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Dataset-of-AI-Model-for-Dr_AI

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如果你是醫生，請根據患者的描述回答醫學問題。	i was being bitten by a dog seven years ago, and ii was just vaccinated by anti tetanus. and last 2011 i was being injected rabipur coz im so afraid because i was being scratched by the cat. am i safety about the dog being bitten me last 7 years ago, due to the rabi pur being injected to me?	Hello, Welcome to Chat Doctor, The incubation period on case of rabies varies from few weeks to 2 years after that it cannot produce the symptoms. As the dog was bitten 7 years back, and you are not having any symptoms of rabies, you will not develop rabies in the future. But you shouldn't take risk with these diseases, because it is 100% fatal, but it is 100% preventable with proper management. As you have taken antirabies vaccine for the current cat scratch, complete the course of vaccination. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	in july 2011 pcr was 0000 and i take alpha blue green drug(herbs capsules from italy) and ultra sound was normal liver parenchyma and stone 8mm in gallblader .then after 3 months of treatment by this drug pcr was 0000 and normal got &gpt .after the second 3 months pcr was 0000 and gpt&got was about 90.then after the third 3 months pcr was 0000 and normal ast and alt was elevated about 10 degree than normal and ultra sound show coarse echoo patern and stone in gallblader was 11mm and thick gallblader membrane and i still treated with alpha blue green .iam female 53 years	Hello, Thanks for the query to Chat Doctor. Forum. I don't know about so-called ALPHA BLUE GREEN. Here I want to mention one thing that this type of Chat Doctor. You have seen, that even after one year of treatment size of gall stone has increased from 8 mm to 11 mm. All got, Sept levels are also high. In my opinion consult a SURGEON and at once get his opinion for gallbladder removal as this is only and one treatment scientific proved. If stone (gallbladder not removed may develop many complications)Hope I have answered your question. If further any question I will help. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, My wife was doing some working activies in the lounging room and suddenly she accidentally hits the sofa pole. Her knee is now swollen and it is getting a bit bigger day by day. 3 days have passed. What is your recommendation please? Eventually we are thinking about doing an X ray. Thanks for a kind answer	Hello dear, The symptoms as mentioned in your post can be attributed to accumulation of fluid in the knee joint, secondary to the musculoskeletal injury.X-ray of the knee joint will be helpful to rule out any fracture or other pathological causes. Symptomatic relief can be obtained by heat therapy, application of analgesic & muscle relaxant gel, intake of analgesics like Diclofenac+ Serratiopeptidase (to be taken after food) and Pantoprazole (to be taken 30 minutes before meals). Supplements of Calcium & vitamin D can be included in diet which will help in strengthening of bones. Physiotherapy exercise will also be helpful. If symptoms still persist, kindly consult an Orthopedic for proper clinical examination.Also, she should maintain adequate HY Chat Doctor. Wishing her 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。	last month i was suffering from urinary track infection. pus cells in urine very very high due to which irritation occured how ever I had undergone medication with injections. Now everything is normal but my sperm quality is very thin like water. How can I improve this like before.	HelloThanks for query. You had severe UTI very recently which was treated successful with antibiotics, Now you have noticed your semen to be watery. This is mostly due to infection of seminal vesicle and prostate and testicles which exist simultaneously with UTI. The main three components of semen are 1) Sperms produced by testicles 2) Fructose by seminal vesicle 3) Prostatic fluid containing PAs secreted by prostate It takes 4-6 weeks for seminal vesicle and prostate to regain their normal function to have semen of normal viscosity after the infection is being eradicated completely. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	hi sir, i have did my usg of abdomen and it shows tht i have liver fatty change and my kidney size is RK 9.6cms n LK 10.7CMS and also it has remarks Liver echogenicity increased, i have showen this report to my doctor n he tells me it all good, can u plz throw some light on my case, any help from ur side will be appreciated, thank	Hello, I can understand your concern for your health.1) Increased echogenicity of liver suggest either inflammation in liver or fat deposition in liver.2) For further evaluation you need liver function test, lipid profile, to find exact cause for this.3) Either of this two condition do not require any specific treatment. Fat-free diet, carboy Chat Doctor. Inflammation will subside by its own over period of time, but it is necessary to find out exact cause for this liver inflammation.4) Fat deposition in liver is due to either increased fat content in diet or abnormal metabolism of fat in liver.5) Inflammation in liver is due to many reasons i.e. alcohol, viral infection, spread of inflammation from nearby region. Hope I answered your query. If you have any further doubts, I would be happy to help 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 mother is 60 years old,in usg it was oberved