion of IRENA. Do a pelvic USG with some hormones test & blood for TC/DC/ ESR and a urine test for R/E, M/E to rule out underlying pathology. Also, you have to undergo some clinical and pelvic examination. Check tail end of thread to make sure that IRENA is properly placed and not displaced. Use some anti-spasmodic medicine like Tab Chat Doctor. Avoid stress, take healthy diet, control body wt and need proper sleep. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Dear docter,I am a 38 yr old lady, weighing 68 kgs.I had taken soya nuggets in food few days back and got red raised rashes all over body after one day , had Avil twice daily for five days , the symptoms subsisded for one day and then again they reappeared.The rashes always come at around 2 a.m in the night.The rashes have itching sensation too.Between these two incidents before the rashes appeared i got breathlessness and felt giddy too.My blood pressure was 130/90.earlier i never had high BP. Then again after two days i got severe allergic reaction on face this time rashes came on face neck, arms and legs.Consuted a docter who gave me Wymlsone 1cc inection and Avil 1/12 cc injection.and tablets Atarax, enzocort and Allegra 180 mg for 10 days .injection was for a single day with which i did get relief.I have a query why is the allergic reaction coming back again.Is it that the allergen is not what I am thinking of can it be something else due to which I am getting exposed and having allergic reaction again.In the past I did get allergic reaction to dark maroon grape juice and once to blanket used in the train.will having enzocort (6mg)once a day(6days)create health problems can i stop having that after 6 days as recommended will stopping it abruptly have any problems?can you help me with my query?thanks
### output:
| This is a very good question when you asked can it be something eyes, it can be anything that may cause allergy to someone. No allergy test can be comprehensive enough to determine full range of allergens. Only a sufferer is the best assessor to find the cause/ causes by closely watching routinely intermittently/ sporadically used things orally or externally to see if something causes reaction or allergy. Every Chat Doctor. In some it's more, in others it's lesser. To our own patients we treat on the basis of Ayurvedic principles to manage the vitiation of Kafka pitta humors. It's a basic treatment where body becomes strong/ immune enough to stand against allergens. Turmeric, Need and Sugar candy powders are given in a combo to come out of chaos in a few weeks. No side effects. No interaction, very safe. Hard |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I am experiencing significant cracking in my back and neck. If I walk briskly with heavy heels, I have a shooting numbness/ tingling traveling down both arms. I notice the cracking in all large joints such as knees, elbows, and shoulders and it does cause slight discomfort, 3/10. The numbness lasts a millisecond but is very...8/10 uncomfortable. What can I do? What tests could I request? Would acupuncture be a possibility.
### output:
| Hi, thank you for providing the brief history of you. Since you mentioned the numbness and tingling, it can be assumed with almost 99% accuracy that it is radiculopathy. That means - the pain, tingling and numbness is travelling across the course of the nerve.Recommended meeting an or tho and get the MRI of neck and lower back to check the extent of injury in the spine. We can only find the disc prolapse, disc protrusion, or disc herniation on the MRI scan. Once the extent of injury is known the next step is taken depending upon the impact of pain. First - Resting the neck and nanosecond - Medication for pain, if pain is unbearableThird - physical therapy, as early as possible to be initiated for not allowing the muscle wasting and quick recovery. Fourth - back to action. As you asked about acupuncture, it is not bad to try out, but it will only provide you a symptomatic relief. The real cause is the weakness in the spinal muscles and abdominal muscles. Along with this the muscles of the neck region. The cause is the degenerative changes. It occurs due to wear and tear, or it may be an aging factor. With exercise 100% of my patients have recovered and back to action. So will be the case worldwide. In very few cases where the pain is unbearable they undergo surgery. Well, it.is the last option to try out. Also, recommend you to meet a physical therapist as he/she will help regain strength in the core, back, and neck. Also, an overall body conditioning will help on a later stage. In few cases epidural injection is recommended but it's not a first line of action. As I said, it all depends upon the patient pain bearing factor. Also, 99% of the best surgeon in Orthopedic and spine specialty will prefer the physical therapy. As it helps Sopwith the grace of God I wish you a good health. Regards |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi sir.. My name is mm,ini. my mother (Dm,,ATI, age 51yrs) is suffering from RA and Hypothyroidism from last 7 years. she used Homeopathy, Allopathy but there is no sign of improvement. Allopathy causes itching and redness over body. she is having pains all over body. pls suggest what to do. Now she is not able to move also
### output:
| Hi welcome to ChatDoctorI have gone through your query regarding RA and hypothyroidism for your mom . Hypothyroidism (underactive thyroid) is a condition in which your thyroid gland doesn't produce enough of certain important hormones. Hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease. Hypothyroidism upsets the normal balance of chemical reactions and derails the immune system of your body cause other health problems. The immune system attacks joint tissues for unknown reasons. White blood cells travel to the joint. This assault causes chronic inflammation, stiffness, and pain. To get rid all this problem and overall health, you have to take into account the quality of diet and lifestyle. It should include all essential nutrients -main diet of fibers, fruit, veges vitamins & minerals, all antioxidants- raw ginger, garlic, lemon juice with water, bitter gourd juice 20-25 ml Aloe vera juice 25 ml + AMLA juice 2 spoons, fenugreek powder 1 spoon with water, turmeric powder a level spoon with cup of hot milk at bedtime, Avoid fried, fast foods' tea, coffee, alcohol, smoking, mental stress, worry anxiety and most important is to clear you bowls. As constipation is mother of all ills. Last but not the least for proper blood circulation, regular walk, exercise, yoga pranayam-deep breathing proper rest & sound sleep , helps in detoxifying and strengthening the immune system to enhance resistance from diseases and pave way for healthy, happy, disease free life. Condition is regularity. Mind it Gulping on medicine only, will not help unless you follow above regimen, having no side effects, goes with any therapy, side by side with medication, if at all you need. If your health is fine, everything falls in line automatically Hope this helps solve your query. Take care. All the best, Don't hesitate to come back for any further query |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi im a male 25 years old , My case is a little complicated as I think that my practice of masturbation and my psychological frustration has caused me some kind of nervous harm. i have many symptoms and events that make me believe i have some kind of a nervous problem first when i finished masturbation i feel some heartburn and a significant increase in sensitivity in the right side of my face especially when do my effort to get the orgasm Then, I realized the right side of my face become much more sensitive in the social situations especially when i meet a person who make me nervous and i feel a strong muscle strain arround my right eye. Besides of this i have a little social phobia and it s not a big problem because it s under controle but the real problem is i can t control my facial expressions for example when i still in the home alone i feel my face relax with a little bit of muscle strain in the right side of my face but when i go out and meet people i feel the muscle strain increase so high and always in the right side and i can see the people and even my freinds fear me because i look so angry in my face expression and they think im a bad guy. searching the cause of the inconscinous anger i remembered that Two years ago, I ordered a period of frustration and resentment and one night while I was asleep I felt something strange like a dream where I would strongly angry and misled repeat words quickly and hysterical and I felt like I d lose my mind and repeat the command again after around a year, but lessand of the time and I m wondering if it could be an explosion not aware of the pent-up anger and caused damage in the brain? help me please i m loosing my freinds because of this and even they girls run away from and i know because they are more sensitive to the facial expressions
### output:
| Held Dearth about masturbation is prevalent in age section of population Let me tell you from sexual maturity point of you masturbation is a normal sexual activity in males during development and even after that. Large majority of people do it ;believe me ; both married and unmarried .and lead total normal sexual and physical life It causes no harm to nerves or to any part of body including sexual part penis etc. Those who have myths or wrong notion and guilt about masturbation they get symptoms as you are getting My advice is take masturbation as normal sexual activity and get over the guilt about it. A psychiatrist; psychologist or sexual counselor will help you out. Please consult any one of they will be back to normal Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
hi.........m a doc from west bengal, india. my father is suffering from severe respiratory distress 4m last 5 months....he was a chronic smoker bt not for last 3 yrs before he developed resp distress limiting his daily activities. he was primarily diagnosed to have PAH along with COPD nd was prescribed sildenafil when he developed hemoptysis 5 months ago...not relived nd was added bosentan...again it failed to correct hemoptysis,nd the dyspnoea aggravates. he was admitted here under at burdwan medical college.west bengal india..where i m persuing MD. treated wid various antibiotics bt all went in vain.Rather he developed new onset lower lobe consolidation (lt)along with the pre-existing rt lower lobe. his spo2 goes beyond 71% nd is on LTOT for last 3 months. he was given ANTI TUBERCULAR DRUGS empirically for his B/L consolidation. at present neither his saturation nor his dyspnoea at rest is improving rather it detoriates time to time....WHAT SHOULD I DO NOW?
### output:
| Hello Thank you for trusting Chat Doctor Dear friend sorry to hear about your father health status. What about echo findings?? Pulmonary hypertension mild, moderate or severe? What about Ra, RV? How much EF??? Weather he is intubated??? What is platelet count and pt/in?? What about leukocyte count?? Possible causes for hemoptysis?? 1.infection (it may be pneumonia, pulmonary tb, or aspergilli or paragons) 2.bronchiectasis???3.pulmonary embolism?? 4.ft with dilapidated Ra and RV with TR with invective endocarditis?? With septic thrombus?? Advice :HRC, D-dimer, sputum culture, blood culture pt /INR, platelet count, USG chest. Treatment :1. If blood pressure normal you can add amlodipine. 2. You can add prostaglandin analog epoprostenol and treprostinil(use nor a Chat Doctor. Increase antibiotic reach to area by reducing pulmonary artery resistance 4.add metro or clindamycin if you think he developed aspirated pneumonia. Use ninefold with meropenam. Thank you |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I am a white female, 55 yrs old, mild diabetic, controlled with diet, exercise and metformin, 1,000 mg twice day. I am 5 7 , 180 lbs, I have been walking a mile to 2 a day about 4 days a week minimal. I have begun having rapid heart rate, tachycardia, upon exertion. I don t break out in a sweat or get nauseated, haven t really had arm or shoulder pain, but I do get tight in my chest, and minor shortness of breath. I can sit, and it goes away, until I exert again. I have minor medical knowledge, and know to get to ER if this gets worse and report to the doctor, but...was just wondering...do I need to go sooner than later?
### output:
| Hello. Thank you for your question and welcome to Chat Doctor. I carefully read your concern. You are a 55-year-old woman, which is a borderline age for risk for cardiovascular disease. The pain in the chest you described, which is triggered by effort and goes away when you stop, fulfills some criteria of angina (chest pain caused by narrowing of coronary arteries - the arteries that surround the heart like a crown, hence the name, and supply its muscle with oxygen and nutrients). Of course, in this level of conversation, when none of the test were carried out, this is just an assumption judging by the characteristics of the pain. Therefore, I would strongly recommend you to do a cardiac check-up: EKG, echocardiogram and cardiac stress test. Also, I would recommend you to be put on a 24-hour blood pressure monitor, to determine if there is also high blood pressure (hypertension) or not. As for the rapid heart rate, if it goes up while exerting, and remains regular, then my opinion is that there is nothing to worry about. There is a simple formula for this - the heart rate accepted as normal, at a person that is exercising, is 220-age (165 beats per minute, in your case). My further recommendations would be, that you should do a complete blood count and measure the levels of the following cell derivatives: - glucose - HbA1c - urea and creatinine - AST, ALT, GET - electrolytes - total cholesterol, LDL- and HDL-fraction, triglycerides I hope I wash helpful and thorough, with my answer. Feel free to contact me again. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I am 30yrs of age, I live in Abuja(Nigeria) where malaria is the most common form of illness. In 2012 a test was carried out on my blood and I was told that a ring form of plasmodium was found and my sugar level was ok, in early 2013 a similar test was also carried out and I was told tis time that I was affected with malaria and thyphoid, but did not suffer from much of malaria symptoms and I belive thats because i am 0+ and genotype AA. normally after these tests I am always administered with some antimalarial drugs andother relvant prescritions but because of the nature of my job, I am sometimes not frequent in taking them. secondly I am not sure the malaria issue has been properly handled as I still feel a burning sensation under some part of my skin anytime I fast up till 10am and I sometimes experience weakness in my body especially in my legs, this (slight abnormal weakness of the limbs) was worse when I was less than 16yrs of age. then I used to get tired of standing after like 5 to 10minutes. Another issue I really did suffer from since childhood is memory failure. some times like five years ago. pls doctors what should I do?
### output:
| Dear, I can understand the distress you're suffering from. Here, as I can figure it out, you are having two complaints1) Pain or weakness in legs, more so when after prolonged standing.2) memory problem well, as far the problem of malaria goes, which you mention to have had in 2013 a year back, I suggest you get a complete mammogram test now to check if the problem of malaria still persist. Similarly, get typhoid antibodies tire check by doing Tidal test. This will rule out the possibility of the above two infections. For your problem of leg pain, there could be various reason. It well could be a sequel of these infections, as any illness follows with period of weakness for few weeks at least. Or it could be an independent neurological condition. However, if the pain in legs is very troublesome to an extent where it prevents you from doing your daily routine activities, I strongly suggest you to consult a neurologist. This complaint I your warrant a proper physical examination. For your worry of memory it again requires a battery of question and a details history, which could be possible in personal examination. Hope to have helped you with your query. Thank you. Stay healthy. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I believe I have tonsillitis having symptoms of sore throat , sore neck glands, swollen tonsils with the puss, difficulty and painful swallowing and body ache. I am aware I will need antibiotics for this but unfortunately I am allergic to almost all antibiotics except sulphur ones. I have veeb using natural antibiotics such as lemon, salt and honey . I have been doing some reading about how strep bacteria can spread and cause rheumatic disease. About a week and half prior to having this sore throat, I have felt my heart palpitating and beats at abnormal rate everyday. I queried if it was my asthma but it s definitely not my lungs but my chest/heart that felt odd. Five days on and the sore throat feels worse, and also I started feeling something stuck down the trachea everytime I swallow. I woke up the next day and it feels it has gone down again to mid chest as I find it tight and painful to swallow and bring my food down. Because it is the Christmas/New Year Holiday I am hesitatant to go to the hospital Emergency Depatment kowing I will be there all day. I was thinking of waiting until the endof the week when my regular general practitioner s clinic will be open. But with the chest tightness symptom, I am getting a bit worried. Is this normal with tonsillitis? Regards.
### output:
| Hello, Sorry to note that you are having a rough time. It is most likely oxidative tonsillitis (on examination, there is white pus covering the tonsils) and streptococcal bacteria, diphtheria are main causes. Penicillin V, erythromycin, azithromycin (for penicillin allergy) are first line treatment options and also noted that you are allergic to almost all antibiotics except sulfur ones. The secretions (or exudates) from the infected tonsils go down the throat (causing sore throat) and then to the chest causing feeling of tightness. If you have asthma, then you feel this coming on quicker. Epiglottis is an indication for hospitalization. Conservative treatment involves: staying at home to prevent social contact, and you may catch other organisms; throat gargles may help; ibuprofen or paracetamol syrup to lower the pain and temperature. Usually symptoms subside in 3-5 days. I hope that was useful. Best Wishes. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I am 16 and half weeks pregnant And was told yesterday at the Dr that my baby might have Trisomy 18 but they dont know for sure yet. because i havent had a amnio.But the dr I seen was not my actual dr. It was at a different hospital . But they said we where gonna lose our baby just from looking at the ultrasound. But ever since I have been pregnant i have had brown vaginal discharge which my dr says is normal and fine. But ever since yesterday after i went to the dr I have had the same light brown discharge but its now a light pink with clumps or chunks in it. When they said i was gonna lose the baby they said they didnt know when or how.But yesterday our baby was moving around like crazy on the screen and the heart rate was 153 and its been around that since ive been pregnant. But I was just worried after having the light pink discharge with clump or chunks. what that might be???? I havent had any cramps or pains or anything tho. But yesterday when they did the ultrasound they did a vaginal ultrasound. And I didnt know if maybe the light pink chunks where maybe the lining of my uterus or maybe dead skin cells or something and when they did the vagnial ultrasound it maybe knocked some of the dead skin cells or lining lose or something. Any info for me????
### output:
| Hi there,Please do not be so tensed, having been told that you are going to lose your baby must be a devastating experience. But nothing is confirmed till a definitive test such as an amniocentesis is done. A transvaginal ultrasound does not cause any damage to the lining of the uterus or to the pregnancy, do not be very concerned about it causing harm. If some defects were identified on the ultrasound we will need to rule if they are isolated or associated with a genetic cause such as a trisomy. The amniocentesis will take some fluid from around the baby and analyze it for the DNA. But if the baby does have a genetic defect it is also more likely to miscarry itself, which could be a cause of the constant mild spotting you have already had through this pregnancy. If the amniocentesis comes out with a normal finding and there are still defects observed on the ultrasound, you will need to get detailed scans at 20 weeks and a cardiac ECHO of the baby at 22-24 weeks to rule out other problems if any. Hope this helps. Regards. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have a question in regards to my asthmaIm 26 y/o. I was diagnosed with asthma about four years ago. I developed asthma right after I stoped smoking. I have been with my current partner for about the same time, almost five years and he is a smoker. I have noticed that sometimes I get asthma episodes and/or attacks after I kiss him. Now, he does not smoke around me, and I never kiss him after he smokes. What are the chances that my asthma worsens by kissing him? What are the effects of his smoking in me? Im very concerned because my asthma seems to worsen even if I take all my medication and follow up with every treatment.Thank you.
### output:
| Hello, It's been 4 years that you have been diagnosed with asthma, for which you taking meds already, we need to consider few points first:As you know that asthma needs a trigger, which could be anything for example smoke, pollen, hay, animal fur, dust etc. when exposed to these it triggers a bronchospasm and an asthmatic attack occurs. So, as you said your partner smokes though not in front of you or around you, but he does smoke, that smoke is still present in his breath, his clothes and body and It's enough to trigger an attack anytime. I hope you both are aware about the ill effects of passive smoking, they are almost equivalent to active smoking. I would advise requesting your partner to think about quitting smoke because it's harmful for you and obviously for him in the long run. The medications that you take will also have a slower effect if smoking continues. I would also suggest you to book an appointment with your treating doctor and review your current medications maybe he/she might want to alter some to help you for a better control. I would also request you to keep a check of your Peak flow which is basically the maximum air that you breathe out in one breath and accordingly modify your inhaler doses. You should also indulge in some physical activities like brisk walking or jogging which will help maintain a good lung capacity, ask your doctor about breathing exercises, they also help in maintaining a good lung function. Prevention is always better than cure, so you both should meet your doctor and help your partner quit smoking which is beneficial for both. Asthma can be a very debilitating illness and you both are young, so you can check it at an early stage and keep good health. If you have further queries you can get back to me, am always here to help. Take care keep healthy. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I am a 25 year old male with intense testicular pain. It started 2 years ago with a gradual onset of non-specific right side testicular pain. I received a physical exam and was told nothing was wrong. The pain persisted on and off for months until finally it was so bad I went to the ER and received an ultrasound. The doctor informed me I had an epididymal cyst which becomes inflames at times and could cause pain and told me to take Motrin. Well, since then it has gotten overall better with random bouts here and there, the medication seems to make no difference at all. Ive visited another doctor and a urologist who have both told me extreme pain isnt common for the diagnosis. The other day I woke up with extreme extreme pain in my right testicle. It seemed to change upon moving positions but for the most part felt like someone was squeezing my spermatic cord every 15 or so seconds, very bad pain. I managed to sleep it off and felt fine the next day. Then today out of nowhere it began again in the middle of the day and got much worse. I have noticed no swelling or change physically when looking at my testicles. I was wondering if partial torsion is a possibility. Tonight I was in such pain I was debating going to the ER but talked myself down from it. I dont believe it to be epididymal pain as the pain is much higher up in the spermatic cord near the groin and I can emulate the pain by rubbing the cord high up much further than the epididymas. The pain is very intense, but from what I read not torsion intense as I can walk and am not on the floor crying or vomiting as I have heard is usually the case. I have no pain urinating and have had no pain ejaculating. Is it possible to have partial torsion that can come and go? Would there be more symptoms like swelling or physical differences I would notice visually? Would there be any other test I could do besides an ultrasound to see what the problem is?
