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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:
Hi Thank you for your time. I will be visiting my own doctor this week but thought it would be nice to get somewha of an idea on my problem. On friay afternoon I ate a spicy meal that REALLY bothered my stomach, and my bowels. On friday evening I went out for a few drinks. 20 minutes into the night, my abdomen was in extreme pain as well as it was bloated to a point where My stomach was potruding quite a bit. After 45 minutes, it slowly went away, but eventually came back as I started to drink my next drink...therefore I stopped. Last night/......same problem. And as a note: by these points, I did make a few trips to the bathroom and was not in need to relieve myself any further. What may be the reasoning behind this? I assumed that the spicy food could have cause damage to my intestinal lining .... but Im not sure! Again, last night
### output:
| Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would advise you to stop eating from outside if you do. Outside food might cause intestinal infections specially meiosis in some regions which might give rise to gaseous distension and pain abdomen. For this I would advise you for a routine stool test for ova and cyst, and treat it if positive. Next important advice would be to avoid alcoholic beverages, which might along with the spicy food cause trauma to the gastric and intestinal mucosa, apart from causing inflammation to the pancreas and liver giving rise to your symptoms. If I were your doctor, I would advise you for some routine investigations like a CBC, a blood sugar, blood urea, serum creatinine, serum uric acid, an LFT, a serum amylase and lipase, and an ultrasound of abdomen to see the status of intra-abdominal organs. In addition, I might refer you to a gastroenterologist for a possible endoscopic evaluation of your gastrointestinal tract to rule out the possibility of a peptic ulcer resulting from spicy food and alcohol intake. Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food, and avoidance smoking if you do in addition to avoidance of alcohol would go a long way to help you out. Till then, you could go for a proton pump inhibitor along with an anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. |
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 name is Anup. I am from mumbai, India.I have asthma for last 3 years. i have been doing expriements by doing breathing exercises.I have tried doing anulom vilom & kapalbhati pranayam, but it triggered the asthma aatcaks more by doing this pranayam. I am very confused about this. Because it is said that only Pranayam can cure the Asthma permanently.Then recently i found a technique on google names Buteyko breathing technique. I found a article from Jill Macgowan(Ashtma specialist), she have written that mouth breathing is the major cause for asthma. After reading this article i done an expriement, the whole day i breathed from nose & concentrated on not to breath with mouth. Firstly i felt better by doing this. But after doing this 1 & half day, asthma attack triggered. Before doing this technique it was all good. SO again i am in confusion. WHy these breathing exercises are trigerring my asthma rather than curing it.Can anybody consult & show me the way.Thank u.....!!
### output:
| Hello ANMP, Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions for you:1. Breathing exercises, Yoga and Panama have now scientific back up for improving lung capacity in asthma patients. But they should be learned under professional guidance. I would suggest you to be trained by a qualified person.2. First, I would personally suggest you to take regular medicines (montelukast and/or inhaled corticosteroids) after consulting your doctor. This is because, as you are having repeated asthma attacks, they need to be controlled first. Breathing exercises & Panama cannot be used alone to treat asthma. They take time to be effective, and they need to be performed regularly for long time. Once your asthma is under good control, your Chat Doctor. 3. I would also suggest you to get allergy testing done which will help you to know the substances you are allergic to and also to know the measures to avoid them.4. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) and avoidance of stress (both physical and psychological) are also very important to strengthen your immunity and will be helpful in a long run.5. In general, please avoid exposure to dusts, smokes & air pollution as much as possible.6. Please be sure that asthma is not a disorder of airways, it has a deep relation with immune system. Hope above suggestions and information 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. 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:
I HAVE A LUMP AT THE LUMBAR REGION OF SPINE FOR 6 YEARS, NOW I HAVE PAIN AT THE AREA, AND ALL MY JOINTS HURT, MY ARMS AND LEGS FEEL HEAVY AND PAINFUL IN MUSCLES AND JOINTS, THE ACTUAL BONES FEEL COLD INSIDE WHEN HURTING THE MOST AND FIND IT HARD TO WARM THEM UP. SEEMS TO EASE A LITTLE WITH PAINKILLERS AND WARMTH BUT FEEL PRESSURE/PAIN AT ALL TIMES. CAN ONLY WALK FOR A SHORT AMOUNT OF TIME BEFORE TOO PAINFUL AND EXHAUSTED. NO REAL APPETITE, MAINLY LAYING DOWN. BEEN DIAGNOSED WITH PALLINDROMIC RHUEMATISM 10 YEARS AGO, ALSO RECENTLY HAD BLOOD TEST AND MY RED BLOOD CELLS ARE VERY HIGH AND MY DOCTOR SUSPECTS POLYCYTHEMIA. SINCE CHRISTMAS I HAVE HAD BOWEL PROBLEMS, DIARRHEA, VERY PASTY STOOLS, CONSTIPATION, MUCUS IN STOOLS AND A SMALL AMOUNT OF RED BLOOD ON THE OUTSIDE OF A MUCUS STOOL (ONCE). CURRENTLY TAKING SERTRALINE, CERAZETTE AND HAVE B12 INJECTIONS EVERY 10 WEEKS DUE TO A DEFICIENCY.
### output:
| Hello, thank you for your question. I was thinking about your condition for a while. I want to talk about the lump first. It is important to know what is the structure of the lump, is it soft or solid, does it feel photogenic, or it is more heterogeneity and can it be moved around, or it is anchored at place. I suggest physical examination preferably by a general surgeon and probably excision and histopathology. If the skin around it is reddish and swollen it is probably infected. It is suggestive that the joint problems are due to the rheumatism you are diagnosed with. If you were my patient, I would suggest you to consult a vascular surgeon due to the pain after short amount of time. It is called claudication intermittent and is suggestive of arterial disease. I want to alert you about the mucus in the stools. I strongly suggest you to undergo colonoscopy. Mucus is secreted by a certain type of large Bowell polyp. Wish you a good health. 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 have shortness of breath and i do take inhalers for what seems i have reactive airway disease which was said by my doctors, but i have been taking them to a point where i feel cured, (i was sleeping good and ate like how i usually ate) but than like 2-3 days later it came back again, but i used to feel chest pain and now i dont feel chest pain anymore (no tightness,pain,) , wheezing or coughing i dont have either, i have kind of a rapid heart beat (not to fast,but fast even when im just sitting down or walking) and when i lay down to sleep (back or on my stomach) i suddenly feel like my airway narrows to a point where i could breath but so little.. and my heart does pound at that time, this causes me to stay awake for a whole night or day since i suddenly cant wake up, and i rarely sleep cause of this.. but my stomach and whole lungs dont pain at all, it just feels as if im not getting enough oxygen so my heart beats kinda fast, and yes i can feel the slight narrowing from the bottom of my throat to maybe my chest (but no hard pain at all) (not the stomach area) but when im outside i cant really feel it anymore (but my heart still beats kinda fast) so what is it? ive been given inhalers qvar and proair to help with my problem and i dont have asthma . a year ago it worked fine and i was cured (last had it on march 2011) then came back this month of august 2012 and it was going away but came back with no chest pain or odd coughing. could it be cause i own cats? is it dirt and bad air? maybe exercise and eating healthy can help? i also been eating kind of less,drinking plenty of water,and walking 30 min in the morning outside and walking for 1-2 hours or more out places, and i stayed away for fatty foods and it seems like i dont get cravings for that type of stuff anymore.. seems like for these past 2-3 days, i ve been eating fruit,salad, little soda , and a small-medium size meal atleast once a day,
### output:
| Your allergies are irritating youth use of inhalers can cause the increase heart rate cats, food,pollen are exaggerating factirsyou can start montage FX antiallergic twice a day tab rhinitidine 150 MGM early morning and flunarazine at nightie you need you can take inhaler but with my experience it is allergy and you won't need inhalerdonot take paracetamol.disdain, analgin, brufenget your allergy tests and start slit treatment for permanent cure we have much success with this therapy |
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 was diagnosed schizoaffective disorder for a one time episode I had 6 years ago. I had recently had fallen and took the brunt of it to my forehead and was unconscious for a short amount of time. I refused to go to the Dr due to the fact my system was dirty. I had also dabbled with Spice. This is when I noticed a change in my thinking nd reasoning. I admit I had a problem... BUT I was diagnosed after being admitted thru ER and given all kinds of psychotropic medications. how can I have a true diagnosis when I don t even recall the first three days I was hospitalized? This diagnosis has followed me since then and has caused me so much pain. I have been treated impartial for this episode.
### output:
| Hi and thanks for question. Schizoaffective disorder diagnosis made when pt have the following criteria: psychotic feature 1)delusion 2)Hallucination 3)impaired self-care 4)negative features like negativism, echolalia, posturing,mutism etc. if 2 of these symptoms present for more than 6 months than we diagnose as schizophrenia during the course period of schizophrenia many patient have mood symptoms like either depression or manic episode than we diagnose as schizoaffective disorder. DSM-5 criteria. A. An uninterrupted period of illness during which there is a Major Mood Episode(Major Depressive or Manic) concurrent with Criterion A of Schizophrenia. Note: The Major Depressive Episode must include Criterion A1. B. Depressed mood. Delusions or hallucinations for 2 or more weeks in the absence of a Major Mood Episode (Depressive or Manic) during the lifetime duration of the illness. C. Symptoms that meet criteria for a Major Mood Episode are present for the majority of the total duration of the active and residual portions of the illness. D. The disturbance is not attributable to the effects of a substance or another medical condition. Specify whether:Bipolar Type: This subtype applies if a Manic Episode is part of the presentation. Major Depressive Episodes may also occur. Depressive Type: This subtype applies if only Major Depressive Episodes are part of the presentation. With catatonia: This specifier, which applies to both 295.70 (F25.1) SchizoaffectiveDisorder, with prominent depressive symptoms, and 295.70 (F25.0)Schizoaffective Disorder, with prominent Manic Symptoms, may be used to specify a current episode with at least three of the following: catalepsy, waxy flexibility, stupor, agitation, mutism, negativism, posturing, mannerisms, |
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- MY NAME IS ALEJANDRO . I AM 68 YEARS OLD AND HAVE SEVERAL MEDICAL PROBLEMS INCLUDING EDS. I AM A VIET NAM VET AND SERVED IN KOREA 1968 TO 69. WHILE THERE WITH USARMY ENGINEERS, I WITH OTHERS WERE IN WATER AND CONTAMINATED RICE PADDIES WITH WHAT I NOW KNOW AS AGENT ORANGE . WHEN I REACHED 40, I FOUND OUT I HAD TYPE II DIABETES, HIGH BLOOD PREASURE, CATARACTS, PERYPHERAL NEORAPATHY, QUADRUPLE BI-PASS IN 2003, AND EDS SINCE THEN. THE VA HAS REJECTED MY CLAIM FOR AGENT ORANGE OR SERVICE CONNECTED. I HAVE NEVER SMOKED IN MY LIFE, NEVER TRIED ANY ILLEGAL DRUG, NEVER HAD MORE THAN 2 BEERS A MONTH, AND ALWAYS STAYED IN SHAPE BY JOGGIN, WALKING, PUSH UPS AND SITUPS UNTILL 2003 I HAD THE CHEST PAIN ON THE TRACK. I HAVE NEVER BEEN OBEASE, I AM 5 9 AND WEIGH 165 LBS AT THAT TIME. NOW I CAN HARDLY WALK 50 FEET. I GET EXHAUSTED AND THE FEET HURT . THE VA WILL not ACCEPT THAT IT WAS THE AGENT ORANGE WHERE MY AILMENTS BEGAN. CHECK OUT AGENTORANGEKOREA.COM SO YOU CAN SEE WHAT MANY US MILITARY VETERANS MY AGE ARE GOING THROUGH. YOUR HELP WILL REALLY HELP US VETS. THANK YOU VERY MUCH. AM
### output:
| Thanks for query, Peripheral neuropathy due to various causes can be managed accordingly. Your neuropathy with leg weakness is due to long-standing diabetes. I advise you to vigorous control of blood sugar in close follow up with endocrinologist. Kindly go for following tests 1. NCV both lower limbs 2. B/L VPT lower limbs 3. EMG 4. Color Doppler both lower limbs. Kindly get your eye check up for r/o diabetic retinopathy. Treatment -Tab Pregabalin 75 mg 1 HS. 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 frequently get lower respiratory infections after cardiovascular exercise. I believe the infections are viral, but they do occur often; generally lasting 7-10 days. I produce thick, copious, and distinctly smelling phlegm ranging in color from yellow to green, depending on the infection. Sometimes I will produce clear mucus from the lungs for up to a month post the acute phase of the infection. It is frustrating and concerning that I have this issue when trying to get back into a cardiovascular exercise routine. I do use Symbicort for mild asthma and have albuterol for when these infections occur. I am a 40 y/o male with a 10 year pack/week smoking history (age 22-32). What do we have hear?
### output:
| Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from Smokers Bronchitis with Asthmatic Bronchitis-for which you use Symbicort and albuterol, to control thematic attacks. When Cardiorespiratory exercises are done-the severity of exercises-leads to aggravation of Asthmatic Bronchitis, which later on complicates with secondary infection / or re-activation of subclinical infection in ?bronchiectasis ? Lung/bronchial tissues. And hence you get the respiratory infections after Cardio-respiratory exercises Suggested-You need to stop Smoking, due to which your lung/bronchial system is sensitive and prone to undergo re-infections. Plenty of Fluids before exercises and during and after exercises-to keep lung passages sufficiently humid and HY Chat Doctor. High Protein/high carb bland diet/plenty of fruits /Tab Zirconia, would keep you away from-Symbicort and albuterol-bronchodilators and dependence on them, for long. Proper timely antibiotics support would be needed to reduce number of attacks from chronic lung tissue damage. Proper Bronchial physiotherapy would keep your lung tissues free from bronchiectasis residual infection. Hope this reply would help you to resolve the health issues with help of doctors attending on you. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, 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!! |
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 doctor could not explain why my MRI film shows calcium deposit covering my tail bone. It is an MRI of August 2013. I was surprise that my chiropractors (several) and my physical medicine doctor could not see it and diagnosed it until I went looking for a second opinion yesterday with a new doctor. The reason I saw him is to find out if he could treat me with the lower pain back that had become chronic, regardless sessions over sessions of chiropractic and physical therapy . could you please let me know the cause of my calcification? the treatment? or any way to stop the progress of it? I jumped to the conclusion that I had pain caused by this calcification. What is your opinion?
### output:
| Hi welcome to ChatDoctorI have gone through your query regarding calcium deposits in your tailbone. Dear you have not mentioned your age which can help determine the right diagnosis and treatment. Why your doctor and Cairo could not read the MRI film because it is a field of a specialist. So advance forward to know the cause, remove and solve the problem. A hormonal disorder causes calcium from the bones to move into the blood stream. A variety of calcium buildup is harmless and may be considered a normal part of aging. However, calcification can disrupt organ function and affect blood vessels. Longstanding kidney failure and excessive intake of vitamin D, which results in excessive absorption of calcium from the intestines, can also lead to this type of calcification. According to the specialists, about 99 percent of calcium in the body is transported to teeth and bones. The remaining 1 percent is in the blood, muscles, fluid outside the cells, and other body tissues. This 1 percent can add up and cause problems over time. For your info, our faulty food habits and derailed lifestyle also is responsible for low immunity and cause of sufferings. I would like to suggest you to modify your lifestyle and food habits. Include essential nutrient and antioxidants in proper proportion according to a qualified dietitian and regular exercise, walk, yoga - Bhujangasan Sheratan, Back being postures , Panama- Deep Breathing exercises - Inhale deep - Hold 2sec - Exhale deep-Hold 2 sec. Kapalbhati, Aguilar, Anglo Film are also life giver postures to be done under a qualified trainer. A spoon of turmeric powder in a cup of hot cows milk is good to alley pain and inflammation also Homeopathic Arica 30 /thrice / in half cup of water/ for 2-3 days day very effective in pains. Only a doctor can determine whether your if case warrants any other. Treatment. Hope this helps solve your query.Don't hesitate to get back if you have any other doubt. |
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:
Im 29 almost 30years old 5 9 im 160 lbs.barely i was 210lbs. 11 to 13 weeks ago.My diet was consisting of the worst things u wouldnt eat to lose weight and i been having horrible headaches everyday almost.I have situs inversus and dextrocardia and its full mirror image.I been feeling drained or fatiged and short of breath and my blood pressure is hyperstage 2.I am diagnosed chronic anxiety i take 3 .5mg klonopin a day I also take enderall 2 40mg a day for bloodpressure and my rapid heart beat without my meds my pulse relaxed is an average of 114 sometimes more.Im 29 and my back kills me in the same spot almost same time of the day but only on work days doest hurt on my day off.Both my legs hurt me from my knee about to a foot up my thigh and its a concentrated pain that feels like the bottom sections of my thigh bones hurt at night in bed cant get to sleep with constant hurting in my legs.Also I have bad issues with coughing up mucous i cant remember the last time i had a dry cough but the dr said its bronchitus.Also been feeling confused and forgetful.I feel anxious and jittery most of the time and my hands and feet stay swetty and cold from my chronic anxiety unless i take my meds then im ok with the anxiety part.Why am i falling apart so young i feel 50 I get up and mope like a elderly man till i get a few steps going then im ok.I stay with colds and staff and its just been really bad lately i dont really leave out the house anymore I just wanna feel normal whats wrong with me PLEASE tell me!!
### output:
| Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety a Depression are known to create physical fatigue and mental fatigue. Your anxiety could be based on your health conditions, and you must have been briefed by your doctors. Please talk to them, Once the physical symptoms are taken care of by doctors, you should not worry much about them. Engage yourself in activities which are creative and encourage you to think positive. Exercises are also a known way to ease anxiety. Researches have shown that medicines alone cannot cure mental disorders. Psychotherapy to have lifestyle changes, Yoga and meditation to streamline thought process and metabolism can be practiced for easy and permanent cure. Contact a psychologist for further information. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck. |
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 28 years old..Me and my partner wnts to have a Baby but, I have a problem with my uterus and ovary.. My ultrasound shows that my uterus is retroverted with globular contour and course echopattern measuring 9.0x6.2x4.6cm. (The cervix measures 3.9x4.5x4.6cm with homogeneous stroma and distinc endocervical canal). The entire myometrium contains multiple echogenci foci and asymmetrically thickend measuring 1.5cm anteriorly and 2.6cm posteriorly casting posterior acoustic shadows. My right ovary contained 2 unilocular cyst; C1-2.7x3.7x3.4cm at the superior pole. C2-1.1x1.2x1.6cm at the inferomedial pole. Both contain low level echo fluid within. The left ovary contained unilocular cyst measuring 1.4x1.8x1.9cm containing low level echo fluid. Doc. Is there any chance for me to get pregnant?Please help me...Thanks a lot...
### output:
| Hi, I guess your concern is about getting pregnant with ovarian cyst and introverted uterus. My straight forward answer is YES, you will get pregnant. I want to tell you that your ultrasound findings of uterus and ovary as your report shows indicate that you are having infection in your uterus and ovary most probably. But DON'T WORRY. It is having a solution. You come under the reproductive age group (age group 15-45 comes under this group, in that age group chances of getting pregnant is high), If you are having regular period also then you have DOUBLE CHANCES of getting pregnant. Your ultrasound shows that your ovaries having cyst which are small and contains clear fluid which do not interfere with pregnancy. So you are having TRIPLE chances of getting pregnant. With above information you can also try out my suggestions:1. HAVE PATIENCE, DON'T PUT YOURSELF INTO TENSION UNNECESSARILY. 2. I insist you and your husband to have sex in a fertile period (it starts from 10th to 16th day of menses cycle). In this period getting pregnancy is high. You try to do more episodes of sex during this fertile period. Try this for 3-4 months. By this you will get result.3. If you are in a hurry, then visit nearby gynecologist/ infertility specialist, and they will help you. I hope this was informative enough, helpful and useful for 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 right leg is giving me lots of trouble. It is painful in the front, where the leg meets the pelvic bone. Sometimes I hear a snap when I change from a standing to a sitting position. I never know when I stand up if it ll make the snapping sound or if I can put weight on it right away when standing. My hips are arthritic and the right one has bone spurs, but there s still a little cartilage there. It s not bone on bone. Celebrex 2 times a day has not alleviated the condition at all, so I don t think it s inflammation from arthritis. I think it s the ligaments in the front. I used to do splits (I m 69) and can still do them tho not all the way down. The last time I did them was 2 weeks ago. I suspect doing splits a few times a month was probably not so good for those front ligaments. I m a very active person. I played tennis for 25 years, bowled, play golf (I walk 9 holes for some exercise). The exercise that seems to help the most is elliptical machine, or being in the swimming pool where I do a bicycle motion with my legs and a figure 8 motion with my arms. The recombant bike aggravated it, as does reclining in a chair with the legs straight out. When I sleep I try to bend my legs so they re not straightened. I m thinking of going to a sports med doctor. Is there any way to check the health or condition of the front ligaments?
### output:
| Hi, I had gone through your question and understand your concerns. Osteoarthritis of right hip is your diagnosis, it is evidenced by your history of excess physical activity and age. In this condition there will be loss of cartilage between two bones which is a protective from both bone ends to get rubbed. So loss of cartilage leads to exposure of actual bone, and they get rubbed each other and there will be loss of bone contour. Bone spurs are indicative of osteoporosis in which bone mineral density decreased and as a compensation there will be excess calcium deposition. To prevent further damage.-have good rest.-take calcium supplements-avoid excess hip movements and decrease weight on hip by using a cane if you impermanent treatment will be done by surgical procedure, like total hip replacement or by refining the surfaces. Use painkillers like ibuprofen. About the front ligaments, once the hip pathology decreases it will automatically come down. Stiffness is due inflammation around the joint due to friction of the bone ends. Consult an orthopedic or sports medicine specialist. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. |
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 ,67 yrs old,is a dialysis patient .she has to do it twice per week.for last two and half month she is suffering from an uncommon physical movement.her whole body moves in a nonrythmic involuntery way for all the time when she is awake.but whenever she gets asleep the movement remains no more.then it starts as soon as she is not in sleep.nowdays(for last 15 days)she doesnot want to take anything to eat.this symtom has started since one month but now it has increased very much. she cannot get up or sit or stand by herself.it has been a great problem to feed her or give her medicines.she doesn t want to swallow anything.it seems that she can t get the instuction from her brain .the result is that she lacs nutrition .she doesn n speak clearly.In last November she was admitted in hospital for breathing trouble.after returning home we saw that she didn t talk..she was suffering from pain in the backside of her neck.in this condition she was sent to a neurologist who gave her SERTA tablet.but she didn t recover,then she went to a neurologist who prescribed her ROPARK and AMANTREL.after this medication the movement of whole body started.then my mother was given PRAMIPEX by the doctor.but the result was that her whole body got plenty of rashes ,irritation and burn like injury.she couldn t recover from that movement too.now she is taking PACITANE100 till date.but of no result.as I told you that she is a Dialysis patient,she takes some medicines regularly,named-STAMLO 5,MINIPRESS XL5,APRESOL25,ARKAMIN100,DYTOR100,THYRONORM100,ALPHA D3,OMEZ(OMEZ has been stopped for last few days).SHE IS A HIGH BLOOD PRESSURE PATIENT.I want to know the treatment of this condition my mother is suffering from a lot.
### output:
| Hi. Neurological disorders including movement disorders, like in your mothers' case may beseem in chronic renal failure(CRF) due to uremia or other complications of dialysis. The common causes are metabolic derangement, focal vascular lesion in the brain or Chat Doctor. Careful considerations about clinical symptoms, laboratory tests for renal and other metabolic parameters and neuroimaging finding is required in such patients. She had developed a lot of side effects of PARK AND MANDREL as well as hypersensitivity reactions to PRAISE. I will suggest consulting her nephrologist and to rule out either metabolic/ vascular lesions in the brain. 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 recently read the book Wheat Belly and decided to go on a gluten-free diet . I am 47 years old and have had issues my whole life with diarrhea or at least very loose stools nearly every day and have sufferred severe stomach cramps and pain. I also have had nausea more days in my life than I haven t. Over the years, I ve had every test you can imagine starting when I was 10 years old. Nothing has ever been found. In fact, my parents were told that I was creating my symptoms for attention since my only other sibling has cerebral palsy . I even had a specialist I was referred to for fatty liver disease tell my the pains in my stomach were psychosomatic. After 3-4 days of no gluten products, I began to feel better. No diarrhea, no nausea, very little stomach pains. Yesterday I ate several biscuits with no other gluten in the entire day. About an hour after I ate the biscuits, I began to feel a tightness at the base of my throat. I thought it was heartburn, but there was never any burning and antacids didn t help. It continued to get worse and I felt that I had to consciously take deep breaths to get enough air. If I sipped on ice cold water the symptoms would subside for a few minutes - maybe 3 minutes then immediately return. I became concerned this was an allergic reaction to the gluten. I have no other allergies other than seasonal and Sulfa medications. I took a 25 mg Benadryl which did nothing. Two hours later, I took some pseudofed, the only other allergy medication I had on hand. I seriously considered going to the ER but the symptoms reached a certain level and stopped progressing so I did not go. It was 6-7 hours before the symptoms finally went away. I have always eaten a lot of bread and flour so I find it hard to believe that these three biscuits could have caused these symptoms, but I didn t have anything else that I haven t ever had before and this is the only thing I have eaten in a week that had any gluten in that I m aware of. Does this sound like a gluten allergy?