that she has the following diagnosis,1.prominent liver with mild cirrhotic changes,mild ascites and cholelithiasis and left ovarian separate cysts is obseved.Please suggest treatment.regards,Vinit Saxena	Hi thanks for asking question. Noted your mother having cirrhosis with ovarian cyst... As she has cirrhosis care must have taken not to develop complication . For That take low fatty diet. More fruits. Strickly avoidance of alcohol. Give her crushed papaya seed one tsp with lemon juice... Giver her advice to take ground carrot and spinach leaves juice .Meanwhile, for ascites take low salt diet.If you need diuretic can be started.... If varietal bleed occur immediately contact surgeon for banding... For ovarian cyst if you nee doc pill can take under supervision of gynecologist if it is troublesome.... Take care.... Hope your concern solved.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello! I am awaiting test results for CADASIL, have been watching my nephew for several years as he complains of several of the same issues I ve had for years (headaches, leg pain, etc...). His father seems fine. Do you know what the odds would be of my nephew having CADASIL? It has been confirmed in my cousins.	Hello, If the father of your nephew is not diagnosed with CDA SIL, your nephew is very unlikely to have it (unless his mother is diagnosed with CADA SIL). This because CADA SIL is inherited in an autosomal dominant manner. This means that having a mutation in only one copy of the responsible gene in each cell is enough to cause CADA SIL. Hope I have answered your query. Let me know if I can assist you further. 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 ,I have a dry and sensitive skin, none of the market available mosturising cream suites me.Sometimes wrong use of cream leads to dry patches and many small small pimples on my face.I am fed up of trying new creams suggested by someone or other every time. Currently I am using Curatio fash face wash , Evion mosturising cream and suncros aquagel sunscreen which is again not having a good result still I can sometimes see dry patches on my face and my skin getting darker slowly. Please help me as for my marriage 3 months is left and I want to look best on my day.	Hi Ankita Welcome to the forum. You should not be worried about the simple problem of your skin. What you are suffering from is quite common condition in people with sensitive skin condition which sometimes behave both as Chat Doctor. The very first thing you should do is avoiding direct sunlight exposure to the skin. Even if you are avoiding the same then also there is exposure of UV radiations from computers and other artificial light sources, so should also take care of the same. The best avoidance is never at all by sunscreen but is by personal protection by clothes and umbrellas. Contact with Cell phone on facial skin (because of radiation and heat)also make the skin sensitive. Secondly you should start up your day
如果你是醫生，請根據患者的描述回答醫學問題。	I have been having intermittent low grade fever for about two months. I m also having rib pain, headaches, breathlessness, night sweats, swollen face and sometimes hands, intermittently very bad fatigue, some joint pain. I have tested negative for all autoimmune markets, Lyme, ect. Everything seems fine. Blood cultures have also not shown a thing. Dr does not know what it is and has ordered a CAT scan with contrast of chest, abdominal and pelvic areas. I am very nervous. Any ideas of what it may be or what else to check for?	Hi. You have not mentioned your country and your age and weight. You have not mentioned the findings of chest x-ray and ultrasound abdomen. You may be a case of tuberculosis of chest. For diagnosis of tuberculosis of chest, u require CBC with ESR, sputum AFB, CXR etc. If u do not have abdominal complaints, then go for CT chest first only. If CT chest out to be negative, then u can go for other investigations. If u have any other query then ask. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I recently 2 months ago on August 19th 2014 had a brain bleed related to a drug called Plavix that I took for 2 months I had a bad head pain in the low back part of my skull. They did a craniotomy to remove a build up of blood. then they did some surgical repair to stop the bleeding. They also put me on Keppra 1,000 Mgs. a day then reduced the dose to 750 mgs. at night & 500 during the morning. It makes me feel tired I also had a small stroke but I have recovered from that stroke I believe . Can you tell me how long I may need to take Keppra? I am also a Heart transplant patient for the last 18 months doing well with that.WHy do I need to keep taking Keppra and for how long? Thank you Edward	Hi there Edward, the recommended length of time to take Kendra after a craniectomy for intracranial bleed varies from patient to patient. It is common that some patients (though most tolerate it really well) complain of feeling tired, or a bit "foggy" with the medication. The length of time determined usually depends on factors like if you had any seizures due to the bleeding, or any after surgery, and how much residual blood there is still in the brain. I would recommend that you coordinate with either your neurologist or your neurosurgeon (whoever prescribes the Kendra for you) to determine whether this is a medication you can safely taper down, but as it is an anti-seizure medication I would not decrease the dose without a physician to supervise. Hope my answer is helpful to you.
