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如果你是醫生，請根據患者的描述回答醫學問題。	Dear dr, last week i did TMT test for 13.26 minute, and report says, Achived 87% for MPHR,good effort tolerance, test MILDLY POSITIVE FOR INDUCIBIE ISCHAEMIA,duke treadmil score:7, risk category:moderate,5 year survial:86.0%, average annual mortality:2.8%, pls suggest me further treatment or pls not understand report says.	DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERNED ARE REPORTS ARE SUGGESTIVE OF MILD INDUCIBLE ISCHEMIA BUT IT ALSO SHOWS A REPORT OF 87% OF MAXIMAL PREDICTIVE HEART RATE. NORMALLY TO BE ACHIEVED IS 85%HOWEVER I SUGGEST YOU THE FOLLOWINGAVOID HIGH SALT DITTO DO A MODERATE WALK OF 20 MINUTES/DAYTON NEED TO BE STARTED ON TAB ASPIRIN 75MG OD AND ALSO TAB ATORVASTATIN 40MG ALSO YOU NEED TO TALK TO YOUR CARDIOLOGIST ABOUT FURTHER TREATMENTHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I am allergic to dust and change of temperature, each year in month of jan-feb-march (change of season from winter to summer and vice versa..) it become worse, During this allergic period, I keep on sneezing and I have running nose and eyes. Please suggest some medicine. I am facing same condition from last 5 year (my age is 31)	Hi, you have treat allergy in step wise manner. If you have allergy only during 3-4 four months time then you should start with antihistamine tablets. See for the results if there is no improvement then you have to go to the next step that is nasal steroid sprays. You have to start steroid nasal spray 3-4 weeks before your symptoms start. It gives very good results. If these sprays do not work then you have to undergo allergy test, an immunologist will do skin prick test to find out your allergic to what all substances. Once it is identified you will have to take immunotherapy. This I can assure will cure your allergy to up to 80-90 percent. Kindly go to physician he will start antihistamine tablets and nasal sprays for you. For allergy testing go to immunologist thank you Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter has a small round ball under her neck,las week he had taken antibiotic because of upper respiratory track infection,but right now its three days after he had done her med,her upper respiaratory track infection was healead already,her xray is clear,shes eight years old very active,im just worried.but compare last week its getting smaller already.thank.jho	Thanks for your question on Chat Doctor. I can understand your concern. This ball is nothing but an enlarged neck lymph node. Lymph nodes are commonly enlarged in infection. Neck nodes are enlarged in upper respiratory tract infection (URI). So her URI is causing this ball like swelling in neck. No need to worry about this as you are saying that the size of lymph node is decreasing, and she is improved in URI. So this swelling will also subside by its own in 1 week. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,I have been with my partner for 3 years we just got married 2 months ago. I was tested for all STDs going into the relationship and again when I was pregnant with my now 18 month old. I had a pap smear in April 2009 but am not sure if I was tested for stds. I had a copper IUD put in me late December and when I went for my check up in Jan they took swabs when I complained of abdominal pain and having to pee frequently. They came back clean but I phoned up my GP for antibiotics for a UTI since this is fairly common after having an IUD put in the Dr didnt test for it. Well the pain went away but come back a couple of weeks later. I put it to the back of my head as was very busy with exams and planning wedding plus thought I had to suffer through it cause of the IUD. We went away on honeymoon and had pain while sex. I thought it was the IUD and went to have it checked and was sent to another clinic after the first clinic took swabs. They did swabs at second clinic and both tests came back positive with Chlamydia! I have not cheated and the only person that I have had sex with is my husband for the past 3 years. Of course I accused him of cheating and he swore that he hasnt cheated on me. He went to get a full STD check and to add to the confusion he has come back negative for any STDs. I am so confused as to how I could have gotten this.Before my husband got tested I was told that it was possible that he had Chlamydia and I was resistant to it and then when my IUD was put in I finally caught it. Is it possible for my husband to be carrying Chlamydia but not have it and not test positive for it?Also I am worried that I have something else perhaps cervical cancer and it has had a reaction with the IUD and given me false positive results?? I am still peeing frequently and having abdominal pain even though I have completed all my antibiotics. I will add that I have not had sex with my husband since all this has gone down and also he when he went to the clinic they gave him treatment for it even though they hadnt gotten his test results back yet.I am so confused and upset and I need answers as this is taking over my life.	Thanks for your question on Chat Doctor. I can understand your situation and problem. First, no need to worry about cervical cancer because you're all reports are negative for cancer. You are having chlamydia infection due to IUD in uterus. IUD weakens local uterine defense system, so women on IUD are more prone to STD s. You are mostly infected through your husband. Male urethra is very protective against infection. So your husband might be carrying chlamydia without infecting him. And during sexual Intercourse, you are infected. Since your defense system is weak due to IUD, you are having symptoms of infection. So better to get done sensitivity report for guidance of effective antibiotic therapy. No need to worry about cervical cancer. Hope I have solved your query. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	i am 27 years old,about 80kg weight, about 164cm tall and i always have continous chest pain with sever distention and slow bowel ;made ECG some doctors told me ihave ischemic heart and some say no i have made stress ECG it was normal in its conclusion but doctors donot see it but just look at its conclusion in the end one of these doctors told me that it is called splenic flexure syndrom	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having Gastroparesis and reflux disease. In this normal emptying of stomach is delayed. So stomach gets distended. And this causes laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain. So better to consult gastroenterologist and get upper GIS copy to confirm the diagnosis. You will need proton pump inhibitors and prokinetic Chat Doctor. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid stress and tension, be relaxed and calm. Keep 2 - 3 pillows under head in the bed to prevent reflux. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I am Khushboo . 22week scan done . My Bebey seen left renal pelvis measured 4.6mm . What does Mild pelviectasis of the left kidney mean? What does Mild pelviectasis of the left kidney and kidneys are echogenic mean? How concerned should I be?	Welcome to Chat Doctor .yes the left kidney is not fully developed, and it is something serious your baby needs surgery, so please get your delivery at a well-equipped hospital and please be prepared mentally for your child surgery after hos birth I suggest that you should take help of nephrologist to discuss various options available for your baby know it is very painful, but one kidney is normal it is a good thing with regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I am mother is 83 years old. She has undergone treatment for getting whole new set of dentures for both upper and lower teeth. After the treatment her upper one fits fine, but the lower one comes out every now and then especially while eating. Her dentist says that she needs to wait 1 year before he can try to fix it, since for the next year her jaw and gums would change in size. To me 1 year seems to long, is there something that he would/should do to make the dentures fit now. Thank you	Hi, This is a common problem for most of the denture wearing patients. In upper dentures there is greater retention because of the greater surface are available but for the lower jaw the surface area available is very minimal, so retention is poor. The denture can be adjusted to certain extent by a dentist or there is an option of implant retained dentures which can be considered as an option. You can consult a Prosthodontist who could sort the problem.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I got an infection in my wisdom tooth last Wednesday and was perscribed amoxcillin which wasn t doing much so went onto flagyl on Friday. I am now taking both and pain seems to have subsided slightly but noticed a hole has now developed in my gum and am really worried. Any advice? Thanks, Lisa	Hi! Welcome to Chat Doctor. I read your query. As you mentioned infection in wisdom tooth, this hole seems to be the sinus formed for pus Chat Doctor. You need to visit a dentist and after x-ray and examination, he can decide if the tooth can be saved by RCT or if it needs extraction. Complete antibiotic course before and after the treatment as per prescription. Do warm saline rinses. Maintain oral hygiene. Hope the answer helps you. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been diagnosed with hypertension and have begun treatment. I don t like it I would rather use natural methods but it was very high and is now come down to 160/75-80. can I also help by exercising more and losing weight. and is there something I can eat to help this condition. is is curable?	Once hypertension has been diagnosed, there is no cure unfortunately, but you can control it through proper diet, exercise, stress management and Chat Doctor. If you are overweight then yes losing weight will surely bring down your blood pressure. Exercise when done regularly will also help in controlling BP and having a well-balanced diet which includes plenty of fruits and vegetables as they are good sources of potassium in our diet also helps to lower BP. Cut down on fat intake from butter, clarified butter, milk cream, margarine and fatty meats if non-vegetarian. Choose lean meat, fish chicken and egg whites. Choose refined vegetable oil for cooking such as olive oil, canola, rice bran oil etc. and limit its intake to not more than 3-4 tsp in a day per person. Include low fat milk/curd and cheese. Avoid processed cheese as it is rich in sodium. Cut down on your intake of salt which raises BP. You can do this by following:1. Limit salt intake to not more than 5 gm or 1 leveled teaspoon per day. Add salt to foods after cooking to retain the flavor. This way you can also control the amount of salt that you take in.2. Avoid salt preserved foods like ketchup, sauces, pickles, processed, canned and packaged foods like ready-to-eat meals, chips, salted biscuits, salted nuts etc.3. Use lemon, vinegar, black pepper and herbs for seasoning and flavor instead of salt.4. Read food labels of packaged foods for sodium content/salt content and avoid highly salted ones. Try to de-stress by meditation, do some deep breathing exercises in fresh air which will help in reducing stress and lower BP as well. Alcohol and smoking also raises BP so steer clear of such habits.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 35+6 days pregnant. It s my third pregnancy. Since last week having a severe pain just under my right side ribs. At first pain was felt while sitting. But now having all the time while lying or standing. Tried pain killer panadol tablets and spasfon tablets but no effect. Baby position is cephalic. My doctor suspects it a gal bladder pain. What to do?	Hi.noted history of right sided abdominal pain, subcostal area. Yes, it is possible that you have a gallbladder pathology (most commonly gallstones). Costochon Chat Doctor. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Diagnostics (ultrasound, complete blood count, liver function tests, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. If it is indeed of gallstone disease, definitive treatment is cholecystectomy or surgical removal of the gallbladder. If it is not an emergent case, based on ultrasound and clinical evaluation, an elective cholecystectomy after giving birth will be advised accordingly. It can be done laparoscopically (gold standard) or through open technique. Low fat diet is also recommended. Hope this helps. Good day!!~