### output:
| Yes definitely gluten is one protein and this is found in wheat there are many proteins in wheat you history suggest that you have allergy to glut nor wheat whole need to blood serum test for wheat specific antibodies if you have stopped the food for many days even a small one amount can lead to severe allergies even anaphylaxis. One timer exposure can lead to problem for 3 wait is good you have controlled with antiallergics and the antiallergics are required suggest getting serum tests and eliminate diet completely you need to take immunotherapy so that you can take it again |
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 Thank you for your time.In July this year I went on holiday to Cyprus and after swimming in the hotel pool I developed an outer ear infection. I went to the local pharmacy and was given some antibiotic drops which seemed to help. A few weeks later I took my grandchildren swimming in the UK and quite promptly developed another outer ear infection. I still had the drops left from my holiday, so used them. Symptoms improved again. A few weeks after that, I went to a local swimming pool and I develop my third infection. All of the infections have been in my left ear. Prior to July 2017, I did not have a history of ear infections. I went to the GP and was given Otomize. I tried this for a week, but it became evident that the middle ear had become infected. I was experiencing dizziness and was unable to walk heel to toe! I went back to the GP and was prescribed amoxicillin for 5 days. After this course, I returned to the GP with symptoms improved, but not better. The GP prescribed erythromycin for 7 days. I have just finished a 7 day course of erythromycin. Unfortunately, I am still experiencing symptoms. Eg. the left side of my face is aching all down one side, their seems to be a pressure around the brow of my head, I have twinges of pain sporadically inside my left ear, tender left gland in my throat, pain going down the left side of my neck, slightly dizzy. I have just spoken to the duty DR today. She has told me that I will just have to ride out the problems. My own GP had said that if things did not improve, then she would refer me to the ENT Dept. This may seem all very regular to you, but I have been starting to feel soreness around my implant (top, left) where the gum has started to recede. I had 2 implants carried out about a year ago - One implant top left (molar position) and one implant top right (molar position). I had no issues with any of the treatments. I have experienced no problems, until now. It just seems odd that I had no history of ear infections prior to the implants. It could just be a bacterial infection I have picked up from the pool. Time will tell! Please advise. THANK YOU VERY MUCH.
### output:
| HI, thanks for using Chat Doctor I agree that you should be referred to an ENT specialist for assessment. Adults do not commonly have repeat ear infections, so it is possible that the bacteria causing the initial infection did not respond completely to the antibiotics given. Ear infections, unfortunately if not properly treated can cause infections at other points in the inner ear. This would have to be ruled out hope this helps |
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, this is my question. I am a regular plasma donor at a facility here where I live. Every 4 months they take a blood sample to be sent off for a protein analysis, it usually takes 10 days to get the sample back. Normally I know when the sample will be taken so I take 10 days off from donating at all before and the sample always comes back fine (because I am older, 40, weight 153 and I guess donating lowers my protein levels). I have had 2 samples come back recently with a protein of 5.9 (needs to be 6.0 or higher) and I am wondering what it is I need to be doing/and or changing to ensure that my levels are in range. Also, how is this different from the screening test they do every time I go in to donate to test my microhemocrotit? I have been out of range a couple times recently on that and was told to eat iron-rich foods. I am now including an iron supplement with my daily vitamins. I would appreciate any help or advice you could give, I am frustrated. Thank you!
### output:
| DEAR SIR/MADAME BLOOD PLASMA PROTEINS INCLUDE ALBUMIN AND GLOBULIN WHICH FUNCTIONS FOR MAINTAINING.1. MAINTAINING COLLOIDAL PRESSURE - BLOOD PRESSURE2. ANTIBODY PRODUCTION WHICH FIGHTS INFECTIONS - DETERMINE IMMUNITY3. ESSENTIAL FOR MAINTAINING RENAL PERFUSION WHICH HELPS IN CONCENTRATION OF URINE AND MAINTAINING URINE OUTPUT.THESE DEFICIENCIES ARE COMMON IN 1. ANEMIA WITH HYPOPROTIENEMIA2. INCREASED PROTEIN LOSS IN KIDNEYS DUE TO FUNCTIONAL KIDNEY DISEASESUPPLEMENTATION OF IRON WITH OTHER MICROBITCOINS MIGHT BE OF VERY LITTLE IMPORTANCE AS THE MAIN PROBLEM IS DEFICIENCY OF PROTIENYOUR VALUES ARE NOT TOO LOW AND ALSO WHEN YOU FREQUENTLY GIVE BLOOD DONATIONS THEN OBVIOUSLY IT VARIES.SO PROPER PROTEIN SUPPLEMENTATION WHICH IS OF ANIMAL ORIGIN LIKE EGG WHITE ARE RICH IN ALBUMIN WHICH RESTORES THE DEFICIENT LEVELS.EVEN VEGETABLE PROTEINS MIGHT BE OF SOME HELP. BUT I PREFER PROTEINS OF ANIMAL ORIGIN.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:
Hi, i recently had a laporoscopy to drain 3 cysts (2 on the right tube and 1 on the left) and i am due back in 5 weeks to unblock them. i have been back to hospital 3 times since as pains no better they did another scan and said the cyst had shrunk and i would have to just wait for the appointment as there is nothing more they can do, they said that the second appointment may not even be surgery as its a clinical appointment. I have also noticed on the discharge note under procedures it says Hydrosalpinx and this was never mentioned in hospital (i now know what it means after researching on the web). I am so confused and now have no idea what the laporoscopy was for?? please help Thanks
### output:
| Thank you for your query. Would you please clarify a few things for me?1) how old are you?2) have you had any abdominal or pelvic surgeries?3) have you had any pelvic infections?4) do you have child Chat Doctor. I will do my best to clarify this for you. The ovaries and fallopian tubes are paired structures (one on each side). The ovaries and the fallopian tubes are in proximity (to facilitate retrieval of the released egg) and the tubes connect to the Uterus, one on each side. During each menstrual cycle, follicles (in the ovaries) develop, one of which will release the egg(ovulation) which is collected by the fallopian tube and transferred into the uterus. If it meets sperm on the May, it may get fertilized and develop into an embryo and implant in the uterus, resulting in pregnancy. While the egg develops and is released, the inner lining of the uterus (endometrium) also develops and prepares itself for receiving an embryo. In the absence of pregnancy, this lining is shed and a period/menstruation results. Endometriosis is a condition where this lining grows elsewhere (other than inside the uterus), like on the ovary, tubes, abdominal organs and wall. Chocolate cysts (due to the chocolate colored fluid in the) or endometriosis cysts form and can be problematic (cause pain, inflammation, infertility)Ovarian cysts include different types of cysts (functional, Desmond, endometriosis, tumors)small (less than 5cms) functional cysts are mostly benign and go away on their own in a couple of months. Large & persistent functional cysts, Desmond and complex cysts, need to be removed and examined assess underlying pathology. Endometriotic cysts need to be decompressed and the condition medically/hormonally controlled to preserve and enable fertility. Hy |
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 a pretty annoying problem: I constantly have the urge to pee.When I drink much water I have to pee every 15 minutes, the pee is very clear. At night I tend to drink less water because I cant sleep if I have to go to the toilet every 15 minutes. When I drink less I still have the urge to pee, but the amount of pee is a lot smaller, and a bit more yellow. I can hold my pee for maximum 1 hour. When I fall a sleep I wake up every hour with a huge urge to pee, One time I was to late. At night it hurts a bit at the end while peeing, during day it doesnt hurt because of all the water.My guess on this is that its a urinary tract infection, only my pee is a lot more clear than the normal symptoms of the infection.2 Days earlier I suffered from gastro-enteritis, and I still have some effects of it like diarrhea and cramps. Because of that I dont eat much during day, which could explain why the pee is so clear.Do you have any idea what I could do to fasten up the healing process, I have Zinnit at home and I already took 3 of them, and the effects are slightly less now. Can you perhaps also help with the peeing at night problem, something that could give my bladder a rest at night, and me to :) Some additional information: age: 18sex: maleweight: 163kgposture: smallextra: -I am a regular cannabis user, I smoke a little every nights an hour before I go to sleep. This is for non medical purposes except a small headache from time to time. -I am a skinny guy and I dont eat healthy, but still dont get sick very often, mostly just a cold.I hope you could help me with my questions, I will honestly be very thankful !I know this is a pretty long text, but I wanted to give you as much details as possibly. Im a student from Belgium, so Im sorry for my bad english.Thanks again for reading and hopefully helping. Jasper
### output:
| Hi Jasper. Nice to see a real good history, gone through and your English is perfectly normal. This is called frequency of micturition. The main cause can be a local infection in the bladder irritating, another is a stone in the urinary bladder irritating a particular part of bladder called a trig one- a very sensitive one. Another causes are like diabetes mellitus / insidious and so on. What you need is to find our TH root cause by routine tests of Blood and urine, urine culture sensitivity, ultrasonography of abdomen. This will find out the original cause. Then the treatment really easy. Please do not try anything at home. T looks you have mentioned your weight too much. |
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 feel coming out of kettlebell aerobics last October 2013. I fell on a cement parking stop and my right knee to the blow. It hurt and the ER xray showed nothing broken and perhaps a bruise. I was in pain for about two weeks and kept ice on it for the immediate 24-48 hours. A bruise came through and the only pain I had was kneeling on it. After the first week I forgot about the injury and knelt down to pick something up and the pain was unbelievable along with a gush of warm liquid feeling. Since then I have a funny sensation as if I had a scar like after an operation. I feel no pain in the bone or joint during walking or jogging or exercising. However I do feel pain kneeling on it. It swells and if I bump my knee while doing anything I feel a sharp pain and tingling. I went to an ortho doctor and he stated I had nerve damage. I saw a doctor an had a full EMG done and it was reported normal and healthy. I had an MRI done and it states No occult fractures are seen within ght e osseous structurs of the right knee. No significant osseous contusion are visualized. The anterior andposterior cruciate ligaments are intact. No definitive tears are seen with in the medial or lateral menisci. There is a myxoid degeneration in the posterior horn of the medial meniscus. There is mild narrowing of the medial compartment. No abnormal signal is seen within the distal quadriceps or patellar tendons. Medial collateral ligman is intact. No abnormal signal is seen in the iliotibibial band fibulocollateral ligament or biceps femoris tendon. The medial and lateral retinacula are intact. There is minimal edema seen anterior to the patella. No abnormal signal is seen in the posterior patellar cartilage. So what does this mean? Will I need to surgery?
### output:
| Hi there. Thanks for your question at Chat Doctor. Meniscus is a disc like shock absorbing structure which is present between the two bones of your knee joint. It helps in smooth transition of movements from flexion to extension, as in kneeling down. When we kneel down the posterior most or the back end of the meniscus absorbs the maximum pressure of movement. Hence, damage to this part can manifest as pain on kneeling(as in your case). Amyloid degeneration is a type of degeneration usually seen in peripheral tears pf the meniscus. It requires observation only. Fortunately for you, you should be fine if you avoid kneeling down. It's a wait and see kind of situation, surgery will be the last resort. Hope this helps. All the best. 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:
Hello.I am 44 years old, and I am a seaman. Very often I was exposed to stressful situation, until about a year ago I had panic attack. I was feeling very scared when I was alone, thinking that I am going to die, I could not sleep in my bed because of some fear. If i have slept 2 hours I was awaking in panic and fear. Could not stay alone, could not concentrate on my job, constantly having bad thoughts passing through my mind. I have visited doctor who gave me Deanxit tablets, and after first one i felt amazingly better, only i had trouble sleeping. I was taking two tablets per day for about a month, than I signed off from the ship and stop with Deanxit. During vacation I have visited psychiatrist, explained what happened to me, and he told me that I have suffered panic attack. My psychiatrist has prescribed me SEROXAT - Paroxetin tablets, 20 mg, if happens againAfter two months at home, where everything was ok, only trouble sleeping from time to time, I have signed on another ship, and situation has started but not that strong as before.I have started taking Seroxat and everything was ok, only trouble sleeping again, and I have been taking Seroxat for full 4 months while I was on board the ship.Another two months at home without tablets, but again trouble sleeping, and here I am on my present vessel, just signed on today.After talking with my family I am sensing and experiencing some kind of fear, now when I am alone in my room.Fear comes and goes, but I am still kind of afraid to go to sleep, even I am very tired.Thinking about taking Seroxat again or maybe Deanxit.Could you please tell me what to do and how and if is possible to treat this fear permanently.Thank you very much.
### output:
| Degree understand your concerns went through your details. I suggest you not to worry much. Let me make things clear for you. Panic attack comes to people who were previously anxious. Anxiety is stress is just common happenings for them. It that is your case, you experienced a panic attack. Otherwise, it was just stress related momentary fear. You have to be a bit more realistic. What is there to fear? If you fear being alone, be with others. If you fear your job and want to be with your family, be with them and find a new job near home. If you fear your health, consult a doctor and confirm that you are alright. We have solutions for every fear. Instead of fearing what-it-might-be, try to find a logical solution and accept it. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. 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 24,female with no medical complications.i take no medicines at present.i have good general health.i have been having abdominal cramp when i ovulate ever since my periods started.i have had it checked by a doctor and she said it is normal.i have seen that from the day of ovulation i have my next periods after 16 days.that is when i ovulate on the 11th day of my cycle i have my next period on the 28th day and when i ovulate on the 15th day then my periods start on the 31st day.in February i had my periods 7th feb but i had my next ovulation on 26th feb that is the 20th day of my cycle.therefore my periods started on the 13th march instead of on 6th march which was the 28th day.however i had a normal to heavy flow like usual with usual cramps for 4 days.i am very worried about this sudden delay.can i be pregnant even after having my period?i have tested with a home pregnancy kit and every time it has been negative.now i am having nipple tenderness(which i often get a week before my periods) and i am expecting my periods on 12th of april since i had my ovulation on 27th march(the ovulation cramp).please help me at the earliest.i am very worried and scared.thank you
### output:
| Hi, How are you doing ? At this young age with no complications, I can think of 2 possibilities.1. Pelvic Inflammatory Disease (PID) - infection arising from vagina, after sex. this infection can affect all the structures around uterus - this includes the tubes, ovaries & adnexa. 2. Endometriosis - can occur at any age. Bleeding from the uterus during periods is to the exterior, but a small amount of blood enters into the abdomen, through the tube. This blood forms clots & adhesions around the uterus. Both these conditions around uterus cause increase of blood flow to structures like ovaries, tubes, muscles & ligaments around uterus. So when ovulation approaches, this cause congestion & pain around the lower abdomen, thighs, lower back. Both need evaluation by gynecologist. PID needs treatment with antibiotics & antifungals, both husband & wife endometriosis- have Combined oral contraceptive pills cyclically will stop ovulation & will stop pain & progress of endometriosis. If you are seriously trying for pregnancy, do have tubal patency evaluated - HSG or SSG or Laparoscopy, do rule out tube block, which can hinder your chance of pregnancy. Hope I have cleared your overall the best |
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 21 year old female who has been suffering from chronic sciatica since july 2010. At first my doctor thought it would ease itself out and gave me diclofenac tablets which i cannot take as i suffer frequent heartburn so i returned to my gp and was changed to cocodamol codine. My sciatia "episodes" only happened once or twice every week which left me in a lot of pain and extremely tired due to lack of sleep from the pain. Since the beggining of December my episodes started to become more frequent, 3/4 times a week, I tried heat packs, cold packs, gels, sprays, pillow between my legs, ibroufen, otc pain relievers. I reorted to walking around the living room at 4am most nights crying the pain was so severe. I have visited my gp numerous times and again she said it would work itself out. At the start of the year my episodes have been nearly everyday and it is extremely painful and i am finding it difficult to walk and bend down, even sitting is sore. Again I visited my gp and this time she gave me tramadol and told me to contact physiotherapy. My pain is a severe stabbing pain in my right buttock, (sometimes my left) my right hip, all the way down to my calf and the i have frequent pins and needles in my right foot. I also have a stabbing pain in between my shoulder blades and a dull thud in my lower back. Over the past few days I have been having extreme difficulty urinating, Im almost forcing my muscles to do so even though i am drinking plenty of fluids. I cannot tell you when i last had a bowel movement as its been that long. After a chat with my physiotherapist over the phone today she asked if i was experiencing theses symptoms and then i told her i had pain in my tail bone and sometimes a little shooting pain in my inner thigh, these symptoms have only started a few days ago. She called back an hour later with my next appointment but also to tell me that if i do not pass urine tonight that i must report to a+e tommorrow morning to be tested for cauda equina syndrome. Do you think i am experiencing this?
### output:
| Dear patient Considering your case you have got disc prolapse at lumbar level with nerve root compression. Since this complaint are for long time and now you have started experiencing difficulties in urination and stool passing possibility of caudal equine syn Chat Doctor. You should visit expert spine surgeon and get yourself examined. MRI of lumbosacral spine with screening of whole spine is must confirm diagnosis. If MRI report shows significant nerve compression surgery may be required. So do not waste more time and take urgent visit to spine surgeon. All the best. |
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 ve been diagnosed w/accute chronic pancreatis, yesterday I had an emergency endoscopy done and had an inflammed esophgus (excuse my abuse of spelling this evening), basically my dr said i several infections my body was trying to fight, due to a 2005 GBS Ryouen surgery i m still experiencing long term effects, which includes continued weight loss, i m now to skinny for my own frame and piece of mind, it has led to malabsorption of a lot of needed nutrients, so at this moment i m having severe night sweats to the point of having to change sheets in middle of morning, i rarely get a good nights sleep, i have chronic leg inflammation severe pain, i m currently undergoing several test from neurologist, pain management doctor, i,e. doppler pvr, eeg, many lab chemistry, while they something is wrong none are quite sure what, i gave up drinking hard alcohol, and that helped for a while, i started drinking wine, but my gastro dr said 0 alcohol intake, so now doing that, but in the mean-time I have flare up s that swell my feet and legs and is very painful, i have dermatolgist issues during this time as well usally peeling of the feet and break out of my face, i don t know what is going on with my body, but do believe the baseline is from more than 6 years of malabsorption and has now compromised my immune system, i m also working with a hematologist who has noted some slight changes to my liver, i just don t know where else to go in terms of getting a definitive answer, i can t tolerate any more weight loss, every time i have a flare up it attacks my body on every level including loss of appetite. HELP PLEASE, I use to be a very energetic happy women, now walking up a flight of stairs i feel like i m 200 years old. Any recommendations are greatly appreciated. On a positive note my GI dr has given me a prescription for Creon and Diflucan and w/24 hrs i m feeling better (oh but also have pain med) unless I would just feel like one big thrumbing pain. I also had a bio done on the esophgus (again excuse my mis spellings tonight) signed, I WANT MY LIFE BACK
### output:
| First, please do understand that, infections do happens in every human being. Secondly it is not the end of the universe & life!! So please instill a positivity in yourself and just give some more time to your body to recuperate. Leave smoking and other alcoholic beverages because it helps body to fight better with infection. Start some sort of daily Yoga or mind concentration technique. Please follow this for one week and reply. |
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 in law (66) had a brain non-cancerous tumor removed last Friday, came through surgery ok just to discover 2 hours later he had developed a large blood clot and had to be rushed back into surgery to have it removed. On Saturday sometime he had another CT Scan that showed the right side of his brain had stroked. He has swelling in the brain and is unresponsive at this point. However, he does react to pain in his extremities. His left pupil reacts to light somewhat, but right pupil nothing. The doctor has been very vague and not sharing much information with us. He is off all sedation medication and was breathing just yesterday unassisted. He has not woke up yet and scans are only being done about every 3 days. We have been told by nurses that we should just wait to see if he does wake up or wait for a response from a command given. The doctor has stated that if the swelling goes down that the stroke can reverse itself and that he may recover. All vitals are great, heart rate, blood pressure and 02 levels. Should he have awakened by now? I know my Father in law would not want to lay there like that, but we really don t want to lose him either. What should we expect and can he recover and what time period should we expect to see a commanded response?
### output:
| I read your query, and I am sorry about what you are going through. From what you are describing he has had a severe stroke involving a large area of the brain. The fact that you say his right pupil is large and unresponsive indicates a big lesion with edema which is compressing his brain stem and if the pressure augments even more it could be fatal. Unfortunately right now as your doctor has said you should just wait for the edema (swelling) to stop and then gradually subside, even in the best case scenario it won't happen in one or two days, could take several weeks. Also, there is also the risk of other non-neurological complications which could present in many intensive care unit patients, like for example infections which in his critical condition are more likely to happen and difficult to treat, pulmonary embolism etc. As for the long term, that is in case he survives this critical phase and recovers consciousness, you should understand that most probably some residual disability will be left. Some part of his brain is irreversibly dead, given the stroke gravity you're describing that is for sure I am afraid. I am not saying that improvement is not possible, but it will depend more on the undamaged areas compensating for the lost ones. How much improvement there will be varied, even for the same stroke size and gravity it may vary from one patient to the other. What you should understand is that it would take several months, and it will be more a question of prolonged physical therapy rather than miracle working Chat Doctor. I hope things will work out for the best. |
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 my mother is 58 yrs old and she have a angioedema ( allergy ) problem since last 8 years i have to check her for lots of dermatologist and other md s but the problem exits. recently we are going a allergy test of her and she have allergy in following items :- S.No. Items Allergy in Points 1- cucumber - 1.70 2- tamarind - 1.20 3- cauliflower - 2.20 4- groundnut - 2.00 5- ladyfinger - 1.60 6- aspergillus fumigatus :- 1.90 7- cockroach dust - 1.10 8- house dust - 1.70 9 - house dust mite - 3.80 10- paper dust - 1.40 11- perfume - 1.70 12- doxcyclin - 0.70 13- oxacyclin - 1.60 14 - penicillin - 0.80 15 - tetracyclin - 0.90 16 - sulpha - 1.20 If she have a allergy attack is come then she have lots of fever and joints pain, swelling of her complete body, symptoms like angioedema and also lots of itching on her body. Please suggest me sir what should i have to do. I am living in sagar madhya pradesh,india pin - 0000 my cell no is +0000 my email id is YYYY@YYYY
### output:
| Hi Kamil, Welcome to Chat Doctor. I have gone through the report of the allergy test to have posted. Based on the reports your mother seems to be allergic to many substances (Allergy point of greater than 1.2 is considered Positive) except for Sulfa, tamarind (1.2 is usually considered borderline), cockroach dust, penicillin, Tetracycline, perfume (less than 1.2 is considered negative). As the allergy test predicts allergy to very few substances, you mother might be allergic to some other substances as well. The Definitive treatment of Allergy is avoidance of allergen. Medicines can only give symptomatic relief. But the hard fact is you mother can be allergic to substances other than those predicted in allergy test, and it is difficult to find out. Using preparations like Montelukast in combination with Levocetrizine is known to prevent recurrence. But these are not useful in acute attacks, and they need to be taken for longer durations to be effective. Taking medicines like Evil(contains Chlorpheneramine which is 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 have had dizziness for 2 months. I was hospitalized for 3 days, all the tests have shown ok. The Neurologist said it is vestibular neuronitis. I have been patient waiting to get better. I went to visit Eye Dr and ENT Dr, they all told me they look ok too. Now Im seeing physical therapy. The first visit to physical therapy she found out I do have BPPV because she saw my right eye was moving while lying down. So she correct it with Epley Moneuver. It has been one week, my dizziness still there. Can you assist with my problem? How long the dizziness can last? Any other ways can make my dizziness go away? Can the Moneuver be repeat? How can Physical therapist tell if Epley Moneuver works or not? Thank you so much!