### output:
| Hello, TESTICULAR PAIN could be due to epididymitis, or inflammation of the testicles, caused by the STI chlamydia. Gangrene, or the death of tissues, as a result of untreated testicular torsion or trauma. A HY Chat Doctor. An inguinal hernia. I suggest you to consult a doctor for further investigation and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I m having lower back pain it hurts when I stand, bend and walk very stiff in the morning and doing the day. The pain goes down my hips and my thigh and stop at my knees. sometimes my husband have to help me get out of bed and when I am sitting. I have alot of fatigue. I doesn t go away when I am at rest. I started taking presidone and indomethacin 50mg which was given to me for swellen in my right hand they thought was gout but it wasn t. I was tested for Lupus I don t have that either. My joints make noises when I move them epecially my knees and elbow. My eyes feel itchy and when I rub them they sound squeeky and they hurt sometimes I see purple colrs sometimes yellow. I m starting to see these light colored spots on my legs, arms and face what are these and can I get rid of them. I am going thru menopause havn t been tested have all the sysptoms. I am 45 years of age had a hysteromy in 1994 I only have one ovary. I had my appendix taking out in July 2011 and gallbladder in 1990 had some cyst in my breast had them removed doing the years. Had a heart Cath done for chest pain in 2010. I had a knot to appear out of no where on my forhead. I do have high blood pressure, High Choles. I feel better than I have in along time since I started taking the presidone and indomethacin 50 mg. Just taking a shower takes alot out of me. Please help I don t Have Health Insurance. When the doctor took out my appendix he told me I had a lot of pus and that I was a sick woman. The way he explained I was very lucky to come in to the ER when I did. I was on alot of anbotics excuse my spelling.
### output:
| Dear patient Extreme fatigue and multiple joint pains can be due to many causes 1. Severe anemia 2. Hypothyroidism 3. Rheumatoid arthritis considering your age. Out of this according to me severe anemia with low hemoglobin is more likely. You need to be investigated with blood tests to confirm diagnosis which includes 1. Complete blood counts 2. Serum thyroid function test 3. RA factor level. Get this done from reputed laboratory asap. Visit expert physician with report. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi I am a mother of a 4.5 year old boy. My son has a problem with stool witholding for about four months now. He solis his pants with some stool from the 3 rd day from the last bm. He goes about every 8 days, or sometimes 6 or 7. He sits on the potty couple times a day it seems he will produce a stool, it smells, but the he witholds and the stool doesn t come out. I think he is afraid that it will hard him when he goes. He got constipated around august, hte stool was after 8 days, very hard and some blood on it. He had an infection of the throat then and didn t want to eat anything, so I gave him some chocolate desert he likes and some other things that made him constipated, because I was afraid he didn t want to eat and loose wait, not be able to fitght the infection. Since then he has been witholding the stool. I went to the peditrician, she said to take decoman and that didn t work so we tried lactulose, after that was no improvement in frequency and he had cramps and his behavior was different. He was irritated a lot. I look him of lactulose and I don t know what to do next. He had an ultrasound, but it didn t show anything specific. The doctor who preformed the ultrasound said that there is some fecal matter in the stool. Now doctor is saying he needs an x-ray with contrast or somethin. I would be thankfull for any advice. I don t know how to help my son, so he can go more often and the stools are not as hard. I give him prunes, otmeal, fresh apples and pears.. he doesn t eat nay chocolate or bannanas-nothing that will make him constipated more. Thank You for any advice.
### output:
| This condition is brought on by fear of pain or through some psychological stress that the child has/had recently. In this condition, known as encopresis in technical language, the child voluntarily holds back his stool and because of the internal pressure, develops bloating of the stomach, pain, flatulence, and occasionally soiling with liquid fecal matter into his pants. Treatment must be under the guidance of a psychiatrist with experience in pediatrics. Laxatives and diet alone will not work. Please consult a psychologist first, and on their recommendation, a psychiatrist, before going in for contrast study as recommended by your pediatrician. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi,My father is 72 years old. Lately he has started getting seizures that last up to a minute. This happens once a week. He also complains about headaches sometimes and he has started forgetting things. One day his left hand went numb. I just needed an opinion of what might be wrong?Thank you
### output:
| Hi welcome to HCI have gone through your query regarding seizure and numbness in hand of your 72 years father. It is a matter of concern. For your info, it is usually accompanied by weakness or loss of function in your arm or hand due to damage, irritation or compression of one of the nerves or a branch of one of the nerves in your arm and wrist. There are many factors influencing your fathers health to this suffering state. Main of them are-: lack of physical activity, lack of sufficient nutrients lack of sleep and proper rest , Alcohol use disorder or chronic alcohol use, Cervical spondylosis (age-related wear and tear, HIV/AIDS, Type 2 diabetesVasculitis (an inflammation of your blood vessels)Vitamin B-12 deficiency etc., You have to study, what all factors you can remove and help him lead a healthy life. Including - Yoga, Panama - Deep Breathing, Meditation, Calamari to boost your blood circulation and detox your system under guidance of trained guide and balanced diet, including, all essential nutrients as fiber, vitamins, minrals and antioxidants Ginger, Garlic, AMLA, Aloe vera, nuts, Turmeric powder and almond oil a spoon each, in a cup of hot milk at bedtime, Coconut water, all in natural form help, eradicate Vāyu ATV (gas)(which troubles a lot in this age), alley numbness , pains and inflammation and give resistance from diseases. Ayurvedic Sharp Gandhi Patti also induces good sleep - 2 tablets Avoid food that is high in saturated or trans-fats like fried, fast foods, refined sugars and fine floor products, tea, coffee, alcohol, sleeplessness, dehydration, constipation.worry, stress all induce toxins in your body and cause you sufferings. This regime will help him It is advisable to consult your doctor before following any regime Hope this helps solves your query. Take care, All the best.Don't hesitate to get back if you have any further query |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Respected Doctors, I am giving the details of MRI report dated April 01, 2011 - (1) Clinical History : Presented with h/o backaches, radiating to RT. let. (2) Sequence planned - Sagittal SE T1, Sagittal TSE T2, Axial SE T1, Axial TSE T2 (3) MRI Lumbar spine has been performed in multiple planes by using T1 & T2 weighted sequences (4) Mild osteophytic degenerative changes noted (5) Diffuse posterior disc herniation is seen at L4-L5 level causing thecal sac compression & narrowing of both newral foramina at same level (6) Diffuse posterior disc bulge is seen at L5-S1 level causing minimal both new foramina narrowing (7) The marrow of vertebra and posterior vertebral appendages shows normal intensities (8) No e/o abnormal signal itennsities in cord. (9) The lumbar canal dismeters are L1-L2 14mm, L2-L3 14mm, L3-L4 12mm, L4-L5 08 mm, L5-S1 08mm. (10 This MR study reveals - Diffuse posterior disc herniation is seen at L4-L5 level causing thecal sac compression & narrowing of both neural foramina at same level, Diffuse posterior disc bulge is seen at L5-S1 level causing minimal both neu formation narrowing. Sir, I am feeling numbness in left foot fingers, backache, cannot sit on chair due to pain. Please advise me treatment. Is is possible without any operation, if so how.
### output:
| Welcome to Chat Doctor .1. Weather operation is needed or not depending on the stage and % of herniation /bulge.2. Initially exercises are prescribed for pain relief, if it doesn't work then operative procedure / interventional procedure is done.3. Since disc is bulged and causing compression on the theta sac, and nerve compression - you are having numbness and pain.4. I would recommend having a flat bed, and exercises will give relief.5. If necessary your orthopedics specialist may ask for a belt for less mobility of the spinal movements.6. So please try all, if not then there is no option. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hello, I m 23 years of age...me and my husband is trying to get pregnant so bad. I last time I started my period was August 18th, 2012 lasted for five days. Since then I still haven t had my period...It s now Nov 21, 2012. I ve spotted brownish discharge that appeared once which I thought I was expecting my period, this happened Oct 15th, 2012. I ve had all the symptoms of pregnancy which really I ain t sure anymore if I m pregnant or not...I did took a home pregnancy test Oct 30th, 2012 it came out positive, went to the health clinic there s came out Negative...They told me I had high blood pressure and am over weight....I am 5 7 weigh 241, I lost 10 pounds. This week my breast felt sore plus my nipples...yesterday I had cramps like I m expecting my period...But nothing...today I pee and when I wipe, I noticed a little pink spot on it and my panty had a white milky discharge...I am so confused, as much I am hoping to get pregnant, I ain t sure if I am or not because I get positive and negative test results....What does all this mean to you? Please help.
### output:
| Hello, I appreciate your query. Based on your history, it appears that you have not had your period for the past three months, apart from the slight discharge once. Did you have regular monthly menstrual cycles earlier ? If that is so, then pregnancy is a very likely possibility. You have had equivocal Urine Pregnancy Tests so far, hence please do not perform anymore. You should visit a gynecologist at the earliest, for an examination and an ultrasound, which will confirm your pregnancy. It is possible that it is early pregnancy, or an ectopic pregnancy (pregnancy outside the uterus). However nothing short of an ultrasound will tell you for sure. Also, you are definitely overweight, which also might be interfering with your menstrual patterns, in case you are not pregnant, you should definitely try to exercise, eat healthily and lose more weight. If pregnancy is not possible, please rule out other conditions like POD (polycystic ovarian disease), hypothyroidism etc., which cause such abnormalities of periods. Everything should be taken care of once you visit a gynecologist for further treatment. Hope this helped you. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hello,I have a problem with my upper left wisdom tooth thats been painfully growing for the past few years. I havent thought of taking a look at it before, since its not really visually accessible, but when I did, I noticed that its looking very odd. First, on one side it has a rather purple line on it. Second, its like its top is broken in a way that makes it detached from the gum. So yeah, theres a gap between it and the gum, but the gap isnt exactly empty since theres a brown-ish substance that neither looks like tooth nor gum.Herere pictures taken with my phone (sorry if its not clear, its hard to take any picture of it)+ http://s16.postimg.org/dkwohrjet/IMG_0837.jpg+ http://s16.postimg.org/tx6q7hxqd/IMG_0838.jpgIts really really painful, especially when I smile for example (I can imagine the inner skin of my mouth getting in that gap, and that hurts me a lot. )What is it? Is it an infection? Is that a nerve uncovered? I got an appointment with an orthodontist but its in May, can my tooth wait? Or is it urgent and I should just directly go see the emergency doctor?Otherwise who should I see? A dentist? An orthodontist ?Thank you very much for your help!
### output:
| Hi Dear, Understanding your concern. Yours left upper wisdom tooth about which you are talking about if it's accompanied by symptoms such as intense pain, swelling over that area, fever, problem in breathing and headache then it needs immediate attention.Otherwise, warm saline rinses, antibacterial mouthwash, OTC painkillers will provide relief. Ice chips around that area can be applied to relieve pain as that causes nerve numbness. Gap you are talking about between tooth and gum is filled with brownish substance which is called calculus which is a hard substance. Pain could be because of this as it builds pressure in that area. In that case sublingual cleaning/ scaling or curettage is treatment option. Wisdom tooth extraction is not an option for some people because of potential risk of complications so pain management is recommended in that case. Well it's not an emergent situation. Your tooth can wait. You should go to dentist. Till then take all the preventive measures like saline rinses. Hope your concern has been resolved. Best Wishes, |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
hi i am 29 a mother to a 4 year old and me and my partner are trying for another baby, my partner is a HGV driver which means he is sat down all day then when he gets home he is atired from work so will just lie down on the sofa until bedtime i have heard that being sat down for long periods reduces your sperm count is this tru? Also i have been reading through loads of info from the internet but still cannot figure out when i will be actually ovulating each month is it 2 weeks prior my period or 2 weeks after and if it is after do i count 2 weeks from the day my period starts or the day my period ends. We have fallen pregnant twice before whilst i was on the pill the first time round unfortunately we lost it and the second time around we were not financially ready my partner had just lost his job so we decided to have an abortion but now im worried that this may have effected my body someway as we have been trying for 4 months now - well 4 months since i stopped taking the pill and still nothing i thought we were quite fertile considering we fell pregnant twice before whilst on the pill but that was 2 + years ago and my partner was not a HGV driver then so r all these causing barriers in my falling pregnant? Please help dont know if i can face another month of disappointment :( thank you, Jemma.
### output:
| Hello, thank you for using Chat Doctor, if you have consulted gynecologist in past for miscarriage and abortion, and it was done properly then it does not reduce your fertility. Perhaps you might take little long to conceive because of difficulty in implantation. O.C.pills does not reduce fertility neither sitting for long time reduces sperm count.after leaving o.c.pills it takes around month to obtain your complete fertility. If your cycle is of 28 to 30 days then you will ovulate on 13th to 15th day. Usually on 14th day...you can confirm by it looking your vaginal secretion it will become thick, take your temperature on morning before getting out of bed. Start taking it from 12th day. If ovulation occurs your temp will increase by 0.5 to 1 Celsius.12 TH to 18th day of your cycle considering first day of your period as a first day of your cycle will be fertile. During this period have intercourse 3 to 4 times or more if possible...keep trying for at least a year then too you are not able to conceive then you need to worry.hope this helps you, Chat Doctor. . |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Thanks. Im in Prescott, AZ. I had major spinal fusion surgery twice last year. In May, I had neck vertebrae fused, and in September I had L3,4,5 and S1 fusion. the surgeries seemed to work fine. Im in the 5th month of rehab. The nerve pain is gone, but I still use a cane and still have swelling and numbness in my toes. Anyway, I am still taking Morphine sulphate 30ER twice a day and 15IRs up to 3 times a day. I am also taking Lorazapam 0.5. 2 or 3 times a day. I am suffering from depression as well. I have pressure, and fear from other issues that are causing my depression. My family doctor has prescribed Cymbalta, 20 mg once a day to start. I am a little afraid of Cymbalta. I had some weird side effects in the past with others. So what do you think?
### output:
| Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that you are having a depressive episode and that needs treatment. Depression can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. Treatment of depression can reduce your pains as well. Cymbal ta which your doctor has prescribed is a good option but if you have had side effects in the past then there are many other options available. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Sometimes I wake up at night with a lump feeling in my chest. Age 70 male. No symptoms of burping or burning. I usually do not have any difficulties with eating or digestive disorders that I recall. My wife had a gall bladder operation and apparantly had similar symptoms. I recently took a treadmill stress test. I tested above age appropriate levels. All OK. I generally sleep on my back. The lump feeling goes away after about an hour. I do little exercise but am in generally very good health for my age. Blood pressure is controlled to around 125 over 85. Cholestoral is within normal limits toward the upper range. I am wondering if it is caused by
### output:
| Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation, You seem to have suffered frogger with acid reflux. In the given scenario, chances of Gall bladder stones are less in your cases, as suggested from your query facts. But obesity with high normal cholesterol, needs to rule out hiatus hernia / at this advanced age, with lax tone of controlling sphincters and diaphragmatic muscles. Ekg and repeat stress test to rule out Cardiac dyspepsia, needs to be ruled out for your advanced age. Other causes leading to HERD acid reflux like IBS/ piles / fissure in ANO and others, needs to be ruled by Second opinion from GI Surgeon/Physician in your case. Work up on above lines suggested, would help in resolving the issues, in your specific case. Many other causes accompanying, need to be ruled out in planning further care in your case. Second opinion with attending GI- Surgeon would resolve your health.issues in time to come. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi. After a non-contrast CT scan, Ive been diagnosed with multiple non-obstructing renal calculi. In the right kidney, there are at least 5 calculi with the largest measuring 3mm. In the left kidney, there are also at least approximately 5 calculi with the largest measuring 5mm. No uretic calculus is detected and there is no hydroureter or hydronephrosis.I had a recent X-ray which did not show any kidney stones on the right side, which was why the urologist ordered the recent CT scan. I was on a waiting list to have ESWL. Do you think it will still be necessary?
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| Hi, The treatment of kidney stone depends on your symptoms, size and location. Asymptomatic calculi, less than or equal to 5 mm can usually be managed by medical therapy (e.g. potassium citrate syrup, Eurostat, thiamine etc.). ESL is good for a single stone between size 5 to 10 mm. Since shockwaves have to pass through the kidney to break the stones, there is a limit to the number of shockwaves that a kidney can tolerate. Moreover, small stones are difficult to localize in fluoroscopy or ultrasound during ESL. Thus, ESL is a very poor choice for multiple small stones. For multiple small stones, current treatment of choice is flexible ureteroscopy with laser. In this procedure, the surgeon can see inside the kidney and treat each and every stone with laser. Thus, clearance rates are very good. However, its availability is limited to a few centers. In your case, if you do not have any symptoms, I advise you to start medical therapy after undergoing a 24-hour urine metabolic work up (Check urine volume, pH, creatinine, calcium, phosphorus, sodium, uric acid, oxalate, citrate and magnesium) along with serum creatinine, calcium, uric acid and electrolytes. These tests will help to find out the reason for formation of kidney stones. Accordingly, individualized medical therapy can be advised to dissolve current stones and prevent future stones. General measures to treat kidney stones are to keep urine output more than 2.5 liters per day, reduce salt intake less than 5 g/day and reduce animal protein intake. I hope I have answered your query. If you need any clarification, please feel free to contact me. Wish you good health, Warm regards, |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
slipped down the stairs the other day and was very painful with lots of muscle spasming similar to when I compression fractured my L1, L2 in spine 9y ago. Took me a long time to get adjusted on the stairs into a position which was the most comfortable and then was able to crawl back up the stairs and into my bed on 1 side only as the other side or on back was too painful. Now two days on I can walk but get severe burning pain in back on right side at back and still get spasming if I move into wrong position. it is better as I can get around better although still painful. I feel the bruising in my mid back on right side of spine where the stair lips hit my back as I slipped down and that is very tender. any suggestions? Update: had xrays but nothing obvious. Still get red hot pains in my back right side above the hip with cramping / light spasming? Taking slow release ibuprofen, oxycontin and paracetamol also propam for muscle relaxation but sharp burning pain from right hip/buttock between hip and spine going up back not touched by pain medication so all I can do is lay down in a comfortable position, leaning forward or trying to sit up etc very painful with the burning pain like a red hot knive big needle going up back. not sure if this maybe pulled muscle if it didnt show up on 3 xrays taken but sent off for further review just in case ER Doctor missed anything. Not sure what to do other than continue the treatment and hopefully it will get better but considering the level of pain relief I have available its not doing much. Thank you so much for advice, I felt quite lost when nothing was found on xray in local small hospital er. Kindest regards and happy new year
### output:
| Hi there. A fall of such a nature is not good for you as you already have had compression fracture in the past. First and foremost get a X-ray done immediately to rule out any fractures. The muscle spasms could be due to these fractures. Secondly ....please take complete bed rest and avoid bending your back forwards. You need an anti-inflammatory along with a muscle relaxant like tablet Nicosia - MR twice daily. Apply ice packs to the tender area along with diclofenac gel application. Avoid applying heat altogether. Tablet ULTRACET (tramadol) can be taken if pain is not relieved by the above. I hope my suggestion was helpful. Good luck. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I am aged 48 suffering from lower back pain . I cloud not get up from where I was sitting on the floor. Nerve catch and I was taken to Ortho. Dr.Ortho gave pain killer injection & V12. Took x-ray and no sign seen on slip disc but said not to rule out. Advised for MRI in case of SOS. Medicine taken Efetran, Ultracet, Benzaday15, PAN D for 10 day. I was quite comfort and do my regular work/travel etc. After a month the pain developed. The pain from lower back to foot , numbness at the foot etc. Pl advise.