如果你是醫生，請根據患者的描述回答醫學問題。	Okay, I just recently started the new birth control implanon back in March. I just got my period this month but in April I started having irregular discharge. I went to the doctor and they told it was really nothing I can about it. They said it would get better over time but I wanted to know if I was to have a sexual intercourse, what will happened? Will I bleed? Will I smell? Will my discharge come out irregular? Will it be painful?	Hello, I have gone through your query and understood the concern. As Implant is a hormonal contraceptive, it is natural to experience some menstrual irregularities during the initial months as the body adjusts to the new hormone milieu. Later on, you are most likely to stabilize. This does not affect the sexual life in any way. As you have not undergone any vaginal procedure like insertion of an IUD, you will not experience pain during intercourse or bleed. Yet, as for any other hormone contraceptive, you should get periodic check up. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	HELP! I found my nine year old in a diaper this morning. hes is potty trained and has been since he was 3. Why is he wearing them And hiding them from me. I didn t yell at him for I am concerned. what do I do ? let him keep wearing them? Or punish him? sincerely Carllotta	Thank you for posting your question.First Carlotta, the issue may not be as serious as you think it is. For all you know your son might have just laid hands on a diaper lying somewhere and slipped it in place of his regular underwear. If that is not the case then there is a probability that he might be bed-wetting, most likely at night. In any case, I think talking to him calmly is to only logical option. You may ask him calmly in a non accusing tone why he did that. Also, if your find out that he has been wetting himself, then a proper medical consultation should be taken. However, the first step would be to find out the cause for his altered behavior which can be done by an open two-sided conversation. Whatever the cause is can be dealt accordingly. Neither allowing his altered behavior to continue nor punishment would be an appropriate response. If you have any more doubts do write back.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doctor. Hi My husband semen analysis is as follows. Total Sperm count = 164 million per 2ml, Rapid linear progressive motility - NIL, sluggish linear progressive motility - 60%, non progressive - 05% and immotile - 35%. Is this analysis ok or is there any problem ? Is the pregnancy possible with this result ? I have had 2 recurrent miscarriages.(early natural abortion ) what food should be taken to increase Rapid lenear progressive motility ? what should be the normal % of Rapid lenear progressive motility ? His age is 36 years.	Hi, Thanks for your query. I have read your query & I understand your concerns. The sperm count appears to be fine except for motility. Please get antioxidant tablets prescribed from your doctor which will help in improving motility. Remember to repeat the test after 3 months which will show improvement in the motility. Even otherwise if you wish to hurry please see an infertility specialist and go ahead with GUI procedure. It will help in people with low motility. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my daughter is 1 year 4 mnths old... doctor prescribed me a multivitamin with iron called kidicare.........but whenever i give this to her, she passes dark green color stool and she suffers from constipation also . i want to ask u that can this be a side effct of multivitamin ? and if not , then wat else could be the reason?	Hi, Green colored stool and constipation doesn't seem to be related to multivitamin syrup. Multivitamin syrup usually has b complex vitamins which are excreted through urine. In my opinion, your child has stomach infection, and you should do a stool routine microscopy test. Treatment will depend on above reports probably a deforming syrup and antibiotic like of lox will be required for 3 days. I hope this has helped you. Take care. Regards - Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	yes want to some of the signs to early pregnancies i guess am pregnant but am not certain because i was on pills to avoid pregnancies and also had my menses again in two weeks after the actual date and since then i have been having regularly want to know the cause	Hi there, I have gone through your question, and I think I have understood your concern. . I will suggest you the best possible treatment options. 1) First and foremost symptoms of the pregnancy is a missed period. If you are not using any protection, and you have unprotected sex act, then you stand a chance to get pregnant. 2) other symptoms of early pregnancy are - nausea, vomiting, breast pain, frequent urination, dizziness, mood change, you can get any of these. In case you feel that you are pregnant, I will suggest you to get mornings first sample of urine tested for pregnancy. I hope this answer helps you. Thanks Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My 15 yr old son had blood work done . Bilirubin came back abnormal 2.0 what can this indicate ? Also, he complains of pain in upper right quad from time to time which is quite uncomfortable (at this point he is in bed for hours) . I experienced this as a child until I was approx 28 and had my gallbladder taken out. Is this the same with him?	Well before we can answer your question fully you need to provide the following details : 1. What does the ultrasound of abdomen say2. Please give the complete Liver function test-bilirubin, ALT, AST, ALP - this would be mentioned in your report - if not please get a complete LFT done. The pain seems to be like a biliary colic. If he has stones in his gall bladder-he would require surgery to have the GB removed-otherwise we can manage conservatively.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a dull aching pain in my very lower right side of my back it s usually not very bad but today its very painful. Its feels like someone is stabbing me with a large metal bar through my lower back and I have no idea how to feel better. what would you suggest	HiT hank you for asking ChatDoctorI have gone through your query. The cause of your backache should be ruled out. Pain due to kidney stone can be ruled out if there is no associated dysuria or recurrent urinary infection. An ultrasound scan should be taken if there is any suspection. Other cause most likely is a sprain or strain due to recent fall. That one can be managed with analgesics and muscle relaxants. If there are any signs of lumbar disc prolapse then an X-ray followed by MRI should be taken if necessary. In such case I advise muscle relaxants like thiocolchicoside NSAIDs like Diclofenac neurotrophic and Physiotherapy. Hope this may help you. Let me know if you have any further query.
如果你是醫生，請根據患者的描述回答醫學問題。	hello, my 8mos & 28 days daughter just had her fecalysis and the result is fat globules- rare. Bacteria- few. Rbc-1-3/hpf. Pus cells- 2-4/hpf. shes having soft stools,but not watery, for almost 2mks. not a sign of dehydration. i already changed her milk to lactose free for 3 days now . can you tell me why shes still having soft stool. by the way she moves bowel 2-3 times. but not consecutively for that almost 2 weeks.	Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of persistently soft stools. Well there can be many reasons for symptoms you mention in query like inherited intolerance for gluten, a protein found in wheat, barley and rye, including IBS, parasitic infections and gall bladder disease. It seems you have increased susceptibility of getting infected. Need not worry. Give child plenty of fluids. I would suggest you to consult gastroenterologist for proper examination. Doctor may order ultrasound, stool test or take history to confirm the diagnosis. Doctor may prescribe anti-allergic, omeprazole, laxative or recommend removal of gallbladder or recommend you to take gluten-free diet. Hope your concern has been resolved. Get Well Soon. Best Wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	i am 27 yrs old.i have polycystic overy.can i get conceive?height-5ft. weight-50kg. i am taking clomid followed by ChatDoctor injection.recently i feel severe pain in the abdomen at the begining of cycle which persists for some days.please help me. i got married before 1 yrs.	Hi, I think you can conceive with pro problem. You can try with closed for 3 to 6 months. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after the rupture of follicles. Do a urine pregnancy test at home after that. Pain on 1st few days of periods is very common and is normal in most cases. You can take painkillers for that. Hope I have answered your question. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I think i am having gallbladder attacks. After i eat i get a sharp pain in my middle back and front of the rib cage. Sometimes it is so severe i cannot handle the pain. I had an attack this past wednesday which was severe and everyday since then i have felt pain in the same places. I eat clean, 54 yrs female Both parents had gallstones when they were alive.	Hello Your symptoms may be due to gall bladder calculus. At present, empirically you can take strong opioid analgesics like tramadol for pain relief. You need clinical correlation and investigations. Investigations include routine hologram, renal function test, liver function test and Ultrasound of abdomen. Ultrasound of abdomen can exclude many possibilities. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, my child was on antibiotics for a week trying to deal with a mild case of bronchitis. Right after we finished the course, he got sick with flu and now has a fever of 40C for 3 days. The doctor prescribed antibiotics again. Another one advised against it as it will destroy the immune system completely. What shall I do?	HI, I understand your concerns, but flu is usually caused by a viral infection. Antibiotics only treat bacterial infection. I recommend that you give a treatment for the fever as acetaminophen or ibuprofen syrup every 8 hours. A viral infection should be self limited and the fever should resolve within 3 days. If the fever persists after 3 days, then you can start antibiotic as there might be a super added bacterial infection. If the fever resolves within 3 days then no need for antibiotics. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	i got my right lower molar tooth extracted last week and developed a dry socket. My dentist now treat with dry socket paste and got pain relief. But I got excessive salivation and cannot sleep at night. I dare not rinse with warm salt water or betadine mouthwash very often because I m afraid that the dressing would dislodge and get excruciating pain again. I tried to swallow the saliva, but it make some pressure on dressing site. Any advice? and any advice to increase healing process for dry socket? Thank you very much	Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint excessive salivation can be experienced by an individual due to two causes:1. Due to over production of saliva.2. Due to decreased clearance or swallowing. In your case it odes not seems that the salivation has not increased, but it is due to reduced swallowing due to the fear that the pressure imposed on the extraction site where the Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My wife has been having seizures for 2 years now...SHAKING EYES ROLL BACK, SLEEPS AFTERWARDS FOR APPROX. 3-5 HOURS AFTERWARDS. She had these back 22 years ago but we got them stopped by taking Depakote and Dilantin...Seizure free for a year and doctor slowing reducedd meds until she was off totally... and was good up until 2 years ago. This doctor is giving her Gabapentin and Depakote, which is really doing no good. She has them almost every day, but he doctor keeps her on this meds. What would suggest doing at his point ?? Thank you in advance Rod G.	Thank you for asking Chat Doctor. My name is Chat Doctor. I would like to get Fresh ct scan brain plain and EEG brain. Also blood valproate level... If she is not responding to above medicine then switch her on to Tab. Levetiracetam 500 mg twice or thrice according to frequency of seizure. Also give Tab. Carbamazepine 200 mg thrice a day...I hope your wife will be seizure free within some months. Hope this may help you. Let me know if anything is not clear. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	hi, I have the iud and last couple weeks I have been experience nauseas, dizziness and my stomach is getting big and I have been working out, and since I got the iud I have been having my periods this month I didn t got it but my pregnancy test at home came out negative what do you recommend to do?	Hallow Dear, I have understood your situation and problem. Whenever a period is missed in childbearing age, pregnancy should be ruled out first. Moreover, you are having nausea and other gastric problems. Please keep in mind that IUD prevents only the intrauterine pregnancy and not the pregnancy outside the uterus. Hence, whenever one misses a period with IUD fitted in, we first try to evaluate the woman for ectopic pregnancy. The other possibility is pregnancy with IUD which is a rare incidence. Also, a possibility of migration or expulsion of IUD is to be kept in mind when pregnancy can occur. Of all these possibilities, ectopic tubal pregnancy is a very serious condition and when ruptured, may cause alarming bleeding inside the abdomen. Please do not waste time and report to an Obstetrician to pinpoint the diagnosis and help you. I hope you have got proper guidance. Ultrasonography may help you to diagnose the condition.