### output:
| Hello and welcome to Chat Doctor. Thank you for your query. The fact that you have been experiencing dizziness for this long, does suggest you could be suffering from vertigo. The most common form of vertigo is BPPV (benign paroxysmal positional vertigo). In this condition, crystals are former in the semicircular canal, which result in nystagmus (movement of the eye in the fashion the examiner described), vertigo (dizziness) in certain positions, etc. The mainstay treatment for BPPV is the Ella maneuver. This maneuver is a very tricky one, and can only be performed by an experienced and well-trained individual; through which the crystals are removed out from their current location. This might take more than one attempt, so yes, this can be repeated, and must be repeated till all the crystals can be removed. The Ella maneuver is designed in such a way, that the crystals should be expelled, but as this can vary from person-to-person, we cannot be completely sure whether they were expelled or not. What most therapists do is, to wait and watch if the patients complaints subside within 24 hours, and if the patient reports to him/her again, the first attempt was not completely successful. The dizziness will almost completely disappear immediately, provided your diagnosis of BPPV is accurate (and the cause for your vertigo) and the crystals are successfully expelled. In the meantime, you can request for medication, which patients with vertigo are usually treated (e.g. betahistine HY Chat Doctor. Please also make sure you do not make any swift head movements, and be slow while changing positions (supine to seated, standing to seated, etc.). I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://doctor.ChatDoctor .com/doctors/ |
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 brothers caught tuberculosis, they live together. Roland stayed home, his tb is active and takes medication - antibiotics / 5 days a week/ current date 3 months. He tells me that he only takes the antibiotics 3x a week now. The other brother moved out, because he is on dialysis and diabetic. He was tested for tb and it is latent. He was admitted in the hospital for pneumonia. He has been in the hospital for 13 days today. I am so worried. After doing my research on TB, my understanding on antibiotics is 4 kinds of antibiotics for 3 months and then 2 kinds of antibiotics for the next 6 months. My brother Roland is taking only one kind of antibiotics and he takes it 3x a week. I wish i can tell you the name of the medicine, when i ask my brother, he was so nervous that he couldn t remember. He is very fraustrated with his Doctor, because his doctor doesn t explain his conditions to him throughly. He tells him what to do and tells him your on stage 4 and my brother will asked am on stage 4??? Can you please explain what that means/ My brother feels like his Doctor mistreats him, because when it comes to medical Q & A, he just doesn t get the help from his doctor . So my question is, is this Doctor giving my brother an honest treatment? The other brother Rudy is admitted in the hospital, he pneumonia, his been in the hospital for 12 days as of today. He is on dialysis, his diabetic and he was also diagnosis with TB (latent) he is in the intentsive care unit. I ask what meds are they giving you and he replied Azithromyzin through the IV and antibiotics. I don t know what kind of antibiotics, we had to cut our visit short. My question is I am so worried for my brothers, are they being help? with the correct dosage of antibiotics? They are from Guam US Teritory
### output:
| Hello, As your brother already diagnosed as tuberculosis, may I know whether he is new case or relapse or defaulter case because in tuberculosis, the treatment depends on the category. Whether he underwent sputum culture sensitivity test? For another brother having pneumonia, as already he is in ICU, so physician will start proper antibiotics as per culture sensitivity report. I will suggest you to review here with detailed history or consult with the chest physician with reports. I will suggest you take complete course of tuberculosis treatment. Take proper diet, maintain proper hygiene and avoid contact with other people and family members. Do not skip any dose of treatment and do regular follow up with chest physician. 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:
How many times a day can you get a pac and still consider it harmless or no need of meds? It was explained to me that it is electrical, so why can other things trigger the pacs. I was wearing the halter moniter and could feel the pacs becoming more frequent as the night went on... and at two in the morning I had to take it off -had a panic attack and severe shaking- I believe I was reacting to the glue in the node stickers. Im sensitive to many things, smells, foods that make my heart beat more pacs. I also notice more pacs when hungry, or sitting or laying down. Is it the slight pressure on my back?
### output:
| Hello friend, Thank you for posting your query through Chat Doctor. You know that YOU as a person started existing in this world as a single celled organism in your mothers womb when the half cell of your father in the form of sperm and half cell of your mother in the form of ovum got united. Your present structure of your body was there in the single cell in a miniature form. You know that your present mind also originated from that single cell. If your body and mind took their origin from that primordial single cell, your health also should have its origin from your parents. Then what about your ill health? It also should have its origin definitely from your parents. We call this genetic science in Homeopathy the theory of Miasma. This simply means your health and disease are decided by your genetics. Your environments influence you positively or negatively to precipitate your inborn genetic tendencies in the form of various diseases. Now coming back to your panic attacks. You have agreed that you are hypersensitive physically to smell, food items etc. Similarly, your mind also is hypersensitive to the extent of producing panic attacks. Till date, you have not got any curative treatment because conventional medicine does not have at present a genetic and constitutional treatment method to help you and that is why your doctors explained it away as electrical. The reasons you mention are only triggering factors and till this day you are not cured. I am a Homeopath, and therefore I can confidently say that Homeopathy can cure you because Homeopathy is the only method today that considers your genetics and constitution to find your curative individualistic remedy. In Homeopathy there are 37 remedies to cure your sudden fear or panic. Out of them which remedy will cure you can be decided by an expert Homeopathic physician only.Therefore, you are advised to approach an expert Homeopath at the earliest. You can also get back to me with more details through the premium follow-up question facility of Chat Doctor. I can help you to cure your panic attacks. With Best Wishes, Chat Doctor. J. Varese, Homoeopath, |
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 my kid is 4yrs. Is been having recurrent resp. Infection with right side mid lobe. His x rays it is pneumonia he underwent 21 days of augmenting therapy. After a month he got urti. Again given azithral. It got relived. Then head pulmonologist suggested with levoctrizine till December & give him flucticone nasal spray for a month. All this whole thing is in one month. He again has running nose. Fever. Throatache. Didnt swallow any thing. I cud say again urti. I Hiven crocin syrup for fever & some honnitus (dabur) cough syrup. His at.16kgs. Why should I do now.
### output:
| Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for your son as follows:1. First, I would like to know more about him like - a. What was the age when he had first episode of pneumonia? b. Did he have pneumonia more than once? c. Was the right middle lobe involved more than once? c. Does he have fever every time when he has respiratory symptoms? Or respiratory symptoms may present without fever also? d. Did he ever require nebulization? If yes, how many times? e. Has he ever had atomic dermatitis or urticaria? f. Does he have repeated stomach/stool problems (diarrhea/constipation/pain)? g. Does he have anyone in family with allergies? h. Is he routinely exposed to smoke/air pollution/dusts? i. Does he have repeated regurgitation/nausea/vomiting after taking hot/spicy foods/heavy meals? Above information would help me to know about your child better and therefore to suggest further investigations.2. At present, I am thinking of two possibilities: a. allergic respiratory disorder b. repeated infections As his weight is 16 kg (appropriate for age, except if he has significant weight loss recently), I am not thinking of any serious disorder at present. But of course, diagnosing the cause of repeated respiratory symptoms is important.3. Were I treating him, after detailed history taking, I would suggest him allergy testing and some tests for immune system (if history suggests possibility of repeated pneumonia/infections)? Allergy testing will help you identify the substances causing him allergies and also to know the measures to avoid them.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible for him. Hope above suggestions will be helpful to him. Should you have any further query, please feel free to ask at Chat Doctor. 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:
hello doctor,i have conducted the HAEMATOLOGY TEST In that report the EOSIONOPHILS come around 21% and then doctor prescribed for IgE (by chemiluminesence) and that comes 2488 IU/ml and then doctor also conducted the PFT test and then doctor also conducted the ALLERGY SCREENING TESTS( BY IMMUNO - EIA) AND THAT COMES 386 KU/L and in that test report i have been allergens to 4 substances such as housedust(1.90), dogdander(1.00), housedustmite(3.70), Parthenium(2.80), perfume(1.40) and sir in my whole body red dark spots come and it causes lot of itching and it goes after 2-3 hrs after taking medicine and it mostly after when i do workout or i play any outdoor games . doctor please help me i am lot worried about this allergy and very big figures of my report thank you
### 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. First I would like to know more details about you - a. What is your age? b. Since when you have allergies? c. Do you have symptoms of nose allergies or asthma? Since when? How often? d. How often you experience skin allergy symptoms? Any particular season when they worsen? Any particular food that aggravates them? What is your PFT report? It is best to interpret your allergy report only after knowing your symptoms in detail. Only allergy testing report does not help to make effective suggestions to patients.2. At present, I would suggest you not to worry about allergy reports. In fact, in my opinion, the figures are not really that "big" as you think. At present, I would only consider house dust mite and Parthenon (pollen of congress grass) important substances that may be causing allergies to you. 3. As you develop itchy red spots after workout or outdoor games, I would first think of "cholinergic urticaria". They usually occur after exercise, or they are related to sweating. I would suggest you simple antihistamine Chat Doctor. 4. In general, I usually suggest my such patients' avoidance of excessive sweating, avoidance of wearing tight-fitting or woolen clothes and avoiding too hot or spicy foods.5. Appropriate avoidance measures for allergy causing substances can only be suggested after knowing your symptoms in detail. 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, and please do not worry. 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, my 34 yr old healthy son suffered cerebral brain hemorrhage in mid-february with no prior symptoms until actual event. Then had extreme nausea, vomiting, crushing head/neck pain. 3 days later cerebral angiography done to explore area and determine damage. Neurosurgeon was unable to see actual blood vessels involved due to unreabsorbed blood sitting on the surface covering vessels involved (i m guessing similar to unresolved hematoma under skin surface) but did find abnormal fistula. 2nd procedure done 4 days after 1st and neurosurgeon said he dropped glue on the area to immobilize blood vessels believed to be involved in hemorrhage and closed off fistula with more glue . why is radiation used in the angiography & what is the glue ? they didn t inform my son that radiation would be involved and i m not getting a clear picture of it s purpose. any info appreciated. he s still experiencing pain with continued light/sound/motion sensitivity.
### output:
| Hi, thank you for providing a brief history of your son. As mentioned your son had cerebral hemorrhage, and he visited the hospital only after 3 days. Well there might be a chance where the cereal angiography must have not revealed much in the diagnostic test. An MRI contrast would have played a role as well to help come closer to the issue. Also there is nothing called glue as per my knowledge which can be performed if something is there I do not know. So can't comment much on it. But ya, if there are symptoms then you should meet a neurologist and get that treated symptomatically with medicine. Also you can discuss undergoing the physical therapy as it will help your son.doing exercise may sound a small thing, but the exercise has much more benefits which allows the body to heal on the natural pathway. Medicines act as supportive therapy, but the natural medicine required for the body can be produced by the body itself for which a good metabolism is needed. You should even keep this into consideration that in future if you find such symptoms in front of you then rush to the ER within the first 3 hours as the first 3 hours plays a crucial role of saving the brain tissue from getting damage. Also, physical therapy is of choice is most of the cases of brain hemorrhage. So taking the help of an expert will surely be of the point. Also to note that once the 6 months gets over then a re MRI should be performed to check the status of the brain tissue. For more things like to plan the physical therapy and medication you need to discuss in detail with the Neurologist.a close communication between the Neurologist and physical therapist working as a team will be of choice for benefit to make improvement in the status of your son health. With the grace of God I wish your son a healthy life |
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 granddaughter is scared to stay where her mother is staying ,( which is with my ex-husband ) he is not my daughter`s father ( her stepfather ) and is the stepgrand father to my granddaughter, when i take`s her home she start`s crying , say`s her mom wont let her sleep with her , make`s my granddaughter sleep`s on a chair in the frontroom near my husband`s bedroom and my daughter is at the other end of the house and can`t see are hear her if she need`s her for help. my granddaughter has been at my house since school has close and it`s about time for it to reopen again ,and she don`t want to go back there to stay , saying he touch her , when i ask who she talking about , she say`s granddaddy is , i have tried to get her help and everyone is saying i am lying about it , and the mother tell`s the child she is lying to . i am not understanding why she is calling the child a lie , when she herself was raped at the age of 3 by a 13 year old boy that playing with her brother`s and other kid`s ( when she was a child ) i told her never call a child a lie and she is telling the truth . this child is having nightmare`s bad that i can`t sleep at night , only in the daytime. if he is touching her it wouldn`t be by penis ,, (, his mouth are finger`s only ) how can i tell ? she cover`s up across her breast if a man are boy stand`s near her , that is what got me watching her more closer when other people`s are around her , ( she is 8 years old ) and will be 9 soon , how can i help her ? i left my husband because he was abusing me and when i left him 3 years ago , that`s when i ound out my daughter move in with him , she has another little girl 2 year`s old and i fear for my grandchildren`s. but noone believe`s me on anything i say , i know what my husband is doing , and what he will do . can you give me some in put ,
### output:
| Hello, It is a very difficult problem you and your granddaughter are facing. In today's world, the incidence of child abuse has gone up very much. Hemophiliacs as they are called, rarely admit to abusing a child. The child should be taken to a child psychiatrist for counselling and the atmosphere should be immediately changed. The mother should be convinced of what had happened, if needed, by counselling. Legal security can also be acquired as per the rules and the accused can be tried. The child needs lot of moral support from an understanding and dependable adult like you and would come out of the trauma in course of time. Any physical injuries should be attended to. 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 have had a hernia then a yeay later a seroma surgery. medication, for the pain, nerve intrapment shoots. three so far, tried the tens no relief. they wanted to shoot medicine in my nuts, but pain doctor said it only temp. now i am going to see a surgen in chicago rush hospital. this will be twice to see him. Dr keith milligan. i have tried everything. the meds get me real sick and the injections last for a short time. but when the pain comes back it comes back harder than before. after having the hernia surgery i had to at the same time. did the mesh surgery. 3 days my doctor put me back to work. on light duties, driving to work on 11-7 shift on drugs, which later that week the security told me its against the law driving on narcodics. about a week later at work i bend down to pick up a piece of paper and felt another strain. and thats when i found out about the seroma. the doctor who did the surgery said it would go away but it never did. they drained it and it came back. then i had the same doctor cut out the seroma because it hurt all the time. yes i got hurt at work. but when they cut out the seroma the insision is about 5 in the seroma was pretty big over a yr the doctor told me it would go away. but when i had the first surgery i had sharp pains up near my hip. the doctor said its because he had to put extra stapples up there. and ever sense that time i have had some serious pain. so i did it all the treatments, and now they are saying that it is my iliophypogastric nerve. the pain is from my nuts all the way through my side into my stomach for almost 20 months i sleep maybe if i am luky 2hrs of sleep. because the pain is so bad it keeps me up. yes i do take a sleeping aid. my nick name is nelly yes i did a spinal block and they put 6x the amount to do 6 surgeries the other pain doctor i am going to.. my bladder almost pop because they were putting fluids in me while my bladder was so full . icould no go because the num staff would not let me go pee. and had no decafiter
### output:
| Hi, Illiohypogastric nerve formed from ant division (ventral RAM) of first four lumbar spinal nerves (L1-L4) with some contribution from twelfth thoracic spinal nerve. It gives motor innervation to internal and external oblique muscle as well as traverses abdominal muscle. It gives sensory supply to suprapubic area and anterolateral part of gluteal area. 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:
A FRIEND HAD AN ACUTE ONSET OF RESPIRATORY DISTRESS WHILE VISITING THE USA AND HAD TO BE AIRLIFTED BACK TO THE UK TO THE CHEST HOSPITAL IN LONDON. HE REQUIRED INTERMITTENT OXYGEN AND INCREASING ADMISSION TO HOSPITAL OVER A 2 YEAR PERIOD. ON HIS LAST ADMISSION HE WAS ALERT WHILE HAVING TREATMENT THE SUDDENLY COLLAPSED AND DIED. HE DID SMOKE MANY YEARS AGO AND WAS IN THE MIDDLE EAST DURING THE GULF WAR BUT WAS WELL AND HEALTHY. WOULD I BE CORRECT IN THINKING HE WOULD HAVE HAD CORD ? wHAT WOULD HAVE CAUSED SUDDEN DEATH?AS FOR MYSELF I HAVE NEVER SMOKED BUT WAS IN THE MIDDLE EAST DURING THE GULF WAR. FOUR YEARS AGO I WAS DIAGNOSED WITH HAVING BRONCHIECTASIS. I SUSPECT THE AIR POLLUTION DURING THE GULF WAR HAS CONTRIBUTED TO THIS. I HAVE BEEN ADVISED TO TAKE ANTIOBIOTICS AT THE FIRST SIGN OF INFECTION AND TO DO DAILY EXERCISES TO HELP CLEAR MY CHEST. DO YOU HAVE ANY SUGGESTIONS TO KEEP ME HEALTHY?
### output:
| Hello, Thanks for the query to Chat Doctor. Forum. Very sorry for untimely death of your friend. As you, both were in Gulf War, but don't be in panic. As doctor has diagnosed BRONCHIECTASIS so don't worry treatment is there. Therapy has 4 major goals as,1 Elimination of an identifiable underlying problem,2 Improved clearance of secretions from tracheobronchial pathways,3 Control of infection,4 Reversal of airflow obstruction. Now in detail===appropriate treatment should be instituted when a treatable cause is found.e.g.tuberculosis, APA with glucocorticoids. As there develop copious secretion so use secretion thinning Chat Doctor. Proper antibiotics after culture of expectoration. Bronchodilators for constriction. In spite of this no improvement and severe hemoptysis then surgery is only an option. Hope I have answered your question. If further any question I will help. Get well soon. |
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 this is a embarrising question about rectal bleeding. I am 21 weeks pregnant and have been bleeding from my anus most times i go to the toilet for a poo. the poos are hard and hurts abit (stings) today i noticed i had a clot in the blood. it only happenes sometimes when i go to the loo not always.
### output:
| Hallow Dear, During pregnancy, due to the effect of raised progesterone hormone, the blood vessels along with other involuntary muscles get relaxed. The same changes take place in the rectal blood vessels also resulting into hemorrhoids (piles). Whenever these hemorrhoids are disturbed, some vessels break resulting in rectal bleeding through anus. It seems from your history that you have engorged inflamed hemorrhoids in the rectum. Moreover, you have hard stools. The stools could be hard because of slow movement off the residual food in the intestines due to relaxing effect of the progesterone on the intestinal muscles or could be due to amoebic infection. To overcome the problem of bleeding through anus, you have to take care of:1. Hard stools: Initially have some osmotic purge to soften the stools. Though liquid paraffin is a good stools softener, particularly in such condition, I would not advise that as a medicine of choice as it dissolves the fat soluble vitamins like It. A, D, E causing their deficiency. Sub GUL, saline purge, Dulcolax would be better to start with. Also include in your diet good amount of fresh fruits, particularly orange, banana, Figs, etc. Green leafy vegetables always help to soften the stools. 2. If the hard stools are due to amoebas, you may have to take anti-amoebic treatment with the help of your Obstetrician. Some anti-amoebic medicines are harmful to the growing bay in the uterus. 3. To handle the inflammation of hemorrhoids, you may apply local ointment like Practosedyl. Even though it comes with an applicator, I would not advise you to use the applicator as it may hurt the hemorrhoids causing bleeding. Finger application is preferred as in addition it facilitates the thorough application of the ointment to the piles. Before application, please clip your nails short and flush. 4. Usually, pregnancy piles can be managed with such treatment; however in occasional cases, if they start bleeding too much rendering the mother anemic, and cannot be controlled, surgery may be required to ligate the bleeding hemorrhoids, particularly if they are prolapsed outside the anus. Please report to your Obstetrician for timely appropriate treatment. I hope this serves your purpose. |
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 down with sore throat and I feel i have thorns in my throat. Every winter I suffer from this since the age of 15.I am 37 now.Last year I even landed up with shortness of breath and breathing difficulty for almost 6mths.Then I got this In vitro allergy test done.The results were shocking as it shows that iam allergic to milk,onion,lemon,tomatoes,yeast..........the list is very long.Can u believe that I am even allergic to paracetamol.Since this test i am religiously avoiding all the food items,medicines,inhalents etc.This winter this is my second episode.I have dry cough,almost no congestion but continious coughing.help me please with a long term solution.
### 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. Were I treating you, I would suggest you montelukast, levocetirizine and warm saline gargles for 5-7 days.2. I would also suggest you to use albuterol inhaler/tablet should you have any asthma symptoms/breathing difficulty/wheezing.3. Regarding food allergy tests, I would like to mention that no allergy testing is 100%, allergy testing should be considered as clue. I usually suggest my patients to "try" one food after the other from the positive ones in allergy testing every week. If you are not experiencing any symptoms after introduction of a particular food, you may not have allergy and may safely consume it in the future. This will help you to reduce restrictions.4. For long term solution, I would suggest you to consult an Allergist-Immunologist who will be better able to interpret allergy testing and may perform allergy skin testing. If not already done, I would suggest you allergy testing for air-borne substances, especially house dust mites, cockroach proteins, common molds & pollen in your region and animal dander (if you have pet). Based on this allergy testing, an Allergist may prescribe you allergen specific immunotherapy which works on your immune system to improve allergy symptoms on a long term basis.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.6. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts) also will help you in a long run by improving your lung capacity 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. 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:
I have had a sore, stiff neck for about a week. It was worse (to the point I couldn t sleep) but has gotten better. I have Bruxism and thought that might be the cause as when I m under stress I tend to get a lot of neck, shoulder and back pain - but never has it been this persistent, severe or non-responsive to medication. As I said, it has gotten better over the past couple days, but still don t have full mobility and still a dull pain when relaxed and more intense of I tilt or turn my head for far to the right. I noticed two days a go that I have a small, hard, pea sized lump on the left side. It seems to be on the tendon that runs down the side of my neck into the back. The lump is about half way up the length of my neck and is about half way between the spine and the ear. When I push on it kind of hurts but at the same time gives relief and it kind of seems like the pain may be radiating from there (At the worst I had pain all through my spine, shoulders and neck but it is now just that tendon that seems to hurt). I m not sure if I should see a doctor as the pain is subsiding now, but am a bit concerned about the lump.
### output:
| Bruise is a condition in which you grind or clench your teeth. If you have bruise, you may unconsciously clench your teeth together during the day, or clench or grind them at night (sleep bruise). But it does not cause neck pain. Here you have symptoms of sore and stiff neck along with lump near to your neck spine. It's good that you are getting better day by day. But since you have told that this happens regularly and before also you had pain and stiffness like this I suggest once you need to diagnose it properly and take steps on prevention of it again. Here you can check in lump if it is increasing in size and if it is painful then you need to visit doctor for proper examination and evaluation. Similarly, since your neck movement is still not free, so I suggest visiting orthopedic doctor here doctor will check your neck with physical tests and if needed will suggest for x-ray and MRI scaling too. I suggest going ahead for it. Here based on evaluation and scaling report if there is a mild to moderate problem with soft tissue and spine then with few medications he will suggest you for physiotherapy treatment for further relief. If there is major problem in spine or the lump then doctor will suggest for surgical correction and then physiotherapy management to give further relief. Here do not forget on taking advice on postural correction and spinal exercises to follow it regularly for prevention of pain. You can also use hot and cold pack for having some more relief. I am sure it will be useful for you if you follow all above steps. 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 30 years old and trying to conceive our 2nd child. Our first child is now 8 years old (same father). This cycle, I did 100 mg of Clomid on days 5-9 and went for the progesterone test on Day 22. On Day 23, I got a positive Ovulation Predictor Kit result along with ovarian pain and tenderness. The bloodwork results (from a draw on Day 22) showed that I did not ovulate. I am not surprised as I believe I ovulated on Day 24 or so. I am now on Day 29. My doctors office did not mention having my progesterone levels tested again but are sending me to a reproductive endocrinologist on a referral. I truly believe I ovulated around Day 24. My average cycle is around 38 days, which would mean a luteal phase of 14 days. Could I be pregnant or does the negative results on the bloodwork (taken before I believe I ovulated) indicate otherwise?
### output:
| Hello, and I hope I can clarify this for you. You are absolutely correct in the fact that the length of your cycle is related to when you ovulate... and your ovulation date is 14 days back from when you got your period, rather than counting 14 days from the start of your period. It is typical for most women to have a 14-day luteal phase, as you suggested. You absolutely may ovulate later in your cycle. I do not know how long you and your partner have tried to conceive before trying Closed. I would not recommend trying Closed at all unless you have tried for a year (meaning unprotected sex at least 2-3 times per week) and not become pregnant. A reproductive endocrinologist is an appropriate referral if you have a history of infertility for one year, and if you fail at least 3 cycles of Closed. They can prescribe Closed and combine it with intrauterine insemination, which can increase the success rate. Even though you may have had a child together before, there can be an issue with the male partner too, and it would be advisable he gets his sperm count evaluated. But you can still have conceived this cycle if you ovulated on the closed, and continued to have unprotected sex at least a week after your ovulation kit showed positive. Your progesterone level pre-ovulation is not relevant at all. So- if you don't get a period by day 35 or so, do a pregnancy test. And if you didn't conceive this cycle, a reproductive endocrinologist might be a better choice to manage your Closed. I hope this answered your question, and best of luck in getting pregnant. 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:
On Saturday the 4th of march I woke up with tender breasts and the following week I had brownish discharge. I didn t take this very seriously until it continued. I then decided to take a pregnancy test where I discovered I was 3-4 weeks pregnant. The next evening I was in bed asleep and woke up with excoriating pains almost biting through my arm unsure of the situation my partner rushed me to hospital. I was in so much pain I thought I was about to die. It was at that moment I was told it may be an ectopic pregnancy and that I would have to be rushed into surgery. 1am surely this could not happen ? Well it didn t I was given all the pain medication and taken to a room where I would sleep and in the morning I would go get checked. By the time morning came I felt almost better I could walk again I was feeling fine - I had the scan and the doctor picked up that I had a 5cm cyst on my right ovary but thought that I wasn t in as much pain to have an ectopic. My pregnancy was still very early and so my readings were very low and unable to show any signs of a baby how ever there was a concern. The next day I went in for what I thought would be a DNC and came out completely shocked that I had double trouble a cyst on my right ovary and a ruptured ectopic pregnancy on my left Fallopian tube. Both removed. it was also very much of a shock that I was 8 weeks pregnant and not 2-3 weeks like everyone had thought. My question is what are my chances of ever having another ectopic pregnancy because I am so nervous to ever try again one day in the fear that I will go through this again. I am so scared that I am not worthy of myself if I cannot have children and I will feel as if I m letting my partner down too.