### output:
| Hello. Thanks for the question. This is most probably because of a pinched nerve or lower limb radiculopathy (Sciatica). Common cause is bulging intervertebral discs in the vertebral column that compress on the nerves as they come out of the spinal cord. Symptoms are experienced along the area of distribution/path of that particular nerve. X-rays cannot be ideal to evaluate this so go ahead with MRI. Conservative treatment include anti-inflammatory medications, physical therapy or chiropractic treatment, and avoiding activity that strains the neck or back. The majority of radiculopathy patients respond well to this conservative treatment, and symptoms often improve within six weeks to three months. I guess conservative treatment are not proving helpful in your case. If patients do not improve with the treatments listed above they may benefit from an epidural steroid injection. With the help of an X-ray machine, a physician injects steroid medication between the bones of the spine adjacent to the involved nerves. This can help to rapidly reduce the inflammation and irritation of the nerve and help reduce the symptoms of radiculopathy. In some cases the symptoms continue despite all of the above treatment options. If this occurs and the symptoms are severe, surgery may be an option. The goal of the surgery is to remove the compression from the affected nerve. Depending on the cause of the radiculopathy, this can be done by a laminectomy or a discectomy. A laminectomy removes a small portion of the bone covering the nerve to allow it to have additional space. A discectomy removes the portion of the disk that has herniated out and is compressing a nerve. I would suggest you to see a spine specialist who will take into account severity of your symptoms and MRI findings to guide about the treatment. Thank you. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Back in December, I had a blood and urine test performed which showed an elevated liver enzyme level. A couple of months later I began to notice swelling on both of lower legs, ankles, and tops of my feet, accompanied by a heated red rash, tightness, and limited mobility. I went to see my general practitioner who requested another blood & urine test. Elevated liver enzymes count came back again. He referred me to a gastrointestinal and a kidney specialist. The gastroinstestinal specialist requested more blood tests, an ultra sound of the liver and intestinal organs, and I also had a liver biopsy. The ultra sound came back clear. I also had a colonscopy whicChatDoctore back clear. The liver biopsy showed sign of an infection but the pathologist was unsure what it could be. The gastrointestinal dr asked for another blood test and the markers for hepititis all came back negative except one - ana. The kidney specialist ruled out anything on his part because the lab erroroneously entered 100 to my age when determining the blood work results. However he referred me to a vein specialist to do an ultra sound on my legs. The ultra sound came back normal. The gastrointestinal dr is saying that it is possibly a form of autoimmune hepititus though is not sure and would like to see me to begin a prescription for it. My question is this: I have to two moles - one on each lower leg in the general inflamed areas are. Could melanoma cause all the symptoms and test results seen thus far? inflamation, redness, soreness of both legs, swelling, ANA positive marker, and an elevated liver enzyme count? Thank you in advance. Jeanette
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| Thanks for your consultation at Chat Doctor I have gone through your case and being your physician i completely understand your health concerns. Based upon the history u have provided, you have got AUTOIMMUNE HEPATITIS, It's a type of hepatitis in which body own antibodies start targeting liver and causing inflammation and derangement in liver function.... All you need is to consult a hepatologist and get you hepatitis treatment done MELANOMA about which, you are concerned i don't think so, so stop thinking about it anymore and meet your HEPATOLOGIST. Hope your query is adequately answered if u still have any feel free to ask Regards Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I am 53 yrs male non-alcoholic. Height 164 cm & weight 84 kg. Total cholestrol 5.1 mmol/l with zocor medication. Recently my blood chemistry (liver function test) revealed that my SGOT/AST & SGPT/ALT readings of 132v & 232v respectively. My doctor explained that I am having fatty liver. He then prescibed me to take Livolin Forte capsules twice (morning & at night) daily. Can doctor explain to me more about the readings of my liver function test (SGOT/AST & SGPT/ALT) whether very alarming or not? What are the side effects of consuming Livolin Forte in the short & long term? Thank you. Hamzah Nassir.
### output:
| Hi I hope you are very well The alteration that you present in your liver chemistry according to ALT levels is a moderate elevation, with a hepatocellular pattern. Your diagnosis may actually be a fatty liver, however, this is a very broad spectrum that includes hepatic stenosis and steatohepatitis. You have metabolic risk factors for fatty liver such as your overweight / obesity and dyslipidemia. You should have a checkup for suspected diabetes mellitus and systemic arterial hypertension. There are several non-invasive studies to evaluate the degree of fibrosis or even cirrhosis, the one with the highest diagnostic yield is the transient cartography (Protest), however, to differentiate between stenosis and stenosis hepatic biopsy should be performed. The importance of detecting a steatohepatitis is for prognostic purposes, since the progression to cirrhosis is greater. The treatment indicated in these cases is mainly non-pharmacological, the loss of weight is fundamental as well as a modification in the lifestyle, a balanced diet, increase in the physical activity. An approximate loss of 5-10% of weight is suggested in a period of 6 to 12 months, this is associated with an analytical and histological improvement. There are very few Chat Doctor. One of them is vitamin E in doses of 400,000 to 800,000 U / day especially in people who do not have diabetes mellitus. Other medications currently being used are statins like simvastatin that you consume, as it has antibiotic properties. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
IMPRESSION: Mild multilevel degenerative changes of the cervical spine as described above. INDICATION: Neck pain radiating at C6-C7. COMPARISON: None TECHNIQUE: Multi-sequence, multi-planar MR images were obtained of the cervical spine without contrast. FINDINGS: The craniocervical junction is unremarkable. The cervical vertebral bodies are normal height, signal intensity and alignment. The cervical cord is of normal signal intensity and morphology. Limited evaluation of the posterior fossa demonstrates tonsillar ectopia on the right. Level-specific findings: C2-C3: There is no neural foraminal narrowing or canal stenosis. C3-C4: Minimal posterior disk osteophyte complex without significant spinal canal stenosis and minimal bilateral neuroforaminal narrowing, right greater than left. There is a small left central disk herniation which minimally narrows the proximal left neural foramen . C4-C5: No significant spinal canal stenosis and mild bilateral neural frontal narrowing. C5-C6: Minimal posterior disk osteophyte complex without significant neural foraminal narrowing and mild bilateral neuroforaminal narrowing. C6-C7: Minimal posterior disk osteophyte complex with no significant spinal canal stenosis and mild bilateral neuroforaminal narrowing, left greater than right. C7-T1: There is no neural foraminal narrowing or canal stenosis.
### output:
| Hello, Thanks for the query to Chat Doctor. Forum. Note down as, Craniocervical junction is unremarkable normal C1& cranium. C2-C3 normal,C3-C4 in this minimum bilateral neuroforamina narrowing. Minimum narrowing is there so at present will not develop any pain, if it further increases(narrowing)than pain may be on both sides hand. C4 -C5 normal,C5-C6 mild bilateral neurofoamina narrowing,C6-C7 mild bilateral narrowing in neurofoamina (an opening through witch nerves of hand passes). C7-T1 normal, So C5, C6 C7 compressing the nerve which supply hand and that's why there is pain. C6 -C7 here left narrowing is greater than right hence pain is more on LEFT side. So consult your doctor and get in his treatment. Good luck. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have been suffering from heart palpitations for more than 3 years, but now they have gotten worse i-e 120-140 bpm with a simplest activity (standing,walking etc). Recently, i noticed blood in my stool.My question is, are these symptoms interconnected?
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| Dear Patient, Thank you very much for your question. According to American heart association, normal healthy heart rate is 60-100 beats per minute when you are relaxed and not engaged in a physical activity. If your heart rate is 100 bpm or above while you are resting and relaxed it is called as tachycardia. However, If you engage in any physical activity your heart rate can race up. That is normal. Subtracting your age from 220 you can find out your maximum heart rate. For instance, If you are 50 years old, your maximum heart rate is 220-50= 170 bpm. Anyway in your condition, I would recommend that you consult your family doctor for a physical examination and proper consultation. I am sure your family doctor will direct you to a normal ECG test and stress ECG or exercise ECG test to rule out some pathologies appearing during physical activities. Also, he or she may direct you to a holder monitor test if necessary to rule out some arrhythmias. Conditions like atrial fibrillation, atrial flutter can cause very high pulse rate like yours and sometimes for that cause is hyperthyroidism. Therefore, you might need to check your thyroid function too. Concerning your blood in stool, I think it might be as a result of gastrointestinal pathology and I hardly believe it is related to your high pulse rate.Also, I want to ask you the color of blood you noticed on your stool. Red color fresh blood on stool can be due to hemorrhoids or due to hard stool passage while black stool can be as a result of hemorrhage due to ulcer disease, ulcerative colitis etc. In order to diagnose these conditions, again you have to do a stool test and explain all other symptoms you have. You may need to undergo an endoscopy if your physician wants to rule out above-mentioned diseases. I think your blood in stool may be related to a gastrointestinal pathology. Therefore, I will highly recommend that you consult your family doctor for proper consultation, diagnosis and treatment. I hope that I've answered your question. If you have any further questions, please let me know. Good luck! |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
i am having a bp of 160/100 and consulted my doctor about an hour back. he has advised me the following:tab. NEXPRO -RD -40 tab. UNICONTIN E - 600 tab. INFINAIR/MTNL (BD)tab. LEVODAY 500 (BD) are these medicines good. or should i consult an other dctor?
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| Hello, Thanks for using Chat Doctor. I had gone through the information posted but the medications that you have written are not for blood pressure management. Let me explain about each Chat Doctor. Nexpro rd is combination of omeprazole with risperidone that is used for HERD, epigastric burning sensation after eating spicy foods, peptic ulcer disease.NICOTINE E is deriphyllin is used for Asthma or COPD which may help to decrease inflammation in airways and mild relaxation of smooth muscle.INFINAIR/ MTNL is a combination of montelukast with levocetrizineis also used in Asthma or COPD to decrease inflammation in airways, can also be used for cold and allergies. Levoday is levofloxacin which is an antibiotic. You did not mention your age and whether you have hypertension or this is the first recording found to be high. But either way you need to start lifestyle modifications makeweight reduction: Maintain normal body weight (BMI 18.5 to 24.9 kg/m2) this can reduce BP by 5 to 20 mm Hg per 10 kg weight loss. Adopt DASH eating plan : (DASH-Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low fat diary products with reduced saturated and total fat. This can reduce BP by 8 to 14 mm Hg Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg. Physical activity: Engage in regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Moderation of alcohol: Limit consumption of alcohol to no more than 2 |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
my father age 65,having tongue & throat cancer for last 3 months.he has been taking homeopathy medicine for last three months.he cant eat or chew any solid food,every thing in liquid form,i want to give him the alternative acupressure therapy,so please show me the path.
### output:
| Hi Welcome to ChatDoctorIhave gone through your query regarding your fathers sufferings due to cancer of throat & tongue. It is a matter of great concern. Yes you can apply Acupressure Pls consult a specialist. In my opinion, you should take guidance from an oncologist for actual treatment as the condition of the patient has gone beyond the hands of Alternative therapies . Alternative therapies can help you in the beginning of the problem & help you to strengthen your immune system by following regular lifestyle - proper food habits - intake of fiber, fresh fruit, green leafy veges, vitamins, minerals all antioxidants as garlic , ginger, onion, in raw form , a lot of water Turmeric powder with a cup of hot milk in b/f and at bedtime twice and lemon juice with water before meals are anti-biotic, kills bacteria in mass bases and gives resistance to our body from diseases. Aloe vera juice fresh 20- 25 ml twice and coconut water also can stimulate the immune system to produce cancer killing chemicals. >Regular exercise, yoga Panama -deep breathing android, rest, meditation etc; and avoidance of fried, fast foods, the coffee, alcohol smoking, mental worry anxiety .and constipation , all strengthen our immune system, helps to lead healthy happy life .ask him to do gargles with salty Luke warm water twice daily to detoxify the system I suggest, You can try Magnate therapy treatment is good potent tool of treatment without any side effect goes with any therapy and kills bacteria on mass bases If you have any therapist around, or if you can arrange a set of 2 magnets of SUM 500 power, inform me. I can give you info about system of using and how it works, though it is simple to use but dos and don'ts are there to be followed. Give him Homeopathic Carcinogen 200 fortnightly 3 doses. If already giving pls ignore Hope this helps solve your query, Take care. All the best Wish him fast recovery Don't hesitate to get back if you have any doubt at Chat Doctor. Com |
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If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi sir.,....i am 22 and my girl is 21...2 weeks back we just meet....we just hug a kis eachother...suddenly sperm came out automatically...i went to bathroom and washed it...and i wash my hand after dat...den wipe those water in my hand with a cloth...den my had was totally dry...after dat more than 15 min later i just put my hand inside her underware...i think i just touch the outer skin part of her dat...suddenly i take make hand out....is dat cause pregnancy???after 1 week her perious got start...but this time period was 5 days early...does this cause pregnancy...i am bit tensed now...plz help me
### output:
| Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.is there any chance of pregnancy after touching the vagina.right.my straight forward answer is.NO. there is no chance of getting pregnancy.let us discuss the things which are required for getting pregnancy. These age-old1. Penis should be inside the vagina.2. Ejaculation should be inside the vagina. So in your case the above things not happened. So there is no chance at all. As u told that your girlfriend got early period this type.right. it's just a normal thing. Nothing to worry. RELAX.DON'T TAKE TENSION ANYMORE.just touching the vagina doesn't causes pregnancy. N u had washed your hand n touched, that means u take DOUBLE PRECAUTION. So there is NO CHANCE. U also told that u had ejaculation before touching her vagina, this was occurs due to excitement and emotions.so it is a normal thing. With the above discussion u can try out my suggestions-1. RELAX...nothing will happen to your GF.2. Ur gift already had her period after this, so she is confirmatory that she was not pregnant.3. If u r still in doubt then do urinary pregnancy test. It is easily available in medical store. Do it n confirm it. If it is negative then nothing to worry.4. If it is positive then visit nearby gynecologist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor. .your GF is not pregnant. RELAX.calm down.be happy. Have blissful love life to both of you) |
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If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have been suffering from chronic Urticaria for last 3 years which causes continued itching/ rashes all over body.I also have hypothyroidism and same is under control with medicine. Please advise possible reasons for persisting skin allergy and itching. I have shown to many dermatologists in Lucknow but nothing gives lasting relief. Please advise
### output:
| Hi sir/madam, Thanks for your question on Chat Doctor. Urticarial rashes are commonly known as hives. They are most commonly caused due to an allergic reaction. In Ayurveda, a condition called Sheetapitta is explained, which bears similar symptoms of Urticaria. There is no specific and satisfactory treatment in contemporary science for the condition of urticaria. But, it can be effectively managed through Ayurveda system of medicine. Causative factors as per Ayurveda:-1. Excess intake of salty and pungent foods.2. Consumption of large amount of sour gruel .3. Excess intake of mustard. 4. Exposure to cold wind. 5. Contact of cold substances. 6. Day sleep. 7. Improper nemesis. 8. Altered features in winter and rainy season.9. Insect bite. 10.contact of poisonous insects or bugs. Pro Chat Doctor. Thirst 2. Tastelessness3. Nausea4. Debility/fatigue5. Heaviness of the body/lethargyDiet to be followed:-1. Older rice. 2. Green gram.3. Horse gram. 4. Bitter-gourd.5. Pomegranate. 6. Gooseberry. 7. Warm water. Food to be Avoided:-1. Milk and milk products2. Fish3. Sugar and its derivative4. Alcohol5. Suppression of vomiting6. Cold water7. Exposure to breezeAyurvedic medicines to be taken are:-1. Quasi capsule- 2 capsule twice a day with water after meals.2. Allergy Care- 2 capsule twice a day with water after meals.3. Amrita Keisha- 10 to 15 ml with equal quantity of water.4. Sootashekhara NASA- 1-0-1 with water after food.5. Manila NASA- 1-0-1 with water after food. Hope it was helpful. Stay healthy, Believe in Ayurveda. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I am 27 weeks pregnant (due april 14th) and I use to take antidepressants after my daught was born in july 2010 but I only stayed on them for a short while. I am now feeling like i may be suffering from depression again. can you tell me whats going on. I have trouble sleeping, tossing and turning and waking up all hours of the night. I cry for no reason somedays. I cant deal with things as well i use to for instance my sister brought her three children up for new years and the noisy made me feel so frustrated i was on the verge of crying. When i get too frustrated i either want to lie down and fall asleep or go on a cleaning spree. I do not feel suicidal or like i am going to harm my children or others but i do believe something is going on with me. Is it depression or pregnancy hormones?
### output:
| Hi dear, I have gone through your question and I understand your concern. Hormonal changes can also make you feel more anxious than usual. Anxiety is another condition that can and should be treated during pregnancy. Depression and anxiety may go undiagnosed because women often dismiss their feelings, chalking them up to the temporary moodiness that often accompanies pregnancy. So don't be shy about letting your doctor or midwife know if you feel low. Your emotional health is every bit as important as your physical health. And in fact, it can affect your physical health. Risks of Untreated Anxiety and Depression During Pregnancy like Low birth weight premature birth (before 37 weeks). But by just Lifestyle modification you can avoid such situations, just feel well, avoid any stress, do activities which make you feel light and comfortable, if you don't feel happy while many peoples around you, or you are surrounded by loud noise then just avoid them, talk to people who are positive and to whom you love talking, watch television and talk with your close friends and take assistance if required, sharing your thoughts make you feel better so please don't shy to share them with your midwife for GP and if still not helpful then I will advise you to consult a qualified psychiatrist and to tell him about your anti depression medications which you were taking. Psychiatry counselling will help you well because you are not alone and most of the cases seen in pregnancy are benefited by it. Hope you find the answer helpful, please do get back for further queries I will be happy to assist you. Wishing your good health. Regards Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I ve been a type1 diabetic since I was 7. I m now 50. My blood sugar control has been good,using humalog (short-acting insulin) and Lants (insulin for basal blood sugar contro),but I was in an auto accident 8 years ago. I had chronic fatigue just weeks after the accident. Many tests were done, but nothing significant was found. i have had high liver enzymes since the accident, but a biopsy showed no disease. Doctors said, Just live with it. This year i went to an osteopath, who immediately noticed my liver was congested and had structural damage. Even though my hemoglobin A1C tests have been in the mid 6 s, when i get low, my blood sugar will sometimes spike after just 5-10 grams of carbohydrates. other times I m still low after 25 grams of carbohydrates. This happens 1-2 times a week, with no triggers I can anticipate. In talking with a diabetes educator, I learned that this was probably a function of my liver being off. Is there any way I can anticipate how my liver will release sugar, or is it simply a guess and check process? I went to a new endocrinologist last week. When she looked over my labs, she said I should be referred to a liver specialist. Since my A1C levels are good, and I check blood sugars regularly, eat regularly, and do everything according o good diabetes control, she say the only variable is my liver function. She is very concerned about my blood sugar spikes and dips that don t seem to follow the rules. I take milk thistle for my liver, do liver massages and pumps my osteopath taught me, and also use creams and clay for liver support. Is there anything else you can suggest to balance my blood sugar as I get my liver healed? How long does this generally take to get a liver fully functional with enzmes in normal range? Thank you, Jayne
### output:
| Dear friend, greeting. I understood your problems..... I know your liver is injured and congested with inflammation . As reflected by your elevated liver or hepatobiliary enzymes.... Plus you are a diabetes ... You need to avoid any Chat Doctor. . Please do keep a track of your liver enzymes and blood glucose levels . Keep checking your HbA1c every two months with LFT and lipid profile. You can take some heat protective |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hello, I dropped a very heavy oak bench on my foot about two months ago. I watched the entire top of my foot just blow up with blood/swelling with in seconds after right before my eyes, it grew, to the point it stretched the skin taunt. I did go to the ER as it was very painful. I had an xray done and was told it was not broken, however I did feel like I was being treated as tho I was only seeking pain meds, which I did not ask for and will not even take. I felt rather foolish to begin with, and I ve tried to ignore the pain since and its made me not want to seek further medical care for it. Its been a little over two months, and while most of the bruising is gone, there is still bruising and swelling present, all the way up into my ankle. I cannot put weight on the outside of my foot, and have resorted to only being able to wear certain types of flat, open top/face shoes. If anything goes across the top of my foot, or even a slight bump, it immediately sweels worse and rebruises. I have developed a very painful hard knot directly on top of two of the bones towards the outter part of my foot. It concerns me because it almost seems like a random bone growth were there should not be. The knot is visible thru the skin. Is it possible that my xray was misread? I can t help but think that this is more than a traumatic bruise as was diagnosed. I was told to use crutches and to follow up with an ortho but again, I felt completely dejected after my er visit, and embarrassed. I did not take the crutches because I was told it wasn t broken, and I was given a shoe for it but the shoe was too incredibly painful to wear (as it buckles over the top and is very heavy). Should I see another Dr and ask for another xray? I would think it would have healed by now? Thank you.