如果你是醫生，請根據患者的描述回答醫學問題。	Burnout about 12 years ago depression/ anxiety no previous history (work related), extreme sensitivity to anti depressants, recently stopped all meds ( only on a quarter dose) Not feeling down but on weekends woozy headed, want to sleep a lot and a bit tingly faced. Any suggestions? No options re meds And don t want to go there due to side effects Actually in a good space but want to eliminate these residual issues	Degree understand your concerns went through your details. I suggest you not to worry much. You have not mentioned what are those medicines you had and for how many days. Most of the depression medicines are suppressors and therefore do have the symptoms you are showing on discontinuing. If you are cured, these Chat Doctor. But you also should ignore it and do every day tasks and job. Even after a week, if the symptoms persist, consult your psychiatrist. I am also unhappy on the fact, you discontinued medicines on your own. Self decision can be harmful. 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.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi! My mom got abdominal pain(she shows epigastral zone,sometimes in the left side of abdomen for a month(stronger).the whole period of the pain is about one year.she describes it like cramping,sometimes burning,spastic pain.its permanent,time to time it wores.with food or without.because of this pain she refuses to eat.she has diarrhea almost every two weeks for last two month.she refuses to drink,too,because she says,after water in about 15-20 min.she gets diarrhea worsens.so,she drinks one cup of camomile tea(only because I ask her,,but doesnt want more).she cannot eat most of vegetables(row at all),diary products.her diet is very very limited and a very small amount.a lot of times she has nausea,she lost her appetite and lost her weight at least 10 pound for the last time.what it can be?in anamnes she had gastritis ,pancreatitis,duodenites.she also has diabetis tips 2, high blood pressure,so she has to take a lot of medication.what you can suggest her?thank you	Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor forum. Your mother got severe pain since 1 month, and pain since 1 year. The pain is burning, cramping, spastic, time to time, increasing after food, Sometimes diarrhea, Nausea, loss of appetite. She had gastritis, pancreatitis, duodenites, diabetes, and hypertension. Gastritis and duodenites may be cured completely, but pancreatitis can recur, other 2 also have possibility or recurrence. Which all these symptoms, diabetes and hypertension should under control. I advise you to consult a physician for diagnosis and treatment. Wishing for a quick and complete recovery, Best regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my mam suffered from a burst aneurism which then led to her suffering a stroke in March of this year, She is currently undergoing rehab in The National Rehab Hospital, today her nurses said her haemoglobin count is low and they will investigate it tomorrow when her bowel opens tomorrow. I m just wondering is this anything to be concerned about??	Hi, Thank you for posting your query. There is no need to worry. Low hemoglobin indicates anemia and needs evaluation to find out the cause. Anemia can occur due to less intake of iron containing foods or due to loss of blood (in stools, urine, etc.). A proper evaluation can establish the cause. Treatment is initially with iron supplements and if anemia is severe, blood transfusion may be required. I hope it helps. Best wishes, Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Depression and anxiety query:Hello, I have an extreme child trauma history of abuse, neglect and various others. Have come out with a mixture of diagnosis (mainly and in no particular order: Depression, Anxiety, Social Anxiety, Obsessive Compulsive, Post Traumatic Stress and Borderline Traits). I have managed majority of these, but still struggle with Mixed- Depression and Anxiety symptoms. I have seen Psychiatrists this past year and have been on Pristiq for approximately 1 1/2 years now. I have tapered down from 150mg, to 100mg, to 50mg, to 25mg and have now come off of anti-depressants completely.I have very specific queries in regards to managing my symptoms. I wish to go on natural therapies mixed with Clinical Psychology treatment which I am currently in my 2nd year of therapy. I am starting on St. John Worts in a few days once the Pristiq is out of my system. I have been researching DMAE and Niacin quite extensively, but just not sure where to take it from here and would like advice as to an experts opinion as to my best options. I do not use illicit drugs, use nicotine nor on any other prescription drugs. I do however, drink more than Id like (3-4 times weekly, mainly weekends where intake is approx-5 s.d.). I have family history of depression, schizophrenia, bi-polar, anxiety, drug and alcohol addiction and abuse etc.If would really appreciate to have some advice from a professional in the fields recommendation.	Hi, I can understand your concern about medication. Considering strong family history, Chat Doctor. Such kind of illness is like Diabetes or Hypertension which can be only controlled on medication and not going to be completely cured. Most of time illness is episodic, so you feel better in between episode and feels that you are able to control your illness-but remember next time when it reappears it going to be more and more difficult to treat and resistant one. Ongoing continuous medication saves you from this fluctuation and helps to maintain your quality of life as normal as possible. Medicines are like specific extract from your natural product with avoiding amount of other chemicals which not going to be needed for improving current illness. So it's always advisable to continue medicine and along with this continue psychotherapy from experts. Instead of mentioning name of psychiatric illness mentioning current disturbances will be much helpful to advise any further management. Hope this will help you. You can Post any further query if you have.
如果你是醫生，請根據患者的描述回答醫學問題。	hii i am 24years old and have been diagonised with jaundice 5days ago..my urine color was orange in the begining but now it has tuned dark yellow. my eyes also look yellowish.i had indigestion and related problems in stomach 2weeks before this was diagonised..my question is how long does it take me to recover from this? what are the precautions to be taken? how can i know that am completely free from jaundice?	Hi, Welcome to Chat Doctor ! There are umpteen number of causes of jaundice. The first step is to have a complete liver function test done. Based on LFT report further tests may have to be done to see whether the jaundice is due to hepatitis or obstruction to bile flow. Only after knowing the cause one can tell when you will recover from jaundice. Viral infection is the most common cause and complete recovery can be expected in 4-8 weeks. If it is due to obstruction (for e.g. by a stone), removal of the stone will provide rapid relief. So the first step is to find the cause of jaundice.
如果你是醫生，請根據患者的描述回答醫學問題。	hello sir i gave up smoking 3 days ago but nowadays i am going through the problem of short breathing.Actually i started smoking in sep 2009.so plz advise me what to do???is there any chance of lung cancer???Sir my age is 21 and i m 65 kgs and my medical history is good so far but i donated blood in october ,2010.	Hi Charts good to hear that you have stopped smoking but as you have already been smoking for the last couple of years so it's going to take some time for your lungs to recover from whatever damage they have sustained from smoking. No you are not going to get lung cancer at this age from smoking, but you can probably get a heart attack in young age if you continue smoking. I would like to suggest you to get an ECG and ECHOCARDIOGRAPHY done. DO NOT start SMOKING again. Good Luck
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doctor , i am Sekhar, 25 years old and i would like to know is there any age limit for putting tooth braces and is it possible that i can have the brace without extracting my teeth, please reply.	Hello, Thanks for posting your query. Orthodontic treatment is usually effective in young individuals, eventhough braces are applied in aged persons. Depending on the periodontal status of your teeth, appliances can be put. Orthodontic appliances are placed to correct misalignment of teeth. For better result, THere should be adequate space in between your teeth. Extraction of teeth is required if there is no space In between your teeth. Please do get consultation with an orthodontist for further reference. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	yesterday i inhaled the fumes of harpic in my toilet ,after an hour i felt heavy breath,n the next day i woke up with pain in my right side of the chest ,now i inhaled my mums inhalor for asthama thinking that it would help relieve my chest pain .plz respond	Thanks for your question on Chat Doctor. I can understand your concern. You are having inhalation lung injury. And most commonly, this will cause bronchitis (inflammation of airways). Normally, no treatment is required. Avoid further exposure. Breath fresh air and take antihistamine and anti-inflammatory Chat Doctor. You will mostly improve in 1 day. But if you still feel heaviness in chest, breathlessness, constant cough etc. than consult pulmonologist and get done PFT (Pulmonary Function Test). This will tell you about severity of bronchitis and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Dr. Sir, my brother, 64 years old, is suffering from endocrine carcinoid and is at the 4th stage. Since August 2010, he is receicving 30 mg LAR injection from Forties. His weight is losing day by day. He is very weak. He is insisting to get him checked from AIIMS. Please advise. Regards.	Thanks for your question on Chat Doctor. Stage for carcinoid tumor is having very poor prognosis. Life expectancy is less than 7-8 months. The hormones produced by tumor causes high metabolic rate and excessive every loss. So weight loss is more pronounced. Rapidly dividing cancer cells also release chemokines which causes decreased appetite and low oral intake. So weight loss is inevitable. In my opinion she is having terminal stage illness and life expectancy is less than 4 months.