### output:
| Hello, I have gone through your query and understood the concern. It is very unfortunate that your pregnancy terminated with an ectopic. The risk of another ectopic pregnancy increases 20 times with a history of one ectopic. In other words, 1 out of 10 women can have a recurrence. If there are two or more ectopic pregnancies in the past, this risk becomes 50 %. However, normal pregnancies can happen in about 60 percent. Thus, I would suggest going for another pregnancy after sufficient gap and monitoring the pregnancy very carefully right from the early days. Serial serum beta-ChatDoctor titles are recommended and if there is an abnormal increase, an ectopic can be suspected. This, combined with serial sonograms can help in the diagnosis in addition to the detection of the early symptoms as you are already experienced. Hope this helps. |
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 Sir, I am a 44 years male. I am married and working. I have recently get my Liver Function Test, Lipid Profile and Fasting Blood Sugar done and the results are as below- 1. SERUM BILRUBIN A. TOTAL - 1.10 MG B. DIRECT - 0.40 C. INDIRECT - 0.70 D. SGOT (AST)-68 E. SGPT (ALT) - 72 F. ALP - 239 G. TOTAL PROTEIN - 7.0 H. ALBUMIN - 3.7 I. GLOBULIN - 3.3 J. A/G RATIO - 1.1:1 2. BLOOD GLUCOSE FASTING - 102.0 3. LIPID PROFILE A. TOTAL LIPIDS - 622 B. TRIGLYCERIDES - 160.0 C. TOTAL CHOLESTEROL - 198.0 D. HDL - 49.0 E. LDL - 117.0 F. VLDL - 32.0 About my profile is as follows- A. SMOKING - NO B. ALCOHOL - ALMOST DAILY 40-60 ML (DARK RUM) C. PURE VEGETARIAN (less fried, sugar, ariated drink, tea, cofee, ice cream, chocolate) D. ACTIVITY LEVEL - LOW (Sitting job for 2-6 hrs on computer, walk 1-3 Km not much physical work) E HEIGHT - 5.6 FEET F. WEIGHT - 74 KG (WAIST - 36 INCH) Please interpret the results of these test for me and advise further consultation with specialist if require. And also required correction in my life style to avoid any problem in future. Thanks and regards Surendra
### output:
| Hi Sure Chat Doctor. Hi, I had gone through your question and understand your concerns. Let me analyze your reports.1. Total bilirubin - raised2. GOT, SEPT - borderline3. Albumin - low normal4. Blood glucose fasting - normal would suggest you to - stop consuming alcohol daily consumption can lead to irreversible destruction of the liver called cirrhosis.- get an abdominal ultrasound done-Avoid oily, spicy food-Regularly exercise for 30 minutes a day. Visit a clinician. He/she can examine you and correlate clinically. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. |
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 has diabetes, uses the insulin pump, also has high blood pressure, takes meds to control this, and her kidney is not functioning properly. My concern is her kidney. How can she prevent further damage to her kidney? I understand she was under certain meds her initial primary doctor (now resigned) had placed her on. Her kidney specialist has taken her off all the meds effecting her kidneys in attempt to reverse any kidney damage? Is there hope here? My questions,.. What happens next in what order if her kidney do not get better? Is there anything she can do now to reverse any kidney damages?
### output:
| Hi, In your daughter case there is high possibility of CKD (chronic kidney disease). Chronic Kidney Disease (CKD) is due to persistent underlying disease like diabetes, uncontrolled high blood pressure. Staging of CKD is done by estimating glomerular filtration rate (GFR). For calculation of GFR following factors taken into consideration-1) Age and gender.2) Weight.3) Serum creatinine level. I want to know-1) Her age.2) Height & weight.3) Duration of diabetes.4) Any heart disease.5) Habits like smoking, alcohol.6) Her diabetes control (fasting, postprandial blood sugar level, HbA1c).7) Her blood pressure control for her blood pressure target is below or equal to 125/75.8) Lipid profile.9) Current kidney function test profile (serum creatinine, blood urea, electrolytes, calcium, phosphorus, uric acid, urinary protein level, ultrasonography of kidneys - size, shape, echo, cortico-medullary differentiation).10) Blood acid levels by doing - Arterial blood gas (ABG).11) 24 hours urine volume.12) Symptoms like breathing difficulties, puffiness of face, swelling over body. Treatment of CKD is to prevent or to slow the process of deterioration of kidney function. It requires-1) Diet with adequate vegetarian proteins.2) Control of Diabetes, blood pressure, cholesterol.3) Avoidance of nephrotoxic food and medicines like pain killers4) Water intake needs to restrict if there is tenancy to retain water.5) Low Potassium intake (avoid intake of fruit and fruit juices, coconut water) in case there is potassium retention in body.6) Maintain calcium, phosphorus, uric acid levels under control.7) Avoid smoking, alcohol. 8) Screening for complication on heart.9) Proper treatment of acute illness using medicines safe 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:
Yes, please make sence of my MRI ..... I am a 33 w/m and have already had 2 previous back surgeries at L5 for disk protrusions. I am currently in a lot of pain and this time it is not only isolated to L5, but T11-L1 also. Im wondering if another surgery would be beneficial. My last surgery was 2005 and was a success. 1.) T11-T12 disk protrusion with facet hypertrophy results in minimal canal encroachment. 2). T12-L1 left paracentral disk osteophytic protrusion results in very mild canal stenosis . Some minimal encroachment on the left neural foramen T12-L1. 3). L3-L4 There is mild broad based disk osteophytic bulge, without significant associated canal stenosis. Bilateral facet and ligamentum flavum hypertrophy contribute to mild bilateral neural foraminal stenosis. 4). L4-L5 There is broad base disk osteophytic bulge, without significant associated canal stenosis. Bilateral facet arthropathy and ligamentum flavum hypertrophy contribute to mild to moderate bilateral neural foraminal stenosis. 5). Postsurgical changes again noted with scarring and fibrosis in the right epidural space. There is residual extruded disk fragment inferiorly. There is associated moderate encroachment on the right lateral recess with moderate to severe right neural foraminal stenosis. Facet hypertrophic changes, with lateral disk osteophytic component additionally contribute to moderately severe left neural foraminal stenosis. Impression: Postsurgical changes at L5-S1 with a residual disk fragment inferiorly on the right, as well as fibrosis, with moderate to severe right neural foraminal stenosis. There is also moderate encroachment on the right lateral recess and moderately severe left neural foraminal stenosis at this level. There is mild canal stenosis at both T11-T12 and T12-L1 levels. There is mild to moderate neural foraminal encroachment bilaterally at L4-L5.
### output:
| Hi, Thank you for posting your query. Though you may benefit from surgery at L5-S1 disc level, it should be avoided or delayed. This is because surgery is not easy in patient who has already undergone two previous surgeries. The anatomy is distorted and only an experienced surgeon can succeed. Tere is no need for surgery at T11-T12 level, as the problem is minor. You should undergo physiotherapy and use medications such as pregabalin at present. Best wishes, 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:
Dear Mam/sir , My Name is neetu Datta (38). I have a daughter who is 12 yrs old. delivery was by C- section. one year after the delivery I conceived again but due to some reasons there was miscarriage ,After this me didn t try to conceive again till 2005. none for last 7-8 years we are trying w/o any luck so far. in 2007 I was operated for endometriosis which was successful. on the advice of doctor ,I also got the HSG done to check of the tubes are fine and even that was also reported to the fine But despite of many tries, I couldn t conceive. Finally we decided to go for IUI(2009), but still no luck.all the test on my husband were also O.K. very recently also we got the IUI done again, but still no result. I am writing this to you to get your valuable advice in this case. I will be very grateful if you can give me an appointment to meet you and discuss the case. I have heard a lot about you. Request you to consider my case. Last week I had gone to AIIMS, and was suggested to get AMH (ANti Mullerian Hormone) test done. I got this test from Dr. Dang s lab (Delhi-Hauz Khas). Result is : 0.37 ng/ml Infertility work up baseline TVS Right Ovary size 17.9 * 13.3 * 16.8 cm AFC 5 Vol 2.4 Laft Ovary size 17.8* 14.6*15.4 cm AFC 3 Vol 2.1 kindly suggest if can be improved with medication , and whether I will be able to conceive naturally? Thanking You Neetu Datta
### output:
| Hello NeetuThank you for your query and for your detailed history. Firstly, your chances of natural conception are quite less. You have already had surgery for endometriosis, and HSG is not always reliable. Your tubes could have suffered a damage, which is best confirmed by a diagnostic laparoscopy.Also, endometriosis surgery affects the ovaries, leading to decreased ovarian reserve. Age 38 also causes decreased efficiency of ovaries to produce eggs. This is reflected in both your AMH, which is very low, and your AFC, which is low too. With these values, it would be foolish to wait for natural conception.Also, your husbands' semen analysis needs to be done.You have two options - either straightaway go for IVF (in vitro fertilization) or go for a diagnostic laparoscopy and maximum 1 -2 more cycles of GUI if findings are normal, and then IVF. Please consult a leading Infertility specialist in Delhi 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:
4 MONTHS OF (Lower back PAIN !!)?Hey everybody, (about me) :Im 20 years oldIm an architecture student(My problem) :- My lower back has been hurting for over 4 months now.(What Ive tried to heal it)- Clinical assessment, everything seemed to be normal !- An x-ray image, it came out well, It showed normal results.- 2 MRIs and they came up with good results , no problem in them .- An Ultra-sound image, nothing was wrong, very good results.- Blood tests, THEY ALSO CAME UP WITH GOOD RESULTS !!Ive been taking medicine too, some anti-inflammatory medicine, and I dont feel that theyre helping me.Ive also been swimming for a month, when i do swim i dont feel any pain. But as soon as i get home I feel the pain again!Oh this is very imp. :As long as Im sitting on a chair, I feel pain.But when i stand up and move around, I feel much better !When I lay down, I feel pain.So Doctor!! Help meWhat should I do, This is getting the best of me, its depressing not to know whats wrong with you !HELP ME !! WHAT DO YOU THINK ???
### output:
| Here it's good that there is no much issue showing in your MRI, ct scan report, as well your blood report is also normal. But since pain is there that means somewhere something in wrong. I get many patient like this kind of problem since I am a physio. And my general observation is most of this are not maintaining good posture while working, as well this all patient they have never done any exercise for spine. And in your case also I suggest you to consult physiotherapist with all your report and take guideline on work related posture, what are the right posture to work in sitting, standing etc. As well take a complete exercise program for improving strength and stamina of your spine. Few basic things while sitting and working is:Make use of back rest completely that means lean back complete and work keeping your chair as close as possible to your desk, then Don't bend your back or Don't mile your neck while working on computer just to see the screen. Instead of that correct the screen to suit your eyesight level, Don't bend your knee beyond 90 degree in chair and maintain it beyond it. Instead of that keep it little straight or fold and keep stretching every 15-30 minutes to stretch the nerves and soft tissues., Twist your back to each side on chair or in standing every 30 minutes. Don't sit for long continuous (not advice for more than 1 hour). Rest of the detail discussion you can do it with physio when you consult. Because it will be difficult for you to understand every thing here. Follow all above advice and you will be fine. 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 was at a friends house and used the bathroom...I have extreme anxiety and couldnt yell for help when I realized all the toilet paper was gone so I used some that was in the trashcan, on a section that was unused. I realized afterward tht it was probably a tissue that had been used for masturbatory purposes...it was dry and I used the uncrumpled part and it had been there for an hour at least but I was ovulation and I was wondering if there is any chance I can get pregnant from this?
### output:
| Helllo mam, thnks for trusting Chat Doctor doctors for your health related queries.I guess your concern is-probability of u getting pregnant???my straight forward ANFR:NO.NOT ALL...VERY, VERY Fewer CHANCES...well let's have short discussion about semen n sperm...semen is that white lotion thing what guys ejaculate.in this lotion small sperms will be there, which meet ovum n women beams pregnant....semen is sticky in nature...imagine u have had a very oily food,even if u wash with soap water still u can feel that sticky nature for sometime.same way semen is...it is sticky in nature...u said u used toilet papers used for masturbation purposes....usually sperms can survive on average 48-50hours....if its there for a long time seems might have been dead,,,,,tats one thing....then as you're in ovulating period,it's a period where high chances of pregnancy,,,this is the only factor I cant say u can't become 100% pregnant...BCZ medical world is known for miracles.....though the chances are very, very minimal in your case.....well with ABV discussion u can try out my suggestions:-1.have patience.don't get unnecessarily tensed.2.wait for your regular menses,,,if menses doesn't happen after 3-4days/or you're in very much hurry to get rid of tensionfull mind-am i pregnant....u do urinary pregnancy test.this test kit is avail bl at affordable prices in your nearby medical stores...buy it, do it by ourself. If its negative you are not pregnant,,,if positive visit a nearby gynecologist for further help(in your case chances are very, very minimal)3.if still u in dilemma of pregnancy then a scan(ultrasound of abdomen n pelvis)can be done, in scan its possible to see an embryo/baby is there or not...but NOT NECESSARY DEAR...RELAX....I hope this was informative enough, helpful,useful for your query.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:
Hi doc, im 23 and have been trying to concieve for 5years.. I have irregular periods.. Since i started seeing my periods.. It was always like that.. Well actually it started after i started taking contraceptives.. I took them in 2005, twice , from there i started to have irregular periods. In 2008 i had an car accident and i was two months pregnant, i lost the baby and had an internal bleeding.. From there my periods were worse than before, i bleeded heavily in 2009, till i went to hospital and they gave me some pills,then i was well again.. I fell pregnant in November 2009 and miscarried in 2010 January.. From there i started seeing drops.. My periods drifted far worse from before.. Sometimes i would miss my periods for 3months, and each dr i went to told me that its the way my body is.. There is no way they would help me.. I fell pregnant again in 2011.. And lost it again.. In 2012.. And lost the baby, even this year i fell pregnant and im afraid i lost the baby again.. I went to the doctor yesterday and she said i have a bulky uterus.. She did some blood test and were still waiting for the results.. The problem is that my tummy swells frequently.. And it hurts.. I last saw my normal periods lastyear December after i had an womb scrub.. This year from January uptill April there was nothing.. Until mid-April, i saw some few drops.. Even now they come and go.. Im realy stressed i dnt know what to do, all this times i was doing blood test, and it always showed that my periods are irregular but they never realy found a solution for me :(
### output:
| Hello, I went through your problem. As per your statement from the year 2005 after taking contraceptive pills 2 times your periods are irregular. Meanwhile, you had a car accident in the year 2008 while you were 2 months pregnant. You had internal bleeding from where ? And you lost the baby. Meanwhile, you had some miscarriages. Your periods were regular for a few months after uterine curettage last December. Now your Chat Doctor. Did it a Hormone analysis and I like to know what medicines you were taking so far to regularize your irregular periods. My best advise:1) Do a USG abdomen to assess your reproductive organs and causes for irregular periods, the size of the uterus and ovaries and any abnormality in them2) A complete Thyroid and ovarian hormone analysis along with other routine blood testsWith this you can arrive at a diagnosis. In order to avoid miscarriages, first regularize your periods, then plan for pregnancy. Wishing you all the best |
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 anxiety as it proved from the below symptons in me. 1.I feel anxiety and hands get shakes all the time. 2.I never used to give the seminars in my studies when i had seminars i used to escape. 3.I have got the job when the time i have to give my self introduction i really get high scared and my hearbeat gets increased at the max and i even dont know the time what i was talking. i keep to avoid public meets and seminars. 4.I feel myself die is the small deal than giving public talks. 5.I bother and scare about future public meets and so on.. 6.I feel uncomfortable in public and always try to be away from public. 7.I have many long term goals but my anxiety and fearness not letting me reach there. even i cant think about those. 8.I do work in office more than my colleques but they only get more appreciation than me. 9.I dont like many people look at me same time.I dont want to recognize in many people. 10.I have good knowledge but without expressing it is going to waste.sometimes i feel better to go for sucide. Please how do i get rid from this hell anxiety. Thanks,
### output:
| Hello srinivas9912Welcome to Chat Doctor I can understand your feelings, and for you reassurance I just want to tell you that this is not Depression, a lot of people have anxiety while facing public or while presenting a seminar. This thing is occurring in out of proportion. It is also called Social Phobia or Phobic Disorder. Individuals with social phobia usually have problem in facing public, in presenting seminars, in asking question in class or in group discussion, in expressing themselves to any person of higher status, sometimes they face difficulty in talking to female colleagues also. They can't face new people. In any of situation shakiness, restlessness, palpitations, sweating, Chat Doctor. But treatment is available for this problem, both psychological and medicinal treatment are available. Combination of these is best for early recovery. - Psychological management includes, Relaxation exercises, breathing exercises, yoga, meditation, assertiveness training. Try to practice the presentation at home alone again and again, then gradually present in front of some close friend, increase the level by presenting in front of small group. Make small goals in small steps and gradually proceed.- Medicines like Benzodiazepines like clonazepam can be taken in low doses for episodic control of anxiety. Some medicines like Propranolol are very effective in social phobia, they are taken just 1 hour before any presentation and help to diminish the signs of anxiety. Before starting any medicine kindly consult a good Psychiatrist. Handshake 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:
Hello. I am experiencing massive oral pain on the upper right side around my canine tooth. A little history: When a younger man in my teens (now 50yrs old), I a very bad head cold and sniffled very hard and heard a loud snap sound from my nose. Every since I have had constant sinus congestion and pain on the right side of my nose/sinus area. Over time, the pain moved down into my mouth around the canine tooth and I had to have the tooth remove and a bridge installed. Since then I have had massive swelling around the gum area and can taste a very salty rotten flavor in my mouth. If I create a suction in my mouth, I can sort of milk the substance out of my gums. Over time a lump has formed over the canine area on the roof of my mouth that is tender and sore. I have been to several maxiofacial surgeons and have twice had the tissue along the gum line cut open and my face peeled up so they could look around in the area just right of my nose. They have removed some scar tissue and scraped the bone, but have found nothing to cause the drainage or pain. I have had root canals done on all of my teeth in the immediate area, and have been to several ENT specialists (all of which can find nothing wrong with my sinus area) with no luck. The pain is usually unbareable and nothing (over the counter) even comes close to stopping it. This week I went to my dentist to get the bridge repaired / replaced, and he did some laser work around the gum area and stitched shut a hole (intentionally done by the surgeon to allow drainage) left by my last maxiofacial surgery 3 years ago. He felt the hole in my gum tissue was the cause on the foul taste in my mouth due to food getting trapped in it and his thinking is that by now (3 years later) it has most likely served whatever purpose needed. I simply don t know what else to do and have spent many 10 s of thousands of dollars trying to correct the problem but it still persists. The pain and soreness is mind blowing most days affecting my eating, sleeping, speech, and general mental health. I do smoke about a pack of cigerettes daily and thought you may need this info. PLEASE HELP!!!
### output:
| Heloo pt-Treatment for Tooth PainT he treatments for tooth pain vary greatly. They treat the actual cause of your tooth pain. For example you have tooth decay, you will have to undergo a filling procedure. If the tooth decay has reached your pulp, you would have to undergo a RCT procedure. If you have impacted Wisdom tooth, they need to be extracted. Your dentist will determine the best treatment option for you after examining 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 m a 17 year old girl from New Zealand. Since a few years ago, I have been quite aware of the fact that I have a high probability of being a high-functioning autistic. I did some research at my local autism centre and everything seems clear, but my parents - especially my mother - continue to deny the allegations, saying that I m just making excuses and that you re not autistic or whatever, you re just stupid . Here are the things I have discovered. - I stayed in kindergarten 6 months longer than I should have been due to my development delay problems (late speaking, wearing diapers until I was 4, etc). Even before then, I apparently had a special needs carer/tutor lady come into my house. - I am socially anxious, and have trouble socializing or interacting with other people unless it is completely necessary. Up until I entered high school (13 years old), I was not very social and only talked to a select group of people. - I did not speak until I was 5, and according to my mother, when I did speak it was just simple phrases like Yes or No , and even then it was only to certain people such as member of my family (Mother, father, older brother by 2 years). - Every school I have been in has placed me in their GATE society (the Gifted and Talented programme), and they have placed me in nearly every annual Creative Writing programme held at school, and after reading all the Gifted information that the school provided there s a fine line between Gifted and Autistic. - I don t know if you ve already observed it from here, but I have this extended vocabulary which I sometimes wish I didn t have. Sometimes I think I speak like I have Asperger s Syndrome. - There s this online autism test created by Simon Baron Cohen that was featured in (I think) Embarrassing Bodies. I took it and got a score of 35. I d really like to get a diagnosis so at least I m aware of whether I m autistic or not. I know this isn t enough information but it s the most I can do via the Internet. Thank you.
### output:
| Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are wondering whether you may be having a diagnosis of Autism / Autistic Spectrum Disorder. However, a detailed history (including a childhood history from your parents) and a detailed psychological assessment is necessary to make a definitive diagnosis of an Autistic Spectrum Disorder. Usually, Autistic Spectrum Disorders get diagnosed early in childhood itself, with one criteria being that the onset of symptoms should have been before the age of 3 years. If you would like to clarify your doubt, I would suggest that you consult a psychiatrist in person for a detailed evaluation. Online tests, especially the self-rated ones are usually unreliable. Wish you all the best. |
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:
hii i need some help..!! frm past many years i use get sneezing attacks,,runny nose,ichy nose and some times shortness of breath with weezing,,.so around 2 or 3 months ago i told my symptoms to an e.n.t expert he told me m suffering frm allergies (dust allergies) and allergic asthma...and he prescribed me 1 tablet of montair lc daily..i start taking it daily...it controlled my symptoms..nw the problem is m not able to stop taking montair lc,,if i miss a single dose my symptoms come back within 24 hours even worst thn before... nw i dnt knw wat to do,,will i have to take this tablet daily in my whole lyf??if yes thn is it safe to take daily??wat will be the side effects in future if i take montair lc dailly
### 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. From your given details, I would agree that you could have allergies.2. I would suggest you allergy testing for common air-borne allergens such as house dust mites, molds, regional pollen, insect proteins & animal dander (if you have a pet). This will help you identify the substances causing allergies to you as well as to know the measures to avoid them.3. Based on allergy testing, an Allergist-Immunologist may also prescribe you allergen specific immunotherapy which improves immune system to gradually improve allergy symptoms over a long period.4. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.5. For control of symptoms, I would agree with your doctor and will suggest you regular montelukast + levocetirizine (Montreal).6. Common side effects of montelukast are stomach upset, nausea, headache, etc. and those of levocetirizine are sedation, Chat Doctor. If you are not experiencing any of these side effects, it is usually safe to take for long duration.7. Regular steam inhalation will also help you in a long run.8. Regular physical exercises including breathing exercises (Yoga-Pranayama) as well as nutritious diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively.9. If stress is a significant factor in your life, I would also suggest you regular relaxation & meditation as stress can worsen allergies & asthma.10. I would like to mention here that allergies-asthma are dynamic and unpredictable diseases, so please do not assume that you have to take |
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 am chaitanya.age 28,from hyderabad.my problem is ....i got thyroid in my frist preganacy .my delivary date was on july 24th 2009 but on july 6th early morning around 7 oclock suddenly heany bleeding started and i rushed to the hospital but they could not save the baby(boy)...i lost my frist baby.then after 6 month i concevied again but doctors said that baby is having some heart problem and the sevarity of the problem can be known after the baby birth and i should go for a planned delivery.doctors did a c section on cotober 21 2010.doctors said that babys problem is not that serious but it is a heart problem so we need wait and see for 7 days.on 5th day the baby is dead.i want to know is their any problem in me that it is happing like this...do i need o go for any test before planning for next baby.i had 2 c section till now.what are the chances for me for the next baby.how long do i need to wait and plan for next preganacy.