### output:
| HIIT looks more so like a soft tissue injury involving the muscles as well as the small blood vessels. If X-ray seems to be normal, then bony injury is less likely. Injury might have progressed to muscle hematoma, which can lead to cellulitis. Please keep you limb elevated to improve the arterial blood circulation. You can use crêpe bandage it there is no external injury or wound. Painkillers added with anti edema Chat Doctor. Please consult a general or vascular surgeon to get treated. All the best. Take care |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I ve had a small-but-nagging cough for aprox. 6-8 months, and a problem with wheezing when I laugh too hard. I have never smoked, or lived with anyone who has. In the last week, the cough has become much heavier/harder and I feel a near-constant pressure on my chest, just over the breastbone. Is it possible this could be walking pneumonia or something similar?
### output:
| Hello, I read your message and understood your medical issue. I see that you have a persistent Chat Doctor. I don't know what you have used to treat it, but this is quite a long period of time for the symptom to be self-limited even if left without any treatment. When laughing, much more pressure develops inside the pulmonary system which makes the obstruction of the airways to become more evident. Chest discomfort and the sense of pressure in the chest followed by a more severe cough especially after a physical efforts are signs that show that the pulmonary function is getting down. It can be due to pneumonia of course or as a side effect of the previous pneumonia episodes. In this case, the pulmonary function is reduced because of atelectasis which is the substitution of the pulmonary tissue with fibrous tissue. Anyway, I do not think that this is your case even though I do not expel it as a differential diagnosis. What I think is a possibility of HERD (gastroesophageal reflux disease) which has not been treated adequately and might have caused aspiration pneumonia. Anyway further tests are needed to rule it out and treat it adequately like chest X-ray, upper endoscopy and a good physical examination. Bronchitis may become chronic and may lead to more severe pulmonary disease like COPD. My suggestion is that you must see your doctor and do the respiratory tests to evaluate the function of your lungs. Chest X-Ray is very important in this case. It can be due to an allergic reaction as well. Maybe you are constantly exposed to the allergic substance that causes obstruction to the airway and produces the symptoms. Mediastinum organs like large vessels, trachea, lymph nodes etc. must be evaluated. Tumors in this region, also the pulmonary tumors are not usual and if found they are successfully treated. My advice is that you must do at least the pulmonary tests, a chest X-ray and all the random laboratory examinations and if you can do the allergic tests. Hope this is helpful for you. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have failed ICSI treatment?? Reason stated were there could be possible kochs still present after 8 months of ATT treatment in the past with AKT3. Now physician again putting me on AKT4 excempting ethambutol as i have reaction to this drug. Is it suggestable to go again with AKT4 along with DHEAPREG for ovarian reserve at the same time as AMH value is 2.9. OB/GYN says to continue this for three months and then go for laparoscopy to check for any healing. Please suggest is okay to go before i go forward with another cycle of ICSI or try naturally as suggested by second opinion when there is no problem with tubes and uterus there are also chances to conceive during this treatment.... Please suggest.
### output:
| Semen hello, Thanks for writing in. Let me answer your basic concern first. A.I. don't think you need to be treated for Koch's for the second time just on presumption that the disease may still be persisting. Currently, there are no proper set of guidelines to dictate when genital Koch's has to be treated. As a lot of tests used for diagnosis indicate only presence of bacteria but not an ONGOING INFECTION which is very important to differentiate. So I recommend you to not opt for it unless 1. Your RNA PCR for Koch in endometrial sample comes positive.2. There is direct evidence of Koch's on hysteria laparoscopy which your doctor will let you know.3. TB bacteria are seen on histopathology slide made from endometrial biopsy sample. Other tests done for Koch's should only support diagnosis but should not be the basis for unnecessary treatment. B. I would also suggest you to not take DHEA prey as it is meant for women with very low ovarian reserve. Your AMH value which talks about your ovarian reserve is well above 2 meaning you have the good number of eggs in your ovaries. C.It's difficult to opine regarding your chances of natural conception as you haven't mentioned your age and duration of infertility, semen report, indication for CSI, tubal function test report and other relevant information in your query. But if your tubes are fine and no ovulatory problem, semen analysis is normal, and if you are trying for less than 2 or 3 years you may try another 6 months. You may conceive naturally even without treatment, but it may take few months to many years which can't be predicted. Hope this helps. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Doctor I have suspected sciatica but it is not yet fully diagnosed. I have pain in my lower back where my rib cage appears to be convex on the lower left hand side and concave on the lower right hand side. My partner says that it feels like a large muscle covering the left hand side (for all we know it could be a growth!).Along side the back pain which I thought was about the position of my kidneys but apparently is lower, I experience pain and discomfort in my hips, primarily the left and the groin area which has now (in the last two months) progressed to cause lack of feeling in my penis and the inability to get an erection as and when I want (which was never a problem), although I do get hard at times during the days but not usually when my partner would like! Along side the back, hip and groin pain is the worst symptom; I get hot pins and needles down the outer left side of my thigh and sometimes the back of my thigh up to where my buttocks start. This is usually associated with numbness which sometimes causes my whole leg to feel no longer part of my body and my foot flops around like it has a will of its own and cant be stood on. Please help. i was buying and using Gabapentin and Pregabalin off the streets (900ml a day) a doctor at my surgery would only give me Naproxen and Paracetamol, which I had used, without effect (which I told him) for eighteen months some three years earlier whilst in prison. One doctor did suggest and prescribe Tramadol (400ml daily) but then the next time the first doctor would not continue prescribing due to my being on a 70ml maintainence course of Methadone! I have no intention of coming off the Meth. so what was the problem? Please, what is your diagnosis and what meds are suitable for my pain? The Tramadol,Pregabs. and Gabapentin all did wonders but this so called doctor refuses me relief.
### output:
| Hello, As you are a diagnosed case of peripheral neuropathy, sciatica and taking treatment for that. Symptoms of sciatica are:- 1) Tingling sensation over that leg. 2) Numbness of leg. 3) Pain during walking and at a particular position, it can be confirmed by leg raise test. Do an MRI of the hip joint and leg. Kindly follow if any query or consult with orthopedics. Hope I have answered your query. Let me know if I can assist you further. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I went to the dentist 2 days ago due to pain/itching in the gums between my implant and molar. The onset of the pain was 3 days prior to my appointment. The implant was done 2 years ago and I had this same pain at one point during the process for which the dentist prescribed an antibiotic and it resolved. The night before my appointment, I noticed my gums were painful in my entire mouth (something Ive never experienced). The morning of my appt, my gums were so painful that I mentioned I wanted to forgo the routine cleaning I was to have in addition to having my dentist check the gum pain at my implant. My x-ray proved no infection at the implant and I had the cleaning. I have very little plaque buildup and take very good care of my teeth regularly. My dentist mentioned enamel wear due to bruxism but didnt feel it necessary to prescribe a splint. Since the exam and cleaning 2 days ago, my gums are so painful that brushing and flossing are very painful as well as eating. I woke from sleep at 2 am and my gums were extremely painful and it was excruciating to clench my teeth together. The teeth pain was a new symptom. In the 2 hours that Ive been awake, the tooth pain has greatly subsided, but the gum pain remains. Also, my submanibular lymph nodes on both sides are very tender. I see no rash or discoloration in my gums/mouth. One last comment: I consumed about 10-15 sugar-free mints the evening prior to my dentist appt. I had never had them before. Im wondering if the sudden whole-mouth gum pain could be an allergic reaction to them. Thank you for your help.
### output:
| Hi, Thanks for asking the query, For successful placement of Dental implants the periodontics and the supporting structures like gums, alveolar bone should be healthy. Pain after implant placement is due to gingivitis, periodontitis, gingival recession, alveolar bone loss. I would suggest you to visit to Dentist and get a checkup done. If there is bone loss flap surgery has to be performed. You maintain a good oral hygiene. Avoid eating hot and spicy foodstuffs. Use chlorhexidine mouthwash gargles twice daily. Hope this helps out. Regards... |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I am trying to inquire about several things: As a child, 8-9 years of age...I was in a car accident.. the car turning end over end 5 times.We were pushed off the road. I received a concussion and was kept out of school to recover. I remember headaches, and a lump on my forehead that felt like oil having been set on fire where the concussion was I was wondering if I could have some damage that showed up in later years. ( I am 69). I have had several knots on my head my bumping into open cabinets during the years with some large knots resulting and lasting a few days.... At one point I had severe headaches and had a brain scan done. All I remember from that was a horn on one side was larger than the other. .aybe a sign of pkssible epilepsy. I have never had an epileptic attack so that doesn t concern me too much. The other finding was in the bottom of the acm of my bead where two ( glands.l hang a litte lower on o e side. ( Possible chia 1?) I have djscovered a dent above my left temple and a bit back from my forehead. I was wonderi g if that could e the deason I have some personality disorder.... ocd and obsessive compulsive problems. My biological mother had anxiety panic attacks.. so I feel some of my problem is ge etic. My question is: could that concussion cause me to bave personality disorder, ad krva izational skills, difficulty with math, ocd, and some of the mental issues I have. Could that be checked? The dent in my head bothers me. Would a scar move to the back of my head as like a scar moves from it s original site as people ave?... I have been doing lots of reading on the brain but haven t found my answer yet... can you help???
### output:
| Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Concussion of Frontal lobes can cause Anxiety and Panic disorders. Please do MRI brain to know the areas involved Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hello, I am a 28y/o/f firefighter/EMT-IV/ paramedic student. I quit smoking around three months ago and seem to get more and more respiratory issues since quitting. What s going on right now is the most serious and scary feeling I have ever had. For the past four days+ I have had a severe cough that is not helped by any medications . Wheezing on expiration, crackles, and SOB accompany the cough. I also feel as though it is only my left lung , as I can actually feel crackling on the left side, and yet, it seems the only position I am able to experience any relief is by laying on my right side. I had a doc at an ER listen to my lungs(while I was working) and he said he was 99% sure I am experiencing cough inducing asthma . I have never had asthma and I have been to an allergy specialist in the past. I am worried it is more serious at this point(due to my delay in seeking MD consult). If you have any suggestions of a diagnosis and or things I can do to get temporary relief until I am able to get to a pulmonologist , it would be greatly appreciated. I am going to try to see adoctor tomorrow, as today is Sunday and doctors offices are closed. Thank you for your time.
### output:
| THESE ARE ALLERGIES ANYWHERE MIGHT BE SOME ALLERGIES IN THE PAST WHICH WE GETTING SUBSIDED WITH NICOTINE YOU LEFT SMOKING THE FLARED THERE IS NO LINK AND EVEN IF YOU Had NOT QUIT SMOKING IT WOULD STILL HAVE BEEN THERE IT IS GOOD YOU STOPPEDALLERGIES GIVE SAME SYMPTOMS AS OF ASTHMA GET YOUR BLOOD SERUM TESTED FOR SPECIFIC ANTIBODIES FOR MILK, WHEAT,POTATO, CHANA, RICE AND EGGS AM SURE YOU WILL BE ALLERGIC TO MIL KFOR TIME YOU TAKE CONTAIN FX TWICE A DATA RHINITIDINE 150 MGM DAILY MORNINGS YP ASTORIA 1/2 SF BDS YP TOSSED 1/2 SF APPLY NEWSPRINT H EYE OINTMENT IN NOSE SEA WATER IN HE Forms OF 2 Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi doctor, i have PCOS problem and i am planning for pregnancy, right now i am using APCOD and simultaneously planning for children and recently i had follicular study after menses which states that Retroverted. Uterus measures 5.7 x 3.0 x 3.7 cm, Normal size and shows multiple nobothian cysts seen in cervix. Endometrial echo thickness is measures 4.9mm. Ovaries: Right ovary: 3.4 x 2.1 x 2.0 cm (Volume 8cc)Left ovary: 3.6 x 2.4 x 1.6 cm (Volume 7cc)Multiple small follicles seen in both ovaries.No evidence of free fluid noted in pouch of douglas.10 th day Right ovary follicle : 11 x 7 mm , Left ovary follicle 11 x 6 mm and Endometrial 4.9 mm12 th day Right ovary follicle : 11 x 7 mm, Left ovary follicle 11 x 6 mm and Endometrial 5.4 mmI request you to please suggest as doctor suggested to take injection.Is there any development in my folicullar study. I request you to please suggest to conceive.Thanks you and waiting for you reply
### output:
| Hi, I guess you concern is about follicular development and about the injection. Usually a scan to assess follicular size is done from the 10th day of menstrual cycle. This scan is done consecutively for 4 to 5 days. It is difficult to comment on the follicular size based on 2 days scanning. So it is difficult for me to comment on your follicular size query. Still, 11.7 mm on two different scan days may tell inadequate follicular development. However, your follicle may increase in size in next few days and in the scan report it may show that your follicles are developing. So it is difficult to comment on these two scan findings. Your next concern about the injection. Usually the standard protocol is to give injection 16-20 mm sized follicle to rupture. Though, based on the treating doctor practical experience, he may decide the timing of injection. My advice:1. Get consecutive 4 to 5 days scan done to comment on the follicular development.2. Request your treating doctor to discuss freely about the timing of injection. I hope this information is useful, informative and helpful. Let me know if I can assist you further. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi I m a 28 yr old male 6,4 220 pounds i walked out of my door way and slipped feet forward on my back ontop of the wooden stairs. 2 major injury one lower left back just above hip line. serverly bruised immediate swelling . other just behind my armpit on the back rib both painful at the time of the fall my tempature increased alot and started sweating litteral buckets. for about 2 hour.imeddate pain in stomach front near belt line continued work finished went to bed both injurys turned blue by morning feeling mussel weakness and continued pain in abdominal area away from Point of impact. can walk not extermly painful to bend of lift as i was able to work with some pain but the abominal pain is concerning me. now im sure youll say just go to your local er but I m in a romote location in the actric. and flying out would be extremly costly and possibly ruin my employment here. h
### output:
| Hi. Thanks for your query and an elucidated history explaining your presence in Arctic and costly affair to fly. Also noted history of your fall on a stair and pain at the right low back and behind the armpit. Your history of pain in abdomen worries me too. The possible diagnosis is a retro-peritoneal hematoma. In this condition they are on the back-wall of the stomach has bleeding from the loose tissues it supports the organs like kidneys and major blood vessels, pancreas and part of the colon. The bleeding in this area stops due to lemonade, a natural body mechanism against sudden re-bleed and death. You can do the following tests and take help of your friends with you in the arctic. I am sure your have a machine to check temperature and blood pressure in your Emergency kit. Get the blood pressure and pulse. If they are within limits nothing to worry. Watch for the color of the stool and urine, if normal nothing to worry. Put a mild pressure n the abdomen, see whether there is pain and also see if the pain is elicited on releasing the pressure, this is called rebound tenderness. If all the signs and symptoms are normal, keep yourself under observation. Report to the flight back if :The Blood Pressure falls. If the pulse rate starts rising the urine or stool or red. If there is distention of abdomen, nausea, vomiting have to fly back, life is most precious than the job. If you are alive, you get many more jobs. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
It is about birth contol.I was on a birth contol that seemed to work good. The doctor asked if I would be ok about switching to a generic brand then that way the pills would be sent straight to my house. She ensured me that they were exactly the same. I agreed. I havent been on them long, not quit a year but I have noticed weight gain. Pants getting tighter from when I wore them in Oct. Another pair are getting tighter from when I wore them just this past Feb. Could it be because it is a generic brand? My eating habbit isnt bad but maybe not the greatest. I try to eat a yogurt or a meal replacement shake for breakfast. Fresh strawberries and ganola bar or yogurt for snake. Lunch which could be Subway or yes Taco Bell. Another small and healthy snake and then dinner which is a steak, greenbeans and a baked potatoe, or bbq chicken, or soup and grilled cheese. I try to eat small portions. I watch what I eat a lot. I take vitamens. I walk alot for work, on my feet all day. Walking up and down stairs daily. Hiking up and down hills once a week usually. I try to walk my dogs at home and usually running around for my son. So I feel like I am not an unhealthy or lazy person but seem to be gaining weight. I want to loose this weight to help my self esteem and mood. I cant afford 100.00 a week for meals from some of these diet plans. I am trying diet pills but not satisfied yet with them and it has been about a month. Please help me. I want to feel beautiful inside and out!
### output:
| Thanks for using ChatDoctorAs you have mentioned generic brand medication content was same as your previous pills. Change in brand does not cause much difference. If you were adjusted to your previous pills, you can continue same pills. Weight gain is a one of the side effect of birth control pills. Taking pills for long duration is also not recommend. Consult gynecologist to know about other methods of birth control, which ever is suitable for you if you are planning for some more years. As you are fallowing regular exercise and diet, you can maintain a dairy to calculate your daily calorie intake, this would help you know how many extra calories you are taking, and how to reduce that. Have a good healthRegards |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have a small little cut where the forskin connects to the penis And I have a white build up under the forskin that i have never had before its slimy and its all over the tip and other skin bellow (usally covered by the forskin) It covers the skin but rubs off and Im pretty sure its dead skin About a week ago is when i got the small cut/tear and its been very sore but has calmed down and has very little swelling but has seemed to swell abit lately. At first i had a few red spots on the tip under the skin but now i have red blotches and they arnt round actually they look like theyre the bits that the white skin has fallen off.My penis doesnt hurt apart from the sore forskin and sometimes during intercourse it stings a lot and a couole of days ago it would sting from just pulling the skin back But ive been with my girlfriend for 3 months and she is clean of any stds or STIs and i havnt had unprotected sex with anyone in well over a year.
### output:
| Hi there, and thank you for your question. I can appreciate your concern regarding this issue and I'll try to help you were I can. Judging by the symptoms you have noted in your inquiry, it sounds as if you might have a fungal infection of the head of the penis. This condition is called fungal Atlantis and caused by the fungus Candida albicans. Now, candida is a normal fungus found in the vagina and is present to help with regulation of the normal organisms found there. If your girlfriend had a fungal infection (colloquially also known as yeast infection), then it could be a way that you have been infected with this fungus. It doesn't mean that your girlfriend gave you an STD but rather a common infection women get via the sexual intercourse route. You can ask your pharmacist for clotrimazole cream and apply it liberally to the head of the penis 2 times a day until the issues resolves or for a maximum of 14 days. Once the symptoms have resolved, then continue applying the cream for another three days to make sure you kill off all the fungal spores so that this issue doesn't recur. Before applying the cream, just make sure that you have cleared as much of the discharge from the head of the penis as possible. If the problem still persists then you should consult your doctor as you may need to have this condition treated with oral antifungal medication. I hope this helps and good luck. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi, My mother was takne to hospital with breathing difficulties last week. She had water in her lungs. They also did an angiogram, and there are three blocked arteries. 98%,99%, 80%. (i think she also had a heart attack). They cannot do angioplasty stenting because of multiple blockages in places where arteries forks too. They had a meeting, and a surgeon is willing to do heart bypass surgery. Now she has had a stroke previously 12 years ago, which has left her with left sided weakness. They also say her heart is running at 27% rather than the normal 55%. Is heart bypass surgery safe for her to do? Thank you.