如果你是醫生，請根據患者的描述回答醫學問題。	I ve been suffering from swollen legs feet and red rash all over that changes colour to purple,my joints are always tender and my hands wrists and fingers are always very painfull, and recently I have starting having trouble breathing and skin peeling of my toes feet and fingers,just last night I noticed a red blood like blister on the back of my foot and someone that looked like a small black piece of soot fell out I ve been to my local drs on a regular basis but they don t seem to do anything or seem interested	Hi, Sorry to hear about your condition but from the report that you have given I can briefly I say it's a case of Psoriasis arthritis. In this condition there is Psoriasis of skin, multiple joint pain especially the fingers and toes and restlessness. The treatment is mainly related to the symptoms that show up. For this you need to visit a Rheumatologist. However, I would suggest you to talk to him about a new line of treatment called biologics that has stood helpful in treating such genetic conditions. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	My son, 2 years old, had a contact with Active Tuberculosis Patient for around 15 days. At that time, treatment for TB was not started because the disease diagnosed later. He got BCG vaccination at birth. My doctor suggests that a Chest X-Ray & Mantoux Test for checking. Is it all right? What other action should I do in this regard?	Hi....your pediatrician is right. Your kid needs to have a Manitou test and a Chest X-ray done. This is the routine protocol for any kid who is less than 5 years who come into contact with an active TB patient. I to suggest you go ahead with the same and get back to your pediatrician. But only once important suggestion is that - the Manitou test has to be done at the strength of 1 or 2 TU and not at 5TU. Higher TU will result in false positive results. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	I have been very lightheaded and tired for several days now. I went to the doctor on friday and he advised a full blood screening to be done on monday. However, today I have developed a headache and what I can only describe as pixel vision . Like I am standing too close to a television screen. I have not had this since I was about 16. Due to this previous episode, I was taken off of the combined pill and put on progesterone only however I was also seeing a cranial osteopath for the same issue so I am not sure which was the help. I have had the implanon implant since 08/2012 and was on Cerrazette (progesterone only pill) before that. I am now 25 years old.	Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of hormonal imbalance is more in your case. You are taking hormonal pills, so they might cause you hormonal imbalance and all the symptoms. Actually hormonal imbalance can cause stress, anxiety and mood swings. And all these can cause headache, dizziness etc. So better to get done hormone levels and if imbalance then change your hormone pills. Also consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	26/Mar/2014 Name : Mr. MANDEEP 31 Yrs/M BODY FLUID Test Name Result Units Normal Range SEMINOGRAM Volume 2.0 ML Colour WHITISH. REACTION ALKALINE LIQUIFACTION TIME 30 MIN. TOTAL COUNT 42 MILLION/ML (60-120) GRADE IV NIL GRADE III 05% GRADE II 10% GRADE I 15% NON MOTILE 70% NORMAL 50% ABNORMAL 50% AGGLUTINATION NIL PUS CELS 2-4 /HPF BACTERIA NIL TRICHOMONAS NIL YEAST NIL TESTICULAR CELLS NIL GERMINAL CELLS NIL IMPERESSION OLIGOASTHENOSPERMIA	HelloYour semen analysis findings may indicate semen infection with low motility. Infection is indicated due to presence of few pus cells in semen. Normally semen shouldn't contain any pus cells. You may need investigations like routine hologram, random blood sugar, semen culture and sensitivity, ultrasound of scrotum. You may need to take antibiotics based on culture and sensitivity report. Motility is also low. Normally it should be at least 55 %. Your findings suggest over all 70% non-motile sperms, so it is low. Sperm count is normal. It should be at least 20 millions/ml. Other factors like semen amount, liquefaction time etc. are normal. Fertility is expected to increase with control of infection. If infertility persists then you may need assisted fertilization techniques. Get well soon. Take Care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	-Constant dull upper back pain -Labored breathing when lying on back for too long -very occasional sharp stabbing pain around lung areas -Feels like a lump in my throat that narrows my breathing occasionally have issues swallowing? Under the impression that it is lung cancer that has spread into my esophagus. I am a 17 year old male that doesnt smoke.	Thanks for your question on Chat Doctor. I can understand your concern. First don't think about lung cancer and esophageal spread because at your age without smoking habit, lung cancer is extremely unlikely. So don't worry about lung cancer. Labored breathing and chest pain in young individual is mostly due to asthma. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). If chest x-ray is normal then no need to worry about lung cancer. PFT is must for the diagnosis of asthma. Don't worry, you will be alright with inhaled bronchodilators and inhaled corticosteroid. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,my two hands thumb tregger,my mri shows mild cervical spine compression at level c5,6and 7 my lower back severe pain with mild spinal compression I have nechache and I took NSAI and rest then I started physiotherapy for neck and lower back do u thing I will improve or I will need surgery	Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : Does physiotherapy help cure cervical spine compression? Answer : No, Once there is compression of Nerves or Roots or Spinal Cord, Surgery is the Only way forward. Physiotherapy will be helpful as long there is no compression 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.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi WE HAVE BEEN GOING THRU INFERTILITY. mY SEMEN ANALYSIS REPORT AND EVERYTHING IS PERFECT. mY WIFE GOT PREG ONCE WITH CLOMID. bUT SHE MISCARRIED IT. aFTER THAT WE HAVE BEEN TRYING BUT NO LUCK. sHE HAD iui IN LAST 2 CYCLES BUT DIDNT WORK. WHAT SHD B THE NEXT STEP?	Hi welcome to Chat Doctor. I have gone through your question. As already 2 GUI intrauterine insemination fail, I would advise taking a chance for 3rd one. But make confirm that your wife follicles getting mature up to the mark that can rupture. If 3rd GUI cycle fails then take break for 2/3 cycle. Consult gynecologist for further treatment. CSI intracytoplasmic sperm injection and IVF invited fertilization are good options. Hope I answered your question. Would be happy to help you further. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	hi i am kazim from pakistan and i would like to ask u some personal question plz tell me about pragnancy .my wife has benn pragnant before four months and she ask me me whats happen after that i fell pain in my back bone and where urine is coming also fell pain please tell me what is this	Hello dear, I understand your concern. In my opinion the back pain along with pain during urination needs urine examination to rule out urinary infection. Urinary infections are routinely seen in pregnancy especially between 4-7 months. Adequate fluids up to 3 liters per day prevent urinary tract infections. Consider doing a urine examination to rule out urinary infection. Nothing to worry. It will subside with apt treatment. Avoid physical strain and take rest. Take paradox for pain. Do hot fomentation. Usually if it is muscular pain then it will subside with rest, panadol and hot fomentation. But urinary infection should be ruled out. Best regards...
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doctor My daughter ,16 yrs suffering from the problem of itching,start from her palms,then legs nw arms from a month ago.as she starts itching skin becomes red and small pimples likes rashes appears.ebasil and calapure for 8 days ,tab. Dazit ,ointment dexomet for 5 days given but no results. Please guide.	Hi Dear, Understanding your concern. As per your query you have symptoms of itching and skin rash which occurs due to infection of hair follicles leading to folliculitis. Need not worry. I would suggest you to make use of product containing benzoyl peroxide. Take Multivitamin supplements. Apply topical antibacterial ointment such as mupirocin and Chat Doctor. Apply Darlene gel once at night. Avoid itching and pricking rashes. If condition doesn't start getting better in a month then consult dermatologist. Start treatment as per prescription. Hope your concern has been resolved. Best Wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my mother had a brain anneursym on jan 15 2914 she was showing improvement a month in mouthing words and moving around and responding when told to open or close eyes. she was put on a trach and they bounced back and fourth with the vent and trach and she is now in rehab and had phenomia and ulser bleeds. she is responding some and also had a craniotomy I waqs wondering since she isnt responding as much is this normal for what she has gone through.	Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that her symptoms seem to be related to the brain hemorrhage caused by the aneurysm rupture. You should know that it is needed a long time (months up to a year), to recover from such a disorder. After the first year, the possibility of improvement is too low, and the situation remains the same. This is because during the first months, the blood is being absorbed and the there is inflammation in the surrounding tissues. But after this long period, the deficits which remain are caused by the damaged brain cells, which do not regenerate. The situation, complicated with pneumonia and ulcer bleeds is really concerning and needs a careful treatment in specialized medical centers. They could be related to aspiration and the therapies she has been taking. Hope to have been helpful! Best regards,
如果你是醫生，請根據患者的描述回答醫學問題。	i am a 27 year man. i am sufferring from slight pain in my right lower abdomine. 3 month ago my sgpt & shot ware high(114& 58). i have done usg of my abdomine but nothing is found. doctor gave me viboliv & golbi300. with those medicine i controlled my sgot sgpt. but now after 2 month i am feeling unsual in my right lower abdomine. what should i do?	Hi. Your liver problems are over. The most probable causes of pain in the right lower abdomen are: Appendicitis, colitis, or any inflammatory pathology related to the internal structures. The best way to get a diagnosis is to undergo a clinical examination, ultrasonography, a trial with a course of an antibiotic and metronidazole, bold, urine and stool tests. The reports of the investigation will decide the further course of action.
如果你是醫生，請根據患者的描述回答醫學問題。	Yes I have done a little research online.. my foot has a bulge on the inside bone. I suspect strongly its accessory navicular syndrome. Said to be common in people how much would surgery cost approximately I m in the state of georgia and have kaiser insurance..	Dear patient Where the bulge is located? If the bulge feels bony and is located on middle of inner border of feet it can be accessory particular bone. I would like to advise X-ray of involved foot anteroposterior and oblique views to confirm diagnosis. Visit radiology center nearby you and get it done. If its painful and hurting you while movement it can be excised by surgery. If its only just swelling and not causing any problem it can be left alone. Cost of surgery varies from center to center. Please take visit to expert foot surgeon nearby you and get yourself examined. All the best.