### output:
| Hi, Thanks for the query. I am sorry to know about the mishaps in both of your pregnancies. I have read your query carefully, I feel both the times there were different causes forth outcome.(First time may be fall /hit to abdomen, high blood pressure or UN diagnosed placenta prefix & second time due to family history / viral infection like Rubella in first three months of pregnancy) Still You need to plan your next pregnancy with due precautions as follows. - Both of you get full physical check up & relevant investigations to rule out any existing health problem./ get safe alterations in regular medication for chronic illness. If any. Have a healthy lifestyle for 3 months prier to conception, see that you don't get any health problem & do not need any medication in those days. - Get Rubella vaccination 3-4 months before you plan pregnancy. If a pregnant lady gets rubella infection in first three months of pregnancy . The fetus gets congenital defects, one of them being heart problem. - Get you thyroid profile done before you plan for pregnancy. Normal thyroid hormone is essential for fetal developmental If you have any thyroid problem. It must be controlled before pregnancy & normal levels maintained throughout pregnancy with endocrinologists advise Once you get pregnant, be careful to follow doctors advise after regular pregnancy check-ups./ have healthy lifestyle/nutritious diet/ exercises & sleep. With a planned pregnancy & careful follow-ups you would be blessed with a bony baby. Rest assured. 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,my 4 years old has been having allergy like symptoms for several month.His pediatrition handles it as common cold...He also says his heart is hurting several times after he cought so hard, and mentioned that his left handside under his heard ia hurting too..I dont want to overeactbut I dont want to be careless either...Thank so much
### output:
| Hello. Thank you for asking at Chat Doctor. I went through your sons' history. From your history, both allergic and non-allergic causes are possible. I would like to make following suggestions to you:1. Were I treating him, I would prescribe a combination of montelukast and levocetirizine for at least 2-4 weeks (depending upon response).2. I would like to ask his symptoms in detail. e.g., Has he ever had wheezing? Does he have cough? During what time of the day he has maximum symptoms? Does anyone of his family members have allergy? What are the medications he is taking? etc. etc.3. I would also like to prescribe him a course of vitamin C for at least 4 weeks. It helps in reducing common cold episodes.4. I would suggest you to consult an Allergist-Immunologist who will advise him allergy testing so that you can know whether he is allergic or non-allergic as well as if allergic, what are the substances he is allergic to.5. I would suggest not to smoke at home if anyone in your family smokes. Also, please try to avoid exposure to dusts, smokes and air pollution to your son as much as possible.6. A nutritive diet rich in vitamins and minerals (e.g., adequate green leafy vegetables, fruits, sprouted beans, etc.) will be helpful in long run.7. Some medications used in cough syrups can cause heart running fast. So I would like to review his medications.8. Pain in chest at 4 years of age is usually not due to heart-related cause. Personally I would consider muscular pain or gastritis first. In that case, paracetamol for muscular pain and antacids for gastritis will be enough. So please do not worry about heart condition at present. 9. Of course, if by listening to his heart sounds via stethoscope one thinks there is a possibility of heart disease or if he has any of the following symptoms, I would suggest Echocardiography to diagnose/rule out cardiac cause: breathlessness after walking/running, bluish discoloration of lips/nails, swelling of the feet, etc. Hope above answer will be helpful to you. Wish your son the best of the health. Should you have any query, please feel free to ask at Chat Doctor. 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 m a sixty year old female who started to developed flu like symptoms 9 days ago. Body aches, extreme fatigue most of the aches were centralized to the trunk portion of my body,headache, fever continued to climb to 103 and seams to be on the decline by the 5th day when i saw the doc. She did the swab for flu A /B - neg results. no lung congestion. I had been taking 1 to 2 - 500 mg asprin every 3 to 6 hrs. I had a few Tums for some very slight nausea which I think was from asprin (I was not eating very much) never had a sore throat or any nasal congestion . My right ear which seems to be more sensitive at all times, was bothering me...I took my allergy medicine and anti dizzy medicine more of a preventive. I ve used Ice for headache and heat for back. Allergy to codiene. I take atenolol 50 mg (not so faithfully) miss probably once a week. BP 117/80. Day 7 I developed 7 pimples on my back and 3 in my groin area, the back area was where the heating pad was. I scatched them they broke and today after applying neosporin they appear to be better. No known tick bites recently, Since the beginning of May I ve been in New Hampshire, Florida, Maine and Massachusetts. I tend to be moderately active outdoors with gardening and mowing, hand not ride on. Yesterday, day 8, I sat in the sun trying to bake the rest of it out of me within two hours I had a really pink sunburn which has made my skin very tight, no blisters and pain is minimal.
### output:
| Think to be increasing allergfiesyour allergy has infiltrated into sinuses these only give ear problemsatenolol can also trigger it so can change saltaspri disdain paracetamol ibuprofen vitamins calcium and diet supplements trigger theses avoid them pimples are also due to oily things and medicine sand the sinus allergy gives typical symptoms like you have written the skin is also involved causing sun reaction think get X-ray PNS waters view and tree allergic sinuses through allergy specialist on allergy guidelines for temp can use Roxy 100 mg for 7 days if increases the allergy or pimples enlarge take basting 10 mg OD can continue long apply Aureomycin h eye ointment in nose band liquid antacid mistake Diego for fever and pain misapply calamine when go out and clindamycin gel BD and night lot of warm water avoid toxic soaps shampoo and creams and body application materials |
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 26 year old female. I am active, exercising 3 to 4 times a week and eat a healthy diet. I was hospitalized in July for 5 days with an infectious colitis I brought back from Mexico. I believe the bacteria was Clostridium Jejunum. I was on metronidazole and cipro in the hospital. I also had pylonephritis about 4 years ago in my right kidney for which I was also hospitalized for 5 days. Since my recent hospitalization in July of 2012 I have had right back/flank pain. The pain started when I was in the hospital and hasn t let up. It is progressively getting worse. I asked my doctor in the hospital how my kidney function was and she said rock solid so I was convinced it would go away. Finally, 3 months later I made an appointment because it wasn t getting any better. The cytology report came back as follows: Clinical Information and/or Impression: A) 40Ml Cloudy yellow fluid Specimen is received unfixed and labeled with the patient s name. ____________________________________________________________________________ DIAGNOSIS: A) Urine (ThinPrep preparation): Benign urothelial and squamous cells. No evidence of malignancy identified. They also did a creatine level whicChatDoctore back 0.9. I have no other levels so it is really hard to tell if it is trending up or not, but I think I remember asking in the hospital in July and it was 0.8 (not positive though). There was also trace amounts of blood in my urine. She sent me for a CT that came back normal for my kidneys and bladder. No stones or anything they could see. However, she did say there was an ovarian cyst on the right side 3.9cm by 2.5cm. She wants to watch this and does not seem concerned about my kidney. Could this be causing my back pain and the blood/cells in my urine? Should I see a urologist for my flank pain or continue taking IBU to help the pain?
### output:
| Hi, I did review your concern. Generally ovarian cysts cause back pain but usually do not cause blood in urine. Hence, I would advise you to go see a urologist. I would recommend not to take ibuprofen, since long term ibuprofen can itself damage your kidneys and cause analgesic nephropathy. If you have fever, night sweats or other problems it could be infection. Another cause could be something in the kidney causing hematuria. So consult a urologist and see how it goes from there. Better be earlier than late in cases of kidney.I hope this help swish you a super healthy life ahead. |
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 57 year old female with Bipolar 2 A few months ago my meds were lower because I was falling asleep as soon as I sat down even in conversation. I take Wellbutrin Lithium , Loranzapam, Serquel,andDepoqote and neurotin for migraines and more. Now 4 to 6 months later my lithhuim is450mg, Serquel 150 loranzapam is still at .5mg and has been for years, anyway my depression is too much and my doctor said raise lithium I said no because of double vision which went away when it was lowered. So he said up the serequel to 300mg or take Mirtazapine 30mg. I like d trilaphon which was changed to I erased it all. I am a 57 year old female with bipolar 2. I have been on Lithium ER 450mg at night which has been recently lowered from 1 at night, and one half in the morning.Wellbutrin 300mg,Ativan .5mg, Divalproex ER 500mg, Serquel was lowered from 300 to 150mg , Neurontin 800mg 3x a day. The lithium and serquel were lowered about 4 to6 months ago because I was falling asleep as soon as I sat down and even in conversations. I was also dealing with sleep apnea. Now I am too depressed and quick to anger and my psychiatrist wants to up my serquel to 300mg or to start Mirtazapine 30mg, I do not want to up my lithium due to in causes me to have double vision. I am scared of the Mirtazapine and feel like the serquel is better because it is an antipsychtic. I did really well on trilaphone but was switched to srequel because of side affects long lasting. Dr. left it up to me.
### output:
| Hello you are on 4 moods stabilizers-Divalproex ER, Lithium and Neurontin and Seroquel, Wellbutrin as antidepressant. Incredible it is. Now mirtazapine as antidepressant and Asian for sleep. If I were to treat you, first thing I would do is stop Neurontin and lithium slowly, raise Divalproex to 1000 mg, keep Seroquel 150 mg and add nortriptyline. Each of my proposed change has a sound scientific basis. Lesser number of medicines with careful appraisal of the symptoms and appropriate to the relevant circuits in brain carries the best prognosis with minimum side effects 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 was curious and honestly concerned about the distention in my left temporal area. I believe it might be the left branch of the superficial artery . I ve noticed it now for several weeks. It s kind of a long story, but I went to the doctor about two weeks ago with tightness (inflammation) in my lungs. I m an asthmatic and have been since I as three months old. Any how, my doctor gave me an corticosteroid injection and some samples of Advair to get me by until my prescription of Symbicort came in. I went about a month without it and believe it caused quite some problem. Well out of embarrasement, I did not tell him that I also had been taking an L- arginine supplement for about 2 weeks. I should have done some research first, because after the fact I learned that this amino acid can cause inflammation in the lungs. I have been taking my normal medicines theophylline 200 mg tabs twice a day, rescue inhaler Proair as needed, and Symbicort 2 puffs twice daily. I am, however still having that feeling of tightness, like a rubber band around the rib cage. Most of the feeling comes during expiration. My asthma overall is much better in my adulthood as opposed to adolescence . My last severe attach was at age 16 when I was about to be put on a ventilator, but through God s grace was spared. I ve noticed that over the last month my blood pressure has been up and down. I would like to think this is due to all the chemicals (Nitric oxide and L-arginine) in addition to being out of my corticosteroid Symbicort. Needless to say, there is not much research on these substances and their affects on the cardiovascular system. It just baffles me because prior to all of this I did not have any of these problems. My overall weight is proportional to height, I exercise and eat healthy, I do not drink or smoke. Can these factors together be what s causing my higher blood pressure? My doctor as well as I believe that since the inflammation is not caused by an infection that in time the tightness should diminish and hopefully my blood pressure will balance out.
### output:
| Any vitamin diet supplements and supplements trigger allergy as you are known case of allergies your allergy is persistence after childhood without notice din this paracetamol, ibuprufen vitamins and supplements increase the alergythese condition is seen in foods which are misdiagnosed get blood serum test for specific antibodies for milk wheat potato Chaney rice nuts egg eliminate in diet and there will be recoverysymbicort is last choice take supportive therapy till the tests, and you will be okay after elimination diet after tests |
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 17 month old son had GERD and several food intolerances that we are exploring with the help of a naturopath (I m in Canada, so we ve been on a waiting list to see a pediatrician) - we believe Dairy is a major factor, his naturopath also suggested we pull all refined sugar out of his diet and only sweeten his food with actual fruit; additionally we see ongoing stomach pain (twisting torso, screaming in short bursts, still cannot lay flat on his back, is only calmed in a warm bath or when I rub his tummy) on a regular basis. While the one test we ve done thus far doesn t indicate the following foods, we suspect oats, eggs, nuts are also still contributors to his ongoing discomfort. Joey is not gaining in weight or length significantly - certainly not since I weaned him at 13 months old. He still looks small in the same pajamas he wore at 8 months old, and he still weighs only around 20lbs. I finally got my husband to look at his poop last night and he s extremely stressed as Joey (my son) poops 4-5 times per day some days, the stools are always very foul smelling, they always contain these funny white granules and large amounts of undigested food. Is it possible we re not looking in the right direction? Our physicians seem to follow our lead in exploring what s bothering my son, so no testing has been done on him to my ongoing dismay. Is it possible there s some sort of malabsorption issue and not all these allergies/intolerances?
### output:
| Thank you for following up, your baby has malabsorption, caused by symbiosis of intestine. It is really pity that you don't check your baby. I suggest you should give next babies analysis:- stool culture for flora and sensitivity to a antibiotics- stool analysis-stool for ova and cyst-blood analysis-urine analysis I would suggest giving your baby next treatment:1. For prophylaxis or for treatment-albendazol(zen tel)10 ml once 3 days in bed time2. Probiotic: Eco norm(saccharomyces)1 Sasha 2 times 3days3. Probiotics: Enterogermina 1 Sasha 2 times 10 days, then similar(Darla)1 capsule 1 time during 1 month4. Enzyme syrup during 1 month for good absorption of food .5. If your child were not allergic to vitamins I would prescribe him zinkovit 5 ml 1 time 1 month I will be in touch to follow his progress. Yours sincerely, 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:
Respected Doctors - My daughter is now ten months old. Around 2 months back she was diagnosed with UTI and to cure that she was initially prescribed oral medication for a week and after that she was admitted to hospital for three days and was given Amikacin IV injections along with other medication. She was discharged after the treatment and then after few weeks she had fever again for which doctor gave IMOL and fever was gone, at this moment I went for urine normal test twice and in one report there was slight symptom of infection and the other report was clear so doctor ignored the report with the one showing symptom of infection. Now again two week back she had high fever for which doctor prescribed IMOL, the fever would not come for the duration when IMOL was effective but after every 5-6 hours fever would come back again and I have to give her IMOL again, after one week of oral medication I myself went for urine and blood report and found that the infection was there, the TLC count was soaring high around 25000, the doctor told me that she has UTI again, now she was again fed with the IV amikacin injection again. After the course of 7 days was over she was declared fit, but now when I again went for the blood report and urine normal and routine report symptom are still there. I am really worried that why is this happening again and again is there something that is missing in the treatment? Is there something that I can do to prevent this? What can be the root cause of this? Please advice me I am really concerned about this and do not know what to do. PLease let me know if I need to provide any info.
### output:
| Thanks for asking question I have gone through your query. Your ten-month-old daughter had 2 episodes of UTI in last 2 months and was treated with both IV niacin and other oral medicine. First I want to tell the "DO NOT WORRY". IF was your treating pediatrician I would advise you for some test(like ultrasonography etc.) to role any structural abnormality that may because of recurrent UTI. Here is some advice that can prevent future UTI1. Get rid of constipation if present2 wiping from front to back may prevent stool bacteria to contact with urinary system opening 3 cranberry juice (50-100 ML per day)is help to prevent UTI4 Frequent diaper change prevent soiling of stool Answer for your query about root cause is that. There is no specific list of cause but those kid who have structural abnormality in urinary tract have frequent (that will be seen by ultrasonography),female child more susceptible for UTI, I want information from you about report of culture and sensitivity. So that I can see which bacteria are causing and which is appropriate 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 have a lump below my rib cage on the left side. it is very tender to touch. Additionally, when I step off a curb or on uneven ground it hurts as a result of jostling. I have had 5 months of constipation followed by diarrhea, and i mean serious no warning diarrhea. Also my stomach is sometimes distended, sometimes bloated, sometimes I go to eat and it sounds good, then I look at it and only eat maybe 1/3 of my meal or I do not eat it at all. I have had a CT SCAN, xrays, swallow the camera, barium exray, colonoscopy, scope through my stomach also. The CTScan showed a possible inflammation and some graying of the stuff your insides float in. Meso something. I have tried All kinds of meds and fibers etc. Including Amatiza and now bentyl with mirrolax. I travel for a living and I have come dangerously close (within seconds) of a disaster when I could not stop the sudden diarrhea. In fact once I was in my home town and had to go back ot the house wash my close, clean my briefcase, and shower myself. Luckily i got out of the restroom (that I entered TOO LATE) without anyone seeing me and I took a bunch of towels to keep my car from getting messed up. As you can imagine my life is controlled by fear of this. My Doctor admits that he does not know what it is, and we are doing a 2nd CT Scan on Tues to compare to the first. All of my other tests came up clear. I show one point below low normal for anemia...
### output:
| Hi, Dear,Thanks for the query from you to my Chat Doctor Clinic. I have gone through your query and appreciate your concerns of it. After in-depth study on it, In My opinion-the recurring-lump on below left rib cage,-is mostly due to the Bloated inflamed colon and intestine of IBS-with malabsorption Anemia. Treatmen-a-Change in life-style and food habits would be ideal.b-As you travel for living, b- a controlled diet plan under help of Doctor / and nutrition expert would help you a lot.c-Try to avoid medicines -which are of no use in the long run.yogurt / buttermilk with bland non-spicy, light veg diet, with banana shakes 2 times a day, would help you for a long time. Consult the physician and take the treatment on above lines, with folic acid and iron supplement in moderation. Hope this would resolve your worrisome query for now. Wellcome-to my Chat Doctor Clinic for any more 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, In January, I had root canal treatment on a premolar (number 25?). When I went back to have the crown fitted, my dentist decided she needed to do a root canal treatment on the adjacent molar (number 26), which had caused the problem in the first place (cavity spreading from that molar to the premolar). As I live abroad, and could only go back to have the crown fitted at the beginning of March, she put a heavy-duty temporary dressing on. Unfortunately, I was unable to go back in March. At the end of March, the dressing was beginning thinner, and one evening, the cap sealing the tooth moved: I had to yank it back on. Over the course of the next days, the gum above that tooth became tender and I eventually developed an abscess , the size of a molar. The lymph node under the same side of the jaw was also swollen and tender. I managed to see a dentist where I am (hard work!). She removed what was left of the dressing, cleaned the inside of the tooth, put a new dressing on, and, after some hesitation, lanced the abscess (not very easy as you had to press very hard to get something to come out, and then it was more blood than pus, yuk!). She gave me a prescription of amoxicillin 250mg, 3 times a day for 5 days, and told me to do mouthwashs with salt water, and to keep pressing the abscess to try and evacuate the pus if I could. I did as told, except for the abscess pressing which did not seem to work very well. The antibiotic worked like magic and the abscess had completely disappeared by the end of the 3rd day. It s now been 5 days since the end of the treatment, and I m wondering whether I could start going to the swimming pool again, before I see my dentist in 2 weeks time. When I had my wisdom teeth extracted, I was banned from swimming for 2 weeks when all went well, and a whole month when the wound for one of them didn t heal and became infected. I feel well now, the molar is no longer wobbly and the gum has healed where the dentist lanced it. Thanks in advance. Regards.
### output:
| Hi, I am very happy to see your long and elaborated dental history. Swelling and mobility in the tooth appeared due to the acute exacerbation of chronic infection in the tooth. Once dentist puncture the abscess and put you on antibiotic that's why you got the relief. About swimming there is no contraindication but the precaution you have to take is get your treatment finished as soon as possible. So that such periapical infection will not occur again. 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 a sharp pain two inches below left rib cage. This will be accompanied with intermittent vomiting throughout the day producing no more than clear sticky liguid, unless I have up digested food. This pain is also acompanied by a large lump on my bottom left rib, which disapears whe the nausea and pain subside. I can suffer with this daily, or maybe every three weeks
### output:
| Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer fromChronic Pyloric Partial obstruction, as projectile vomiting is not there in your case. The frequency of 3 weeks suggests more in favor of Partial obstruction. Causes for Partial Pyloric Obstruction/Stenosis need to be investigated for the proper treatment of your case. Chronic Duodenal Ulcer with obstruction/Ca Pyloric Stomach/ Congenital Pyloric Stenosis needs to be ruled out by proper investigation in your case. Disappearance of large lump with pain below left rib once nausea and pain subsides is very characteristic presentation, to indicate the hypermobile hypertrophic Gastric Body causing lump in your case under left rib. Surgeon with Gastroenterologist would be the better combination for evaluating your case. Possibility of other such causes- as Colonic mass under the left rib and IBS and others needs to be ruled out. Treatment-Treatment General-Fluid Diet mainly/Avoidance of solid, fried spicy food/Frequent small liquid meals/It B12 500 mg sublingual before surgery/High protein low-carb diet in purée form with plenty of watery base would be needed to prepare the case before planning surgery,to withstand the imbalances and stress of surgery. Investigation -Get OGD copy(Oesophago-Gastro-Duodenoscopy) done and carry out Biopsy of the obstructing pathology CT Contrast study of Stomach and Colon would fix the cause of the lump under left rib in your case. Surgical Excision with Bypass procedures would be planned as per the need of your case, by your GI Surgeon in tune with the investigated outcome. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant |
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 lupus and fibromyalgia, and am a Cancer survivor now going on 12 years although the lupus and fibromyalgia still cause me pain everyday and my Doctor prescribes pain medication for me I was wondering since I have beenon the same medicine now going on 14 years (Lorcet Plus 7.5/650 ) iwas wondering if I might be ready to move to a stronger mg to help control my pain better?If so what do you recommend.
### output:
| Hello friend, Thank you for posting your query through Chat Doctor. First let me say that I am a homoeopath, and so I will be sharing with you some different thoughts than what you have been hearing for the last so many years about your sickness. First from the short query, I understand that you had cancer. The word cancer stands for a cellular change occurred in your body some 14 years back. At that time nobody gave you these thoughts and that is why you still hold that what you had was a life-threatening event in your life, and you believe that you are saved from cancer because of the chemo therapy, radium therapy or surgery. As a Homeopath I would say that you had a shocking psychological conflict just before the development of a lump or ulcer in your body and the resolution of the conflict also happened during the course of treatment and so you survived. It was your strong will power or good mentality you developed towards your life situations that you could come back in life. That psychological resolution of your conflict made you to survive but the resection or the cancer treatment did not cure you fully and that is why you are still having pains. Now you are under the impression that there should have painkillers to control these pains. Again take from me that you are getting pains because you are not cured. I really and fully mean YOU. Pain is the language of nature that tells you that everything has not become alright. The body wants a curative treatment, but you are giving Chat Doctor. A child crying violently can be made to shut his mouth by beating him and threatening him with a stick. His cry can also be relieved by giving him stomach full of food or offering what he asks for. What your system demands now is not stronger threats and stronger sticks. YOU need a curative treatment, which so far you did not get. Nobody might have suggested you to undergo a Homeopathic treatment. Therefore, my advice to you is to approach an expert Homeopathic physician and get the right genetic, constitutional, individualistic and curative treatment. Homeopathic cure is rapid and permanent but in your case I do not expect a sudden relief because for the last 14 years you are under strong chemical suppressive treatment for cancer and other pains. But you will be able to reduce the dosage gradually, and finally you will be able 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 had a crown replaced after 27 years--he removed the pins and put on a new crown. It was not hurting me--but said the old one was showing decay--after the crown I had severe pain and he sent me to an emergency root canal at $1200 --the crown and build up was almost the same price. Now I have to go back and finish the root canal--remove the packing and put on temporary crown before a final is placed--my problem is I am afraid the dentist will now say there is not enough tooth left for a crown and will want to do an implant. I have already spent too much money on this tooth. I wish I would have just pulled it --it is #19 back molar and they did not recommend it because it will cause other teeth to shift,etc. But it has turned into one major expense--I hardly have not tooth left after all this--it is just a hole now---can they still do a crown since the dentist said he would re-do it for free? I cant afford now an implant and not sure I want to go thru that after I just paid for root canal and I may not had too if they do an implant---shouldnt they have seen that first? I am just frustrated and more out of pocket than what I wanted to spend. I know they may say an implant since I just have a hole left--but I need another expert advise--since he said he would put the crown- a new crown back on for free--can he crown it with no tooth left--I think more fell off since during root canal taking off old crown and waiting on root canal. What is your best advise? I really do not want to go thru anymore and not do an implant...can they crown it with no tooth left? I would greatly appreciate your advise in case they come back to implant instead. Thank you.
### output:
| Hello:)Welcome to Chat Doctor. Your dentist sent you for an emergency root canal. Do not worry, he will not suggest a root canal if he felt the tooth remaining is so less. Clinical examination of remaining tooth structure is necessary to assess if a crown can be made. A post and core with gingivectomy (to increase height of remaining crown) can be done to take additional support from the remaining tooth. This is done if remaining tooth is less and needs support. If a post and core is also not possible, you can get the tooth extracted. After healing of the socket, you have 3 options.1.implant-which is costly, and you are not willing for it.2.bridge-taking support from neighbor teeth and replacing missing tooth this costs less than an implant.3. Removable partial denture-a removable acrylic plate comes with the tooth. You must remove and clean it daily. Compromised comfort factor, but cheapest. 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:
Sir, my self is kkkku .im 26 yrs old. Befor three mnts I get married. But i m suffring from pcod problem for last 6yrs. At this present time I want to get pragnance..but my period is irregular..and I took treatment regularin last 6 yr. Plz hellp me sir.