如果你是醫生，請根據患者的描述回答醫學問題。	I m very terrified. I just noticed a very dark purple almost black lump in the back of my mouth about half an inch or so after my moler. Causes no pain unless messed with. WHAT IS IT?! Is it deadly?! Can I cure it at home?! Please say yes! WHY IS IT THERE PLEASE HELP!!!	Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a dark purple lump next to molar tooth can be due to a dilated vein also known as Varicose vein or a Varix. The lump might be due to formation of a small blood clot that got lodged in that area forming a Thrombus. It is not AA serious condition and will not cause any serious problem. It can gradually reduce in size on its own. If it is not ruled out as the cause other causes can be like mucous cyst or Muscle, Hematoma or a Hematoma. Confirmation can be done by getting a clinical evaluation done by an Oral Physician or an Oral Surgeon. Hope this information helps. Thanks and regards. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a canker sore on the back of my jaw but at a place where the jaw is connected to a inside of cheek. Whenever I close my mouth that part of skin is squeezed/contracted ( and thus my canker sore) .. I get canker sores frequently .. Its creating problems in eating and speaking...the canker sore is on soft part of skin behind the molar that connects to the inside of cheek and Im sure its not my wisdom teeth...Ive been under a lot of study related stress lately and m not getting proper sleep due to my studies... Im 18 yrs old... Any help wud be appreciated	Hello, welcome to Chat Doctor. It is common to have disturbed sleep during stress of study. Sleep problem decreases concentration, which further exacerbate stress related to study. Following steps will help you:-Make structured routine and give proper time for study.-Minimize caffeine intake (tea, coffee and cold Chat Doctor. For canker sores, meet nearby dentist for evaluation to rule out or treat dental problem. Wish you good health and all the best.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been suffering from moderate dizziness for some time now but it comes and goes. This last week it has been rather continuous. I am only 34 and have not been on any medications for at least 6 weeks if not more. Before that i was on Wellbutrin, and Prozac very low doses. My tongue and lips go numb anytime a dizzy spell comes on. I find it rather difficult to talk at times. In the last 2 weeks I have noticed a very tender area on my chest between my left breast and my collarbone. Any ideas? I don t know which doctor I should try to see and I am getting very concerned.	Thanks for your question on Chat Doctor. I can understand your concern. Heart diseases can cause similar symptoms like left sided chest pain and dizziness. So better to consult card and get done1. Clinical examination of heart. 2. Blood pressure monitoring. 3. ECG 4. 2d echo. 5. Stress test. If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can cause similar symptoms. So better to consult psychiatrist and get done counseling 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. But first rule out cardiac diseases. 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。	My 16 day old baby boy has been in and out of the doctor since he was born. He has been vomiting since born. Recently it is projectile. He was born at 9lbs 4oz and left the hospital at 8lbs 9oz. He has not gained any of his weight back but has not lost either. After eating he gags, vomits, hiccups, or a combo of all three. So far they have changed his formula and put him on Zantac and no change. They did an ultrasound for Pyloric Stenosis and it came out elevated but still with in normal limits. I feel so helpless and just want my baby to start eating and gaining his weight back, Any other suggestions for what it could possibly be that I can bring to our doctors attention?	Hello Welcome to Chat Doctor. As a Breastfeeding Specialist I would advise you to feed your baby small amount and very frequently. If the baby shows the symptoms that you have describes above this is because the baby is overfeeding, or he has reflux. In both situations you have feed him frequently small amounts of formula or breast milk. With his tiny stomach he only need 50-80 ml formula 8-12 times per day. So be careful and do not overfeed him. You should also burp your baby for at least 20 minutes in an up-right position and don't put him to lay down to early.
如果你是醫生，請根據患者的描述回答醫學問題。	sir i am 24 years old,am a hemophelia patiend and also inhibiter, weight 75kg, am suffering continuesly 4 month pain in my elbow and leg... sir i cant survive sir... give me a fruite full suggetion for my further treatment... (using fortwin, bidanzen forte, proxivon while pain time)	Hi, you have hemophilia, so you have factored 8 or 9 deficiencies. More over you have developed inhibitors which are the antibodies developed against external factor therapy. Its level depend on the frequency and time duration of factor therapy. You should evaluate level of inhibitors and factor8 level. And set the dosage according to that. Consult physician and take treatment accordingly. .thanks for using Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I am undergoing treatment for pcos and was given clomiphene for three months to induce ovulation. I had my last period on 24.09.2013 and my follicle ruptured (follicle size was 20*23mm) and doctor adviced to have sex. She varriwd out an ultrasound again and advices to again have sex for two days for successful pregnancy. She has also prescribed system Sr 200. What are my chances for pregnancy this time? I has light cramps in my lower abdomen after 9 days of ovulation. Pls suggest. My weight is 53.7 and my height is 5.3. Thanks in advance.	Hi, You stand a good chance of conception as you have successfully ovulated. If the male factor and the tubal patency have been pronounced normal earlier, the chances are very good. Cramps indicate passage of the ovum along the tube and can sometimes happen with a fertilized ovum. Your BMI is normal. Please wait for your next cycle and if you miss it, go for a urine pregnancy test 3-7 days later with a fresh early morning sample. If you wish for an earlier and better confirmation, you can get your serum beta-ChatDoctor levels monitored. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a rare disease called Scheuermanns disease which causes kyphosis and before I have corrective surgery my kyphosis measured 92 degrees I was like the hunch back of notre dame. I have titanium rods from top to bottom of my spine C T and L . Now since I Had the surgery I can t stop having muscle spasms so I m trying to find a doctor online who will write a prescription for the only medicine that will work for me which is Carisodoprol 350mg T PO q 8 h # 90 (ninety) thanks, Jason Teasdale CPhT	Hi, On this network there is no prescription ability given to the physicians since the software is designed only to manage discussions with some limited uploading ability of PDF documents of labs, reports, etc. for doctors to review. You will need to search on another platform for prescriptions. Your other option is to have your surgeon review what's going on since muscle spasms are not typically part of the common sequela to this type of procedure unless there is a problem arising as a complication from surgery or the diagnosis is something different. 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。	Hi,I am having wet cough almost through out the day. I get phlegm in white color when I cough. But I have thick greeinsh phelgm accumulated in my throat after i get up in the morning with some pain in throat. I have chest tightness at times and get severe headache (on the back of my head) while I cough. I have wheeze too. But I dont have any issues when I sleep. I have no fever and no cold. 2 years back I was treated for Klebsiella Pneumonia. I also feel that I have PND (post nasal drip). I met an ENT but the medicines didnt show much improvement. I am also waiting for my sputum culture test result. Please suggest.	Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of lung infection (pneumonia) and bronchitis is more. Your symptoms like cough, expectoration, wheezing, chest tightness etc. are commonly seen with lung infection and bronchitis. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You will need higher antibiotic, inhaled bronchodilator and inhaled corticosteroids on the basis of these reports. Don't worry, you will be alright with all these but first diagnose and then start appropriate treatment. 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 had a fall about 6 months ago down some stairs and hit the front of my leg just above the ankle joint. The original lump from the fall is still there. It is solid and not filled with any liquid. Never had any pain apart from just after the fall until today where I could barely stand on the leg sporadically. Any ideas?	Hi, thank-you for providing the brief history of you. A thorough clinical examination is advised. As you have pain in the ankle and a lump as well I will advise you to undergo an x-ray or MRI of ankle to see possible soft tissue and bony injuries. Also, undergoing physical therapy like therapeutic ultrasound therapy should help reduce the lump as it is more looking like a muscular and skin tissue non flexibility. By ultrasound this should get mobilize and vanish. Also exercises for ankle is important to regain the stability and the mobility of the ankle joint. In my clinical practice such cases are referred to physical therapy and responds well. Regards Jay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	hi, im jane my boyfriend has an ambiases he said hes stomach is aching a lot especially on the left side,and hes balls also is aching hes thinking that its bec. of hes ambiases,is he right about that and what medicene should he take,he got the ambiases from drinking top water here in the philippines.	HI. One has to make sure that he is suffering from amoebas. Is he having stool with mucus? The treatment is simple - to take tab metronidazole 400 mg thrice daily (I hope is available over the counter). To Chat Doctor. This has nothing to do with the pain in the testes. There will be another reason for this. He may add on antibiotics which will help treat the intestinal and testes problem at the same time say like define or oflaxacin, for which he needs to see a Doctor too as these are prescription medicines. He also gets clinical examination by the Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I started out with severe abdominal pain upper and lower but worse in the upper left side around ribs no fever. I then started having very bad skin pain near my left ribs and around side. It is painful to the touch even clothes touching it. Last night it felt like something bit me on my left side back area and there was no bug found but it felt like I was stuck with a hot needle over and over very fast. The area is red and raised in several areas but does not look like a bug bite and was not there when the skin pain started. I have not started any new meds or used any new products that come in contact with my skin or eaten anything new.	Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. I started with severe abdominal pain, no pain, severe in the left abdomen, around your ribs. Last night you felt that something bit you on the back. The area is red and raised. You didn't take any new medicine or food. It appears to be the neurological pain, cause may be herpes infection, latter may proceed to watery rash, followed by neuralgia. Other possibilities could be gastritis, and urticaria related or not related to the pain. I advise you to consult a physician for diagnosis and treatment, to prevent permanent neuralgia, not relieved even after revision of the rash. 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 sir., i am a student , age: 20/male problem : i have a problem i.e i cannt be active ,i have memory power less ,if read everything i cannt able to execute in exam time............especially during exam time.,i have nervous problem .,how can i recover from it.,?plz help me.................................	Hello, The problem of low memory in students is basically due to lack of concentration and focus. Firstly you have to be physically active. Start going for a morning walk or light exercises. Work according to a daily schedule. Focus on one activity at a time. The brain works better when it's made to like. It's like when we go to gym and exercise, our muscles become strong. The same is with brain the more brain exercises we do, the more strong it will be. So you can start solving puzzles, mazes, doing calculation without calculators etc., Hope you find these suggestions useful. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	my son is 4 and has a fever, 39.2 celcius for the last 3 days. We are told by the doctor that it is viral. Tylenol and advil are being given to him every 4-6 hours, as recommended by the family doctor. everything is hurting his tongue, even water. why does his tongue hurt and how can I make my baby feel better?	Hi. Thanks for the query. It seems that your son is suffering from viral infection leading to fever and soreness of tongue is due to inflammation inside mouth leading to soreness and pain. There is also a possibility that there can be sores inside mouth leading to pain. Consult a Pediatrician and get him evaluated. As of now give him Tylenol to relieve pain as well as fever. Make him gargle with numbing mouthwash containing Lidocaine to relieve pain especially before meals. Feed him with soft and bland diet. Give him sufficient rest and appropriate sleep. Hope this helps. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Good afternoon Dotor, I am 25 years old suffering from severe acne from the last 5 months.i consulted a doctor he gave me azithromyin tablet for three days and antoxid hc for 3 months,Seba med toner.But there are no visible improvement. i drink 4 litres of water everyday.i realy take care of my diet with fruts and veggies but there are no improvement on my pimples .	Hi, acne treatment depends upon its severity whether it is mild, moderate or severe in nature. In other words, it has to be seen what kind of lesions one is having predominantly that is whether you are having more of comedones or pa pules or pustules or severe nodules cysts and abscesses. The treatment plan changes accordingly. The chances of scarring and pigmentation are more with pustular nodular acne or with cysts and abscesses. In your case, you can continue with tab azithromycin as prescribed, along with topical application of benzoyl peroxide 2.5% in morning and Darlene gel in night. Use a salicylic acid based face cleanser. Follow this schedule for 3 weeks, if you don't have much of response, then one can think of adding isotretinoin or doing chemical peels(glycolic acid or salicylic peels). For the same, you need to consult a dermatologist. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi..i was diagnosed with chronic sinitus over a year ago and for the last few months my nose is constantly blocked and i get relief from over the counter nasal stuff but it always returns...but i also have what can only be described as a rawness in my chest down to between my breasts...very centre feels very raw...it feels like im not breathing right as im compensating for not being able to breath through my nose if that makes sense	Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I usually suggest my such patients intranasal corticosteroids (such as foretaste furnace or fluticasone propionate) for 2-4 weeks depending upon response. As it is a prescription Chat Doctor. 2. Regular steam inhalation twice a day helps in sinus problems.3. For your chest discomfort, I would think of two possibilities: it could be either wheezing/asthma related or due to gastroesophageal reflux-related. More details of your symptoms would help to choose first possibility of the two, although both of them could also be interrelated.4. In general, please avoid exposure to dusts, smokes, air pollution and cold air as much as possible.5. I would suggest you not to use over-the-counter nose decongestant sprays too frequently, as they have their own side effects. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	my son is 7 months old and i have been giving him Good Start from the beginning. However, his tongue is green. He has been given meds and it won t go away. I am nervous about it...we have had it checked out and came out neg. Switch formula, give him whole milk??	Hello, I can understand your concern. The most common cause of green tongue in babies is presence of fungal/yeast infection on the tongue. It would have been helpful if you had mentioned what medicines are being given to him and if it includes antifungal medications. Sometimes, use of antibiotics can also cause development of fungal growth on tongue. Other causes may include presence of bacterial infection causing hairy tongue and possible upper respiratory tract infection. I would advise you to go for analysis of tongue swab in the laboratory. It can be done with the help of a dentist. Based on the analysis result, confirmed diagnosis can be reached and treatment can be started. I hope this information helps you. Thank you for choosing Chat Doctor. Let me know if you have follow-up questions. Best,
如果你是醫生，請根據患者的描述回答醫學問題。	My brother had esophageal cancer . Most of his esophagus was removed and stomach stretched up. Now he is having problems with a blockage or twist in the tube from his stomach to his intestine and is throwing up everything he eats. What can be done? The doctors are telling him that the area is being pinched from scar tissue from a hernia operation after his cancer. This hernia operation was kind of a botched operation and ended up very ill and needed a repair done after the inital hernia operation. They spoke of perhaps putting a tube from his stomach to intestine but are rethinking this as they say it will bend or break(?). Their latest solution was maybe a feeding tube and he does not want to have to resort to that. Any solutions? Thank you.	Hi, management of esophageal cancer depends on location of the tumor. Generally upper third of esophagus cancer mainly managed by chemo radiotherapy whereas lower and middle third of esophagus cancer managed by surgery followed by chemoradiation if on biopsy report surgical margin are found to be involved. From your question it is unclear whether your brother was offered post-op chemoradiation or not. If post op chemoradiation was given then chance of anastomotic dehiscence is increased. Now in case of your brother as blockage or twist in the tube from his stomach to intestine has occurred it is better to think of putting a feeding tube directly to intestine (jejunum) by operative intervention and to put the patient in close follow up. You have to consult your surgical oncologist. Take care of your brother.
如果你是醫生，請根據患者的描述回答醫學問題。	So I had my gallbladder removed about 3 months ago and I have had trouble ever since then. I have constant nausea, abdominal pain (spasms), and constipation. I went to the gastro doctor about 2 weeks ago and did not get much help from him other than he decided to run a bunch of blood work. I had an appointment with my primary care physician Thursday September 30, 2010 and I had a fever of 100.7 and my liver enzymes were elevated not to mention my usual extreme nausea, spasms, and constipation. She was extremely concerned and sent me directly to the emergency room because she thouht it might have been an abscess from my gallbladder surgery. Luckily it was not an abscess. The ER doctor did notice some inflammation in the intestines but did not seem too concerned. I had a bunch of blood work done again. My primary care physician is testing me for a variety of different viruses and my blood will be sent to the Mayo Clinic. She also wants to do an Upper GI series test. So I guess my question is basically what is this? Or if you have any suggestions or thoughts about my current condition, that would be great. Thanks!	Hi, I had gone through your question and understand your concerns. This looks to me like so called postcholecystectomy syn Chat Doctor. Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, Persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syn
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,My 11 months old baby is having discharge 4-5 times a day regularly.This problem started when he was 6 months old.that means from the time i started to give other foods other than breast milk.But it is not a loose motion.It is not causing any weight loss or any stomach pain.If I give broken rice in liquid form for 3-4 days ,this problem will be stopped.but he will not get any nutrition that he want in this age .So can you give ame a solution.	Hi, this type of symptoms can be presentation celiac disease. Celiac disease is a gluten sensitive osteopathy in which there is permanent intestinal intolerance to dietary wheat gliding. It can present as chronic diarrhea, abdominal distention whenever the child is given wheat into diet. The problem usually starts after 6 months of age when food items are introduced to child. You should do blood test like complete blood count fecal fat excretion. Anti endomysial antibodies should also be tested. If the result is positive, then strict gluten-free diet should be given to child. Rice and maize are non-toxic and act as sweet substitute. I hope this 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。	doc if the baby had a blood enfection after he admit in 1 week in the hospital then now the blood infection is clear but now the doctor said the baby nid to put in incubator because of the yellow color of the skin i dont know if its true i nid a second opinion. its that posible?	Hi thanks for the question. I assume that your baby is more than a week old. Most of the babies have yellow discoloration of skin and sclera during the first few days of life. This is called physiological jaundice, and it subsides on its own without any intervention. This is a normal phenomenon as a result of transition from fetal to extrauterine life. You should be aware when jaundice is a cause of concern: 1. If jaundice appears on first day of life2. If the level of bilirubin is more than 12 mg/DL. Bilirubin is the substance that causes the yellow coloration of skin. Its level can be checked with a blood test .3. If the rise in bilirubin level is more than 5 mg/DL/hr. For this your doctor my prescribe repeated test and then plot the levels on a graph to predict the expected rise in bilirubin.4. If direct bilirubin is more the 2 mg/DL or 20% of the total. Bilirubin is of two types physiological jaundice is due to the water insoluble indirect bilirubin so if direct component is high it means it's not physiological and should be a cause for concern. The direct and indirect breakage is given in the blood test. 5. If your baby is otherwise unwell e.g. is lethargic, is not feeding well, has fever or difficulty breathing then its not physiological jaundice because in that case your baby will be otherwise totally ok. You have asked if your baby needs incubator care. Incubators are for premature babies who can not maintain their body temperatures as they have arrived earlier, and temperature control mechanisms have not yet been established. The incubator provides specific temperature. Incubators are not used for the treatment of any type of jaundice. Phototherapy is used for that. These are specially lights that convert the indirect water insoluble bilirubin into water soluble forms that can then be excreted out through urine. As I have told high levels of direct bilirubin are a cause of concern and these need treatment with a phototherapy unit. Your doctor may prescribe phototherapy if your child has any of the criteria I have mentioned earlier, but incubator care is not needed as your baby is not premature and is at least older than a week. If you have any other questions I will be happy to answer.