如果你是醫生，請根據患者的描述回答醫學問題。	sir i m very depressed pleasse help me.i m 27 years old.i m suffering with breathing problem.after every 4 or 5 days i feel breathless.i have consulted many doctors n also i have undergone many tests,everything is fine but after every 4 or 5 dayy i feel breathless all of a sudden and i feel also that one of my 2 opening of my nose is closed,what should i do	Thanks for your question on Chat Doctor. I can understand your concern. Breathing difficulty with nose blockage are seen with allergic rhinitis and asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Intranasal spray containing steroid (fluticasone) is helpful in nose blockage. Oral combination of antihistamine and anti-allergic (montelukast) once a day at night is also beneficial. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I spent the night at my Aunt and Uncles house the other night with my daughter. Around midnight my feet started to itch. I went to lay down for bed with my daughter, and after maybe 30 minutes I woke up itching on my legs. I thought maybe it was just my pants so I took them off. Then maybe 5 minutes later my torso also began to itch, so I took my shirt off. Maybe 10 minutes later my entire body was itching so bad I couldn t get a bit of sleep. I laid down on the couch thinking perhaps it was just the bed, and needless to say, I didn t sleep at all. The itching didn t let up for 6 hours. I took a shower which made me feel a little better. I managed to get an hour of sleep before I woke up itching again. I didn t get any rash or bumps until about 1pm today. I have been itching nonstop since midnight the night before last. The weals were on my legs and very large. Covered my entire thighs. They were there for about 2 hours, at least. When I got home from work at 6 they were gone. I then got weals on the bottoms of my feet, and on my hands. I finally got them to ease up after about 2 hours. Now there on my stomach, the top of my bottom around my waist, and going up to my chest. Also some on my neck. I haven t changed soap, laundry detergent, or any unusual food.	Hello. Thank you for asking at Chat Doctor. I went through your history and my impression from your history is you are having what we call "Acute Urticaria". I would suggest you to take a combination of tablet levocetirizine in the morning and table thy Chat Doctor. However, if this does not help you, I would suggest you consult your doctor who will suggest you some tests to identify the cause of acute urticaria and prescribe appropriate medicines. Acute urticaria are due to many causes like viral infections, parasitic infections, food allergy,
如果你是醫生，請根據患者的描述回答醫學問題。	my aunt just had a heart attack and had three stents to remove blockage. After almost a weeks, she was swollen and shes not able to lift her arms. She has sensation on her arms and back but she cant move. We were told she probably has heart damaged but Im not sure to what extend. What should we expect?	Hi . Thanks for choosing us for health query. Your aunt had triple vessel disease had stunting but has swelling of arms, is it? Which approach she had radial approach ? Or a femoral approach? If she had a radial approach that should be a temporary phenomenon because of the procedure and usually settle of. Second is a rare one severe acute cardiac failure . She needs to take up cardiologist opinion and act further on. Hope our feedback helps. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	My boyfriend had the stomach virus..he fell ill on Thursday night and stop vomiting around 4am Friday morning. We were together last night (Sunday evening) and were kissing. Does this put me at risk for contracting the virus? I have read that the stomach virus is only transmitted via fecal-oral transmission OR by particles in the vomit...is this correct or can it also be transmitted via saliva from kissing a couple days after as well?	Thanks for following up. Stomach flu is caused by swallowing different viruses. Infected people can spread the virus through their secretions, sometimes even before their symptoms begin. The virus can be spread by direct contact with an infected person (for example, kissing or shaking hands) or by sharing food, Chat Doctor. You can try to boost your immunity with ginger, lemon and turmeric powder tea,
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doctor, I am 37 year old Male height 5.10 wt 94 kg. My liver function test showed the following abnormalities. sgot 49.5 sgpt 74.6 Alkaline phosphate -119.1. My doctor has prescribed Udiliv 300 thrice a day for one and half month. I am have been exercising from last eight months. Do I need medication at all? How serious is my condition. Is it reversible? How long will I take to return to normal? What else do you suggest? Thank you very much	Hi and welcome to Chat Doctor. Its elevation is commonly found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage.Also, it can be due to excessive exercise. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed. The are moderately elevated enzymes and some doctors prescribe
如果你是醫生，請根據患者的描述回答醫學問題。	I m not sure what to do, I ve had a headache for the past 3 days, and my b/p is 133/101. I have no health insurance and was turned away at the e.r. Because I did not have $250 to pay up front. Is there anything I can do at home to help alleviate some of the pressure I feel in my head or to help lower my b/p until I can get the money to see a doctor? Thanks, Tammy	Hi Tammy. You are welcome to Chat Doctor. Firstly I would say stop panicking and taking stress. The more you panic the worse it will become. You do have a high pressure, but not a reading which needs emergency attention. You did not mention which side of head you are feeling the pain. But for now wherever the pain is, you can always take over the counter analgesics. This will definitely give you relief.Don't stay empty stomach, eat good food and try to sleep. All this will definitely help alleviate your symptoms. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	hi there. lately I have been feeling like there is a collapsing air bubble in my chest, that flutters my heart a little and kid of takes my breath away while it s happening. it has been happening for a couple of weeks now. I am 40 years old. Also, I have been feeling a lot of stress too, wondering if this is related to that. thanks Brian	Hellothank you for posting your concern here your symptoms sound non-specific. This air bubble in the chest may be related to hyperacidity. Take a course of antacids tab pantoprazole 40 mg twice daily before meals for one week then once daily for two weeks. Also maintain a good diet regimen. Eat in regular intervals and at the same intervals. Eat slowly. People who eat in a hurry tend to "eat" air with the bolus of food, leading to air bubble type sensation in lower chest/abdomen. Hope this will solve your problems. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	My dad has been diagnosed with pancreatic cancer last year and has gone through the surgery in May 2012. Hes finished a 6 months of chemo. The result of cat scans and blood work in the last 3 months In the last few months indicated the cancer is back. Based on the reports, he is in stage 2, he has been told the operation is not an option and recommended to start radiation in the next 2 weeks. we are not confident enough if that would be the best option, how can we seek a second opinion without waiting for months to see another surgeon or oncologist?	Hello, Thanks for the query to Chat Doctor. Forum. Since, you haven't mentioned, which type of carcinoma, your father were having at the time of surgery. Removal was encapsulated or partial part operated? Now, note one thing more, whether it is localized or spreads (secondaries) to other parts of body (most likely). In my opinion consult two different oncologists and get their opinion and finally decide, future course of action regarding treatment. Hope I have answered your query. If further any question I will help. Good luck for your father.
如果你是醫生，請根據患者的描述回答醫學問題。	I have these occasional gas pains that really hurt my abdominal area and makes it very hard to sleep... it doesnt happen that often but maybe once in 2 months, is this an ulcer ? if it isnt what is this ? i am 13 years old.	Hello. You would get a better help, if you could describe your symptoms in detail(duration, any variation with time, food, etc.) and the location of the pain, etc. Bloating is sensation of tightness around the abdomen area or increased in size(due to gas in the GI tract). Causes vary from consuming aerated Chat Doctor. Ulcer presents as pain mostly in the gastric region(stomach area). Pain after talking food or pain reliving after taking food. Also, may present burning sensation in the throat and neck in some cases. Get an examination done from doctor to confirm any diagnosis. Here are some tips to help you in the meanwhile.1)
如果你是醫生，請根據患者的描述回答醫學問題。	Hi My son has ulcerative colitis and has been on a high dose ofPentasa for about 6 months. A month ago his consultant reduced his dose and since that time he has had left side rib pain, nausea and stomach pains. He says the rib pain is a football injuryI think this is connected with his condition and he should get in touch with his consultant	Thanks for your question on Chat Doctor. I can understand your concern. Ulcerative colitis is chronic inflammatory disease of intestine. It can affect heart and lungs. So better to rule out heart and lung related diseases first for his symptoms. So get done ECG and 2d echo to rule out cardiac diseases. If both are normal then no need to worry about heart diseases. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out lung pathology. Of all these are normal then no need to worry. His pain is mostly due to football injury. Apply warm water pad on affected areas. Give him painkiller and muscle relaxant Chat Doctor. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a mid- 40s male who works outdoors clearing bushes and weeds, Ive been bitten all over my body (including my penile shaft), recently by what i believe was black ants, while these bitten areas are not sore, they do itch and are swollen also. only fluid that comes out is clear.	Thank you for posting your query in Chat Doctor .com....well it does not seem like a major reaction following ant bite....for the itching and swelling, take antihistamines like Allegra or Ben Chat Doctor. ...it persists, use steroid ointments over the affected places...don't worry...it should be better with the above medications for sure...hope that was helpful....contact me for any further queries....regards
如果你是醫生，請根據患者的描述回答醫學問題。	HI.. I have extremely low volume of seminale fluid at ejaculation. It feels like something is actually blocking the flow. I have been to uroligists to no avail. I have a vasectomy 24 years ago, so not sure if that has anything to do with it. Doctors seem to scoff at my bringing it to their attention. They have said if it feels good that everything is ok. I am 57 years old...	Thanks for asking in Chat Doctor forum In short: 1-5 ml of seminal fluid at ejaculation is normalExplanation: You have undergone vasectomy is well and good. Usually bulk of the seminal fluid is from seminal vesicles and prostate not sperms. So, your vasectomy had not affected your seminal fluid volume much. As I told you 1-5 ml of ejaculate is normal. So stop thinking of volume unless you have problem in erection or orgasm. Enjoy, good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	hi , my dad is having belching problem , he couldnt swallow things , he is a chain smoker , few days back while he was eating he went unconcious for a moment and became normal , when i took him to doc he is diagonised to have kidney stones of 8mm . i would like to get some suggestions	Hi, welcome to Chat Doctor. Looking to your fathers' history, kidney stone was accidentally detected on evaluation for transient unconsciousness and swallowing problem.8 mm stone in kidney usually does not pass spontaneously. If it is not obstructing the urine passage, you can follow it up with repeat sonography or CT scan after 3 months. But your father needs evaluation for unconsciousness with neurologist. Best wishes. Tc.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doctor, My baby with 4 years of age is suffering from severe constepation problem..i have tried almost all the syrups to soften the stool as prescribed by the peadiatritian..like levolac, ceremofin and all..but untill n unless we wont give suppository-Dulcolax she will not pass stool.. pls help me out..wat to do??	Hi, You have not mentioned whether he has been evaluated for any underlying cause or not. In such cases, I used to get few simple tests like thyroid function test, serum calcium and an abdominal X-ray (low thyroid and high calcium can cause constipation). Depending on initial reports and response to treatment, occasionally contrast study and ultrasound also.Most of the time, tests comes negative, and I give them laxatives like lactulose, remain, sodium bisulfate etc-sometimes in combination, along with diet modification. Kindly discuss with your doctor. Meanwhile, take care of diet modification. Include plenty of green leafy vegetables, fruits and fiber rich items in diet, Chat Doctor. Some child