### output:
| Hello thanks for posting here. I have gone through your description. She has critical heart disease involving the three arteries if the heart. And since her pumping function has Chat Doctor. So once blocked arteries in the heart are diagnosed, there are two methods to open it. Angioplasty and bypass surgery. As your doctor has advice angioplasty cannot be done because of triple vessel disease and also involving the arteries where they bifurcate. So surgery is the only option in her. Surgery with a low pumping function is definitely riskier than one with a normal function. But here you have to assess the risk versus benefits. If you don't do the surgery then you are not treating the cause. Her quality of life will be poor, she will get tired easily, and she stands the probability of having further heart attacks also which will further decrease the function. Going ahead with the surgery will improve quality of life, she can do her day-to-day activities, travel etc. however despite surgery pumping function will not increase more than 35%. But the risks of heart attacks is evaded. Another thing that should be considered is how mobile she is. As you said she has left sided weakness. If she is bed bound and requires help for her day-to-day activities, then a surgery would be more of a suffering to her. A CABG surgery has a good outcome and patients usually do well for 12-15 years. Nowadays with advanced technologies and approaches, heart surgery risks have come down a lot. I personally have seen patients with 25-30% do well with CABG. So my advice is it will be worthwhile to take a call for CABG. (only if she is ambulatory, and you want to increase quality of her life)wishing her good healthRegards |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have hepatitis B positive. Hepatitis B first identified in 1999 as inactive mode. last checkupwas carried out in 2010, it was also inactive. But recently it isidentified as active and replication mode from HBV DNA test. HBV DNA test report is Virus detected with 0000 copis/ml. HBe Ag is negative and Anti HBe is positive. SGPT is 57. I am notsuffering any difficulties in this regard now. I have acidity problem.I have neither blood pressure nor diabetics.But my parents have. I didnot ever transmitted (taken) blood. I had an operation in lowerabdomen for removal of ceast (flash of meat like tumor but not tumor)while I was 6 years old. I do not drink or smoke. Sometimes I feelfatigue ( being so tired after office or journey) , sometimes I feelback pain (may be due to soft bed). Now, one of BD Dr. prescribed meinterferon for 24 weeks or antiviral medicine. Another Dr. is notagree to prescribe any medicine unless liver biopsy is done. Thoughthe Fibroscan of liver report is good (stiffness 5.7 Kpa), one Dr.suggest me not go for Biopsy. One Dr. prescribe me to take interferon injection or antiviral tablet and another Dr. told me not to take any antiviral. He just suggested to take Udiliv 300 mg (Ursodeoxycholic Acid) twice per day.I am confused. What should I do? Does interferon injection or antiviral tablet is required to take while my medical investigation reports are as above-mentioned? please suggest me the suitable treatment.
### output:
| Hi and thanks for the query, The first thing to note is that the work up from your reports with respect to replication, SGPT and negativity of the He are all consoling. Remember that 10% of patients that shall contract Hepatitis B do heal spontaneously. Considering the fact that you are stable, there is a possibility for spontaneous healing. Your past surgical history is not problematic of does not increase risk for anything in this case. Control tests for liver function and abdominal ultrasound to check liver size and structure every six months could be sufficient. Interferons and liver biopsy with an apparently good liver is not really needed at this point in time. Thanks and kind regards hoping this helps. Bain LE, MD. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I get these tightening pains (reminiscent of active labor) the start about mid-spine and often feel like they wrap around my rib cage. It s like a giant vice is constricting all my muscles around my ribs/back. I get them sporadically, sometimes not for weeks and sometimes 3 nights in a row. The pain builds quickly within a few minutes from discomfort to pretty damn near a 10 on the pain scale. These episodes last from 45 min to 3 hours. Hot showers, heating pads, stretches, and pain meds (Norco and I uprofen) do nothing to help. I ve been to the ER, but my episode was done by the time I got there. They did a chest x-ray and saw nothing and my EKG was normal, so they don t think it s clots. I have more x-Rays scheduled and possible MRI, but I m nursing and they say that s a last-resort. These episodes started mid-pregnancy just in my back and now that I m 3 months post-partum are still happening in back and rib cage. Also, I realize it s not genetic as far as anyone knows, but my grandmother had Stiff Person s Syndrome if that matters. I m 31 years old with a 3 year old and 3 month old at home and can t keep dealing with this and taking care of them.
### output:
| thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you have pain which is like tingling pain and stiffness of muscles, I will advise you to undergo the physical therapy as it is totally non-invasive and also by therapeutic ultrasound therapy and TENS therapy your pain and stiffness will come down. Also, to ask a question here is about, what type of surgery you have undergone for delivering the baby? Normal or c-section? Now, with a thorough neuromuscular assessment the physical therapist will be able to help further with even the exercises which helps you improve your flexibility and muscle strength as well. In my practice I have seen females with both normal and c-section delivery. They complain similarly and I advise them to undergo physical therapy, and it has helped them in 2-3 weeks of time. I am sure you will also be benefitted. In case you need additional information/any doubts/any further assistance I will he is happy to help you. RegardsJay In Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
What should I do? I m afraid to become antibiotic resistant and afraid this infection might spread {I m assuming I have a tooth abscess? That has spread to a few teeth because again I waited a week to go see her due to personal reasons} . I ll be seeing my dentist this Wednesday she wasn t in when I called Saturday and Sunday nor Today she works in certain days. Anyways my mother threw away my antibiotics because my doctor diagnose me with an allergic reaction to Amoxicillin based on asking me questions and checking my outer cheek. I believe it s from Listerine ZERO Total Care which cause me to have slouging inner cheeks but the doctor wouldn t let me speak. Then again I told him it can also be the antibiotics since one side my face was swollen and my neck on the same side felt a bit swollen up as well. After I stop taking my antibiotics which I was force to since I have no authority over my parents on my 6th day {had to take them for 7 days} and I had 4 pills left. As I said I miss most of my doses now and the swelling of my cheek had slowly started to go down and now I might be suspecting it could have been the antibiotics but I m not sure so that s the reason why I m going Wednesday which is the day she works, the reason why I don t have her phone number is because the receptionist didn t even have it. The swelling had subside before I even took my methylprednisolone which I have started today. I also wonder if I get another course of antibiotics which I assume is shorter. Which antibiotics are fine to take with methylprednisolone?
### output:
| Hello,First, if the swelling is subsided after stopping antibiotic then it was probably an Allergic reaction to Amoxicillin only. So, if the swelling is subsided now then you need not take Methylprednisolone for the swelling. As far as another antibiotic is concerned then you should consult an Oral Physician and get checked and take the antibiotic according to the need as you have already taking sufficient dose. If you are allergic to Amoxicillin, then you can take other group of antibiotics like Cephalexin, Clindamycin et cetera. So, once consult an Emergency room or Dentist and get a prescription of antibiotics. Hope I have answered your query. Let me know if I can assist you further. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I m a boy, I have 27 years old and I have a cavernoma in left temporal lobe. Cavernoma has 15 mm and I discover it in 2008. I don t smoke, I don t drink. In present I take pills from psychiatry ( Carbamazepine 300 mg, Clonazepam 0,5 mg, Sertraline 50 mg) because last year I had partial seizures and I don t lose consciousness . Then I couldn t breatChatDoctorplete, I have tension , I feel fear. Now I feel good and I take Sertraline because I have depression too. My analysis are good and my psychiatrist said me that cavernoma affect nerves and depression is a result of my cavernoma. I feel sometimes headaches. I m happy that I stopped seizures and fear, but I don t know how to resolve my depression. I lose my sexual desire, sometimes I m exhausted, I feel angry. I read materials from net about temporal lobe and I saw that problems in this region causes: low sexual desire, depression, anxiety, digestive problems and more. I want to said that testosterone are good, I don t have problems with thyroid and other glands. Now I m sure that cavernoma controls my sexual problems, anxiety, etc. I write to you because I hope to find an answer. I want to have again sexual desire, to love a person, to feel better and resolve my problems. Please give me an advice, a suggestion, how to proceed in this case. I want to belive that my cavernomas let me to be free. I hate my cavernoma. I want to dissapear or retreat somehow. I don t have possibility to go in other countries for a consultation. I want to belive that exist a way, without operation, to retreat my cavernomas. I live in Romania and medicine doesn t evolve so much. Please help me and I wait your answer.
### output:
| I have both good news and bad news for you. The bad news is that the main treatment for cavernous is still surgery and there are no medical cures other than symptomatic treatments. The good news is that people have excellent responses to surgery in decrease in seizures and seizure freedom. Also good news is that headache and decreased libido are both known side effects of sertraline. You should speak to your psychiatrist about these issues and consider dual headache and mood treatment if both persist. There are good medicines that treat both |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
My father s histopathology (medium biopsy specimen, tissue/parafin block)results last week diagnosed the following .He had shooting pain in back & legs.Clinical diagnosis :Extradural mass at D12-L1 . Specimen : Excised Extradural Tumor D12-L1. Gross:Recd. in formalin a single greyish white irregular soft tissue peice measuring 2.4x2.00.8 cms.Cut surface is smooth & firm in consistency.Microscopic Examination:Sections are composed of Diffuse Sheets of large cells containing coarsely clumped nuchlei having prominent nucleoli and is surrounded by a distinct eosinophilic cytoplasm. Also seen are plasmacytoid cells along with granulocytic series of cells . An occasional mitosis is also observed. Interpretation/Diagnosis D/D: ? Extramyeloid Granulocytic Sarcoma ?? Lympoplasmacytic Lymphoma ??? PLasmacytoma Comments: ADV:IHC:MPO,LCA,CK,CD43,CD-38/138,CD-3 I am unable to understand the report. Kindly let me know whether it is cancer ,If yes which type of cancer , which stage, Chances ? My mail id is YYYY@YYYY (in case I lose connection) Thanks & regards
### output:
| Extradural mass at D12-L1 vertebra level means, Spinal cord is covered by aura, Pia and arachnoid covering and mass at this point is absolutely correctly given by histopatho report of biopsy(extra myeloid granulocyte sarcoma??, lymphoplasmacytic lymphoma?, plasmacytoma?) So but all together cancer treatment is firmly based on final diagnosis you can't treat all three differential diagnosis, so you have to finally conclude one of them by a special test so called Immunohistochemistry which is a currently available weapon to diagnosis of cancer beside H&E Stained biopsy report, Once IOC has given report of biopsy, majority time we have to believe it's finding of it and start treatment as per its report. If its lymphoma then treatment is chemotherapy followed by radiotherapy to local site, if its sarcoma treatment is chemo, if it turns plasmacytoma then radiotherapy after skeletal survey of whole body to rule out possibility of multiple myeloma. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi. I am Vivek from Delhi. I had my seminogram test today. Below is my report. Please let me now if the reports are OK or do I need some consultancy for any deficiency ? Below is the report : Time of Specimen 3:45 Time of examination 4:15 Duration of Abstinence 4 days ( 3-7 ) Liquefaction 30 min ( 30.00 - 60.00 ) Volume 3.00mL ( 2.00 - 5.00 ) Appearance Viscid Opaque Colour Whitish Viscosity Thick pH 7.5 ( 7.2 - 7.8 ) Microscopic Examination Total Sperm Concentration 52.00 million/mL ( 20.00 - 150.00 ) Percantage Motility 60.00% ( 50.00 -90.00 ) Grade A 20.00 % Fast progressive Grade B 25.00 % Slow Progressive Grade C 15% Local Motile Grade D 40% Immotile Agglutination Negative Negative Longevity 2 hours Pus Cells 2-3/hpf Nil Red Blood Cells Nil Nil Epithelial Cells Nil Nil Morphology Normal Morphology 45% ( 30.00 - 90.00 ) Abnormal Morphology 55.00% (a) Head defects 25.00% (b) Neck & midpiece 20.00% (c) Tail defects 10.00% Chemical Examination Semen Fructose , Qualitative Positive Others Nil
### output:
| THANKS FOR CHOOSING Chat Doctor, your report is normal, all the values are in normal limits so far i don't think there are any deficiencies here I give you few tips to maintain such healthy levels:take good and balanced diet avoid fast foods avoid fatty and spicy foods reduce intake of processed and canned foods reduce foods containing preservatives decrease the usage of electronic gadgets like cell phones etc do not place laptop on your lap for long hours you may take multivitamin capsules for vitamin supplementation anti oxidants rich foods or supplements helps in reducing abnormal forms consult your doctor for using them hope I answered your query feel free to contact me for further queries thank you |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi I recently went to Urgent Care and was treated for a UTI. I have 2 days left on my antibiotic and I still have symptoms and they seem to have gotten worse. I now have this pain in my lower abdomen when I sit down or stand up. This just started maybe a day ago or so. The pain is very uncomfortable and Im not sure what is going on. I get chronic UTIs so the fact that the antibiotic isnt working and I have this lower abdominal pain concerns me. I do not have insurance and I know that the ER will just tell me to go to a OBGYN which is what they told me before. Any insight?
### output:
| Hi, thanks for asking in Chat Doctor. Most often, UTI is caused by gram negative organisms. Acute infections usually involve a single organism and are self limiting. Recurrent or chronic infections may be mixed infections. It could be due to many reasons like bacterial infections, Diabetes Mellitus renal calculi (stones) etc. Since you seem to be getting repeated infections, cause of UTI needs to be investigated instead of taking antibiotics every time. Bacteriological investigations are important in deciding the choice of the antibiotic. Although we don't usually wait till the arrival of report for starting the antibiotic, urine sample must be collected before starting the therapy for better results. Most antibiotics attain high concentrations in urine and so may be effective in lower UTI. But in upper UTI (like pyelonephritis), the antibiotics needs to be concentrated in kidney tissue. Antibiotics are given for 3 to 5 days. In recurrent UTI, the choice of antibiotics are Clotrimazole, Cephalexin or Norfloxacin. The pain you are experiencing may be due to cystitis (bladder infection), pyelonephritis (kidney infection) or renal calculi (stones causing obstruction and subsequent infection). Ruling out these possibilities is necessary to decide further course of therapy. Inadequate therapy or indiscriminate use of antibiotics is often harmful as it can result in development of resistance. The organism or bacteria will not be sensitive to the antibiotic if it becomes resistant to it. Hence, you should complete a full course of antibiotic. I hope it is useful to you. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hello, I have a mole on my collar bone about 3/4 the size of a quarter, that Ive had since I was a young girl, I am now 26. A couple years ago I asked my family doctor if I needed to have it removed. He said unless it really bothered me I didnt need to as it didnt look suspicious, just a little larger than normal. Ive since decided I might want to have it removed. Although now I am quite scared since when I was touching it, a small piece of it came off. It didnt bleed, and almost looked like a scab, which is what half of the moles texture feels like now. Also if you press on it, it feels a lot thicker on one side. Could this be a sign of something serious like cancer?
### output:
| Hi welcome toChatDoctorI have gone through your query regarding moles think you doctor was right , moles are very common and benign (non-cancerous). These conditions include moles, freckles, skin tags, benign engines, and seborrhea keratosesMost moles appear in early childhood and during the first 30 years of a persons' life. It is normal to have between 10-40 moles by adulthood. If at all, the mole is found to be cancerous, and only a small section of tissue was taken, the dermatologist will remove the entire mole by cutting out the entire mole and a rim of normal skin around it, and stitching the wound closed. Moles may occur due to potassium deficiency, faulty food habits, lack of exercise worry, mention, anger Eat foods that contain potassium like apple, cider, vinegar. A balanced diet high in vitamins A, vitamin E and vitamin C can improve and will boost the immune system and fight off the skin wart. This includes a diet rich in fibers, cabbage, garlic, limes, broccoli, oranges and bananas. Aloe vera juice 25-30 clearly morning. Turmeric powder a level T spoon with cup of hot milk Fried, fast foods' tea coffee alcohol mental worry, mention anger and Constipation should be avoided. Applyfresh Aloe vera jelly on the mole. Repeat 3-4 times a day for 7-8 days If you have any doubt or find any change, you must consult your treating doctor and discuss your case Hope this help solves your query. Take care All the best Don't hesitate to get in touch if you have any further query. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hello, i am suffering from some health problems since last 10 months. the exact diagnosis is not done by any doctors. i am now too tired of this disease . please do the rigth diagnosis of my health problems and tell me what i have to do? Symptoms: difficulty in breathing , heartbeats increases, anxity, palms get cold &sweat, body not feels free in movement, something like needle stiches to neck and pain of it, fear during sleep & sudden wake up from sleep due to fear or pain or any thing else , the exact reason of waking up from sleep is i dont know. During all this symptoms i had admitted in hospital in emergencily, at that time all reports are normal , like BP, Oxygen capacity, ECG,. my MRI chest,CT-Scan brain, X-ray all report are Normal.
### output:
| Hello snehalchaudhari1. Thanks for visiting Chat Doctor .com. I am glad that you have had all the test above because that helped to rule out a lot of diseases. I believe that you are suffering from panic/anxiety attacks. Panic attacks are defined as a period of intense fear or discomfort in which 4 or more of these symptoms develop abruptly and reach a peak within 10 minutes (usually). 1. Palpitations, pounding heart, or accelerated heart rate *2. Sweating *3. Trembling or shaking4. Sensation of shortness of breath or smothering *5. Feeling of choking6. Chest pain or discomfort7. Nausea or abdominal issues8. Feeling dizzy, unsteady, lightheaded or faint9. Feeling detached from ones self10. Fear of losing control or going crazy *11. Fear of dying *12. Paresthesia (numbness or tingling sensations) *13. Chills or Hot flashes I put stars by the symptoms that you mentioned above and put stars by the fear related points because you do not clarify what you are having fear of. You have at least 4 out of these symptoms above. This is a medical condition and is well recognized in the mental/behavioral healtChatDoctormunity. This condition can be treated with antidepressant medications and/or antianxiety medications. I suggest that you return to your primary physician with this knowledge and perhaps get a referral to a mental health specialist if your doctor feels it is necessary. Be well, |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
26 yr old femail 5 6 145lbs .... i just recently had bronchitis twice w/in two months (don t feel as if it ever fully went away during that time) during this time i was also painting rooms in a new house. one night when i went to sit on the couch i got a stapping pain in my chest (a little on my right side along my sternum)....i waited about three days and went back to the dr. he said it was costochondritis and told me to take aleeve or ibprofrin. i did that for 2 weeks w/ no change, and called the dr. back who then prescribed me a steroid pack. i have one day left on the pack, and still NO CHANGE. i ve also discovered 2-3 swollen lymph nodes (i m assuming) on my right side near my armpit. Could I have some other type of infection? or could costo cause swollen lymph nodes? Also, this pain is pretty much a constant, however sometimes it s better/worse. if i stretch, pull, reach, turn wrong it goes right back to hurting again. i have a 1 yr old so it s hard to do NOTHING and rest it. I do tend to push on the lymph nodes often (anxiety about them and checking to see if they re gone/changed ect) which probably doesn t help them either. nodes are soft quishy movable and very little discomfert. main pain problem is the middle/right side of my chest along the sternum and towards my right shoulder a bit below my collar bone/above my breast. pains been going on for 5 weeks, swollen spots about 2.
### output:
| Hello thanks for posting at Chat Doctor. Your pain and swelling of lymph nodes definitely need to get evaluated. Lymph node swellings are not found in Costco Chat Doctor. You also have symptoms since at least two months. L ymph node swelling happens in infective diseases, in diseases of blood and cancer. Since you are 26, its unlikely that you have cancer. Most of your symptoms go towards infection, more specifically tuberculosis. I recommend you to undergo a HRCT scan of chest. More important is to get the lymph node at your armpits biopsied. Biopsy will see the cells and organisms at the lymph node and help you establish a diagnosis. Treatment can be planned according to the diagnosis. Wishing you good healthRegards |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
My son has had pains in his shoulders, chest and back (rib area) for the last year. His Dr said it was probably growing pains. They are very painful and getting worse as time goes on. He describes them as sharp, bubble like pains like they are trying to burst out of him. He has also gotten them on his hips. He also gets a tingly pain in his left elbow. The chest pains are just sharp with no bubble feeling to them. Any ideas as to what this could possibly be? More info on him, he is 11 yrs old, asthmatic (less than 2 inhalers per month), active, otherwise healthy. His diet is mostly veggies, fruit, wild game (deer, turkey, etc) and very little sugars and milks...he gets his calcium and other nutrients from vegetables. I am not looking for a diagnosis, just trying to make sure that it is just growing pains and not something more serious.Thank you for your advice!