如果你是醫生，請根據患者的描述回答醫學問題。	Respected Doctor kindly clarify my doubts as follows:1.My niece underwent miscarriage of her first child in the second trimester period. (end of six month). Now the Doctor referred blood test and the report is a shock for me; My niece conveyed the information as Antiphospholipid syndrome ; She is under full stress and decides to not to plan for a child in future life. KINDLY TELL ME THE SUITABLE OPTIONS.2. Is it a life long medical issue? will it affect the future child after medications?3. I feel apart from her current gynecologist do we need to refer Haematologist too. WE ARE NOT READY TO FACE OTHER CRISIS.WITH WARM REGARDSGowri	HI THANKS FOR POSTING YOUR QUERY ON HEALTHY CARE MAGIC.GOING BY YOUR CLINICAL HISTORY I WOULD LIKE TO TELL YOU THAT, ANTIPHOSPHOLIPID ANTIBODY SYN Chat Doctor. IT USUALLY ARISES IN THE BACKGROUND OF AUTOIMMUNE DISEASES.NO KNOWN CAUSE HAS BEEN FOUND FOR IT.THE CONDITION IS ASSOCIATED WITH LIFE THREATENING THROMBOSES/BLOOD CLOTTING IN BOTH ARTERIES AND VEINS CAUSING HEART ATTACKS, STROKE,PULMONARY EMBOLIC, DEEP VEIN THROMBOSES.IT ALSO CAUSES RECURRENT SPONTANEOUS ABORTIONS.FUTURE CHILD
如果你是醫生，請根據患者的描述回答醫學問題。	my husband recently got examined for company meedical test (age 37/ height 170/ wt 60) . his cholestrol level is 238 & LDL cholestrol was 152.6. also when tested for cardiac ischemia it was positive(the stress depression > 2 but it was recovered later). i jst want to knw is this a severe problem & can it be brought to normal?	Dear Mrs, If he has a positive stress test for ischemia, it means that one of the vessels with supply blood to heart is narrowed. It is not very common in his age, but possible. The risk of this disease is that such patients can develop a heart attack. The next step should be coronary angiography, it is an examination, when heart arteries are imaged, it will show the exact vessel and the percentage of narrowing. And if there is a need doctors may intervene and open the vessel with stent. His doctor will prescribe him medications to prevent further blockages, and he should follow healthy lifestyle: avoid food containing animal food, not to smoke and Chat Doctor. Hope this was helpful for nourishing a good health to your husbandmen back if you have any further questions
如果你是醫生，請根據患者的描述回答醫學問題。	Hi , I went for a blood test as I mentioned I was tierd very often and to seek some further help on my back pain whoch I have been suffering for years due to a slip disk which led to a diskectomy and the pain is still on going 5 years on. Doctor ia calling be back for my 4th blood best as they are concerned my Hb was 13 but has drolled to 11 from a previous blood test before a hystercectomy a year ago qnd also wbc was lower , the doctor phoned ans asked me to come in soon and protein and inflamation bood tests and said it is a symptom of something and never said what? Could you explain please ?	Hi, Thank you for posting your query. Chat Doctor. It can be due to blood loss or due to poor intake of iron, or some chronic disease. In a person with back pain, and low hemoglobin, we need to exclude multiple myeloma (a cancer of bone marrow), which can be done by doing blood tests, such as serum protein electrophoresis, urine Hence Jones protein, etc. At present, you need not worry, as a diagnosis has not been reached for any serious disease. I hope it helps. Please get back if you require any additional information. Wishing you good health,
如果你是醫生，請根據患者的描述回答醫學問題。	Hello- I slipped and fell on a slick surface about a year ago - it seemed ok for a while, but lately I have noticed a dull ache at the highest point of the hamstring. i started paying attention to what might be causing the ache - i noticed when i stand up after sitting in the floor it seemed to irritate the hamstring. i can also feel the ache when i am on my feet at work - it is definitely more pronounced when i powerwalk. i wear z coil shoes with sorbothane inserts and medical grade silicone inserts for shock absorption. Help!	Hello, I have studied your case and I think that there might be some torn fibers or fluid collection in the hamstring. It is still not healed properly. I would recommend you to get MRI of the thigh to find out what is condition of healing at present. If MRI shows that there is some fluid collection in the thigh at hamstrings origin then you can get steroid injection in the thigh at that position. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	I was prescribed TERAZOSIN due to an enlarged prostate. I have taken TERAZOSIN for several years now and, I suppose it does help making it easier to urinate. Listed as a side effect is dizziness and light-headedness, especially when standing too long or overheated or during hot weather. I have had several episodes of lightheadedness and feeling faint. While playing golf during the summer and at the end of walking 18 holes I stopped to rest in the shade. As soon as I sat down, I fainted and fell hitting my head on a concrete slab. I got a light concussion. Since then my doctors have decided my heart beats too slow and are debating whether I should have a pacemaker to regulate my heart. I wear a wrist and chest strap heart monitor and noticed that my heart can beat anywhere from 45 BPM while at rest to 160 BPM while exercising. I can sense when my heart is beating too slow because I do feel lightheaded. Can you give me an opinion? Thank you. Luis	Hello, Norma heartbeat ranges from 60-100 bpm. Your