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I`m Lee, a 41 year old male. Diagnosed with endocarditis(mild regurgetation) in 1991 with enlarged right atrium. Progressed to severe tricuspid regurgatation in 2000. In 2001 had tricuspid valve replaced with prostheric valve. Since surgery, I`ve been great, free from medication and led a active life with no symptoms(apart from odd chest pains & rapid heart beat once ot twice a year). Last computer heart scan was 2006 all normal. started to to feel mild breathlessness & tired in 2010. Computer scan in Feb 2010 revealed Heartbeat 125pm, severely enlarged right atriam, mild tricuspid regurgatation with atrial flutter/fib. I`m due for catheter ablation in September 2011 to cure atrial fib. My cardiologist thinks old scaring from previous surgery caused A Fib. My question is: could the A fib be caused by my severely enlarged right atrium causing abnormal electrical pathways. If so what is the correct possible cure,ABLATION or futher surgery of RIGHT ATRIAM REDUCTION? Will the ablation procedure reveal the cause of the A fib?Thank you,Lee	Hello, the precipitating cause for atrial fibrillation in your case would have been the scar of previous surgery. The pre disposing factor is the enlarged atrium. Generally medicine should be enough to treat and prevent future episodes of atrial fibrillation / flutter. However, ablation is a good option for someone who doesn't want to take medicine for the same. The success of ablation in your case would be best at 85 %. Yes the ablation will help to reveal the cause and Your doctor will try treating all the Chat Doctor. No surgery to reduce the size is not a viable option. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hi My mother is 93 and has unexplained bruising on both hips in the area of the "love handles" the discomfort seems to be superficial and denies any bump or falling (her mind is very clear). It is getting a little better. Should we be terribly worried? Tylenol makes her comfortable. she is ambulatory. Thank you	Hello and welcome to Chat Doctor, Bruises on body most commonly occur due to trauma or blunt injury. However, if there is no known cause for bruising, platelet disorder or coagulation disorder. I suggest you to consult your primary healthcare provider for clinical assessment and relevant investigations- platelet count and platelet function tests. If these tests turn out to be normal, assay of coagulation factors need to be done. Vitamin K deficiency or liver diseases can also cause coagulation disorders. Thus liver function test is also required. Thanks and take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor, It has been a week now and yet I feel like I do not get enough sleep. I would sleep from 1 AM onwards but tend to wake up every hour and my sleep feels like it is not in deep sleep. I could get a deep sleep only aound morning 5-6 AM and woke up at 10-11 AM. Please help.	Hello. Yes, this pandemic is causing a lot of stress in everybody is mind. We all processing information at the conscious subconscious and unconscious level of our brain. Sometimes that is to this kind of disturbance in biological rhythms. Along with that at times people start having anxiety of not falling asleep. So do not worry just follow some sleep hygiene measures. Try some sleep hygiene measures. 1) Wake up at the same time every day. 2) If after lying down you are not able to sleep for 10 to 15 minutes then get up from bedsit on a table chair and start reading something. 3) Do not take any tea or coffee after 6 PM. 4) Listen to some white noise or light music. Start some exercise on a routine basis that will keep you fit and will release some and will release endorphins in your brain that will relax your mind. Start Pranayama and meditation. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been batteling MORGELLONS sinse 2002 when we bought a house, not realizing people had all types of parrots, birds, 2 huge flea bag dogs. We cleaned carpets, walls, patios, back screened porch. A real mess that we had not seen with our one first visit. It was on a lake in a nice older community with land. That was the main draw. MISTAKE... By the time we had it all ready to move in six weeks later, I was raw and broke out on hands , legs the worst. Thought it was cleaning chemicals. But it became worse after we were settled in. Not using chemicals any more. I went to 8 doctors, three were skin specialests over the next 5 years, They ruined my immune system with shots, cream, pills of steroids. Finally I refused them. They would not do tests on what I showed them, on slides. Did not seem to care. They thought I was funny farm material. I gave up and did my own research on every insect i could find, Bought air pure machines etc. Doubled up on my vits. One specialist even told me to stop taking them period. I started feelind bad so started taking them again after two months. I tried many things. Found NUTRASILVER, have been taking it for two years, it is helping I am 70 % better. I was so infested it takes a long time to clean the body inside and out. I became almost blind, but I take VISION CLEAR and my sight has improved. Now my question is what damage o they do to the brain, do not have a problem ? But I worry. I dig them off in herb baths. They make bloody mounds, proving they are in my blood system and organs. I have to scrub and rince several times. I stay home mostly, afraid of infecting others. My large family live 2000 miles away, contact is phone and e-mail. Do not want them or others to suffer as I have. I have a lot of parasites on sticky tape in zip lack bags. My question; is there anything that really works and will I ever be able to clean my body of this horror ? I would appreciate any advice. I am other wise quite healthy take no meds at my age. Sincerely, Carol ...age 77... in YYYY@YYYY ....	Hello, Welcome to Chat Doctor I can understand your problem. You have developed symptoms of Morgellone after moving in new house which you suspected to be infested. Since last 5 years you have consulted many doctors with no relief. Dermatologist opinion probably also resulted in nothing. Such type of symptoms at your age could occur due to some psychotic disorder most likely Delusional Parasites though detailed evaluation is required to make proper diagnosis. Medicines like antidepressants and antipsychotic Chat Doctor. Fluoxetine and Olanzapine can help to improve the symptoms. Consult a psychiatrist for prescription of
如果你是醫生，請根據患者的描述回答醫學問題。	I have this painful swollen spot on my gums just behind my morlar. I had my wisdom teeth pulled at a very early age but it looks and feels like another tooth is pushing thru! Its causing me to have migranes and my whole left side of my face is hurting badly. It hurts when i eat,talk,drink and swallow. This just happened in one day while i was at work...what could this be??	Hello thanks for consulting at Chat Doctor. Painful swollen gums could be due to pocket formation resulting in periodontal abscess... You will need an Iowa radiograph to check for any root remnant or is bony spicules present, post extraction of wisdom teeth. If bony spicules or root remnant are pressing on the nerve you could have pain on that side. Do salt water gargle thrice daily, Chat Doctor. . Please consult an oral physician for a check-up and treatment. Hope it helps,take care...
如果你是醫生，請根據患者的描述回答醫學問題。	My left leg has been hurting me for about 3 1/2 weeks now, swelling from angle to thigh, my doctor did an ultrasound about 2 weeks ago and the report was negative, gave me some meds for inflammation however it has gotten worse. it was in my calf area then moved to behind my knee, I work during the day and my leg would be swollen by the time I got home, I would elevate it at night but it never seemed to go down all the way, two days ago I couldn t hardly walk on it, after staying off of the leg for 2 days now the swelling has gone down but now the pain has moved to just above the back my knee to my lower thigh on the inside should I get another ultra sound & how soon, could this be a blood clot. I have Lymphoma and have had one before.	Hi, as mentioned by you or gives me an impression that it can be a pinched nerve in the lumbar spine which is giving all these symptoms. So getting and MRI of the spine will help provide some inputs. Also, taking a proper rest and medicine has a combination along with medicine will give 99% pain free. All you need to get focused on the exercises and all will be fine again. With the grace of God I wish you a speedy
如果你是醫生，請根據患者的描述回答醫學問題。	I have been having a fluttering feeling in my chest that makes me feel like I need to take a big breath and it feels like my heart is skipping a beat. I am also having sharp pains in what feels like veins in my hands and a strong pulse feeling in the top of my hands. Not sure what this is.	This question was answered before, so please check your previous answer. Again if the fluttering is very slow are okay then you should not what are you about it and also unless you're flipping is very serious, or you have an any serious cardiac problem treatment should not be given, and you should check with your cardiologist for any underlying cardiac problem unless your heart rate is ready fast are you having ready severe heart disease it has nothing to do with your shortness of breath headed maybe anxiety whenever you have extra beeps especially PVC's you may feel a strong pulse that should not worry you have thanked you
如果你是醫生，請根據患者的描述回答醫學問題。	hi, I have an impacted wisdom tooth that has given me a lot of pain and discomfort. Then I was reading about thyroid nodules and I do have my glands swollen a lot difficulty breathing too. And my doctor is saying that I may have thyroid issues. What is the possible link there?	Thanks for using Chat Doctor. Read your query. Thyroid problem can sometimes cause early eruption the tooth, though pain and discomfort is not associated with it. Impaction of the wisdom tooth on itself can be of discomfort when it is not erupting and putting pressure on the adjacent tooth thus causing pain in the area. I would advise you to visit an oral and maxillofacial surgeon and get an X-ray done to evaluate the position of the tooth and get it extracted. Evaluate your thyroid status before the extraction of the tooth giving correct information to the dentist. Hope this was helpful. Thanks and regards.
如果你是醫生，請根據患者的描述回答醫學問題。	I have lower back pain, an aching type feeling (above the waistline) on left and right side of spine. No fever, no burning when urinating. I do seem to be urinating frequently. Am taking 500 mg of levofloxacin for a severe cold which was mainly head and chest congestion. Will this med also work for a kidney infection if I have one?	Hi, many thanks for the query! You need to do Urine (Routine & Microscopy) & USG (PUB). This will tell us whether you have any stones in the urinary tract, any UTI, so that treatment can be done accordingly. Yes, if there is kidney infection, Levofloxacin that you are taking will help, but there are some other urinary tract specific antibiotics which we can add once diagnosis is confirmed. Wish you a good health. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 21 year old male and wondering what can be wrong with me. For the past two weeks as soon as I eat anything I feel really sick. Sometimes I start vomiting quite badly, I have also had a pain at the top of my rib cage for about a week. It starts off like a hunger pain and then gradually gets worse. I have been bend double with pain today.I am normally fit and healthy am 6ft 2" tall and weigh 15stone. Any help appreciated. Thanks Sean	Thanks for your question on Chat Doctor. I can understand your concern. Since your pain is associated with eating, and you are also having vomiting, so possibility of HERD (gastroesophageal reflux disease) related symptoms is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest pain and vomiting. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals. 3. Take pantoprazole and risperidone combination on empty stomach. 4. Quit smoking and Alcohol if you have these habits. 5. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor i wanted to ask you. I just finished my period 2 days ago and today i was making breakfast felt dizzy light headed and felt fainty had to quickly sit down all my legs were hurting never felt this way still feel weak and when i close my eyes feel better all bodys aching. Please help what can it be	Thank you for asking Chat Doctor. My name is Chat Doctor. I hope you have had regular periods. If after normal period you are experiencing above-mentioned complaints then kindly get Complete blood count with ESR and then consult your nearby medical consultant. Till then, you can take Tab.ibert-folic once a day Cap.called twice a day Hope this may help you. Let me know if anything is not clear. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, My wife and kid has joined me in germany last month. My kid is 10 months/ 9.2 kg boy. He is now suffering with high temperature be 101- 104 F and shivering from yesterday morning.he s normal with no cold, diarrhea. He drinks mother milk n takes little solid.currently giving him lukewarm sponge bath for his head. Kindly advise further. How long will the fever take to subside	Hi.... Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	When I lay on the bed and bring my right leg up and down, it makes a poping sounds..I carried boxes in the past balancing on my hip bone,I think I damaged it..Then on top of this, my back and back of my neck becomes tired when I stand for a long time..Okay walking, not standing..The middle of my back and lower back..	Welcome to Chat Doctor I have gone through your query and understand your concern. Popping sound may be normal. But you are also having backache. For which you require rest, analgesic and back exercises. You are advised to get your vitamin D test to rule out vitamin D deficiency as cause of backache found low you can take supplements of vitamin D3. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Had abscess tooth about month ago for 2nd time, dentist advised meds and then root canal again. Has been one month since root canal, swelling is back, same as always everytime under the eye. The nerve in my mouth is sore but not the capped tooth. Should I see same again or does this sound like medical doctor needed. Tooth is a cap if that matters. Tooth has never hurt, but swelling always appeared later.	Hi. Thanks for the query. It looks like you have reinfection below the root tips of your root canal treated tooth and due to Infection and pus formation there is swelling. The other cause can be decay in adjacent tooth that might have become non-vital causing Periapical abscess. As the nerve inside the root canal treated tooth is already removed during root canal treatment therefore you do not have pain in the tooth. So my suggestion is to further get it confirmed by an x-ray of the tooth that is already treated and along with it the teeth next to it should also be covered under x-ray. If there is Infection in root canal treated tooth then first a script of antibiotics like Augmenting will be advised to see if the infection resolves. If it still does not resolve then extraction should be done as tooth is already root canal treated twice. If any adjacent tooth is decayed then rot canal treatment is advisable. Hope this helps. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	hi I am 45 years old ! AND JUST FOUND A LUMP SIZE OF A PEA ON MY RIGHT SIDE BREAST UNDER THE NIPPE ! HAD A MAMAGRAM AND THEY CALLED ME BACK THE SAME DAY ASKING ME TO GO FOR AN ALTRASOUND ! I HAVE BEEN FEELING VERY TIERD THE PAST YEAR AND PAIN IN MY BREAST AND BAD MUSCLE ACHS WITH SHORTNESS OF BREATH 1 SHOULD I BE WORRIED ?	Hi, dairy have gone through your question. I can understand your concern. You may have some benign breast lesion like fibroadenoma, fibroadenomas or some benign cyst. You should go for ultrasound study and biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	My 3 month old has had diarrhea the past 2 days. There are also small chunks in his stool. He is only formula fed (Similac Alimentum). His behavior is still the same, no change in eating habits. He is soaking his diaper with the diarrhea about 43 times a day and it leaks out. Should I be concerned?	Hi... Thank you for consulting in Chat Doctor. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