### output:
| Hi, Welcome to Chat Doctor, I have read your query and understand your concern. As you have mentioned you have pain in your shoulder to chest and back rib area which is growing but does not seem to be serious. Here, I would like to know that whether you have any history of diabetes or thyroid illnesses or any injury to that joint. There could be several causes of shoulder pain such as rotator cuff injury or tear or rotator cuff tendinitis (inflammation of its tendons). The initial treatments for all these are, 1. Avoid repetitive overhead activities 2. Do not carry any heavy object or bag on affected shoulder or arm.3. Apply ice packs for about 15 minutes twice or thrice daily. 4. If you have learned how to do shoulder exercises then continue with that its could be effective. 5. Apply diclofenac based topical ointment which is more effective than paracetamol based.(available over the counter)6. Can take oral painkillers if pain is very severe. 7. Take Re-nerve Plus, as it is just a multivitamin supplement which is good for nerves (more useful in diabetic patients). If still pain is persisting then proper examination of shoulder joint is required to find the exact cause and if needed X-ray and MRI should be done. You can consult nearby doctor or orthopedic who can write X-ray and MRI of the shoulder after taking complete history and thoroughly clinical examination. Thanks and |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Yes, I am a 47 year old woman who is concerned lately about my overall health. I have been seeing a urologist for the past 4 years regarding gross hematuria or blood in my urine. He has run all sorts of tests to rule things out and cannot determine where the blood is coming from. Upon a recent ultrasound of my kidneys, they found that I also have hemangiomas on my liver. The blood in my urine was originally found by my primary care doctor during a physical. I had been feeling overly tired and still do. I am also hypothyroid. During an MRI of my neck for an unrelated injury, they found I had tumor on my left thyroid gland. It was removed and I was placed on Levoxyl. About a 8 months later and having neck surgery for 3 ruptured discs I began having swallowing problems, a larger tumor was found on my right thyroid. A gastroenterologist removed the gland and said everything was contained and other than trying to regulate my thyroid medicine I am doing well. I then developed a rash on my face. I have been tested 3 times for lupus each time the results are negative thank goodness. My primary care doctor is in the process of checking my thyroid levels again to see if my medicine needs adjusting which seems to happen quite frequently. I am a very active and busy lady and attribute my aches and pains to getting older however lately, I am totally exhausted even after sleeping 7- 8 hours. I have been having chest pains that come and go...it almost feels like a charlie horse in the middle of my chest. My hair is falling out, my bones hurt if that is possible, I am cold all the time, Ive been getting night sweats, my color is pale. I am waiting to be seen this next week by my doctor. I was just curious if a lupus test can show up negative and a patient actually has it or signs of it. Any input or advice would be greatly appreciated
### output:
| Your symptoms suggest that you probably have anemia, and it would be ideal if you could consult hematologist to look for the cause. Also, fatigue can also be related to hypothyroidism. A negative lupus test does not rule out lupus, about 2% have a negative lupus test. That is if you have done a ANA test and is negative do go ahead and get antihero/SSA, antiphospholipid antibody if not done earlier. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Ive undergone cholecystectomy about 13 years ago. Recently, however, pain in the upper left side of my abdomen has begun to annoy me; hence,I submitted myself for an ultrasound examination of my lower and upper abdomen. Since the results show no abnormalities in the organs covered by the ultrasound particularly the liver, I did not go to my doctor anymore. I just interpreted the occasional mild pain as a result of the fatty food I sometimes eat. Until one day, I was in a drugstore for my husbands maintenace medicine when I heard a woman buying MX3. Curious about it because of some ads on TV, I inquired how MX3 is. She willingly shared brief testimonies that made me decide to buy four capsules. Following her advice, I started taking 1 capsule a day before bedtime. After 2 days, I bought another 15; however, these last few days, the pain in my upper left abdomen becomes frequent. Though still mild and tolerable, I am bothered, So I said I really have to see my doctor. My question then is, why do I feel such after having started taking MX3? I would appreciate so much any explanation and additional information. This is the very first time I research about MX3. Thank you and more power.
### output:
| Hi. Thanks for your query and an elucidated history. Well, to start with the cholecystectomy 13 years ago may not have anything to do with your present problem as the gall badder is on the right side. Your problem is pain on the left upper abdomen and can be due to :Colitis as this is not picked up by the ultrasonography. You have already undergone ultrasonography which rules out: Spleen, kidney and pancreas problem in the upper abdomen. MX3 is Mangosteen capsules are known to contain many important chemicals and nutrients. Some of these include the class of nutrients known as Anthony. It is very good anti-oxidant. But it will have no direct use on pain in abdomen. I would suggest you the following:To get colonoscopy and biopsy done as your problem looks to be due to colitis. If required CT scan can help better than the USG. Get the correct diagnosis to get a proper treatment. You can certainly start an antibiotic and metronidazole for 5 days. If there is complete relief nothing more is needed to be done. IF no complete relief, go for colonoscopy. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Swollen stomach,conspitpation,pass no gas,pain in upper right abdominal area under ribs,pain in middle of upper abdominal area going into back,walking makes my stomach swell more than it already is. I had gallbladder removed,complete hysterectomy,had appendix removed. Been like this for 2 years.Had all the test that can be done and still no answer to my problem, can you help me?
### output:
| Hi! From your history of repeated surgeries you underwent, there are a few possibilities which should be looked into. Without having the details of the investigations you have undergone till now, following is suggested:1) With the surgeries you have undergone, immediate clinical diagnosis whicChatDoctores into mind is multiple post-operative adhesions of the intestines to the previous scars, due to which the intestines are not able to move smoothly and propel both liquids and solids resulting in sub acute to acute intestinal obstruction. In this case the person gets recurrent pain abdomen with inability to pass stool or flatus. Since you have got the problem since last 2 years, it seems more like a sub acute one than acute. For this you have to consult a general surgeon, who will examine you clinically preferably during an attack, and may advise you for a few investigations, like TLC, DLC, HBO, X-ray abdomen with diaphragm in upright position, and an ultrasound. 2) Next, with history of cholecystectomy, one has to consider stones in the CBD, and any pathological process n the pancreas. This will also need some special investigations like ultrasound abdomen, or may be a CT scan of the abdomen if advised by the doctor. Along with this, serum amylase, lipase, and an LFT might also help.3) Sometimes irregular dietary habits may also be the culprit. Try to take fat free meals at regular intervals, with more of roughage, and liquids and a regular exercise program depending on your age and body weight.4) Fall these investigations are already done, and nothing could be detected till now, then you may have to consult a laparoscopic gusto entomological surgeon, who may consider doing an endoscopic examination of your intestinal tract and also a diagnostic laparoscopy of the abdomen if thought appropriate in your case. Wishing you an early recovery. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi: I have a 6 year old daughter that has been complaining of vaginal itching for 6 weeks now. She also says that it hurts down there like something is pushing This all began 6 weeks ago after she had a lot of sweets. I ve been to her pediatrician many times... NO UTI - they also put her on an oral yeast medicine for three days in case it was yeast related and it did not help We then went to a pediatric urologist... they thought that it could be constipation as young little girls can hold their pee and poo at school and then cause constipation and can cause these vaginal complaints they did a xray it showed normal they also did an ultrasound that showed normal They wanted her to try Miralax anyway so we have been on that for 3 weeks. we have seen very little improvement. I actually think she is NOW constipated ON miralax... and has a hard time going since we began miralax I also had her seen by a gynecologist who did do a swab and it all came back normal The urologist said to keep on Miralax and then the next step would be do a cystoscopy under general anesthia... I would prefer to not do that as it has some risks Have you ever heard of a young child that suddenly gets vaginal itching and then says something hurts feels likes it pushing --she points to the top of her clitorius area We do NO bubble baths - she never sits in soapy water ...I use ALL FREE and Clear laundry detergent and Aveeno soap to wash her...we never wash her with soap down there. I m really desperate for help and answers... The urologist has her on Miralax thinking its constipation..which the xray showed NO constipation and she NEVER had constipation before. Should we try and find a pediatric gynecologist group..? Any other ideas of what this could be? thank you very much
### output:
| Hi, Form your long history it seems there is nothing special found in her tests and all medicines tried. Now there is one possibility of having Worm infestation where worms come out of anal canal and migrates in front to lower genital tract to vagina, clitoris might produce itching on this area. Go for stool test for ova, cyst and worms. Even empirically you can give her one course of anti-worm medicine like Albendazole. Keep her local hygiene clean and airy. Ok and take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi I have read many of the above posts and I can relate to the tingling, nerve twitching over any random area of my body at any unforeseen times. I have been advised several years ago that I have chemical sensitivity as I suffered burning pain after using a chemical formulation of body wash. I have had to go soap free washes. I have also had sensitizing to Pyrethrum a few years ago. The ingredient found in fly sprays. I live in a rural area where every farming season there are toxic chemicals used on the farming ground all around us and it drifts into our homes and vehicles when driving. Over the last months I have developed a major problem with the dust that settles in my home after I have had a window open. I have strange sensation to my skin, twitching, dryness, nerves jumping randomly anywhere, itching, lowered concentration and I feel like i need to have a shower. If I do have a shower these sensations go away until I have contact again. I relate to Thelma Ds symptoms also Leslie Lyon and Kenneth Smith. I do not drink alcohol, I am gluten intolerant, and can not use foods with additives. I am also not low on B12 vitamin or Vitamin D, as I have had mine checked recently. I am pretty certain that all these problems are chemical related as our land is being filled with it every where. I do not suffer from anxiety problems. Although I do feel unwell when I have skin irritation and I just feel sad. I have been to many doctors and no one can answer my problem. They are unaware of the cause and tend to imply anxiety. I know that that is not the case. Thanks for this site. Its interesting reading how many people have the same symptoms as me. I thought I was the only one.Susanne M
### output:
| Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Gluten Intolerance can cause Peripheral neuropathyPeripheral Neuropathy can cause Tingling of Nerves Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi its regarding my elder brothers mental health .hes is a 35 yr okd,married for 10 yrs abd a 1 yr old baby.he does not work, has not finished univerdity rducation.highly intelligent,very shy,very violent has trouble controlling his anger.now I am his younger dis 3 yr younger snd have grown up together. Hes behavior changes took place after he dropped out of medical school after 1 st yr dedpite being a good student.he then camr back and lived with family in isolation.no ineraction with outside world and very suicidal. Hence bomy mum and dad listened to every thing he said or wanted. And covered his behavior wuth family.however some family mrmbers were approached snd came to concil after ehivh he was mire violent.also haf a pschycatris come to examin and prescribef anti depressants of which sone were discretely mixed wiyh foof and coz my mum worrued about sude effects stopped giving them.in addition to this he showed signs od sadism and vulgarity and urge if having sec and dirty thougjts .due to tjis mt parents took him ti ibdia to get narried .byt he had to work in dads shop for 1 year. He marrief a lively girl and settled togethet. And contnued working at the shop fr one mmore year. Aafter whuch he stopped and had been at hime ever since.hus eife had brrn worrief because if his vuolance towards ger byt dedpite that she had a baby and us worrued about vuolence toeards naby.my parents to mske mattets worde spoon feed him by giving money minthly as they are scared uf they dont di so he will get violent.im worried fir my parents and my dis in law n baby pls help
### output:
| Hi there ~ I understand that your brothers' situation is complicated, and it is giving his, you and your family a lot of heartache. It is understandable that you are quite worried about the whole situation. I am unsure of what the current living situation is for your brother. It would be very well to consult a psychiatrist or a qualified psychologist in your brothers case. It seems like he does require both medications and therapy. More needs to be known in terms of his symptoms and this can only be elicited during a direct interview with the patient. I hope this helps. Take care and keep posted. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have been diagnosed as having a center disc herniation. I have an appt. with a neurosurgeon in two weeks. I ve have numbness in my hip, left leg and foot. Well today my left calf and foot are cold. I have a heating pad on it and it s still cold. Is this a symptom of a center herniated disc?
### output:
| Hello, Sorry to hear about the disc injury you are having. Coming to the disc injury, any disc injury is not Mandatory that it will lead to the motor, sensory, motor sensory both or no symptoms. The symptoms are totally individual based. In your case, the nerve is getting pinched by the disc prolapse which will be a small fragment troubling the nerve on its nerve root where it is coming out of the spinal cord. Nerve has got two major functions - one is motor and other is sensory. The motor includes movement and sensory included the pain, temperature, numbness, tingling etc. In your case it is sensory and by this, the motor functions are reduced. As you have tried to put hot water bag over the calf which was cold, I would recommend trying keeping it over the lower back, as that is where the nerve root is. Once the nerve root gets the warmth the nerve supplying the muscles will get warm sensation back. Also, with this, the pain will come down. Now coming to the therapy part, if you have unbearable pain then medication might be looked for. But most cases are ceased from medication after 7 days. I will recommend you to first try out the McKenzie maneuver of lying on the stomach and making an extension of the spine with the help of the upper limb. You can check this out online. As this maneuver is kind of at its best to centralize the pain only in the back region. Once you get the pain centralized in the lower back you can use hot water bag over it to provide the soothing effect. Once there is centralization and soothing of pain you can start slowly the core stability exercise and also the lower limb strengthening while lying on the mat. In my clinical practice of 12 years, a maximum number of cases have responded well with the McKenzie maneuver and exercises. You can take the help of a physical therapist if you wish to. You should do well in 3-4 weeks if time. Post which you can continue exercises like 3-5 days a week. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi My wife had thyroid cancer, she had a goiter,several nodules and Hashimotos, she had the thyroid removed, followed by radiation, she has had total body scans for ten years and now 14 years later she takes Synthroid once a day, should she be considered cancer free? And should she be considered cured? Thanks
### output:
| Hi welcome to ChatDoctorI have gone through your query. It is a matter of pleasure that your wife has survived cancer after removed of cancerous thyroid followed by radiation. Regarding her medication, I want to know Why Synthroid is prescribed, after14 years of recovery ?. Did any problem occurred? I suggest you, pls keep your treating doctor aware of side effects if any. And keep going for regular check-ups. By getting rid of the microbes in the organs, plus doing the normal cancer treatments, the balance (i.e. a strong immune system and a low number of cancer cells) is restored enough to keep the cancer from coming back. The patient is cured because their immune system has been regulated through well planned regimen. Because proper nutrition is an integral part of a healthy immune system, the kitchen is the perfect place to find natural home remedies to bolster your disease-fighting abilities. Regular intake of high fiber diet includinfruit veges, whole grains oats, antioxidants- vitamins, and minerals as ginger, garlic onion, preferable in raw form, nuts - almonds, walnut .flex seed, Avoid fried, fast foods' bakery products, tea coffee, alcohol Lemon juice with water twice before meals, Bitter gourd 25 ml in the morning coconut water a great antioxidant Turmeric powder 1/2 spoon in a cup of hot milk. Kills all types of bacteria on mass level. Do regular exercise, Walk, Yoga PANAMA -Deep Breathing for strengthening and detoxifying your systemProper rest and sound sleep helps rejuvenation. Mental mention, worry, anger harms and encourages toxins in our body and damages our immune system. Constipation should not be encouraged Following above regimen will strengthen the vital force to help stay your metabolism balanced, thus giving strength to immune system which assures happy healthy and disease free life ahead Hope this helps to solve your query Take care. All the best if any doubt Mail at Don't hesitate to get back for further query if any ? |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi doc ,i m 22yrs old nd married 4yrs ago i never conceived in between now i want to plan a family but i m suffering through pcods and because of that i have diabetes ,thyroid nd insulin resistance menstrual cycle is also comes late every month nd my hubby test r all normal last month my diabetes was 140 after lunch plc help me what to do ?
### output:
| Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.chances of getting pregnancy with pcod-diabetes...right.well.my answer is.YES.there are chances of getting pregnancy with pcod-diabetes. Let us discuss ur problem. As u told that you are having pod with diabetes, thyroid n insulin resistance. YES.these are usually occurs in case of pod(polycystic ovarian disease). In this condition patients usually having irregular menses. Along with this some patients having insulin resistance n thyroid problems. These are all due to the hormonal imbalance. Because of all these problems patients usually facing difficulty in conceiving. But DON'T WORRY...RELAX.EVERY PROBLEM HAVE A SOLUTION. Patients with pcod-diabetes, thyroid n insulin resistance have chances of getting pregnancy. There several medications available, which can resolves or control these problems. So KEEP PATIENCE.as u told that u r 22 years old, so r coming under reproductive age group(women from 15-45 years came under this group). In this group chances of getting pregnancy is high.so.RELAX.RELAX.with the above discussion u can try out my suggestions-1. Try to do sex during the fertile period(it is from 10th to 16th day of menses) during this period chances of getting pregnancy is high.2. Feel free to ask your treating doctor regarding this matter. He/she can help u out.3. If u r in hurry then visit nearby infertility specialist. They are expert in this field. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor. DON'T WORRY.RELAX. I pray the God that u will be blessed with a cute n healthy baby.hopefully TWINS) |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have had problems with back and neck for several months. Recently I have had increased headaches. In the last two days, I have had a constant headache I at first contributed to possible sinus pressure. I have some pressure at the base of my skull. Today I had an episode of dizziness, muscle contraction, inability to move arms, hands clasp shut but not in a fist. Feet & hands become numb with a tingling sensation & it is very painful. I have had one other episode like this a couple months ago when I had a stomach virus. My hands are clinch so tight I can not open them & my husband could barely open them. Muscle spasms are extremely painful. I draw into the fetal position. Last 5-15 minutes. Any suggestions?
### output:
| Hi, since you mentioned muscle spasm in the neck and lower back region. I will initially ask you to use some hot fermentation so that the muscles can relax. Then we need to wait and see for a week if along with hot water fermentation and rest the pain and stiffness subsides. Also you mentioned the symptoms of painful movements, tingling sensation, weakness. I feel that it might be related to a nerve getting trapped based on your complaints. Usually due to prolong weakness of the muscle there is a chance of the spinal column going weakness. You can undergo an MRI scan of clerical and lumbar to see the soft tissues in that area as it will help to make the treatment more precise. What you can do in the meantime is working out behind the neck and lower back muscles to strengthen them. Also, the core strengthening exercises are of due importance. In case if the symptoms are more than meeting a physical therapist and undergoing few sessions of ultrasound therapy and TENS will help reduce the muscle spasm and pain radiating symptoms.to look forward now, exercises helps 99% of cases if done under supervision and learned well. Post that one need to needs to keep continuing the exercises to keep the spinal muscles stronger. Weakness of spinal muscles will lead to damage to the spine soft tissues. So I Advise to be focused on this. I have seen many cases and I have only found 100% success in them and all are able to perform the best functional activities. I am hopeful that I will hear from you soon that post doing all the exercises for spinal muscles strengthening and core stability you will have a pain free life and the best functional outcome score. Regards |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
hi & regards,my liver is mildly enlargewith generalised fatty changes,vertical span of rt.lobe is 15.07cm(normal 14cm) gall bladder ,hepatic and portal veins,cbd, pancreas , spleen ,kidneys, urinary bladder ,prostate all are normal in ultrasound.the impression is mild hepatomegaly with fatty changes,associated git problem. in lft test serum bilirubin 0.8(normal 0.2-1.20) direct bilrubin 0.5(0.00-0.40) indirect bilrubin 0.3(0.10-1.20) sgot 50(10-40) sgpt 88(10-40) alkaline phosphtase 126 (34-94) protien7.4(6.0-8.0)serum albumine 4.0(3.7-5.3) serum globuline 3.4(2.3-3.6) blood uria 56 (10-50) serum creatinine 1.8(0.6-1.2) serum uric acid 8.0(3.4-7.0) calcium 9.6 (8.4-10.2) sodium 141.7 (135-155) potassium 3.98 (3.5-5.1) one year ago i suffred from this desies at that time my doctor gave me ursocol 300, antoxid,ec350 but now the doctor has been shifted to another place now a new doctor gave me viboliv 500 and febuget 40 for uric acid .i an alcoholic with intake once a week one peg and non vegitarian ,i dont smoke. i shall be highly oblised if u help me. thanks
### output:
| Hi, Welcome to Chat Doctor ! The cause of fatty liver in your case is alcohol intake. The liver enzymes are only mildly raised. Abstinence from alcohol will reverse the condition. If you are obese, weight reduction is necessary. If you are a diabetic or if you have high cholesterol, those issues should be treated as they can also contribute to the development of fatty liver. Continue taking protocol and violin. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi, Can anyone help me. I am a survivor of a near fatal car accident which occurred 2 years ago. I had a grade III laceration of my spleen; my spleen is still with me. I fractured my pelvis in 5 places and have very little feeling in my left foot and lower calf. My muscles in my thigh are beginning to atrophy and my knee now locks and swells. I contiue to suffer from +1 edema which seems to be improing somewhat if stay off of it. I also had an enlarged heart and mediastinum which disappeared following CT scan. Multiple Chest x-rays were performed because they thought I tore my aortic coil which obviously I must not have. I am still having problems. Since my accident I have had an acidic type of stomach which was exactly what I felt immediatley after the accident. The pain that I still suffer in my gluteal region and my entire left leg is horrible. Sometimes I thing I am not going to be able to take anymore. I have had so maby CT scabs that I am not allowed to have anymore. How do I know that my spleen is ok and that I am not going to get worse in regards to the leg. One of the radiologist said I had a pars defect and I was able to find older x-rays predating the time of my injury which means I am told that I probably have a non-helaing or slow healing fracture. Can you help me???