### output:
| HelloThanks for writing to us with your health concern. HelloThanks for writing to us with your health concern. I am very sure of the diagnosis, only some reports remain to be done in this case. The condition is called POD - PolyCystic Ovarian Disease. In this condition, there is underlying hormonal imbalance - the exact cause is not known. The ovaries every month produce one mature follicle, which ruptures during ovulation, and then menstruation occurs.IN POD, the ovaries get studded with many small follicles, and none of them mature regularly every month to form an egg.Thus, cycles are irregular, the uterine lining gets built up, and when periods occur after delayed length, they are heavy and with clots. Also, due to hormonal imbalance, there is excessive hair growth on the body - on the face, stomach, chin, legs etc. The hair is dark, thick and coarse, like male pattern hair growth. Also, there could be acne. Apart from the reports you have done, please get the following investigations done -1. Repeat FSH and LH (if not done earlier on day 2 of periods).2. AMH3. Pelvic ultrasound scan done transvaginally.4. RHEAS, free testosterone5. Fasting serum insulin, OG TT, Lipid ProfileExercise regularly and eat healthy. There is no cure as such for POD, but medications like Metformin often help to improve symptoms, such as irregular cycles and excessive hair growth. Women with POD often face difficulties in conception due to erratic ovulation, but yes, most go on to conceive after treatment. Cycles can be regulated with cyclical progesterone therapy (if you wish to conceive) or oral contraceptive pills. Do not delay pregnancy for long. Take regular folic acid supplements. When you start planning for a baby, first try naturally for the first 6 months (checking for your ovulation by ultrasound as your cycles are irregular).IF you fail to conceive, seek medical guidance. Medications like camphene citrate would mostly be required in your case to induce ovulation, and then pregnancy can definitely be achieved. Minimize stress and worry, as it will negatively impact the hormones. Stop taking Ayurvedic medications - it will worsen your problem. All the best. Please feel free to discuss 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:
Hello. Im a 41 year old female in good health. A little overweight, but dont smoke or drink. I eat well, but dont get much exercise. Back in November I was shoveling snow from the sidewalk. Later that night I had deep aching pain all over my abdomen. It was constant, but worse when leaning or bending over. Even sitting up straight was tough. In a week I felt better. Two months later after bending over sorting laundry, the pain came back.it started low in the abdomen and moved up around the belly button and a little higher. It lasted a few days and went away. Then a week later after similar movements it came back. This has been the pattern for the last couple months, it is now April. Sometimes the pain is sharp, but mostly aching. I can move into certain positions which alleviates usually. There are no outward bulges, but made appointment with a doctor thinking it could be a hernia. The discomfort moved around a little so I wasnt sure what it could be. The doctor didnt feel anything and said it wasnt a hernia unless it was really small.he told me to go home and do ab crunches to strengthen the muscles. I dont think thats a good idea, so I asked for an ultrasound. He said no, but ordered a CT Scan with oral contrast. I am scheduled for tha later this week. The last few days I have felt very good and almost forget about the discomfort. However, I know it can comeback quickly by just moving the wrong way. I havent noticed any change in digestive or bowel systems. No nausea or weight loss. I do have gerd that seems to be unresponsive to medication and have had minor gallbladder pain, but this is much different and is brought on by movement. Sorry for the super long description. Any thoughts as to what it might be or any future action I should take? Thank you. - AAA
### output:
| Hi ! The symptoms you have described shows that the pain and discomfort comes whenever your intro abdominal pressure increases. The possibility of a para esophageal hernia or any other uncompleted internal hernia can not be ruled out. It is very difficult to diagnose these cases from external examination. Sometimes it may give rise to symptoms of Castro esophageal reflux disease like hyperacidity, dysphagia, etc. These can be diagnosed with the help of X-rays chest/abdomen and a CENT abdomen. An ultrasound may also be done to exclude heat biliary pathology. Till then, you can start taking some antacid liquids and a proton pump inhibitor for reducing the acid secretion in the stomach. If the pain is too severe, then one can opt for an anti-spasmodic. Hope this information will help you out. |
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:
Wondering why after open hysterectomy surgery I was given a machine to practice taking deep breaths but after laparoscopic gall bladders removal no doctors seem to be worried that I can t take amdeeombreath without severe pain. Like and 8 to 9 on theain scale...as a result I m breathing very shallowly and am worried about this. I m a 45 year old woman with chronic pain from degenerative arthritis in my neck, sacrum and hips, herniated disk in lower back and hashimotos disease controlled with thyroid meds but with a goiter...
### output:
| Hi, thank you for giving a brief history of you. As you mentioned you have an issue with the deep breathing, and also you have Arthritis issue. I request you to try doing simple neck exercises initially. Then proceed onto slow costal breathing exercises and pursed lip breathing exercises. Later on proceed onto abdominal breathing. Lastly try performing deep breathing as well. Respiratory system is of mere importance and shouldn't be avoided in any case by anyone. Also meeting a pulmonologist will be of utmost importance and help. He might ask for the MRI or CT of lungs which will help assess the status of the lung tissues. After the exercise of breathing, which is you don't find easier than meet up a physical therapist. For your pain in the arthritic regions a therapeutic ultrasound therapy and TENS therapy will be used which will help ease of pain. Now since you have Arthritis of neck, lower back, sacrum and hips. You need to focus on doing regular slow free exercises for all of these joints. Once the muscle starts adapting to movements and get strength, proceed onto the next level by core strengthening exercises. Any form of exercise performed will give an add-on to your strength in muscle, balance the oxygen saturation levels in blood, improve the cardio respiratory endurance, improve the metabolism and importantly boost your immune system. Balancing the metabolism in the body is important to control the fluctuations of the thyroid levels. For any further help always a physician and a physical therapist is a close by. A close visit and getting assessed again will help you get the maximum output. I have seen many cases of such, and out of that 90% have been helped with exercises. Patients under me who have performed for 12-24 weeks have got a big change and then regular modification and assessment have helped to plan the next level. Due to the shallow breathing you might consume more of your energy which will make you feel fatigue and tired soon. So rehabilitation of the Pulmonary system stays at utmost importance. With the grace of God I wish you a blessed health |
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 stomach issues for almost 8 years now, I had my gallbladder removed due to it not working, I had a complete hysterectomy due to endrometrosis which had spread to my intestines and rectum and could not remove it, i also had my appendix removed. This particular episode has been going for over a month. I have been seen in the er 4 times and was admitted once. They did a colonoscopy and endoscopy, they removed a wart size polyp and sent it to be tested, I havent gotten those results yet. Also while in the hospital I was diagnosied with C-Diff, as well as told that every time I have been seen in the ER over the past 7 years my calcium levels have been very high (10.9) and had an endocronologist come see me, he said he was running another blood test for my pth levels, and i am still waiting on those results as well. I am almost finished the antibiotic, but not feeling much better. I am extremely dizzy, nauesa and have a bad headache constantly (only on my right side though). While in the hospital the dr mentioned this could be parathyroid disease. I have never heard of this before the dr mentioned as I had no idea my levels were high. Everything I have read on parathyroid disease can turn to cancer, Im extremely worried. As I am putting odd things together, Over the past 7 years or so I have been told I have 2 kidney stones in my left kidney but have never moved, also I have a nodule growing in my right lung, which drs made sound like no biggie and probably a calcium deposit. I have had issues with my stomach for years, and recently I have been keeping track of how often and all that. It seems like i get episodes where Im extremely sick, vomitting everything, theyve done endoscopes a few times and always say its normal but my body produces too much acid. Since August 2012 I have lost 75 lbs without trying. What do i need to do? All I want is to feel better and live my life!! I am only 32 years old and this all started when I was 25 years old. Please help!!!
### output:
| Hi, You are 32 years, got gall bladder removed, hysterectomy done, appendix removed,2 kidney stones, in left kidney, para thyroid disease, nodule growing in right lung. Got frequent vomiting. For the vomiting and kidney stones I usually prescribe to my patients a combination of omeprazole and risperidone, and near tablets, for relief of the problems. Practice yoga, meditation, reading books, and hearing music, and never think of the diseases. Avoid taking spices, junk foods, and oily foods. 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. my name is brenda brady aged 25 an i have been living with some condition my whole life its affecting my mental life at the minute. its start of from when i was a very young i could see a big massive ball witched moved very slow towards me at that time my mum thought i had a high temp but it wasnt i was fine some times now to this day i can feel it coming on an then it just stops. there is more. When i went to school i found it diffcult to learn or read a question if there was a small noise in a distence that no other would hear. I also feel pain if someone was to rub my arm but or anywere even tho they didnt do it hard i remember when i was a kid my mum put this cream on me an my sisters as we all had i rash i was the only one who found it very painfull an sobbed my heart out. iam sencetive to bright lights an some loud noises some times weird noises make my chest tighting an freak me out if i put a wash on a 40oc an upwards that to would make my chest tight. I find it hard to express my feelings its all up in my head but cant put it into words my doctors dont give me the time of day to look into to wat i have to tell them as i have other problems that needed to be sorted first as i have to kids an started school i have an underactive thrioed so i was tired alot and coudnt do much. when iam walking or going to shop i find it diffecult to start a conversation with a person who i see from time to time its awkward some times its even hard to say hello. also on that walk if i see some one my head would turn away an nat realise who they are then 2 seconds later my brain would tell me that was such an such its imbarressing cus these pepole think iam being rude. i also have a bad memory if i go up stairs to look for somthing my head would be blank or if you were talking to me an wanting me to replay i would have forgat wat they z my short term memory loss is very bad most my friend and family have noticed i also forget how to spell things an then ages later it just pops back into my head again that happens alot with most of me memorising things and convercetition there probley is more wrong with me but i cant think of any more at the minute.
### output:
| Hello. As you yourself have rightly pointed out, you need to consult a doctor who can listen to you for all that you have to say. You have small problems in many spheres of life which need to be tackled one by one under supervision of a psychologist. For some problems few tests may have to be done like for example thyroid function testing. You probably need to look life in a whole new perspective and differently. Do consult a psychologist. 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 had 4 cervical operations over the past 5 years my 1st cervical fusion didn t take and the 2nd one I was opened in the front neck and back the last one at duke due to chronic pain from muscles being cut so much they took the hardware out thinking it would help it didn t needless to say , I ve also had 4 wrist (right) operations last one being a complete wrist replacement I m only to lift 1 to 3 lbs. with right hand and have 20 percent range of motion . I developed a few months ago spasms in my hand same fingers each time which appear to look as if my hand is deformed lasting 45 seconds to over a minute it has since progressed to same toes at times and now the left side also always the same fingers or toes , I am very concerned due to all the surgeries on both cervical spine and wrist . I have seen the dr who operated on my wrist replacement and he said I need to see a neurologist that it wasn t stemming from my wrist ? Can you give your opinion what you think it might be ???? I m really concerned !!!!
### output:
| Hi, thank-you for providing the brief history of you. Secondly I am. sorry to hear you have to go through all this pains.let's come to the point now. As you mentioned you have undergone two spinal and one TWR I would have been happy if more about the functional status of you was mentioned. As to this getting spasm, I feel it should be muscular initially. As the muscles of the wrist post replacement needed more attention. Also, taking up an x-ray would have been better to understand more of the joint positioning. Besides, how long did you undergo physical therapy rehabilitation plan? As per my view you should go for longer than expected. Also, indeed you got operated for spine twice, but how much time you performed the physical therapy post surgery?physical therapy is a scientific and secure way to rehabilitate the muscle and movements. Also, I will say to look for a physical therapy now as to which he will assist you to further. Meantime you can surely take an appointment with a neurologist, as every experts' advice will play a role. Maybe the use of diagnostics will come into role as technology has helped a lot to rule out human body illness to a greater extent. But hardly we understand the best use of technology used in assessing the human body. Okay, your muscle spasm is of what kind? That is important. First you need to reduce the muscle spasm by hot water fermentation and whirlpool therapy. You may have to spend a little time in this process as The muscle relaxation will take some time. I will say that you visit a physical therapist so by which your treatment starts. With the grace of God I wish you a speedy 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:
I had surgery for an open inguinal hernia 4 weeks ago. Since that surgery I have extreme muscle stiffness and lots and lots of pain in my thighs, knees, groin (of course I suppose), upper arms and shoulders. I WAS in good physical shape. I exercise by walking at the gym and used to do weight training. I describe it as feeling like I m turning into petrified wood. I am not running a fever. My primary care doctor ran blood tests of different sorts. They all came back normal. Yesterday I went for a medical massage therapist. This morning I couldn t even get out of bed I was in so much pain. I have type II diabetes and because I have had bad reactions to Crestor and Lipitor for high cholesterol - muscle stiffness and cramping - my Primary put me on simvastatin but has taken me off that for now (about a week ago). We believe that I am having an allergic reaction to the Succinylcholine that was administered during my surgery. I didn t know it at the time, but now I believe that my mother who passed away 9 years ago had this reaction after knee surgery when she was exactly my age - 62. I have a call into a neuromuscular neurologist but their office is closed today. It was suggested to me by the massage therapist to discontinue massage. She also was wondering if maybe I should have a muscle biopsy. I of course think I m headed to a wheelchair - and in my lifestyle, that is NOT an option. Some comforting words of advice before the weekend starts would be gratefully appreciated.
### output:
| Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question : What causes muscle stiffness after open inguinal hernia surgery? Answer : The Most Common Cause of Muscle Stiffness after Open Inguinal Hernia Surgery is Prolonged Bed Rest Question : She also was wondering if maybe I should have a muscle biopsy. Answer : I would suggest you to please wait, and get back to your routine and do simple exercises. It is a high Probability that you would be normal // I of course think I'm headed to a wheelchair // Dear Sir, I do not think So Please wait for a few more dastard walking a bit and do simple stretching exercises, and you must be fine Even if you have problems with Succinyl Choline, they are quite easy to manage Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. |
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 doctorim 31 male 5.7 height & 79 kg weight recently when i gone for a medical checkup they told i have high blood pressure but last year i was 65kg without any issue - so i really wondered about this change - can u please help me out to bring my BP normal naturally?
### output:
| Hi I have gone through your query. I am unable to find the description about your BP count and since when you are having it ? What are the symptoms you are facing ? Anyway, before going to get any remedy, you should find out the cause of trouble. In Ayurveda , the 3 factors dominate our metabolism of Vat, Pitta , Kafka imbalance among these 3, cause different health problems. BP is normally outcome of disorder equilibrium of Vāyu , due to psychic and physical factors like mental strain, worry, anxiety, lack of exercise, excessive intake of salts and fats, indiscriminate use of alcohol are few to count, persistent constipation IF you try to keep control on them, half of the battle is won. Correction of your lifestyle is the biggest Home remedies, regularity in taking meals, walk exercise and rest should be maintained.PANAMA / DEEP BREATHING , ANGLO -FILM, BRAVERY SHAV-AASSAN VERY HELPFUL TO BRING DOWN BP Our two Nostril have different role to play. The right one is Surya Nazi --for controlling heat of body, and left is Chan Chat Doctor. In case of HBP generally, right nostril becomes active. In daytime our left nostril should work and at night, right nostril functions, If you are having HBP always check your nostril, if it is right nostril , close this with you thumb and start the left one. Lie down straight, calmly .keep your mind calm and quite, without any mention, Within 10 minutes BP will calm months an instant remedy.supplement are to be used --Garlic 5-6 cloves cut into pieces , gulp with glass of water in the morning. Take lemon in water twice before meals, Take buttermilk with simple meals containing low fat, fiber, veges fruit vitamins, minerals, coconut water, garlic, ginger in every meal oranges guava apples are good. Avoid fried, fast foods' tea, coffee, alcohol, mental strain. Almond oil 1 spoon in cup of hot milk at bedtime, help relaxing nerves of brain If you hold magnet south pole in your right hand sitting on a wog gen stool feet also on wooden plank , will bring down your BP within 10 -15 minutes hope this will help to solve your query Take care All the behave any doubt mail at |
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:
y stomach had been through some problem since I was 16 (8 years ago), and I think that was due to a long time depression. The major problem was that there was always some gas coming up to from my stomach to my throat, like a burp, but not so strong. The most weird thing is that sometime when I had a headache or backache, there will also be some gas coming up from my stomach when I was massaging my back or head, and this happens more often when I am exhausted. Recently, I found out that whenever I ate something that I could not digest well, my stomach will have a gas problem and left side of my head will ache, also make me feel tired and sleepy, I even couldn t work anymore when I got that headache. If I forced my self to throw up the food left in my stomach, I will immediately feel better. Since last month, I found out that hamburger, peanuts, sunflower seeds, sausage, fries, fried breaded chicken, some cheese and seaweed will all get stuck at my stomach, cannot be digested and give me a severe headache, although I didn t have any problem with these foods before. Now seems that the only thing I can eat is bread and rice. I went to the doctors several times but they couldn t figure out what s wrong with my stomach since all the examinations were fine. I wonder if someone has useful information about this and thanks for your help!
### output:
| Degree understand your concerns went through your details. I suggest you not to worry much. Please understand, acidity has headache as one of the symptoms, also anxiety has. Anxiety triggers acidity. Both triggers' obsession. You are young and youngsters always overcome anxiety with the help of busy schedule. You have so much to study and is supposed to take care of your future. This anxiety and depression affects people who are idle. Remember, idle mind is devils workshop. Do understand, Stress and anxiety are known to produce weird symptoms which has no physiological reason. The symptoms could be pain, fullness, tingling, crawling, feeling of weight etc. Those symptoms tend to be just obsession. If you obsess with those symptoms, they always will be there. Anxiety is a mental disorder. Researches prove that medicines alone cannot cure anxiety disorder. Along with medicine you should practice psychotherapy techniques to streamline your lifestyle and meditation and yoga techniques to calm your mind, body, streamline your metabolism and thinking style. Please consult a psychologist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck. |
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 recently started developing small red bumps on my arms and it s spreading to my shoulder blades. They are about the size of a mm and have yellow or white liquid in them. They are a little painful. I am sensitive to allergies and I m wondering if they are an allergic reaction or bug bites
### output:
| Thank you for your query. The bumps seem to be vesicles Would you please clarify a few things for me? 1)have you had chicken pox /varicella? 2)do you see any bite marks on the affected arm? 3)have you been outdoors, camping for instance? Was there any contact or exposure to poison ivy or oak? 4)are you on any medications? 5)did you have any pain., itching or tingling on the affected area before the vesicles appeared? 6)are they limited to one side of the body? Herpes zoster /Shingles start out as altered sensation on the skin (pain/itching/tingling)with redness, usually on side of the body and limited to a specific area. It occurs in those individuals who already had chicken pox, by the reactivation of the virus that remains dormant in the nervous system. This then progress to form vesicles which appear in cluster and is filled with clear fluid which may become infected (pustules). The pain is usually severe. This resolves. In a couple of weeks although the scabs on the healing vesicles may take longer to disappear. Poison ivy or oak may cause this lesion. Intense pruritic (itching), pain and redness of underlying skin occurs. Allergic reaction will usually have a trigger (known allergens like insect venom, certain food items, medications for instance) and will result in a generalized (all over the body) rash (without fluid), unless it is contact dermatitis (in which case it will be localized to the area of contact with the allergen). Bug bites can be identified by bite marks and may resemble an allergic reaction (if you were already allergic to it) or it may have a reaction limited to area immediately surrounding the bite. Certain systemic infections may cause cutaneous manifestation. I recommend you see your physician/dermatologist who could assess, diagnose and treat it. Do not apply any OTC medications without consulting your doctor. Some of these contains corticosteroids that will worsen the rash if it is an infection. Keep the area clean and Chat Doctor. If the rash or pain is too severe, fever more than 102F occurs, or any worrying symptom like lethargy, severe headache, giddiness is present, go to the ER right away. Hope this helps. Please feel free to contact us if you have any questions. Wish you good health |
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 am Amardeep Dhamija from India. I have been having my son (age: 18yrs) treated for persistent back ache for 1 year and 4 months now. The problem was diagnosed as arising from low Vitamin D levels ( 2.80) and Vitamin B12 (below 83) levels on 02Dec 2011. He was given ARACHITOL shots and also put on D-gain. I showed him subsequently to an endocrinologist who had a liver test done (SGOT: 14) and (SGPT:14) , Serum Bilirubin (1.37) and Conjugated Bilirubin (0.52) on 18 Dec 2011. Thereafter, I took him to a very senior orthopaedic surgeon who put him on Calcium and Vitamin B12 supplements . Ever since, he has been taking them. His latest tests done on 21 Feb 2013 show Vitamin D 46.40, B12:699 , Calcium 10.00, SGOT: 34 and SGPT:69. Related to this or not, my son also was suffering from Nausea, vomitting etc for which he was prescribed antacids by an endocrinologist. These symptoms have alleviated somewhat. Query: Sorry for the lengthy background but is SGPT level of 69 something to worrry about. I should also like to mention that he is in the final year of school and preparing for exams and is under considerable stress as are other kids like him. Lifestyle: sedantary for about 2 years. Please advise regarding his liver condition and generally what he should do. His back ache is considerably reduced and is only intermittent (normaly when he sits for prolonged hours). Thanks.
### output:
| Hello, Although the most common cause for high levels of SGPT is generally due to consumption of alcohol but since he is a student, I am ruling this reason out. The other apparent cause in your son could be prolonged use of painkillers which he might have taken for his persistent backache. Other reasons could be obesity, high triglyceride levels in blood or even diabetes. I advise you to get his lipid profile done. Since there is no particular for its cure, I advise following things regular exercisesStop taking any pain killersTake fresh fruits and green vegetablesAvoid junk foods like pizzas, burgers,noodles etc. and colas. Reduce weight and be in required range of BMI. Get his SGPT repeated after 3 months and if you still find it high, then consult a gastroenterologist and get tested for hepatitis markers and other relevant tests. 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:
hi i am trying to concive from last 2 years and i have irregular periods and clomid fail on me now i am on menopur injection i had my first scan that shows right side follical is 10mm and endometrial is 9 can i get pregnant an today is my second scan any chances?
### output:
| Hi, How are you doing ? From you history I can only say that you are having ovulatory cycles, may be POD/ some other hormonal problem. Closed & Menopause are all hormones produced from your body itself. Hope you have, if nit try to find why this hormone imbalance ? With imbalance, you will be risked for early abortions. Follicle of 10 mm & endometrium of 9 mm is good but can't predict pregnancy. Let me give you a checklist to rule out possible househusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an Chat Doctor. So check with HSG(X-ray with dye), or SSG (Scan with dye) or LaparoscopyFrom your history I presume you to have POD (Polycystic ovaries), this is usually associated with Obesity, irregular cycles, no periods for few months & later heavy periods with clots & fleshy masses, Thyroid abnormality & prolactin problem indirectly. You develop that extra-pad of fat around the midsegment of body, especially waist, thighs & breast, no fat beyond elbow & knees. Excessive body hair growth, hair fall, dark shade over lower half of face, acne, oily face skin, black skin over back of neck, inner thighs & under surface of breast. May have a family history of Diabetes, especially father or his family. Your expected weight should weight(in Kg)= Height (in CMS)-100eg- If height 160cms, 160-100= 60-65 kg is expected weight. Once you reduce weight to normal range, you won't need any medicine to get periods or to get pregnant & pregnancy will be healthy. To reduce weight -NO FASTING, No junk food/ fast foods/ red meat, reduce snacks in between mealsHave low calories' food, high proteinsRegular exercise, aerobics, yoga, brisk walking try to reduce 2-4 kg / month. Don't hurry on weight reduction, it will be difficult to maintain. As soon as you reduce at least 5 kg, you will see changes. Even if you are in normal weight range, try this schedule, it will help. If all this done & found normal, nothing can stop a pregnancy with Gods will Hope I have clarified your overall the best |
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 discomfort in the middle of my chest that feels like when you swallow wrong and get that feeling like something is stuck or went down wrong and it hurts in the middle of your chest and in your back at the same time....however it has remained feeling that way for several weeks.