如果你是醫生，請根據患者的描述回答醫學問題。	hi. just woundering...... im worried about my bottom teeth. for a few months my wisdom teeth have been trying to come through, im 25 , but there is no room. the pressure is horrible it comes and goes for a week or so every few months, but its done something to my front tooth, teeth. i hav overcrowed teeth anyway at bottom , one of my front tooth on bottom sits behind others always has but its moving more i think and now there is a bone like hard sensitive lump behind that tooth ? what is it. it has affected the way i bite and eat. is it my tooth pushing out from underneath. ??? please help is this costly ????	Thanks for your query, I have gone through your query. The pain and swelling(lump) could be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole (if you are not allergic). The wisdom tooth might damage to the next second molar. So get it treated as early as possible. There might be movement of the front teeth because of the pressure from the wisdom tooth. I hope my answer will help you, take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Had a little vertigo about a month ago. Nothing major but I still have some dizziness if I look up or down. Now I feel like I have either a cold, flu or sinus infection. Went to a dr right after the vertigo and he checked my ears and sinuses which showed nothing. Is it possible that I got an infection now.	Hi Dear, Welcome to Chat Doctor. Understanding your cancer. As per your query you have dizziness and sinus infection and vertigo. Well there can be many reasons for vertigo, but the most common is anxiety and the other Benign paroxysmal positional vertigo (BPPV) are ear infection, hypoglycemia, anemia, deniers disease, migraine and alteration in the bloods circulation. Ear infection sometimes occur when infection spread from post nasal Chat Doctor. Infection spread to ear through Eustachian tube. So it is possible that you get infection now. Dizziness is a symptom of vertigo. I would suggest you to consult ENT specialist for proper examination. Doctor may order certain test like CT scan for sinusitis , MRI, blood test, audiometer test, and ECG to confirm the diagnosis. Doctor may prescribe antiemetic
如果你是醫生，請根據患者的描述回答醫學問題。	recent birth of grandaaughter, has large mass protruding from spine to upper left back,missing several ribs on left side, no kidney to left side, unable to see left lung, has two thumbs to left hand anddisfigured left ear. Doctors diagnosed as vecterl association I have not seen enough information regarding this disease and i see more complicated abnormalities is there possibly another sight to research and could this be misdiagnosed?	WASTREL association is not a diagnosis, it's a group of malformations that usually happen with each other, the diagnosis in this case is either a chromosomal abnormality or a genetic defect.WASTREL is an abbreviation of : V vertebral defect A Anal Incorporation C cardiac defects T Tracheoesophageal fistula RE Renal anomalies L Limb anomalies so if one of the upper defects is found in a newborn, we should look for other defects if its there and those defects can be of the above described or others. I hope this clarify
如果你是醫生，請根據患者的描述回答醫學問題。	My father in law is 76, recently had an MRI and they have detected dark shadows at the bottom of both his kidneys. His kidney function is only 50%, now they are suggesting some laproscopic procedure to remove parts of both kidneys. I am not sure what the procedure entails, I am more worried that he will end up having renal failure and have to go only dyalisis. He is currently not in any pain - shouldnt he just live with it instead of undergoing surgery?	Dear friend, It needs confirmed diagnosis before any surgical procedure. You not provide it. You can give detail about MRI report. If it is malignancy, mostly Renal cell carcinoma then surgical treatment is the only option. As you told, they planned for bilateral some part removing, then it may be partial neurectomy. It doesn't end up with renal failure. If malignancy is diagnosis then u can go for surgery without much thinking about dialysis.
如果你是醫生，請根據患者的描述回答醫學問題。	On May 4th I fell off of a ledge about 3 feet and landed on rock and cement stairs. I landed on the outside of my left thigh and had a huge hematoma. I went to my orthopedic and he said it should be better in about six weeks. I still have tenderness and also have a huge indention where I landed in it. It s about 3-4 long. Will that indention ever go away? It seems like I tore the muscle in half.	Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, your concern about the swelling is not worthy of over attention. Just let nature take its course, and let it remove the collected blood by itself. So sit back and relax. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	i had my gall bladder removed yesterday.i have had two serious pain spells while trying to get into bed.with paralizing pain from my stomach and under my right rib gage going up my chest into my shoulder my doc is off for two days.his nurse said it is probably due to gas left in the stomach after surgery.should i have other concers	Hello, I have gone through your problem. You have undergone laparoscopic surgery for gall bladder removal. During this surgery carbon dioxide gas will be sent into your Peritoneal cavity (abdominal cavity). After the surgery some patients may experience pain under the rib cage or pain in the shoulder. This usually subsides in one or two days. As your nurse said this is due to the gas left in the stomach. Don't worry about this pain. Good luck and wish you a fast recovery.
如果你是醫生，請根據患者的描述回答醫學問題。	I have several gallstones in my gallbladder with sizes ranging from 5mm the smallest and 13mm the biggest. My question is, can a 13mm gallstone can pass a common bile duct of 3.4mm? I dont know if the epsom salt will help relaxed the bile duct and become flexible to let pass the 13mm galstone	Hi, How are you? Thanks for writing in to Chat Doctor. My name is Chat Doctor. I am a Liver and pancreas surgeon and I hope to answer your question today. I am sorry to hear that you are suffering from gallstones and since you have not mentioned any symptoms, I take it that you have none. Gall stones can and sometimes do pass from the gall bladder (GB) into the bile duct and then into the intestine and are then passed out naturally. But this happens when the stone is very small and does not get stuck anywhere during its passage. During its journey from the gallbladder to the outside, the stone, depending on its size, can get stuck in multiple places and can cause serious, sometimes life-threatening complications. The first site it can get lodged is the cystic duct (tube
如果你是醫生，請根據患者的描述回答醫學問題。	I hit my shin on a chair at school and it hurt for a while then went numb. Now 32 and a half hours later my shin is still numb but when I press the area it leaves a dent for a few minutes where I pressed it. On the other shin that s fine I pressed the same area and there s no dent so it obviously shouldn t be there. What s wrong with my shin and what do i do? Help please!	Hello, I have studied your case. As per your history there can be some differential diagnosis, There can be involvement of lateral fibular [perineal] nerve which may lead to leg numbness and burning sensation.EMG-NCV [NERVE CONDUCTION STUDY] will help in diagnosis. Another possibility of muscle spasm leading to sudden onset of symptoms. Clinical examination and muscle relaxant will help in early recovery. Physiotherapy like ultrasound and TENS will help. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	I have a skin rash that developed on my legs and now is on my arms and wrists, they can be very itchy, they look like red dots, my nuetrophilis is 9.9 my wbc is 12.4 hemoglobinn 115 and rdw is 15.1. could my blood work be a reason this is happening?	HIT hank for asking to ChatDoctorI appreciate your concern the rash that you are having is not because of the blood parameters, but this could be allergic rash that might have developed due to the hypersensitivity reaction, if I would be your doctor then I would treat this condition with the following medicine, 1) Tab Levocetrizine 10 mg three times in day if the symptoms persistence or appears again then this is to be seen by the dermatologist, hope this information helps you, have a nice day.
如果你是醫生，請根據患者的描述回答醫學問題。	my boyfriend was in a serious car accident about a month ago. he was in a coma for a month and just woke up. he injured the lower part of his spine, and now he is paralyzed from the waist down. is there any chance he will recover from this, and what type of surgeries are done to correct paralysis?	Hi, Thank you for posting your query. I have noted your boyfriends history and current symptoms. It is unfortunate that he suffered spinal cord injury resulting in paralysis of legs. Any surgery for spinal cord injury should be done within 24 hours to have any chance of recovery. Therefore, one month after injury, it is unlikely that he would benefit from surgery. At this stage, he should undergo physiotherapy, which would result in slow improvement. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I have a 14 yr old son who has been being followed by a hematologist for 9 months for mild thrombocytopenia and mild neutropenia. His only clinical symptom is fatigue. A BMB has not been performed. His DR thinks its either ITP, or less likely, familial or a bone marrow failure. I am a Med tech and I occasionally check his CBC. Last time I looked at his smear, I found a mast cell. Is this significant? Could this be a clue to whats going on with him? Should I wait 2 more months for his next appointment, or go in earlier? Thank you.	Hello and welcome to Chat Doctor, The normal percentage for a mast cell or basophil on peripheral blood smear is 0-1% and the absolute number varies from 0-100 cells per cubic millimeter. Thus, it is normal to find a single mast cell or basophil on peripheral blood smear. There is nothing to worry about it. You can consult your hematologist for treatment of ITP without any worry. Thanks and take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I took my atheletic son for bloodwork yesterday because he had been feeling weak in the morning and had been losing a lot of weight quickly. He eats very healthy; runs 6 miles a day, and plays trumpet. He is 6 feet tall, weighs 180 lbs and is 15 years old. Today the doctor called me and said the bloodwork showed a low glucose , low alcoline phosphate , and high CO2. he is running more tests on the blood for things I am not privy to at this time, but says he thinks it could be nutritional? should we be concerned? Should he still be running until this is figured out? Last night he had 3 episodes of blackouts lasting for 3 to 8 seconds.	Dear CRJackson97, Thanks for your question. The doctors report of hypoglycemia (low glucose) may explain blackouts, and may suggest that your lad may not be getting enough glucose from his food; or that his metabolism of food needs further scrutiny. Low alkaline phosphatase levels is uncommon, and most times benign. High CO2, may well suggest that samples were taken soon after a workout; and in combination with the low glucose, may indicate muscle fatigue at the time of blood collection for the test. Having said that, may I suggest that your boy stay off further exercise until all other test results are in, especially since he has recently had several blackouts. Best regards.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a 13 year old daughter who has been complaining of chest pain for the last two days. Took her to the hospital and they said it was indigestion now pain is Ginger to her back and it hurts her to take a deep breathe. We have family history of heart trouble. Her EKG said normal sinus with arrhythmia. What does all this mean	Thanks for your question on Chat Doctor. I can understand your daughters situation and problem. No need to worry about heart related diseases because her ECG is normal. Possibility of musculoskeletal pain is more. But better to get done chest x-ray to rule out pleurisy. She is having chest pain on deep breathing. This is seen in pleurisy (inflammation of pleura). So get done chest x-ray. I'd this is normal than no need to worry about pleurisy. Musculoskeletal pain is more likely in her case. So ask her to avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Give her painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected areas. Don't worry, she will be alright. Hope I have solved your query. Wishing good health to your daughter. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I contracted typhoid fever in 1969 and was hospitalized for 10 days. Back in March of this year, I began being sick and I thought I have not felt like this since 1969: headaches, fever fluctuations, diahrrea, abdominal cramps. Is it possible to have a recurring bout of this 45 years later. My lab test show Positive A results for Salmonella Typhi H Type A, Type b, Type C and Typhi O, Type VI.	Welcome to Chat Doctor, you might be a long term carrier of the infection it is recommended to have a 28-day course of antibiotics and after that I want you check your stools another time to confirm all your infections have passed have a good hand wash after coming from toilet and avoid handling food items or preparing it until you are free from the infection hope this explains with regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,My wife is 24 years old and her period was regular of 30 days. Before two months, we had intercourse after seven days of her periods. She had her period after some 15 days. It was normal for the first two days, but after that it was very heavy. She had abdominal cramps for approximately a month. Our local doctor gave some medications with iron tablets. Then, she did not have her periods yet. From the beginning of this month, she is having nausea and vomiting. We are not sure whether she is pregnant. Pregnancy test has not been done. Now, she had an accident and fell down from a terrace of 10 feet height. Her x-ray was normal and no bone injuries. But, she is unable to move because of pain. Does x-ray show pregnancy? Since she is unable to bear child at this stage, please suggest some medicine to terminate the pregnancy.	Hi. Without doing a urine pregnancy test it is very difficult for me to tell whether she is pregnant or not. Moreover, early pregnancy cannot be detected in x-ray. You will have to do a urine pregnancy test at home first. She need not go anywhere for this test. Once the pregnancy is proved, then we can go ahead and think of termination. So, please do the test and get back to me with the results.