### output:
| Hello, You look to be a strong person who survived 5 fracture at hip with laceration at spleen, I also appreciate your doctors' effort in this whole incident. The pelvic bone is one of cancellous bone and these type of bones heal well, if your bone mass and other things are well. The present problem which is concerning me is your left leg. In my OLD, with this type of presentation, I suspect nerve injury as there is weakness of calf and foot muscles are there. It looks like your pelvic fracture is culprit for this. MRI pelvis with NCV and EMG studies are suggested in such cases. You should discuss this from your doctor. Meanwhile, you may have pregabalin for relief in such pain on prescription. Take help of a physiotherapist. He will help in doing exercises & preventing contracture of muscles of limb. You may also use braces to keep your limb in normal position. Hope I have answered your question. Let me know if I can assist you further. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have been having severe pain in my lower back,now I m having sever pain in my right side of my back as well as the right side of my stomach and lower abdomen.I m also a woman who s 5 8 and about 285ish lbs. My medical history is unknown to me because I was adopted and don t have that info.I m a big eater but I have no desire to eat,no temptations for my normal cravings and have a slight feeling that I m going to vomit.I ve also had sever pain in my lower abdomen to the point that I was bent over in excrutiating pain and could not stand up and found it easier to lay on the floor to relieve some of the pain.And every month during my period I have alot of pain that feels like someone is trying to rip my insides out and that (for lack of a better way to say this) a huge blood clot needs to come out.At first I just thought it was because I wear tampons but I ve tried going all day without one and I still felt it.I ve even gone to my gyn to see if the iud was in place and she said it was good.But it has been a bit since then.I ve done a little bit of research about the iud that I had inplanted about 4 1/2 years ago. Some of the things that I read about other woman having sounded similar. I ve gone to doctors and they ve prescribed meds for me they worked maybe the 1st or 2nd day into them and then they didn t work anymore. I m at a loss as to what to do now.I m SO sick of going to the doctors ...they don t ever run any tests. What could this pain be or is it possibly more than one thing?Thank you
### output:
| Hi. Thanks for your query and an elucidated history. Read your history and understood that you have pain in the back and abdomen and in the lower abdomen during periods with passage of clots and have IUD. Your classical history of increase in pain on bending down looks to be due to prolapsed inter-vertebral disc. And the pain in the lower abdomen during menstruation looks to have Gynecological problem, may be due to Endometriosis. I would have advised you the following. - Get an MRI of the thoracic spine. CT scan of the whole abdomen. Investigations of the blood, urine and stool to rule out any other problems. Diagnostic Laparoscopy. All these investigations will definitely help you to get a proper diagnosis and treatment. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Dear Sir, Enclosed please find herewith the reports of my father Shri Snkk,ad, 68 Yrs of age , who has been suffering from neurological disorder since 2006.The consultant neurologist /neuro surgeons are of the opinion that he may be suffering from NPH? STROKE? PSP? PARKINSON PLUS?DM induced neuropathy?. His main problems are : 1) he is unable to walk properly and apparently has magnetic feet, 2) he is also having incontinence of urine and bowel. To give you a brief back ground of his ailment , I would like to mention the following facts please: -# my father is having a history of DM and hypertension for the last 15 years or so -# during 2005-06 he had a sudden fall without any known reason, but there was no head injury etc -# in October 2006 ,he developed severe backache and was unable to hold his weight on his feet. -# he became bedridden and was hospitalized for a fortnight or so -# subsequently with the help of physiotherapist ,he could start moving with the help of walking aid -# initially he stared with incontinence of urine ,but subsequently he developed occasional incontinence of bowel also. -# of late he complaints of pain and stiffness in his back which precedes his inability to hold his weight on his feet -# he DOES NOT have dementia or tremor of hands etc. -besides drugs for hypertension and diabetes he has been prescribed SYNDOPA by his neurologist. He is also taking Tropan 5 Mg. . Shall be grateful for your guidance please. Regards, klm;/. Head (Marketing & Sales) Secondary Products E-mail - YYYY@YYYY Ph/Fax - 91- 6nlkmas;ldl.
### output:
| Hello, First, Diabetes and hypertension can cause neurological symptoms such as peripheral neuropathy, so your father needs strict control of blood glucose by healthy food and medical treatment. The salt and fat intake should decrease, besides the medical treatment of hypertension. Second, the magnet gait and incontinence mean that your father has Normal-pressure HY Chat Doctor. So, your father should do a CT Brain to confirm the diagnosis. The treatment of NPH is mainly surgical treatment. The neurosurgeon put a shunt to |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I m a 59 year old female with some health issues. Strength. & hard labor work have never been a problem for me at all. I was blessed with a very strong body, and never could see myself as a secretary or jobs like them. My body has always held up through all the different so called men s work that I ve done. Anyways the task that I had ahead of me just about 2 weeks ago was to take out the small window in my . bathroom and make it into a door. (I have a roommate.that s not anywhere near a sanitary person. Hoarding & laziness have just about completely demolished her trailer, it s a long story of how I landed there.) well the job I had planned took more tools than I have.. I ended up having to cut out the place where I had planned to put a door with a large kitchen knife. It took more time than I have planned also.l. After I cut the hole for the door I cleaned up everything & I was sooo ready to get it over with. no such luck!! I woke up the next morning and couldn t move my arm, my hands were tingling, numb but still burning at the same time. Horrible headache, stiff neck & back & depilitating shoulder pain. This continued foe days. I did the bed rest thing & no luck there either. Its been going on now for many days now. I went to the e.r. & they gave me.steroids & tylenol3. Since then I ve taken them all. I m still in serious had pIn if I try to f7 I don t know what else to do.. I ha e most of my days are I. Pai. To where I can t move & other days I had better not. Also.besides the burning, tingling, numbness & weakness it starts hurting very bad if I have my elbow bent for any length of time.. Please help.
### output:
| Hi, You may be suffering from nerve compression at cervical spine with resultant articular pain in both upper limbs. Diagnosis needs to be confirmed by doing an MRI of the cervical spine with a screening of the whole spine. MRI is very sensitive and specific for diagnosis of spine pathology. Please get it done from radiology center nearby you. Meanwhile, start tab Regain one at bedtime with tab Attract twice a day. Avoid labor work and weight lifting. Visit to an orthopedic surgeon for detailed clinical examination is recommended. Hope I have answered your query. Let me know if I can assist you further. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
My husband is highly educated iim +iit but since past seven eight yrs he is often very rude to me . he constantly does my charater assanition. doubts me. feels tht i do not respect him.Uses abussive language wh he never did earlier. I am working as director of an educational institute in gujarat. I discussed my problem with two psychiatrist in Lucknow and Kanpur and they feel that he is suffering for paranoia schiz. I have not told mu husband that i have been to the doctors. Often when he is aggressive i stop talking to him.but at the same time keep looking after his other needs like meals etc. He has lost job in 1994. Since then he has been staying at home. he spends time in watching games or news on tv.He also does sharemarket trading. which hes is not doing these days beacuase of market problems otherwise he plas card game on computer. He is diabetic. Hes is conscouus of his health. But he is always on low motivation and a procrastinator. although he wants tro go for a walk but he wants that i shuold wake him up as well as i shd not push him or direct him for anything becuase that annoys him. He is 62 yrs old I am 57 we have two daughter aged 27 and 24 both are computer engr. ,unmarried and employed.Whenever i suggest that his behavioural changes need that we need to consult a psychiatrist he says that the problem is with me only and i need to mend my behavior. Pl suggest what do i do how do tell him to see a doctor? or is there a problem with me only?
### output:
| Hello, The problem is not in you, it is in him. And most probably the diagnosis is correct. Now the real problem is - taking him to a psychiatrist. You can take him forcefully at least once...by taking help from neighbors or family relatives? Being a psychiatrist I can very well understand your situation and how much your family has suffered. It is a common problem with psychotic patients who are also the head of the family- none is able to take them to doctor against their will...however, if a female is ill-at least one can take her forcefully & treat her against her wish. Usually, a psychiatrist is required to see the patient in person before he can prescribe the medicine. There are several Chat Doctor. Also, once the meds are started, I'm sure your life will change for better, much more than you can think of. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have been experiencing severe pain on the right back side of my neck, down into my shoulder and upper arm, and extending down the right side of my upper back close to the spine. I have been diagnosed with GERD and had an endoscopy last year. Will a trip to the chiropractor help this new pain?
### output:
| **1. The pain to the hand combined with upper back pain indicates that nerves leaving your spine are being compressed; it is likely happening in or around your lowest cervical vertebrae in the neck, C6 or C7. The compression could be caused by a bulging or herniated disc between the vertebrae, so consult an orthopedic surgeon for necessary examination and investigation [X-ray cervical spine]2. Also occupation can be one culprit for the same: postural dysfunction can cause neck/ back pain3. General Instructions. Maintain straight back posture while sitting or standing.ii. avoid bending forwards and lifting weights.iii. Sleep on hard mattress.iv. gentle massage. Back exercises: Leg raising in dorsal recumbent position, push-ups, swimming. [once acute stage is over]Spine Management:i. Relax the spine completely.ii. Do not lie face down.iii. Lie on your back with pillow under the knee.iv. Lie on the side with a pillow between the knees.v. Distract your mind from the pain, watch television, read light humorous stories, listen to soothing music.4. A Chiropractor or Osteopath can perform joint and spinal manipulations to release pressure on nerves which may be causing referred shoulder pain. PS. People who have osteoporosis, spinal cord compression, or inflammatory arthritis, or who take blood-thinning medications should not undergo spinal manipulation. In addition, patients with a history of cancer should first obtain clearance from their medical doctor before undergoing spinal manipulation.5. Following preventive aspect can be tried in HERD to alleviate symptoms:. Bland and soft diet, more of milk. Avoid hot Chat Doctor. Give small, non-bulky meals more frequently [since HERD causes hiccups/ irritability]. Head high position at night. [since HERD causes regurgitation/choking]PS. Management of HERD in adults is based on disease severity, the degree of symptoms, and presence or absence of complications of HERD determined by the diagnostic evaluation. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
hi,my brother is patient of heigh blood pressure and diabetic .now a days he is jobless n lost his 22lac business.now in great depression ,his bp shoots daily,he is using different tablets but in ain,220/100 is his bp .littlebit phsyco,hegoes i feel short breathing while sleeping n my neck muscles r stretched ,anexiety n taking sleeping pills but all in ain,bp shoots .what should do we now,hi,my brother is patient of heigh blood pressure and diabetic .now a days he is jobless n lost his 22lac business.now in great depression ,his bp shoots daily,he is using different tablets but in ain,220/100 is his bp .littlebit phsyco,hegoes i feel short breathing while sleeping n my neck muscles r stretchehi,my brother is patient of heigh blood pressure and diabetic .now a days he is jobless n lost his 22lac business.now in great depression ,his bp shoots daily,he is using different tablets but in ain,220/100 is his bp .littlebit phsyco,hegoes i feel short breathing while sleeping n my neck muscles r stretched ,anexiety n taking sleeping pills but all in ain,bp shoots .what should do we now d ,anexiety n taking sleeping pills but all in ain,bp shoots .what should do we now
### output:
| Hi. I have understood your concerns...your brother has lost lots of money in business, so it is a trigger for his depression and anxiety and when a person is anxious his blood pressure usually shoots to a high level.so first i ll suggest u to consult a psychiatrist and go for psychotherapeutic counselling. I can suggest u medications which u can give him and he'll be improved within 1 to 2 months but after that the medications shut be continued for long duration and shunt be stopped unless any expert advises,..the Chat Doctor. Sertraline [Zoloft 50 mg] once a day at night .increase the dose to 100 mg at night after 15 days.u can go up to 200 mg of sertraline.tablet.clonazepam [Klonopin 0.25 mg thrice a day].if your brother is having excessive sleep then give this |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hello Dr Gopi, My name is Teresa, I am 52 yrs old I weigh around 13stone 5ft 5in tall. I am a little concerned about my problem which arose about 3 yrs ago. I worked in a nursing home, when this day I let a nurse take my blood pressure and it was 140/90 and she told me that that was very high, this got me very worried so I ended up going to doctor and then proceeded to have a monitor fitted, all was ok, but over the past year I have been feeling my heart beat fast on occasions and this worries me sick, I am constantly feeling my pulse, and I am now totally frightened every time I go to doctors and they go to read my blood pressure and I know its going to be so high before they start, because when I enter the surgery I can feel my heart thumping out of my chest and beating so fast, I was there yesterday and it was 200/110. I feel this is all down to the origional fright I got 3 yrs ago, and I have never settled since, and I am so anxious and nervous. Please can you tell me if this is like a white coat syndrom, or maybe the reason for all this could be anxiety or could it be due to me have hot flushes and high temperature and night sweats from the menaupause, I have not had a period for nearly 3 years. I am not on HRT and I eat healthy, I dont smoke or drink, I eat lots of fruit and veg and drink beetroot juice now and again. Please could you advise me what is happening to me.......Thank you. Teresa Belfast.
### output:
| Hello thanks for asking from ChatDoctorYou are a 52 years old female with average height and weight. You have started feeling that your heart beats fast and this is making you sick. You have palpitations, and when ever you go to doctor your BP comes in higher range. Most likely the high BP is due to White Coat Hypertension. This is psychological rise in BP while entering a hospital, and it may also present with other symptoms of anxiety. But you are having palpitations, restlessness which couldn't be explained by anxiety alone. Most likely the reason for such symptoms is panic attacks with anxiety. You are already on HRT for menopausal syn Chat Doctor. I would advise you to consult a psychiatrist for such symptoms. Some medicines like Propranolol, Atenolol which are beta blocker |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hello doctor,I am 10weeks pregnant and i found that am pregnant only now.This is my second pregnancy.. since i have had irregular periods for so many years and my first pregnancy was achieved with the help of metformin, clomid, injections and artificial insemination, i did not realise that i could get pregnant naturally without the help of meds.Also i have had hypothyroidism for the past 4-5 years..i took levothyroxine and had my thyroid under control during my first pregnancy..however, for reasons of moving to a different country and travelling a lot, i could not follow-up on my thyroid levels and am currently off my thyroid meds since december 2009(for the past 6 months).I am greatly concerned that i had fallen pregnant when i am off my thyroid meds. My family physician took a blood work and told me that my T4 range is normal and my TSH is slightly elevated(went from 4.7 in feb to 6 now while am in the 10th week of gestation)..She put me on Synthroid 0.88 mcg(the dosage that i was taking earlier)..but i am already 10 weeks now and am concerned if my elevated TSH has had any adverse effect on the baby..trying to find answers...please help.
### output:
| Hello, and I hope I can help you today. Even though you were not taking thyroid medication, when your doctor checked your levels your T4 levels were normal. Free T4 is the most relevant to pregnancy as this is the actual hormone that crosses the placenta to provide the baby with thyroid hormone. So at the time of your blood test, your baby was not deficient of thyroid hormone. Your TSH level shows how hard your thyroid gland is working to make the hormone. In your case your TSH shows that your thyroid is working a little too hard to maintain your normal level. The additional hormone your doctor prescribed will help decrease the work the thyroid needs to do and that should make your TSH levels fall. But in summary, your fetus was not deficient in thyroid hormone in the early days of your pregnancy, so you do not need to worry about any consequences. Under the care of your physician, there is no reason that you cannot have a healthy pregnancy. I hope this adequately answers your question and that this information is reassuring. Best wishes for the rest of the pregnancy, |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
good day,I m 30 yrs old my height is 5 0 my weight i think is 58 kilos,5 years ago when i was pregnant at first 5 weeks of my pregnancy i have to undergo ultrasound because my first 5 weeks of pregnancy is critical.My doctor advice me to have bed rest for at least 3 months of pregnancy but after 3 months i miscarriage,after my operation it takes 1 day i dont know what you call that but to clean me inside i think, just after that i feel pain for 9 days of staying in the house and go back to the doctor again and i have to undergo ultrasound for the second time and they found out that i have an ectopic pregnancy another pregnancy,is this really happening?because i ve been ultrasound for my first 5 weeks of pregnancy and why they didn t saw inside that i do have an ectopic pregnancy? and now after 5 years my problem right now during intercourse i need to stop my husband because i feel pain feels like hitting something inside,what will i do?hope to hear answers soon.thank you very much
### output:
| Dear Madam, I have gone through your comprehensive history. Let me assure you that your miscarriage and ectopic pregnancy were sheer two coincidental unfortunate events. Ectopic is not a complication nor is due to miscarriage. Many a time, ectopic is missed in ultrasonography at very early stage. If you are getting deep pain in the abdomen during the intercourse, particularly with the movements of the penis, it is likely that you are having some tender pathology in the pelvis. It could be some tumor, infection, collection of endometriums in the pelvis, back fallen tender uterus or ovaries fallen back in the pelvis between the uterus and the rectum. There could have been a tender mass formation at the site of the ectopic surgery on the tube also. I know you are worried about repeat ectopic pregnancy, which can be diagnosed and treated only by Gynecologist. Have you missed your periods? If so you may get urine tested for pregnancy after a week. In ectopic pregnancy, it is usually weak positive. I feel you should report to your Gynecologist regarding this deep painful intercourse. If diagnosed in time, it can definitely be treated and relief obtained. I am sure, you will again start enjoying your normal sexual life after the treatment. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
hi I m a 22 year old male who is suffering with trapped chest wind and slow burping helps,I swallow air to try and relieve it but often it makes it worse,especially while training,I ve left coffee as well as smoking,nothing seems to be working,I had an endoscopy performed and everything was clear,every night I have these heart pressing pains,feeling like a heart attack a night,my gp performed a few tests to see if it was my heart,but saw my heart was strong,hours after eating it can strike and has no set time,although worse at bed time,doctor already gave me 3 sets of adco controment (10 in each pack 3 times a day before meals) with no success,I do body building so I am fit and active,I don t drink alcohol.I also get a pain under my breast bone as well but as the endoscopy proved I have no ulcer problems,I feel it could be trapped wind there too,earlier on while gyming I had a pain in the upper sternum(where the collar bone meets)with swelling,could it be an injury that caused the trapped wind saga,its been this way for over a month,first episode landed me in the er,for heart attack,the pains aren t that bad anymore,I used to have heart burn but after my omeprazole 20 use that went away,everything is fine except the winds!are there any suggestions from you!thanking you
### output:
| Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this gas from the stomach tends to come up in the esophagus and cause the symptoms. And you need to follow these lifestyle modifications for better symptomatic relief. 1. Avoid stress and tension. Be relax and calm. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Start omeprazole. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in the bed to prevent reflux. Don't worry, you will be alright with all these changes in lifestyle. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have suffered back pain for the past 10 years, I had surgery, but made no difference, I have had root blocks, epidurals and facet injection. I now have severe back pain with tingling and spiky feeling from my sole of my foot to my knee, with back leg pain as well.