### output:
| Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. You seem to have Acid Reflux with HERD. This Chest pain in middle of back and chest, is due to esophagitis from regurgitating stomach acid. Cause of this HERD with acidity-is from -Gastritis or IBS or IBD, with Crohn's disease / Or Ulcerative Colitis. Cardiac cause also need to be ruled out. Review of the other causes is needed for proper treatment in your case. This chest pain -is a worrisome sign and indicates accompanied Digestive and Acid disturbance from various causes, in your case and needs to be attended with -GI Physician or ENT /or GI Surgeon. For this to verify Second opinion from GI Physician/ GI Surgeon/Colonoscopies/ Endoscopic- would be needed. Remedy-Get Second opinion with GI-Physician to rule out other causes as discussed above.EGD / ECG/Colonoscopy-with stool and blood tests would be needed to fix the diagnosis if need be. Depending on the cause-treatment would be given. Common and general dos for recovery of this -are as follows-Bland and non-spicy/ non-fried diet No smoking/ No alcohol/ Less of tea/coffee / and beverages No Street /or hotel woodcutter Milk / and YoghurtCap Sporlac-1 x 2 x 2 weeks -to stabilize bacterial Florida Zincovt-1 x 2 weeks PPI-like Panted 2-6 weeks Cipro Oz-1 x 2 per day x 10 days Mebeverine-1 x 2 per day This would stabilize acid reflux and would give relief in 2-6 weeks time. Meticulous care and control of diet and lifestyle is a MUST. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! 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:
Dear doctor, i am 33 male recently i have undergone pre employment medical check up and it was found that i have sgpt- 194 except this all test are absolutely normal test includes 1) CBC2. ESR and liver test 3. Urine Routine 4. Blood Group & Rh Factor 5. X-ray (Chest)6. General Physical Examination7. Fasting Blood Sugar &Post Prandial Blood Sugar8. Total Cholesterol9. ECG10. Serum Creatininenow they have advised me to got my ultrasound done full abdomen. i have got it done today and every thing is normal and they found mild fatty liver. Another thing i want to share that i was suffering from loose motions and was on Ofloxacin-200mg with ornidazole500mg B.D dosage (oflox OZ )medication for 2days and continued ofloxacin-200 B.D dosage (oflox) for another 3days as was suffering cold and cough also.now i need to go to gastro doctor to get the ultrasound reports checked. Just want to know what could be the reason for this elevated SGPT and will i get the clearance for joining new company.what should i do to lower my SGPT levels?? and what diet i should follow i am not a heavy drinker just take drinks occasionally and i am not fond of junk food as well.
### output:
| Hello, I can understand your concern for abnormal blood report.1) Your symptom of loose motion might be due to indigestion. There is no role of antibiotic in this. Instead, you should take intestinal digestive enzyme supplementation.2) Elevated SGPT level indicate either liver function is weak or liver has too much load to work. Fatty liver is condition in which excessive fat get deposited in liver tissue and affect liver function. This is the reason for elevated SGPT level in your case.3) Fatty liver is due to high level of fat in blood stream secondary to lipid (fat)-rich diet. This might lead to elevated cholesterol level. Thus, it is recommended for you to undergo lipid profile test.4) Mild fatty liver is reversible condition. You should do - regular exercise, intermittent fasting (weekly once), high protein diet, low fat-diet, use of omega-3 fatty acid containing oil in food preparation, avoidance of alcohol intake. Your SGPT level can come to normal range with these measure in 15-20 days. Hope I answered your query. If you have any further question, I would be happy to help you. Have a nice day! |
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 had an Adenopathy in October with fever (39 max) for about 5 days, I did bloodtests back then for CMV, EBV, Hepatitis A IgM & HBs, they were negative whereasresults for SGOT, SGPT, Phosphatases alcalines & GGT were respectively 78, 101,240 & 67. They were high. The doctor asked me to redo the liver tests this monthand the levels are now even higher with no fever or any specific symptoms. Thenew levels are: SGOT: 145, SGPT: 241, Phosphatases alcalines: 222 & GGT: 62. Mydoctor asked me today to visit a gastroenterologist to diagnose the problem. Ihave an appointment next week but im terribly concerned now. What can really bethe problem? Can it be hepatitis? HIV? An STD? I did my Pap test 2 month ago everything is normal.I take lots of ponstant forte during period. Ive also been taking pills to lose weight (forte pharma minceur.Its worth mentioning that I hadan unprotected sexual relation more than 2 years ago and I had hepatitis B andHIV tests twice, 5 month and one year and a half after the potential risk, butthey were all negative. Please advise!
### output:
| Hi, Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis (HAD, HBO, HCV) are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes. Advice:- abstinence from "Alcohol"- AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/oneself Bag is positive also test for HBV DNA and Head. Bag can not be completely eradicated in a patient suffering from Herb. However, complications maybe prevented if proper medication is taken and proper diet plan is followed. Treatment is advised IF high values of liver enzymes AND high viral Load on a PCR. If HBV DNA count in PCR are not high, liver enzymes should be monitored regularly while Herb markers maybe checked every 6 to 12 months. Hope to answer your concern. Any further questions are welcome. Wish you good health. 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:
SIR, MY DAUGHTER IS 5.7 YEARS OLD . SHE IS DIAGNOSED WITH PVL . FIRST TIME SHE GOT SEIZURE WAS AT THE TIME OF BIRTH , EXACTLY ON 3RD DAY AFTER HER BIRTH. IT WAS NEARLY FEW HOURS. THEN AT THE AGE OF 1.5 YEARS . BUT BOTH OCCASSIONS, FEBRILE. BUT LAST YEAR SHE GOT SEIZURES BUT AFEBRILE. SHE GOT VOMITING , BODY TIGHTNESS, TIGHTENING OF TEETH AND LOST CONSCIOUS. THEN WE CAME TO KNOW THAT SHE IS SUFFERING WITH PVL. NOW SHE IS UNDER MEDICATION WITH VALPARIN 200 MG (5ML/THRICE A DAY SHE GOT SEIZURES ON MAY 2014 EVENTHOUGH TAKING MEDICINE SHE AGAIN GOT SEIZURES ON 26TH JULY 2014 IN THE EARLY MORING HOUR IMMEDIATELY AFTER WAKE UP BUT THIS TIME CONVULSIONS OCCURED , NO VOMITTING, NO TEETH TIGHTENING, AND IMMEDIATELY RECOVERED WITHOUT TAKING MEDICINES. BUT AFTER THAT, SHE FEELS SLEEPY, VOMITING SENSATION, HEAD ACHE. NEUROLOGIST PRESCRIBED LABOZAM 5 MG HS. SIR I WANT TO KNOW THAT BECAUSE OF THIS, IS THERE ANY POSSIBILITY OF MENTAL DISORDER OR BODY DISFUNCTIONING. PLEASE HELP ME SIR WILLIAMS YYYY@YYYY
### output:
| Hi Williams.by looking at your child history, it seems seizure disorder secondary to birth asphyxia (PVL - periventricular leukoplakia)I need you to answer some of the following questions.1. Preterm or term delivery?2.any problems during pregnancy?3.what was the birth weight?4. Baby cried immediately after birth?5.normal or cesarean delivery?6. How are her developmental milestones?7. Is there family history of seizure disorder?your child requires EEG and MRI brain. Your child requires one more anticonvulsant Chat Doctor. If her developmental milestones are appropriate, nothing much to worry about mental retardation. Kindly reply for above questions. 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 was sleeping in tight denim shorts on a recliner. I got an erection with my penis bent downwards. Two small bumps formed in my penis at the area. There was pain for a long time 3months but not really bad pain. I noticed the erection afterwards was much smaller in girth beyond the bumps out to the glans. The erection is now more full at the glans but mid shaft it is still thinner. What type of injury did I acquire and how can it be fixed?
### output:
| Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-IN the given situation, You seem to be having-Contusion of the penile phallus. Your injury seems to be old with 3 myths history of acceptable pains with 2 small bumps. The erection which was earlier smaller in girth beyond the bump before glans, seems to be more full now at glans but midshaft is thinner still. Dos to deal with your case-Get USG or CT study of the penile phallus. The cause of the thinner midshaft erection indicates-fibrotic reduction of the clot 3 myths back. As there is no skin necrosis-blood supply, arterial specially seems to have recovered and is normal mostly. In such a case-You seem to have only Contused penile shaft with Hematoma underneath the tunica Albania. If voiding is normal, you can wait and watch for any contracture of the penile length. As there is no history of blood in urine in last 3 myths, it seems to be contusion only and chances of penile fracture in your case are remote and very much less. Consults with Urologist if need be/ or Surgeon to begin with to assess your damage is suggested in these conditionsThis briefing reply is on facts submitted, which need to be verified from your attending doctors, with whom you can check before starting further changes in the treatment of your dad. 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=70229 Dear, 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 M.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:
I am 49. I have had a bladder infection and 2 other woman infections. Only sleep with my husband. So not an STD. Had been on 3 different antibiotics for this. The last one was flagyl. I think. Half way thru taking it I developed a lump in my throat. At same time my gut is a mess. Have now been on prilosec for three months and it doesn t seem to be getting better. Could it be candida vs. gerd? Had barium swallow and it showed a little reflux but nothing excessive the doctor said. I think I am not to the bottom of this. I have been misserable now for 3 months.
### output:
| Hi, Good Morning. This is Chat Doctor. -I studied your query in depth and Understood your health concerns.-Accordingly on the facts given by you-Treatment I would suggest is as follows-a-Your query facts are incomplete for the demands put by you. So I would advise you to consult a Surgeon-as the facts given for replies are insufficient to comment-on the type of the lump of throat?which could be due to the oral sex and STD related lumps.... Like Gonorrheal Tonsillitis ? LGA?infectious Mono?/ and bladder infection.b-Still-AS your have taken treatments with 3 antibiotics of which-while taking Flagyl you developed throat lump. Gynaec-Surgeon-Doctor would treat it after fixing out of Candida or / HERD. I would suggest the oral smear and or a scrapping of the lump to be tested under MICROSCOPY, for fixing the cause of the throat lump.b-It would need FNAC- Biopsy before advising any specific treatment.FNAC BIOPSY would fix its cause and Gynaec-Surgeon-would treat it according to the causes.You have multiple symptoms and hence I would advise you to consult with Gynaec-Surgeon and STD -specialist, who as a team would treat your complex health problems on the lines suggested as above.c-Before treating the - HERD as confirmed from -Barium swallow-I would suggest OGD to confirm it. I would advise Proton-Pump Inhibitors with Domeperidol for the Reflux control.d-Beside this to avoid any further missery-follow normal Sex-practices with your partners with advise of the GAEC Doctor, here on-wards, as yours is a complex health issue, and you need to be serious about it on the lines suggested herewith. Wishing you healthy living and early recovery of this query. Wellcome for more queries till you get the satisfied. Thanks for your query to Chat Doctor Clinic. Have a Good Day...!! |
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 heel heel and ankle pains with swelling for the last one month. For the last ten days multiple joint pains developed, without any swelling, but swelling at ankle continuing and suffering from fever and chillness in the evenings. For the last one month, I have been using Dolokind & Pentakind tablets. For fever I am taking Lenol as prescribed by Doctor. Now, on 29 th I have consulted Rheumotologist in one of the famous Hospitals in Mumbai. They have prescribed HLA B27 test(reort yet to come) and medicines of :T.Etoshine90,T.Omnacortil5,T.Saaz,T.Folvite,T.Pan. I need ur sincere opinion. I was diagnosed for Reactive Artheritis ( without HLA B27 test).
### output:
| Hi, thank you for providing the brief history of you thorough musculoskeletal assessment is advised. As you have been diagnosed with reactive arthritis a little knowledge about it is required Chat Doctor. It occurs in reaction to an infection by certain bacteria. Most often, these bacteria are in the genitals (Chlamydia trachomas) or the bowel (Campylobacter, Salmonella, Shell and Yersinia). Now, as you have multiple join pain and aches along with swelling at the ankle, I will advise you further to visit a physiotherapist who can help you with your pain and aches. Since the pain and aches are possibly due to the infection I am sure the physician will guide you with antibiotics for the same. Undergoing a thorough urine examination is advised as to check the possible bacterial infection present also. For the pain and swelling management the physiotherapy will help you with therapeutic ultrasound therapy and TENS therapy by which the inflammation and pain will subside. Also, performing regular exercises are guided here to understand that the bodies metabolism and immune system are slowed down which lead the bacterial infection to go higher and lead to reactivate arthritis. Exercise will help improve the metabolism, immune system and strength in the muscles as in the reactive arthritis the bacterial infection directly attacks the soft tissues of the joint. So exercises will play an important role. Also while performing the Strengthening of the core and pelvic floor along with special exercise will help improve the bladder to empty completely and avoid any bacterial infection to persist due to Union my clinical practice I recommend patients with similar complaints to physical therapy as it will help them to recover better and avoid future complications. RegardsJay In |
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 masturbating since about the age of 14, I am now 24. For the last couple of years, I have felt various negative symptoms but hadnt started to relate them to masturbation until this past year or so. These include but arent necessarily limited to: constant fatigue, insomnia, hair loss, muscle soreness, ringing in the ears, lightheadedness upon standing, stress, pretty severe anxiety, frequent panic disorder / attacks, heart palpitations, irritability, etc. I used to masturbate daily and did so for years, it seems. And, even though it was just a handful of rare times, I remember doing it two times per day on a couple occasions (less than 10-15, Im sure). The past couple of months I have been trying to limit the frequency of this. I have done it 3-4 times per week. I even went about a month without ejaculating at one point recently but did still somehow always manage to stimulate myself so I didnt feel all that better. I have ejaculated about two times so far this new year and am now on day 4 of no masturbation. Id like to know if you believe my symptoms are due to this and what I can do to really start on the road to recovery. In February, I went to a local emergency department for heart palpitations. I had tests done: EKG, blood, urine, x-ray, etc. All came back normal gratefully.Thank you so much in advance for reading my inquiry. I look forward to your knowledgable response very soon.Bradley
### output:
| Hi, Thanks for writing in.1. Masturbation is a safe sexual behavior when done in limit. The average man masturbates 2 to 3 times in a week. It should not be done more than once daily.2. Like any sexual activity some people might get addicted to masturbation. This leads to added stress and anxiety causing palpitation. Forceful masturbation can cause muscle soreness.3. It is good if you realize that come of the symptoms like anxiety, fatigue and insomnia can happen from too much masturbation, and you are taking measures to control it.4. Please continue for a week or longer without masturbation. If you feel uncomfortable then you can masturbate once a week to release stress.5. When you achieve control over your masturbation behavior then you can do it 2 to 3 times in a week.6. Please meet your friends, do study and keep your mind in work to avoid sexual thoughts.7. Try and avoid pornography and when you get sexual thoughts then read a book and listen to music or go for walks. Do not touch your penis except during urination. Please do not worry. |
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 strange pain in my xiphoid process area. It hurts to raise my arms, take deep breaths, lay on my back, stretch with my arms up and out. I can feel the pain constantly whether sitting or standing or lying down. It s pretty much feeling like I got punched in the chest all the time. I am certain it is not breast related. My ribs do not hurt except for that particular area. I cannot wear a bra or anything that will slightly squeeze the area as it causes a constant pain that feels like the area is a constant cramp. If i stand too long I get relief from hunching over as stretching the area just plainly feels like torture. In fact that s how I discovered the lump between my ribs. I have long hair so I put it up a lot and it s been painful to lift my arms to put it in a ponytail. I have noticed this pain for a while now. (Months) I ignored it because I blamed it on my back and the herniated discs I have. Three right around where my bra fastens in the back and three on the bottom L3-4 through L5-S1. Now it it unignorably painful and I realize it has nothing to do with my back. It feels like a tight gripping constant cramp in the middle of my chest right in my xiphoid process area. There s been no trauma or injury or explainable cause for this pain. There is a noticeable bump mostly hard it s about 3 or so inches long. I can t tell how wide. I ve had xrays and an ultrasound done within the last week and other than a small bit of fat on my liver (thats been there at least the last 16 years) there s nothing out of the ordinary to cause any concern. My doc has ordered a ct with contrast scan.im starting to feel like I am crazy but I m 100% certain I am in pain 24/7. I guess I m looking for any clues as to what the cause of the pain is. Feeling like I have been punched in the chest all the time is really uncomfortable. Any insight is much appreciated!
### output:
| Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* Many narrations have been given about the pain in depth, thanks for that details, but vital information about lump of 3 inches long is not there If it is externally seen, you are advised to upload its high resolution photograph (if no objection) and if possible reports till date as scanned copies of attachment.* At this juncture, I would tell this is not absolutely normal at all. MRI is strongly recommended for the same . Hope to clarify your query. Welcome for further assistance. Thanks for using Chat Doctor .com & giving opportunity to assistWishing fine recovery. Regards dear 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 have a pulsating throb going up my spine. Starting at the bottom of spine and my stomach up to my head. It s been going on for years now . but seems to be getting more frequent and intense. Then 3 days ago I started having pain in my left shoulder blade.
### output:
| Hi welcome to Chat Doctor I can understand your concern for your pulsating sensations in spine radiating from lower region to head or anywhere you feel, since. All your pains have a cause to happen. Most prominent cause is found to be accumulation of toxins in our system due to many factors as, constipation, environmental solution, anxiety etc. Dear, According to Ayurveda mostly pulsating pains are caused by the aggravation of data Doha, or imbalance of all 3 dos has - vat - Pitt - oaf Arthritis is a condition which is caused by accumulation of AMA and aggravation of data. (AMA is a toxic by-product of improper digestion) This AMA circulates in the whole body and deposits or gets collected at the sites which are weaker. When it deposits in the joints and at the same time there is aggravation of data, it results in a disease called Yamagata (arthritis and mostly pains mediate to different parts. Pain radiates to shoulders and arms, tingling sensation in the fingers etc., as a matter of fact, anywhere in your body. Most prominent cause is found to be accumulation of toxins in our system due to many factors as, Constipation, Environmental Solution, Anxiety etc. Inadequate fiber and water intake are common culprits, and hectic lifestyle is also often leads to this nagging health problem. The condition results due to derangement of digestive fire followed by vitiation of Adana Vāyu. Lifestyle modifications such as scheduling regular meal times, responding to natural urges timely, high fluid and high fiber intake, help strengthening immunity. And for proper blood circulation oxygenize blood, do exercises as yoga - Bhujangasan, Pashchimotaanassan Pavanmuktasan, Aguilar, Kapalbhati to stimulate and strengthen the muscles of the intestinal removing toxins. Deep Breathing - Inhale - hold-Exhale - hold 10-15 times, meditation help alley adverse feelings and boost immune system and sure healthy life ahead. Avoid fried fast foods too much of sugar, tea, coffee, alcohol, smoking, stress, constipation, sleeplessness, dehydration 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:
I have been having cramping pain in my lower stomach. Pain was 8-9 scale. I noticed a jelly like discharge on my pad this am (wear pads due to incontinence now for over a year with no luck stopping it) seeing a specialist for this. The discharge was somewhat clear. I went later and went to bathroom and noticed I had discharge when I wiped and it was in bottom area of vagina and was a little darker then am. I had noticed a couple of weeks ago two raised areas in that area almost soft like pushing on a balloon. I have had these knots come up in that area that are smaller but hard and my attempts to pop it took several days however it would eventuallyburst and it was like a discharge of yellow puss and blood. Sometimes this has happened before and it got as large as a pound of sausage log. The ones there in the past week have been like a soft area right under the skin by my vaginal area and leg. I have not ever had this balloon type cyst ever discharge as you could not get a hold of it to attempt to pop the area. I guess it is possible they would as they would go away. I realize these systems are probably not tied together but I don t know any other way of explaining it.
### output:
| HI! Good evening. I am Chat Doctor answering your query. Although it requires a physical examination of your abdomen along with a gynecological examination to reach at a most appropriate diagnosis, this seems to be a UTI (urinary tract infection) along with a pelvic inflammatory disease(PID). In addition, you might be harboring some kind of inflammatory reaction to the skin around the genital area due to urinary incontinence resulting in the cyst like raised areas with intermittent purulent discharge. If I were your doctor, I would advise you to take more care of your personal hygiene which I am sure you must be doing, and advise you for a urine routine/microscopic/culture sensitivity test, a gram staining and culture sensitivity of the discharge around the genital area, and some basic blood tests like a CBC, blood sugar, blood urea, serum creatinine, Bag, and an HIV test as a routine. Further selection of proper antibiotics for the detected infection if any would depend on the reports of investigations. However, if the pain in abdomen increases and persists, I would advise you to consult your gynecologist/ER of the nearest hospital at the earliest. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. |
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, just over 2 years ago whilst pregnant at 27 weeks my blood pressure plummeted and i ended up in hdu, and in hospital for over 2 weeks until my blood pressure began to increase. It stayed at 70/30, and then increased to 80/40. Originally they tested me for Addisons Disease, but this came back normal. This gave me vertigo symptoms and what i called a skippy heart. An ECG was carried out as well as an ultrasound of my heart and despite a slight irregular beat, nothing was seen as significant. During childbirth I had electric shock feeling down both arms and legs to my hands and feet and then it was gone. After this I have had constant tingling and burning in my hands and feet. I have been to the doctors and had a nerve conduction test but to no avail. The doctor has told me to except it as one of those things that nobody knows. Until now I have but the burning and tingling sensation in the hands and feet are getting worse, as is my fingers are clicking and feel like they need to crack or are in the wrong place. This i can handle to a degree, but I keep getting the skippy heart feeling which makes me feel panicky and weak. What should I do next? I ve made an appointment at the docs for next monday but do not know really what to say apart from the above. Please help, as I am now beginning to get anxiety about going out without someone in case anything happens. I am a professional with a good job, social life etc but frightened of this sensation. I had gestational diabetes when pregnant, although high ketones and low sugars mainly. My mum is type 1 and dad type 2.
### output:
| Hello. Thanks for the query. Brief answer is there are combination treatments of Chat Doctor. Detailed answer, if all your physical investigations till this point are within normal limits; then you are indeed suffering from anxiety disorder probably generalized anxiety disorder (pending further clarification of symptoms). There are a variety of medications available for its treatment & this condition is indeed treatable so rest assured! You need to visit your primary care doctor & en quire about SSRI (Escitalopram, sertraline, paroxetine etc.) or SARI (Venlafaxine, duloxetine, milnacipran etc.), Pregabalin which shall take care of root anxiety over a period of 1 month & SOS anxiety relief medications like clonazepam, Mizoram (both of benzodiazepine group) to reduce feelings of distressing tingling & numbness. Secondly, you shall be also helped by simple deep breathing techniques, antigenic relaxation exercises, yoga & Panama. Do feel free to contact for any further assistance. 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 going to run this by you to see if you have any suggestions. My brother is a family physician and either he doesnt believe my mom or he just doesnt know what is causing this. She has also seen a gastroenterologist and her colonoscopy found slight diverticulitis and 2 non cancerous polyps that were removed and no problems found with the endoscopy other than she had a slight inflammation at the top of her stomach that the physician didnt seem too worried about. This is her symptoms... She complains of a severe tightness around her rib cage to the point where she has to take off her bra and has trouble breathing. She also gets bloated sometimes when this happens. I cant stand to see her in pain like this anymore. I did a search on the Internet, (yes, I know you guys hate armchair doctors.. Lol) and it seems a lot of people complain about this but have no answers. A bit on her background- she is 80 years old. Shes a diabetic. We thought the metforman was causing the pain so they put her on lantus and humalog. I know diabetes can cause peripheral nerve damage, not sure if that can cause the tightening. She also has had her left kidney removed because the artery that carried the blood to it got clogged and it failed, so they removed it 12 years ago. She also had two stints put in her left and right illiacs to open them as well. She recently had an MRA, and they found two of the 3 main arteries to the bowels are become blocked, but the physician didnt seem to think this would cause tightening, but chronic diarrhea, which she does not have. This all started after she had the flu last January. She has not visited any foreign country recently, so I dont think its a parasite. I read that maybe she should have a stool sample to check for parasites. Have you heard of this condition? Any of you? Any suggestions on what to try? I am at my wits end. She lays in her bed and moans when this happens and shes not a complainer so I know its bad. Thanks for your time.