如果你是醫生，請根據患者的描述回答醫學問題。	constant back pain for the past 5 years or so, now serious neck and shoulder pain for the past 6 months that lead to serve migraines. My doctor just keeps sending me for x-rays and MRI s and they are all clear. But I still have the pain. I have 3 kids and a manual labor job. It is starting to break me down and I feel like I am being a hypochondriac, but it hurts so bad that I have no idea what to do.	Hi, Welcome to Chat Doctor forum. You are suffering with back pain for 5 years. Recently you had neck, shoulder, and headache for 6 months. You are feeling that you are Hyperion Chat Doctor. Backache, and neck pain, shoulder pain, could be due to the spondylosis. headache could be due to anxiety, other cause being hypertension. I prescribe to my patients with such symptoms neurotrophic injections for 10 consecutive days, and the every week, fortnightly, and then monthly, alprazolam at night, along with the pain medication S.O.S. Wishing a quick and complete recovery. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	My 26 year old step daughter has had chronic abdominal pain off and on for several years. Her 8 yr old little sister has celiac disease and had very similar issues before diagnosis and going gluten free... would it be worth getting blood work done to see if my stepdaughter has celiac disease as well? Both girls have the same biological father.	Hello, Thanks for the query to H. C. M. Forum. Celiac disease is diagnosed her younger sister so note down following things as, Environmental factors play an important role as gluten present in wheat, rye,barley, oats. 2 Immunological components, 3 Genetic factors. As you mentioned that biological father is same, so chances are more of celiac disease. Broad spectrum antibiotic with folic acid tablets are the best treatment, but consult a physician and get in treatment. Hope I have answered your question. If further any question I will help. Best wishes for your daughter.
如果你是醫生，請根據患者的描述回答醫學問題。	I recently gave blood where they took my BP, it was 130/820 (pulse 82). A week prior I had it checked and it was 120/82 and a week prior to that it was 115/78. The person at the donation site told me that digestion (I had just eaten) may have caused the high BP. Can that be true?	Hello, I really appreciate your concern. You are having minor changes in blood pressure which is quite normal phenomenon. Change in BP can be triggered by several factors like change in body postures, change in pulse rate, time of day (day or night), fluid intake, salt intake, some minor illnesses etc. So there is nothing to worry about in your case. There may be rise in heart rate and blood pressure after meals which is normal activity of heart to provide excess blood supply to stomach. Hope my answer has solved your query. Take Care. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter is currently taking Paxil for anxiety and severe OCD. She recently found out that she is pregnant. She has been on 30 mg. for about 4years. She was told to take 10 mg. twice a day for a week and then 10 for one week. She could not deal with the change. What alternative drug could she take that is safe. Her OCDs and anxiety are pretty intense without the Paxil. Thank you for your time.	HiT hanks for using Chat Doctor In that case, she could try fluoxetine. Paroxetine is not safer in pregnancy. It could lead to teratogenic effect. Fluoxetine is approved and safer during pregnancy. Try to avoid any benzodiazepine during pregnancy due to their sedative effect on fetus. Beside Chat Doctor. Rest, you can discuss with your psychiatrist. In case, you need further help, you can ask. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. I was scrubbing yesterday with bleach diluted in water. Last night my eyelids began to swell, my nose ran profusely and I have a terrible dry hacking cough. What can I do to relieve the cough? The eyes are getting better with frequent visine drops.	Cellophane You for contacting Chat Doctor. You are suffering from allergy from bleach. Perform following things to improve the condition:1. Wash your eyes multiple times.2. Always use mask and prevent such chemical from touching the body, specially eyes.3. Take following medication: a) Spy XXXX DM (Defense Chat Doctor. ... {It is for cough} b) Tab XXXX 10 mg (Cetirizine) 1 tablet before going to bed for 2 days... {it will prevent allergy} c) Continue using XXXX
如果你是醫生，請根據患者的描述回答醫學問題。	this evening I noticed a faint bruise between my 10 month old eyes over his nose. I don t recall him falling today or crying out while playing. I am concerned about it and plan to wake him up in a few hours to check on it. but I was wondering what else could cause it if he did not fall on a toy or bump his head on something. He also wears a helmet to reshape his head so he should be extra protected. The helmet was off for about an hour when I noticed the bruise.	Hellenist of the time bruise in this age occurs due to unnoticed trauma. Spontaneous bruise without any trauma can be there in some clotting disorder. I would suggest you to check his body for any other bruise mark and if you did not find any., you may observe the baby. If you notice any increase in size of bruise, appearance of any new one or repeated bruise without any trauma please consult you pediatrician for proper evaluation to rule out any clotting disorder. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	I started getting severe chest pains like I was hit though that was not the case.been having the pain for two months now and da doctor prescribed myolgin the same is not working and my pain has gotten worse.an xray shows nothing is wrong.please advise	Hello Severe chest pain shouldn't be taken lightly. It is important to rule out cardiopulmonary causes. You need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, lipid profile, liver function test, renal function test, ECG in all leads. Further investigations can be done if needed. Upper GI endoscopy should also be done to rule out reflux as it may cause similar symptoms. Proper treatment depend upon findings. Take Care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	what are the main causes of low hemoglobin with a low white cell count my wife had her finger removed in December due to a strep infection in a cut there. she also had cellulitis in the arm and went into septic shock.she recovered well but a recent blood test showed the above hemoglobin problem.she is also on warfarine for blood clots which are now gone. any insight into this latest turn of events will be greatly appreciated	Hi and thank you so much for this query. I am so sorry to hear about these low cell counts that your wife has. It would be interesting to know how low the counts are before making any suggestions on what the possible causes are. These cells have just one thing in common, being produced from the same factory. If they all get low, then the factory maybe affected by one condition or another. There are several possible causes like Chat Doctor. Provide a detailed result sheet and her medical history alongside
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I just passed a 4mm kidney stone yesterday morning. But now I am very bloated and my abdomen is very tender. It hurts when I walk and lay down. Last night I had to sleep sitting up. I havent gone #2 in four days and don t even feel the need to which is what worries me. What should I take? Is this normal after passing a kidney stone? Thanks.	Dear friend, welcome to Chat Doctor. Is your pain constant or comes on and off like a colic? Was a X-ray PUB or sonography done for the stones? Have you passed adequate urine? There could be another one. There could be complications like dilatation or infection. You should see your doctor to get evaluated for anything serious. Urine routine, USG and X-ray PUB will be needed. Take OTC painkiller like paracetamol till then. Chat Doctor. Take care and keep me updated on your progress. Good luck !!
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I am a 61 year old man and in reasonably good health apart from being overweight and diagnosed diabetic 10 years ago. The following has started after I lost a lot of weight.For the last 9 months, I have had to sleep sitting up in a chair and leaning to my left side. If I lie down to sleep horizontally, or remain sitting up but tilting even slightly backward, or if I slip down on to my back on the chair while asleep, my heart begins to get faster and faster. I feel no pain and it does not wake me up. That is the problem, I sleep through it until I wake up with the need of going to the bathroom. I suspect these episodes last for hours with my heart going dangerously fast. These are not palpitations.When I wake up, my heart is often racing, and I have to take deep breaths for a couple of minutes to get enough oxygen inside me for the heart to return to its normal beat. It all started very suddenly, not progressive. For all these months I have been scared by the prospect of having to go to sleep and leave it as long as possible before trying, just praying that I can get through the night keeping myself upright and with a reasonably clear nose. If I can do that, I can usually make it through reasonably fine, but this is the exception rather than the rule.Body position seems to be one key factor, clear nose another, but the first always overrides the latter in importance. I recently had to make a 6 day 1500 mile dash drive and slept every night upright in the car seat right next to an open window. I had no problems at all during those 5 nights. A cardiologist has run tests and told me there is nothing abnormal with my heart's muscle or function.I rented an automatic CPAP machine for 4 months, but have now returned it. It does not do much of help, but its data shows no continuous waking such as might happen with obstructive sleep apnea. It does, however, show that I go into periods of shallow breathing while asleep. The only other suggestion that I have had is that this might be some form of central sleep apnea and therefore perhaps more neurologically based. The company that rented me the CPAP machine say that a BIPAP machine might be better, as it will force me to breathe, but I would really like a more expert opinion before going down that extremely expensive road.Do you know any other people who have had similar symptoms and experiences, and if so, what was the cause and how was it treated? Current daily medications I take are 75 mg Aspirin for blood thinning, 1 x 15 mg Pioglitazone/ 850mg Metformin tablet for controlling diabetes, 5 mg Ramipril for blood pressure, and various vitamin and fish oil supplements.	Hi, Welcome to Chat Doctor forum. My compliments for a detailed medical history of what you have been going through in the last nine months. I have gone through it and following are the points which are important to show the way to diagnosis: What are the problems you do not probably have: What you may have: My suggestions:

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