heartbeat is low because of side effect of medication (Terazosin-it is an alpha-blocker, which lowers BP & may cause slow heartbeat), poor electrolyte balance(take ORS, soups & juice), obstructive sleep apnea, poor general health, thyroid issues(hypothyroidism). You are suggested to get physically examined, get your general health condition better. Get treated if you are diagnosed with obstructive sleep apnea or thyroid issues. Get treated at the earliest. Quit smoking & Chat Doctor. You can talk to your treating doctor & get Teratogen replaced by other medicines that will suit you better. Your treating doctor can suggest you surgery(TRIP/TUNA) depending on the moderate or severe symptoms you may have. Bradycardia should not continue after appropriate treatment but if it does your treating doctor will suggest Pacemaker for you. Hope I have answered your query. 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。	My heart is beating hard my chest is moving out I had the flu and then it turned into a cold and iamb wheezing terribly I don t know if it s pneumonia or not, what do you think I should do my nose is running I m nauseous head hurts bodyaches reason terribly I m 52 years old	Thanks for your question on Chat Doctor. Lung infections are very common after upper respiratory tract infection (URI). And in old age(age more than 59) chances are even high. So possibility of lung infection is there in your case. Lung infection can be either1. Bronchitis2. Pneumonia both cause rapid heart rate, coughing, wheezing, nausea etc. So better to consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Chest x-ray is needed to rule out pneumonia.PFT is needed to rule out bronchitis. So consult pulmonologist first and get your self diagnosed, then start treatment accordingly.
如果你是醫生，請根據患者的描述回答醫學問題。	Swelling on feet and upper side of palm etc. S.Creatinine 1.16mg/dl; S.Uric Acid 4.17mg/dl . Urine Report:- Albumin: Traces, Pus Cells 2-3 /hpf, Epithelial Cells 1-2/hpf Please suggest what to do. Female age 50 yrs. Hysterectomy done at the age of 38 yrs . Knee pain is also there.	Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you have knee pain, swelling of the feet and palm, this can be helped with physical therapy as for the other symptoms' medication will be taken care by a physician. As due to increased creatinine, there leads to swelling as the kidney functioning is disturbed. So performing regular exercises will help improve the venous return. Also in my clinical experience I have seen patients with similar complaints, and they respond to physical therapy well. For knee pain a thorough assessment is advised. Post which physical therapy will be helpful with the combination of Chat Doctor. Regards Jay In
如果你是醫生，請根據患者的描述回答醫學問題。	I have what looks like large, 2-3 millimeters across, pimples on near my scrotum and penis shaft, in my pubic hair. I visted a doctor last January when this came up and he said it wasn t hsv and gave me an antibiotic and some kind of skin cream, used it but didn t finish as the 3 bumps I had then were gone. Now I have a few more in a different area. There is no pain, itching are other sensation around them or before they show up, and when I popped one clear fluid came out, but filled up and came back the next day. There are no other symptoms and I feel normal, just concerned.	Thanks for asking in Chat Doctor forum In short: I think those are not fur uncle but sebaceous cysts. Explanation: If it is not itching/hurting then it is not fur uncle/boils. I think those are sebaceous cysts which are harmless unless you meddle with it. So, please do not rupture and leave it like that, if it is visible and causing cosmetic problem you may visit dermatologist for its removal. Hope this will help you. Please do let me know if it helps,
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here...I am 18 weeks pregnant...took a z-pac last week for a terrible sinus infection was done with it on sat. my doc prescribed it to me. I just started porgesterone shots to prevent pre-term labor. I have noticed that my tongue is yellow and has been for about 5 days. When I brush it it goes away but then comes back the following day. At night I still have a very congested head / nose and now have a very sore throat. What is wrong?	Hello, I have gone through your query and understood the concern. Your symptoms suggest that you have a persistent infection. The antibiotic seems not to ave cured it all. The discoloration of the tongue may be secondary to antibiotic usage and/or due to other medication or food intake. If it is a fungal infection, it is not so easy to remove it with rinsing. You can ask for a throat swab before deciding on using another antibiotic. Meanwhile, you can try steam inhalations, warm saline gargles and Chat Doctor. Avoid all cold food and