### output:
| The picture that you have portrayed seems to be more in favor of a heart related problem than anything else. It is not explained by any of the problems that you have cited, namely, polyps in the colon, diverticulitis. She has a history of blockage in various arteries-kidney, small bowel, Iliads. So she probably has a tendency to excessive clotting. She may have had blockage in one of the arteries supplying the heart and suffered from a mild heart attack. In diabetics, the symptoms of a heart attack are suppressed and atypical. So, I would suggest that you immediately show her to a cardiologist |
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 All, I hope you are doing well! I am in rewa(mp), I have my brother who is suffering from epilepsy from a quite long time (around 16 years). In childhood he slipped on a stone during playing cricket. After one month we realized that he is suffering from fits. During those days we showed him to local good neurosurgeon, he took care of him but we didn t get any development in his injury. After that when fits were continuously coming twice in a month. My father took it very seriously n showed him to another neurosurgeon in jabalpur, he referred my brother for CT scan. We did whatever he said, we followed his course of tegritol n other medicines for around 3-4 years but didn t get better results. Meanwhile we took a appointment in AIIMS Delhi, there also we showed his results and as per docters advice we did his ECG. We followed AIIMS doctor course for around 4-5 years but also didn t get any results. Meanwhile my brother who was taking around 900 mg medicines on a daily basis was felt very week in his studies. My father was very disappointed during those days. That time we heard few similar cases got resolved by the Dr Kartekein (Neurosurgeon specialist) of Allahabad, my father did not lose his hope and another time we showed my brother and his all reports to him. We are in his course for almost 9-10 years but also did not getting any results. My brother was a bright student in his primary education but due to this epilepsy (fits) he has to sacrifice his whole career in it. His dream was to become Docter but due to these heavy dosses he is now a student of BA only. We have lost our hopes but i saw the reviews of your cases and is expecting some better result from you. My father is clerk in govt. Sector. Please let me know if can solve this case and help us from this curse. Please also let me if you need any reports of my brother, i ll send you through emails or if any appointment can workout. Really appreciated your help! Regard, Sandeep Rawat
### output:
| Hi, I had gone through your question and understand your concerns. There are a number o patients with epilepsy resistant from anti-epileptic Chat Doctor. Certain focal epileptics with localization on temporal lobes of the brain are subject of treatment by surgery, (Functional Neurosurgery). The patients that may have benefit from this type of surgery are selected carefully from Neurologists and Functional Neurosurgeon, so I suggest you to visit a center whose specialty is in Functional Neurosurgery. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. |
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 39 years old. I was in a car wreck 10 years ago and the hospital did MRIs CT scans, etc. They said that they were surprised that my neck wasn t broken because I wasn t wearing a seat belt. I do not wear seat belts because they hurt my shoulder and cause my arm and hand to go numb. The hospital sent me a report stating that I have a birth defect that caused me to have two cervical ribs. My mother said that the hospital has to be wrong that I was born with no birth defects. When I was in third grade I was tested and taken out of regular classroom because I tested 190 on the IQ test. I am 5 8 and weigh 110 lbs. I have never had the flu, chilhood illnesses, fever blisters, or bruises. My body temperature is always low. I have always had headaches. I have always been very active and never feel tired to the extent that other people ask me what I take to have so much energy. I have a lot of hair so you can t see the big lobes on each side of my skull. I now had a bump at the base of my left thumb. I had a small birthmark that looked like a scar just above my ankle. I have never had a leg cramps before seven monts ago. However, seven month ago when I fell to floor in spasms on the right side of my body. I couldn t walk for three months. There are no words for this kind of pain. I had no cuts on my leg but now have a scar that runs from my ankle all the way up my right leg. My left cervical rib is out of place now and I need to know how to get it back in place. The rib is causing severe neck and head pain. Who can help me?
### output:
| Hello am Chat Doctor. Having cervical ribs isn't a major deformity or disease. And these are the cervical ribs that are causing all the numbness of your hands and arms when you wear a seat belt. The problem is, cervical ribs tend to compress the nerves of brachial plexus, that control the sensations of your arms and hands. Compression of brachial plexus by cervical ribs, become more severe by wearing seat belt. So this is one problem. You may consider removal of cervical ribs by surgery, consult a surgeon. Moreover, as far as your other problems are concerned, I must say that, one can't give you a better opinion or advice without asking more questions and examining you, especially you motor and sensory system of all the limbs. And one would also ask for your old MRI and CT scan reports. . I would suggest you to see a specialist and get his advice. If you have more questions, feel free to ask. 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 on the 26th of July I noticed itchy pimple like bumps around my vagina. I saw a doctor on the 30th. She prescribe me Miconazole Nitrate Vaginal Cream USP 2%. Use for 7 days, itchiness stopped but after the 7th day new break out occurred. Saw another doctor on Aug 9th. She prescribe me Clotrimazole 1% cream and Fluconazole Tablet USP 150mg. Seemed to help, but then new breakouts down my inter thighs started and also started breaking out under the arm pits with a red itchy rash. The rash started under the arms went down my arm to the top of my hands. Saw the same doctor which I saw the second time on the Aug. 13. She then prescribe me Diphenhybramine 25mg Capsule and the allergy shot. By the end of the day the itchiness had stopped and the rash wasnt so red under my pits and the rash started going away down my arm, So I thought it was working. Then by Thursday night new rashes started forming on my inter thighs and itchiness and reddness started back on under my armpits. (the doctor I had seen the last two times recommend me coming in to the doctor on call for walk ins) So I saw another doctor on Friday 17th (yesterday). She prescribe me Permethrin Cream 5% and Hydroxyzine HCL 25mg Tablet. I had applied the cream last night and washed it off this morning. The rash is worse then before and itches worse then ever in the inter thigh area and the armpit. and arms. What should I do? Should I wait it out. Never had anything like this before.
### output:
| Hello, It looks like your rashes are getting chronic. You have taken antihistamine tablets & shots, it reduces but then again gets flared up. Presently your rashes & itching are worse after the application of Permethrin, a Chat Doctor. Since you have bumps in the vagina & rashes spreading all over the body, it looks like Herpes infection. Herpes infection can cause rashes all over the body. Bumps in the vagina are suggestive of genital warts or genital herpes. You should visit a GP at the earliest. Get clinically examined & assessed. You may need to get STD test done. Your treating doctor will treat you with antibiotics / antivirals. Take care of your hygiene. 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:
HiMy mother underwent( ptca rca) 5days back.her fbs was 350-400 and ppbs 440 around.she is a known diabetic since 15yrs and on glipizide 5mg plus metformin 500mg bd dose along with pioglitazone 15mg and her sugar levels are between 170-230mg/dl. Now what medication is advisable. Is insulin must or can be controlled with medications.kindly suggest.
### output:
| Hi, After going through your mothers case, I would like to advise you - Insulin is definitely the one of the best option for her because 1) She recently has undergone PTC to RCA (angioplasty). If indication for PTC was recent heart attack then insulin is the best option with her blood sugar levels of 300 & 400.2) She is already on 3 different types of Medicine for diabetes and on that her blood sugar levels were 170-220. In that case beside use of insulin alone or in combination with oral medicine, only few options are available which may be costlier, and we cannot assure better sugar control with them. 3) Use of different types of oral medicine in her case also depends on her kidney, heart status (which can be known from her serum creatinine level and left ventricular ejection fraction on 2DEcho) Metformin is avoided in case of Deranged serum creatinine and low ejection fraction. Glipizide is avoided with high serum creatinine level. Pioglitazone is avoided in case of signs water retention in body like breathlessness, swelling over legs, significant weight gain. Chances of water retention increases with deranged kidney function, low LVEF. Pioglitazone also avoided in old female due to increased risk of osteoporosis fractures. I would also like to advise 1) screening for other diabetic complications like nephropathy, retinopathy, neuropathy, foot examination.2) strict compliance with her medications (for diabetes and for heart problem - blood thinners, Beta blockers, ACE/Arms, Statins as advised by cardiologist) and diet.3) Regular BP check4) keep cholesterol under control (use of statins). Keeping all this fact into consideration use of insulin (for which high degree of motivation is important) is highly recommended in her along with oral medications depending on her reports after consulting with your doctor. If she is really reluctant for use of insulin other oral newer medicines like DPP4 inhibitors can be taken after consulting with planetologist. |
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 taken Hypnodorm to help me sleep for ten years. my doctor says I will not be able to continue taking them. What alternative do I have. When I try to sleep without hypnodorm, I get no sleep at all, abviously I am addicted to them and I am finding it very difficult to get off them.
### output:
| Hi welcome to Chat Doctor I have gone through your query. Regarding your sleep disorder. Insomnia is a relatively common sleeping disorder, affecting about one-third of the adult population worldwide. As you know our sleep disorder is not only a sleep factor, is much more than that Sleep depends on how strong is our mental health. Your physical health is just as Important as your mental health and both can influence each other. So it is vital to keep your self healthy. Gulping on medicine will not work in any health problem Not even in INSOMNIA unless you take care for your lifestyle, food habits & exercise. Common problems with sleep are often easily ad Chat Doctor. Taking your mind off the problem can help to relax you and may help you to fall back asleep. Check your pillow and mattress. Is it comfortable ? Keep a gap of 1-2 hours in dinner and bedtime. Take light meals. Take a T spoon of almond oil and 1/2 spoon Turmeric powder With cup of hot milk strengthens mental power gives resistance against diseases. Avoid caffeine and alcohol, especially before bedtime - both can increase nighttime urination and increase sleep disturbances. Reactions of medicines also cause insomnia. If you can't sleep because of thoughts hovering on your mind, try the Relaxing Breath - DEEP BREATHING FOR SOOTHING MIND. It can help you put aside the thoughts that are keeping you awake. A few stretches can help with sleep aid, too. Meditation also helps to induce positive thoughts & brings sleep. Regular exercise, Walk, intake of healthy natural diet containing all (fiber, veges, fruit in natural form minerals & vitamins) essential nutrients helps a lot by helping metabolism to strengthen our immune system to help us stay healthy disease free life. Life is like a wheel, if 1 spoke is displaced, movement of wheel is imbalanced same is the case with us. If our body is not healthy, our mind will be unhealthy. And we face disturbed sleep. So, we must work for improving total health for happy, healthy, disease free life preferably without being dependent on meds, for small issues . You can take Homeopathic Nun Voice 30 /1 dose at bedtime /7 days Kali for daily / morning & evening hope this will help solve your query Take care. All the best Don, t estate 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.
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I am a male age 23. I have been diagnosed with hypertension. The reading I was diagnosed with was around 160/80 when I was 21 years old. I was run through a series of tests which found nothing abnormal with me aside from elevated triglycerides which I was able to control after I took up exercise and reduced my weight by 16 lbs. I was put on Inderal 40mg b.i.d. This medication brought my bp down to 130/80 with a pulse of 72. However I suffered many side effects. Being a student I found it difficult to concentrate or sleep well, I also had nightmares,insomnia and memory loss. So I was switched to Atenolol 50mg which also caused me insomnia and memory loss but was not as bad as Inderal. Over a period of a few months of weight loss and exercise I came to 25mg of Atenolol at which time my Bp was 132/76. But due to the side effects I was switched to Diltiazem CD 120mg. This medication caused no side effects at first but over a period of a few weeks I developed negative moods, a severe headache similar to a migraine 24 by 7, rashes on my forehead, weakness and lethargy, flushing and feeling warm and a warm sensation in the chest area. So I switched back to 12.5mg atenolol. I have tried four drugs till now (propranolol, atenolol, amlodipine and diltiazem), all of which caused adverse effects in me. My doctor insists that these drugs are correct for me and I should make a choice between diltiazem or atenolol. So I stuck with Atenolol 12.5mg which still causes me embarrassing memory lapses and has reduced my academic performance greatly. My question is that since my diastolic bp has always remained normal and only my systolic Bp is elevated, does this mean I have the arteries of an old person? Is it absolutely necessary for a person my age to take medications and if so are there no alternatives with lesser side effects?
### output:
| Since you are young, your BP can be well under control with diet weight loss and exercises. But since your doctor has started you on BP medications there must be some indications. You can try telmisartan 20 to 40 mg depending on your blood pressure. But still I would encourage you to concentrate on diet, lifestyle and weight loss. Also have u done a renal artery Doppler or CT abdomen for a Chat Doctor. . Or get urine tested for VMA. |
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.
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Hello, I have a desperate question, maybe you can help me.. Just to quickly explain, i used to be pretty overweight when i was about 15-16, i am 20 at the moment, i lost all the weight at about 17 and have been very healthy since. during the time i was obese i gained alot of scarring and stretch marks over my body, i have ever since assumed that the stretch mark like marks on my shoulders, close to my armits.. are in fact stretch marks. However I have just now for the first time read about Hidradenitis Supprativa since i have a small black pimple like (slightly hard) bump in the middle of my pubic area. After reading more, i realised that the scarring on my inner thighs is likely also a cause of Hidradenitis Supprativa and not just a rash which caused this as i thought previously. After reading more about Hidradenitis Supprativa I have become extremely concerned as i read that these things i thought were just stretch marks will eventually burst with puss and become extremely painfull, if i am reading correct information. Currently i have luckily no pain at all, only slight itching on this bump in my pubic area which is why i stumbled on this in the first palce, however im reading about people in alot of pain. Pls tell me what you can, do i have Hidradenitis Supprativa? will i get more symptoms and will they becoem painfull? as i mentioned i have had alll these things for a few years alreadz but always thought it was because i used to be overweight, it never really botehred or hurt me at all, besides the obvious (visually). never any discomfort since. The visual bothers me less, i care about being healthy and these things becoming painful, i do not understand why this would be fine for atleast 3 years and all of a sudden become very painful and my stretch mark like things would burst?? please let me know what you can, thank you very much!
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| Hello, Treatment of black public lumps-You mostly have keratitis with acne in a pubic area with blackheads due to excess keratin blocking the follicles, and not hi Chat Doctor. It needs treatment with proposal ointment of steroids and salicylic acid and with skin emollients like -aloe vera gels or creams. Visit emergency room dermatologists, if it recurs and worries you more. So you should not worry much. So keep cool and consult your emergency room dermatologist, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. 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 am having trouble with the side effects od Blood Pressure meds. (tiredness,lethargy to the degree that it is effectingmy life. Am usually an Up type of person. Have been on lotrel and diovan. When I stop the b/p meds I feel great.I am a 71 year old female. I am also taking singulair and flax seed oil. I am not overweight and I exercise moderately.Stopped smoking 10 yers ago. Is there a natural product I could take to lower B/P ????
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| Hi Welcome To ChatDoctorI have gone through your query regarding your bpm eds, giving you trouble and without that you feel fine ? It is a matter of concern. I would like to suggest you to consult your doctor immediately to discuss what you to feel & to ascertain whether you real need them, as you know these have side effects should not be continued without relevant prescription. It is good that you are not overt. Doing exercise and taking herbs also.IT would be better that you add a few more things to your regimen .1. Do Panama - Deep Breathing - Inhale -Hold -Exhale - Hold 15-20 times .do Slowly to begin with .2. Calamari - Sit straight in easy position , close mouth, eyes & ears with your thumb , take deep breath Release your breath by humming sound through your nose , Repeat 3-5 times 3. Sit as before, take deep breath, hold & release through your mouth while chanting LOUDLY OU--O-M. 3-5 TIMES .4. Lie down with closed eyes, like a log, hands beside your body. Keep your body loose & mind cool. Lay in this position for 5 minutes All this, & meditation will release stress off your mind leave you mention free. BP certainly goes down. Dietary supplements ingredients may include vitamins, minerals, herbs, amino acids. Which is taken regularly, tend to increase resistance to body from diseases giving strength to immune system. If you take care of your diet, regular exercise and rest . Take balanced diet - fiber, fruit, green leafy veges preferably raw form, include garlic, liner in all meals, coconut water and all antioxidants, Turmeric powder A level Spoon with hot milk. , at bedtime lowers BP, *Olive or olive leaf extract: Some BP lowering effect. Has other benefits such as cholesterol lowering, reducing heart attacks and heart disease, and reducing risk of breast cancer and, odd, rheumatoid arthritis. Potassium: Reduces systolic 2-4 mm and diastolic 0.5 to 3.5 mm. Controls cardiac them. |
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.
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I have been having blood clots in my mouth,, along with a fungal infection (treated with Nystatin). I DO and have had clotting problems in my lungs for years and am on Coumadin with INR levels checked regularly. The mouth clotting is new, however, and I have been to an Endodontost and a periodontist, no one even had a clue what it was. I figured it out. The only thing that helps is bursting them with q-tips while using Lidocaine (prescribed). Any thoughts?
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| Hello, This sounds like a change has occurred in your system. First, has the fungal condition been cured and time given for tissue to heal? Seeing dental specialists to rule out gum conditions and infections is an excellent and recommended step. Proper hygiene and nutrition is important. I would expect an exaggerated response and increased bleeding from your history when any oral disease is present. From your description, you seem to have evaluated your dental health which does not make me think common dental conditions that cause bleeding will apply to your complaint. My thought is a blood disorder. Second, what is the source and diagnosis of your high amount of clotting? Have you looked into blood disorders? An increase in the amount of red blood cells produced could require an additional medication to control red blood cell production and even removal of excess blood. This would be in addition to taking Coumadin. I would recommend consulting a specialist with a complete medical history review. There may be additional testing recommended. Consider the possibility of a rare disorder or a later onset change to your body that needs to be diagnosed and treated. Bleeding elsewhere in your body, medicines, genetics, infections, all need to be looked into. Platelet insufficiency can cause leakage and blood clots form as you describe. Pinpoint blood spots to larger blisters are a common symptom in the mouth. There are many causes and this would be a common deficiency to evaluate, if you have not considered blood disorders. Bone marrow function maybe compromised. An autoimmune disorder may be diagnosed. Thrombocytopenia, a platelet disorder, commonly causes clotting in the cheeks. Consider the source of the clotted blood in your mouth may not be from your mouth. Is it coming from the throat or gastrointestinal tract? Sinus? Ulcers can cause bleeding. Tumors may be possible. Any acid reflux? You refer to popping the clots which would make me think more blood disorder or vessel wall being compromised. I do not generally like to ask so many questions, but I am trying to be helpful in giving you some direction and suggestions. There is a wide range of possibilities. I am glad to discuss your concerns further and am available for additional questions. Thank you for your inquiry. |
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.
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my husband age 53 have been reported with lungs problem ;Defined as small homogenous opacity seen in left lower zone near base close to the left dome of diaphragm (arrows).The doctor suspect it Pneumonitis and prescribed Levodropropizine Rapitus Syrup.I want to ensure it is rightly diagnosed
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| Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-? Pneumonitis, with ?infective cause or could be from ? Secondary to Lump in basal segments of the left lung. The Syrup would only control the irritation unproductive-? Or productive cough with this lesion. To ensure right diagnosis I would suggest following Dos for you case-Check Sputum for causal bacteria / AFB/Malignant or benign cells. Check X-ray Lung with PA and Oblique views to get assess the exact location of the opacity in the left lung. Response to Course of Antibiotics(Augmenting Cap 650 mg x 1 x 2 times per day x 10 days) would decide further investigation by Bronchoscopic studies. AS there is no history of infective complaints with your husband, I would suggest assessment by Fiberoptic-Brohchoscopy with study of lavage for AFB and Malignant and benign cells from the suspected lump in the basal bronchial lumen. My Impression-As the homogenous opacity with no infective complaints is there, (as asked from your doctors script of anti-cough and antihistamines), Adenoma of the Bronchus ? Malignant Lesion needs to be kept in mind and ruled out by the above investigations. It could also be due to atelectasis of the lung from blockage of the lower basal bronchial lumen or could be just a progressing and developing Pre-Pneumonia consolidation developing in to full-blown pneumonia in your case. All these possibilities need to be kept in mind while treating your husbands case.Hence, For the age of your Husband, This is a serious thing to be suspected and need to be investigated further. I would hence suggest you to Consult with Chest Physician or Chest Surgeon who would assess your husbands' case on above lines and would plan needful treatment accordingly. Hope this reply would enlighten you on If your case needs further diagnosis or not. Hope this reply would help you to plan further treatment with your doctors there. Welcome for any further query in this regard. Good Day!! 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.
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MRI impression of My father aged 68 yrs is Mild broad posterior disc protrusions at L2-L3 to L4-L5 levels Mild Posterior protrusion,moderate left paracentral extrusion,inferior migration of disc material at L5-S1 level. What exactly is this? Is surgery necessary?
### output:
| Hi, thank you for providing the brief history of your father. A thorough neuromuscular assessment is advised. I would like to begin with this. Your fathers age is 68. So the physiological degenerative changes will be setting in. Lumbar spine has got 5 vertebrae and in between the vertebrae there comes a Disc, which is called as inter vertebral disc. These discs act as shock absorbers and support the spinal column. As aging progresses the disc starts losing the water. By which the overall spinal column reduces in Size. Once the disc starts losing water, it is mat lead to - herniation, protrusion, prolapse etc. due to which there will be a compression on the adjacent nerve roots and this may lead to radiating pain, numbness, burning sensation, weakness of the relevant side. Also, lumbar spine is the most mobile weight-bearing area after cervical spine and is prone for disc injuries. Treatment options which are safe and successful but in the following order, are - Medication, physical therapy, steroids, physical therapy, surgery, physical therapy. Now the MRI scan suggest here is - that your father has some disc protrusion but no where it mentions that the nerve root impingement on either side. L1-L2, L4-L5 and also the L5-S1 as well. Since no where it mentions the nerve impingement the surgery will be an optional or rare thing to look ahead. Also, the symptoms like, pain, numbness, tingling sensation, etc. are more than one needs to wait and see with physical therapy is the symptoms subside. In 99% of cases in my clinical practice have never been operated and responded well to physical therapy. Duration may be longer, but conservative is better than operative, is a good medical logic. If by physical therapy the symptoms don't subside then a steroid dose is recommended and if this fails them surgery. Also, since the levels are too many, it is totally subjective that surgery successful changes are depending. Since your fathers age is 68, I will advise to undergo physical therapy, and he should, he fine with physical modalities and exercise; & may not need surgery. For any more details / doubts / suggestions etc. you can contact me and I will be happy to solve the matter with the in depth knowledge. Regards. 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:
I am a 57 year old female who is in pretty good health except for major depression for which I am being treated. My problem has been going on for at least a couple of months. Out of nowhere this thing that I guess you would call it a micro organism has taken over my home. It just shows up in almost anything especially foods that have not even been opened. This thing can get inside just about anything that hasn t been used. It is getting inside of my cat s unopened cat food cans and altering the content of the food in a gross way. The food turns into a totally different product which I have been observing with a magnifying glass. I have even double bagged stuff in ziplock bags and this stuff still gets into it. Do you have any suggestions as to what I can do to get rid of this stuff? If I hadn t been witnessing it I wouldn t believe it could be true. Help!!! I can hardly eat anything at home because of this and I am losing quite a bit of weight.
### output:
| Hi Lynda, Welcome to Chat Doctor, and thanks for your question... I understand your concern about the strange things that seem to be happening at home. I know how distressing and difficult it can be if you are feeling constantly concerned and afraid about this. Lynda, firstly I want you to understand that as doctors, we are here to help you get out of your distress, and I am here to do precisely that by giving you the most appropriate advice. Now, having that in mind, I also want you to understand that sometimes, when we are suffering from a psychological disorder, we may tend to have excessive fears, beliefs or concerns which may actually be a result of the psychological disorder itself. You have mentioned have been suffering form depression and are on treatment currently. Based on my experience of having seen many patients presenting with similar problems like yours, I feel that these are part of the psychological disorder only. I know and understand very well that to you these things may appear absolutely real, and it may be difficult to accept the fact that these may not be entirely real. But, sometimes, the psychological disorder can influence our minds and cloud our thinking so much that we may end up believing things which may not be entirely real. This can then result in excessive and irrational fears. Now, again, I want you to be very clear that I am in no way trying to say that the distress and suffering that you are going through is unimportant... I fully agree with you that it is very upsetting and difficult. But, it is also important to be aware and open to the fact that your beliefs / fears may be as a result of the psychological problem you are going through... I would strongly suggest getting a review appointment with your psychiatrist. I'm sure he would be able to assess you more in detail and adjust your medication accordingly to control these fears. Wish you all the best. - |
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 chronic pain patient who is recieving opiate therapy, I had a gallbladder attack in 2003 and now I am having gallbladder pain again. My Doctor thinks that the morphine that I am taking is causing my gallbladder woes. My sister had her gallbladder out along with my father plus my whole family suffers from hyperlipidemia. If its not that than he says it must be caused by hyperalgesia, but I have not been escalating my dose or having alot of breakthrough chronic pain. I feel like he is not listening to me and that I will lose my pain management. what can I do or say to help my situation? thank you for your time! Jeff
### output:
| Hi.thank you for posting query at Chat Doctor.I thoroughly read your query and understood your concerns. Though you did not mention for the removal of gall ladder in your family but most commonly It's due to gall stones. Gallstones are small stones that form inside the gallbladder. Gallstones pain (Biliary colic) usually is experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides.1. Biliary colic -"The pain without cholecystitis- gallbladder infection/inflammation" - usually subsides within few hours to a day. Acute cholecystitis secondary to gallstones may be continuous and accompanied by fever.2. Medical therapy is an option for gallstones, though a vast number of surgeons around the globe prefer removal of gall bladder-surgical intervention. Medical therapy includes intake of ursodeoxyholic acid (UCA) for a period of 12 to 24 months. UCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller (weight reduction and low-fat diet is also a part of medical therapy.3. Surgery lasts for less than one hour (usually half an hour). Laparoscopic surgery has greatly reduced surgery time duration and surgical complications. You may travel 7 to 10 days after surgery, though the surgeon may indicate precise time. I would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. You maybe asked to cut fat completely from your diet (or keep to minimum) after gall bladder surgery. Hope to answer your concern. Wish you good and sound health. Regards Chat Doctor. |
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