### output:
| Hellowelcome to ChatDoctorthe pain in your back is due to DISC PROLAPSE although you haunt mentioned your MRI REPORTS and the pain which is going lower down in your leg is due to a condition called as SCIATICA...sciatic is a nerve which supplies lower limb and its compression or stretching is what that causes pain in the back side of thigh n in legs....I would like to warn you that TAKING TOO MUCH AND FREQUENT EPIDURAL INJECTIONS/ROOT BLOCKS CAN DETERIORATE YOUR CONDITION AND WILL CAUSE MORE HARM Than BENEFIT....injections and blocks are for temporary relief only and should be taken occasionally in situations of acute emergency like when you are scheduled for some unavoidable business trip or family function etc....the best way to go in your case will be to STRENGTHEN YOUR BACK MUSCLES BECAUSE It's THE CONSTANT MUSCLE SPASM WHICH IS THE MAIN CULPRIT FOR CAUSING CONTINUOUS SEVERE PAIN...STRENGTHENING THE BACK MUSCLES WILL PREVENT MUSCLE SPASMS AND IT WILL AUTOMATICALLY IN TURN KEEP U FREE FROM FREQUENT PAIN... For the strengthening of your lower back muscles you need to visit a PHYSIOTHERAPIST who will guide you and teach you which specific spinal exercises you should do, and then you include those exercise in your daily routine to have LONG TERM BENEFITS...off course having epidural injections is an EASY TO GET AND INSTANT SOLUTION FOR RELIEF FROM PAIN BUT ONLY FOR A SHORT TIME and DOING EXERCISES DAILY IS A SLOW AND TEDIOUS PROCESS BUT THE BENEFITS WILL BE FOR LOOKING TERM, i hope you got my point...remember that story we use to read in our primary school ?? " SLOW AND STEADY WINS THE RACE" !!!!regardsChatDoctor |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
40-year old male, 5 feet 11 inches, 135 pounds May I submit a link with selected slices of an MRI to answer specific questions about them? Medical history: A slew of recurrent worsening symptoms that come and go (from mild to severe): -back numbness T6-T7-T8 -burning sensation lasting for days and weeks -painful tightness inside when under stress -very sharp stabbing pain (recently) Symptoms can be triggered by: -bending / twisting torso -stress -exercise -meals Usually, symptoms can be somewhat alleviated by: -avoiding all movements -sleep -drinking a whole lot of water -relaxing as much as possible -sometimes lifting my left arm for a few minutes Other symptoms that might be related: -bilateral lumps each side of the jaw the size of a plum kernel. Slow growth. Only noticed them since a month or so while shaving. Not painful. Lymph nodes? Submandibular salivary glands? -spoon-shaped nails since at least a year or so. They used to be bent the right way. -fatigue -insmonia, needs pillows to sleep -horse voice, always some mucus in trachea, have to cough it up to get ride of wheezing sound, swallowing not as easy at it used to be but not painful. No blood in mucus. -have to pee several times per night. I used to sleep without having to pee. -pinching skin lightly for a few seconds create a bruise, as far as I remember it took much more pressure. -Self-diagnosed glucose intolerance Compared to older brother, blood sugar takes hours to go back to normal but fasting is still under 7 mmol/l so doctor dismisses this.
### output:
| Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you have as you tell multiple problems, and my approach usually with this type of patients is to take one complain at a time, the most serious first, see its relation to other complains and order investigations based on these. In your case there seems to be neural complains infection, and to some extent Hyperion Chat Doctor. See a physician first to rule out any life-threatening or disabling condition, then your neural symptoms can be taken care of. I hope that answers your query. If you want any more clarification, contact me back. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hello doctorIam 33 Yr old male married for 6 Years. age of my wife is 27. we are seriously trying for a baby for the past three years. My SEMEN Analysis was.,Volume - 4.5 Ml Reaction- Alkaline Liquefaction time- 30 Min. Viscosity- Normal Total Count- 25 Million/Ml Motility- 50% Active motile-20% Non motile-30% Normal forms- 60% Giant head- 30% Double head-5% tailless-5%Pus cells- 3to5 /hpf Epithelial cells- Nil RBCS - 0 TO 2 /hpf Fructose - Present.Do i have any problem in my semen analysis report? My wife has a mensuration cycle between 30 to 35 days. We have done many ovulation studies Her right ovary was - 6 -7 mm and left 4-5mm and EM Thickness 7.2mm on the 11th day 7-8mm and 25-24mm with EM Thickness of 10.1mm (Triple) on the 18th day.We have consulted with 3 doctors every one is saying every thing is in normal range, but we are trying for a baby for 6 years. What maybe the problem?we request you to kindly explain the reason for not getting result.
### output:
| Dear patient! You have not mentioned:1. Follicular development on days 14, 15, 162. Tubal patency testate you attempted:1. Intro Uterine Insemination (GUI)2. Invited Fertilization (IVF)If every thing is normal, the following may be the reasons for failure to conceive:1. Anti-sperm antibodies in the cervical secretions2. Unexplained infertility you have tried GUI and/or IVF, the presence of anti-sperm antibodies in the cervix is bypassed. Anyhow, you are not alone in facing this dilemma. There are many couples complaining of the same problem. And many conceive eventually. So, please don't lose hope and stay positive. Still, you must go to your doctor and check for the above said reasons.1. Tubal patency2. Follicular development3. Anti-sperm antibodies in the cervical secretions Hope this has been helpful. Awaiting your precious feedback. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have been doing a lot of physical activity ( gardening, cleaning & all other household chores ) + a part time job involving being on the computer for long hours during the last one month a& I feel Im exhausted and have chest pain. should I seek medical help
### output:
| Greetings. Welcome to Chat Doctor, and thank you for your question. I understand your concern. Your age would help me a lot in constructing a differential diagnosis. However, I will explain some forms of chest pain, which we aim to exclude first, as the main and most dangerous organic causes of it. First, there is angina. Angina is a moderate-to-severe chest pain, more characterized like a heaviness or tenderness or "squeezing" feeling, localized in the mid-chest, and then radiates to the both sides of the chest, the jaw, left shoulder and left arm. This is the pain originated from one or more blockages within the coronary arteries (arteries that supply the heart muscle with oxygen and nutrients). If this is your case, you should perform an EKG and an echocardiogram, and, depending on these two tests, a cardiac stress test. Second, there is sharp, stabbing pain. This kind of pain can come from an enlargement of the root of the aorta and/or from aortic aneurysm. It is severe in intensity, and radiates to the back, between the wings. Also, it can be caused by an acute or chronic inflammation to the linings within the rib cage, i.e. the pleura (lining of the lungs) and pericardium (the lining of the heart). This kind of pain - pleuritic pain - is less severe than that caused by aortic aneurysm, and relieves or aggravates from switching positions or the respiratory cycle. If this is the case, then echocardiogram (for pericardium and root of the aorta), chest X-ray (for the pleura and the lungs), and computed tomography of the aorta (in case we suspect that there is a problem with the aorta, higher than its root), should be performed. There is always a possibility of intercostal (between ribs) muscle or pectoral (chest) muscle soreness, and pain originated from problems with ribs and rib joints. If this is the case, you can use over the counter painkillers. I hope I was thorough with my answer. Best regards. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I had a skiing accident wherein my right knee ended up isolated in the air, with my right food planted on the ground outside my right hip, (sitting position) and it popped out to the left. when i was able to stand and put weight on it, it again popped out in the same direction. i ve since used crutches for 2 weeks, constantly worn a brace and limited physical activity, iced and elevated, etc. I had an MRI and my Dr. told me I ve partially torn my ACL and MCL and have severe bruising on all bones. She has informed me surgery is unnecessary and has prescribed P.T. for 8 weeks and no physical activity, continuous use of the brace and anti-inflammatory meds. In reading Ortho Journal articles, I m seeing that Multiple Knee Ligament Injuries should be treated by a specialist and are considered serious. I worry about finding the right course of action because I ve read many difficulties can arise, such as loss of knee movement, further injury, etc. I am a 32 year old, very active female and need to be able to resume skiing, kick boxing, cycling, etc. I have Kaiser, therefore, a second opinion is sort of a sticky situation. Just curious if this would be other Dr. s courses of action as well or if it s suggested I see someone else.
### output:
| Here as per your explanation I understand you have got injury for ACL and PCL both ligament sin your knee and along with that there is a swelling in your knee joint. Here I agree with your orthopedic doctor opinion that there is surgery needed when there is damage to both ligaments (ACL, PCL) and more over if that is also complete damage. Now next thing what your doctor have suggested is also very true that you have to go for physiotherapy for few weeks. Because with certain physiotherapy treatment along with basic exercise will help you to reduce the inflammation. As you get over with inflammation and swelling from your knee my suggestion is before going for surgery do enough of weight training (knee strengthening) exercises. This will help you to recover faster after your ligament reconstruction surgery. Here you do not need to worry by checking online reviews but follow the right treatment program that is before operation physio treatment and exercises. And then plan for surgery and again post-operative follow the physio rehabilitation program. For your main question bruises on the bone, this will go away as you follow physio treatment and use hot pack on your knee. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
sir my father is with me, i am married since 7 years but i have no child, sir most of the time the events of the death day of my mother revolve around my eyes, i always feel that i was not good to my mother, some times i think that i not love my mother but i am afraid of god that he punish the people who not do good with their parents , so due to this fear i am always remembering my mother and think that i have not take good care of her otherwise i have no love for her, i frightened from god , these feelings i have most of the time, now i feel that every thing which i done in past is wrong and i was totally wrong. most of my time spent in thinking that how these thoughts came into my mind that mother should die and always try to justify myself that these are not my thoughts but than i cant beleive that these are not my thoughts,, i always feel that i did bad with my mother and i cant bring her back, when i was taking care of her when she fall down , i some time got angry with her and show aggrestion to her , i think at that time i do that for her good but now i think that my intentions towards my mother was not good, i feel her burden so i show agression to her, i tottaly loose confidence on me, when ever i will go for some good deed, i feel that a person who was not good to her mother he has no right to help any one, such person do any thing allah will not forgive him, i did very big sin, i loose my mother and my jannat, she loves me too much but i did nothing, now i cant bring her back and ask her to forgive me, she left me, and those people who are bad to their parents never find peace in this world, same is the case with me, my punishment is started and i deserve it,
### output:
| Brief Answer: I can understand your problem and concerns. You are going through grief reaction that occur following the death of a near relative. You need grief counselling and some medicines to help you overcome these problems. Detailed Answer:People develop guilt feelings after the death of a near relative. You are also experiencing the same. Your grief is being complicated by depression, and you must seek professional help. It will help to overcome the symptoms. Professional help is in the form of medicines and psychotherapy. Selective serotonin reuptake inhibitors are given for depression and grief counselling and workup is done for improving other symptoms. Please feel free to ask if you have any followup questions. I hope you find this helpful. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Ok I went to the doctor and tested positive for the Flu on 1-20-2015 and I was also diagnosed with a Bacterial-Infection and was givin a shot of Penicillin & a shot of selestone in (office) And was prescribed an Oral anitbiotic CapAMOXICILLIN 500 1cap 3-times a day for 10-days total =30caps I m now almost done with my oral AMOX & l feel so much better BUT I m Afraid that I m not quite healthy/COMPLETLY-Well-YET - As far as what I m asking you as an MD. is this as follows - I feel like a turkey that is almost done cooking but still likes a little bit more time cooking but is damn close to being ready you follow - Im just afraid that I m going to be almost we ll run out of oral antibiotics and then get sicker and then have to go back to the Doc & the next go round the meds may not be as effective Therefore As an MD ANSWER ME THIS IS THERE A VERY STRONG FOLOW UP DOSE AVAILABLE LIKE A INJECTION TO MAKE SURE I GET WELL SOMETHING THAT CAN BE OBTAINED AT MY PHARMACY AND USED LIKE A EPPIE PEN ONE SHOT ONE DOSE DONE ?.. If not is there anything that I can explore as an option If so please do tell thank you for your time ... (-JOSEPH HARRIS CHAMBERS-)
### output:
| Hello.I can understand your suffering.I would like to know your age, diabetes status, any other medical condition you forgot to mention.it is definitely not advisable to take an OTC antibiotic for your problem as you have already used one.amoxicillin and penicillin belong to the same class.so they are much alike...I mean you are given only one antibiotic not more.the other one is a steroid shot.the problem will come down don't worry.if the problem persists.visit your doctor.he will do culture sensitivity and any other necessary investigations.after above tests it is possible to IDENTIFY the causative organism(bacteria/fungus) and EXACT ANTIBIOTIC to be used.this will prevent development of super bug in your body and unnecessary side effects.hope my answer helps you if you have any more queries I would be happy to answer. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hi, I have been suffering from UTI on and off for the past 3/4 years and was having amoxicillin (amox 500) every now and then which failed to be a permanant cure so I consulted a urologist who suggested niftran 100 mg twice daily for a few days and then once daily for a year as the aerobic organism detected was KLEBSIELLA. Its been 11 months and i missed the dose for a week in error. I can again feel the symtoms and its disturbing to know that after having it for 11 months my body is still suseptible to UTI. I also got my IGE levels tested as i have always been prone to urticaria and suseptible to allergies and the results revealed that my IGE levels are 7964 which is quite alarming. Before i started taking niftran my levels were 2000 so i think its probably the cause of the increase in my levels. I dont know what to do and how to rid myself of this annoying problem of a UTI . Right now I am on Banocide Forte 100 mg twice daily since the past 2 weeks with a multivitamin to control my IGE levels. Please suggest what i should do about my UTI. Really need ur help...Thanks, Divya Wadia
### output:
| Hello.you forgot to mention AGE diabetes and BP history, menstrual history etc.for klebsiella Chat Doctor. .are you sexually active.your partner can have bacteria with or without symptoms.so even partner has to be treated.there are a lot of causes for susceptibility to infections.do you experience any other symptoms apart from UTI?like generalized weakness or bruising or weight loss?did you get any of blood tests done.?if that is not the case get your blood work done for CBP, diabetes, thyroid,liver function test, plasma albumin etc.USG of abdomen pelvis.etc even though the workup is lengthy it helps you.recurrent UTI can be caused by stones or cyst in kidney or transmission from partner, susceptibility to infections, etc.had it been a case of susceptibility infections can occur in other areas of body which is not the case with you.if you use any spermicidal agents they have to be stopped and go for other methods of contraception.hope my answer helps you if you have any more queries I would be happy to answer. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I am 23/F with extreme spine pain. It started about 5 years ago. I was dancing and turned my head too fast; felt something pop in my neck and everything tingled then went numb. I took a hot shower thinking it was muscular, but it made it worse. I went to physical therapy , pain management , MUI, and nothing helped. Shortly after the MUI procedure, a nerve pinched in my neck and I was paralyzed. The official diagnosis was torticollis of the neck. They gave me a shot of muscle relaxant and pain killer into my shoulder, which helped the pain and tension. I believe I also have fibromyalgia in my right shoulder. The slipped disc is right between my shoulder blades. I have three other areas of extreme pain as well: cervical, thoracic and lower lumbar. I m beginning to think I have some sort of degenerative disease , and this scares me very much. I forgot what it was like to sleep without pain. I don t take any pain killers. I try to do yoga, but if I pinch something, I can t move for on average three days. I want to cry all the time. I can t sit, stand, nor lie down. It hurts to lie down. I also feel like I have headaches because the nerve that is pinched runs from between my shoulder blades and radiates outward to my right shoulder and the very top of my neck on the right side. How can I correct this? Will I ever regain my health and well-being? Will I ever feel like normal again, before the accident?
### output:
| Hello madam, here is cure for your complaints you are at right platform. You said you don't want to take painkiller. Using pain killers is like only superficial treatment. You also doing yoga we will guide for that which Hasan(position) is good in sucChatDoctorplaints. Otherwise its harmful if you do that without consulting any expert. There is therapy in Ayurveda for such painful cases.it's a vaatvyadhi. Ayurvedic vat and oil are helpful for that. Several patient get relief by using our ailment. This medicine give relief from pain without any side effect unlike painkillers also enhance your nervous system. Restore your ability(neck movement etc.)bast (special treatment of vatvyadhi)local and regular one also useful in it. Follow it asks us for consultation in detail.it will surely brink back smile on your face. Have a nice day TC |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
I have a UTI that my doctor confirmed. I came down with a high fever (103.5) on friday. I have a history of UTI s, kidney infections and kidney stones twice. I went to the doctor again no Saturday and they agreed that I probably have a kidney infection as the symptoms at the time were similar to my previous episodes. They did not confirm the kidney infection with bloodwork however. They just figured that I knew well enough. They prescribed cefuroxime for me. Since Saturday I am still running a fever which I have kept down to about 100 - 101 with ibuprophen and tylenol. Now I think that it may be something else. I am not having the lower back pain that I usually have with kidney infections. I am having a lot of abdominal pressure in the front and my back is soar up closer to my shoulder blades. I have never had indegestion but if I had to guess it feels like this. I cannot lie down flat comfortably. Sometimes it feels like when I lay on my right side that my guts are being twisted on the left. I also started my period on Saturday. I also have a massive headache that despite all of the medicine has persisted for 2 days now accompanied by lightheadedness.
### output:
| Hello are taking ibuprofen and Tylenol frequently for high grade fever, so these two tablets may be the possibility of pain in the front or abdomen and also intestinal upset (as you mentioned in the query). Fever is high grade, and you are also having intense headache and lightheadedness. Such type of fever may be due to UTI, but you didn't get urine and blood test, so please get in these tests. Also get in serum creatinine and blood urea with ultrasound of both kidneys. Since this time, no doubt symptoms don't simulate like UTI, but you are an old case of kidney infection, so we should not forget this thing. 2 Flu or upper respiratory infection may be the other possibility of such symptoms. So consult another physician and get his opinion (2nd) . Since you are taking cefuroxime and this is not effective because still you are having fever, so 2nd opinion is important.3 Malaria is another reason of such high fever. Get in blood for malarial parasite. However, there are so many other reasons of such fever, like dengue, typhoid but physical examination and 2nd opinion is important. Good luck. |
If you are a doctor, please answer the medical questions based on the patient's description. | ### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.
### input:
Hello! So I am a 21 years old female, very healthy and physically active as a rock climbing instructor at a university and a ski patroller. when I was like 6 our family doctor diagnosed me with femoral anteversion in both legs, with the right being worse than the left. (I can rotate my leg completely to the side at a90 degree angle with my toes pointing up) I have had special shoes, therapy, muscle work and for a short time a leg brace, which all came to no avail, Unfortunately I wasn t one of the lucky ones that grew out of it, so just learnt to live with it. When I was around 12 I started to suffer pain in my legs and hips, and surgery was suggested to my parents, however they decided they didn t want to put me through what was back then quite a risky procedure so we waited it out. Now i m 21 and as the pain and discomfort has worsened and now both my knees and ankles hurt. Plus when I look down at my right ankle, the bone seems to rest on the inward side of the foot so is off balance and painful to walk. The type of procedure that has been discussed is one where both my legs are broken at certain points, then realigned and pinned in place. I am studying law enforcement and this would take 6-8 months to heal they said.... I was wondering if any of you had undergone any similar procedures/experiences and what your thoughts about it were; how long did it take you to recover? How long were you immobile for? How would you rate the pain? Any other info you think would benefit me? If surgery is the only option then do you know of any doctors in WA state USA that perform it? Is it a safe surgery? YYYY@YYYY
### output:
| Dear patient Best option for excessive femoral ante version is surgery. As you said during surgery bone is broken at intertrochanteric region deformity is corrected and fixed in place with the help of screws and plates. You have to take rest toll broken realigned bones are united. Usual period is 2 to 3 months of rest as you have to undergo surgery on both hips. Surgery is type of major surgery but complication rate is very less and is effective for relieving symptoms. Pain medication are usually not required once stitches are removed. So you should not waste more time and take visit to expert orthopedic surgeon nearby your area and get it done asap. |
Subsets and Splits