如果你是醫生，請根據患者的描述回答醫學問題。	I have a severe pain in my outside forearm when i try to rotate my arm or twist my wrist such as opening a door knob. I can move my arm up and down with no pain and flex my arm with no pain, only the twisting motion causes it. I noticed the pain almost immediately after lifting weights. What is causing this horrible pain?	Hi there, thanks for your question. Pain on the outer aspect of your forearm specifically on rotatory movements, suggest a pattern of pain similar to that seen in tennis elbow. Due to repetitive stress of such rotatory movements, settle micro damage happens to the flexor muscle attachments in outer apex of firearm. Test, Ice and analgesics help relive the pain. I would suggest you to strictly avoid rotatory or screwing movements of your forearm. You can use a band similar to tennis elbow band, applied about 2 inches below your elbow, where you can see the main muscle mass. Doing this over 4 weeks, you IL have significant relief. If the pain still persists or the pattern changes. You need to see your physician for further tests. Hope this helps. All the best. Regards. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my 3 years old daughter is getting pain while passing urine for 2 days.she has no fever or any other symptoms.here urine culture not possible.is Flavoxate tab as 1/2 trice a day for 3 days safe for her?if not what medicine can i give her.pls help me .	Hi, Favorite, will help to relieve dysuria and urinary urgency. It's a safe tablet for the above symptoms. It may alleviate the symptom that your daughter has, but the cause for dysuria (i.e. pain while passing urine)should be found and treated. A common cause for dysuria in that age group is cystitis, urinary tract infection or sometimes renal stones. As urine culture is not available near to you, a urine routine test can be done, which will give us a lot more information. If any constipation or voiding dysfunction is there, that need to be sorted out, and toilet training should be done if not yet trained. I would suggest you check the correct dosage of favorite for the child from your pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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 30 year old male, who is a competitive athlete. I do not have any structural or plumbing heart issues. I have been diagnosed with WPW accidentally, and I am waiting for an ablation in 17 days. I am mostly asymptomatic, and I never had any extremely rapid heart rates. My resting heart rate is actually in the 40\s. However, I do sometimes get palpitations and every once in awhile get a run of 5 to 7 in a row. The EP I saw in the hospital prescribed me Flecainide 50 mg, twice daily. I saw another EP, who was a much older guy, as a second opinion. He seems to think I do not need the Flecainide, and maybe not even the ablation. I do not agree with him on the ablation due to recent medical studies on WPW and how ablation is recommended even for asymptomatic patients, especially athletes.My question is regarding Flecainide. I have not had any palpitations since I began taking it a few days ago, but I want to make sure this drug is not putting me at risk for creating a dangerous rhythm. Reading case studies and medical journals, it seems there is some risk. I have not been known to go into AF, and besides palpitations, I am asymptomatic with WPW. Do you think Flecainide at this dosage is safe and reasonable for the next two weeks, until my ablation?	Hi. In WPW (Wolff-Parkinson-White) syn ChatDoctor. I can present as palpitation, but the timing cannot be predicted. Regarding Flecainide, I do not think you need to continue for next two weeks. But, your cardiologist who will perform this surgery, is the best judge to advise you whether he wants to continue it prophylactically or not. For more information consult a cardiologist online
如果你是醫生，請根據患者的描述回答醫學問題。	Hello my daughters platelet count is 99 have typhoid fever, taking IV antibiotics. How much should be the lowest platelet to be obtained, the doctor says it is normal for having typhoid, she has been in the hospital for 5 days already... any tests to know? she has no fever... is it possible to have low fever? thanks	Hello, thanks for using Chat Doctor. I had gone through the data you have posted. Normal platelet count is 1,50,000- 4,00,000differential diagnosis of fever with thrombocytopenia:1) viral infections like Dengue will cause thrombocytopenia. Wbc count helps us to give an idea regarding the etiology in viral infections usually WBC count will decrease and there will be lymphocyte predominance. Do dengue IGM to look for that.2)malaria: it is common to find thrombocytopenia in malaria. Do malaria card method and smear method for detection. If it is negative, repeat test when febrile. 3) associated B12 deficiency; B12 deficiency may produce pancytopenia, thrombocytopenia may be a part of that4) scrub typhus: 5) rarely ITP it is not common to find low platelet count in typhoid fever. So kindly relook at the diagnosis. Hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	I started getting chest pain yesterday, pretty much under my left breast. It felt as though there were cylinder blocks squeezing down on my chest. It lasted about 15 mins, then the pain decreased from an 8 to about a 4-5 on and off accompanied with sob and tiredness and pounding and irregular heartbeat. I chewed an aspirin and also swallowed one. I then realized that laying down on my back and even more so on my right side made the pain on the left more severe. I am somewhat hesitant to go to the hospital and just praying the pain will subside. But my only relief seems to be sitting up and resting while doing so. Please advise..	Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of cardiac chest pain is more. Your pain is squeezing in nature, on left side of chest, with irregular heart beats and associated with orthopnea (breathing difficulty in lying down). All these are characteristic features of cardiac chest pain. So without wasting time, you should definitely consult cardiologist and get done ECG, 2d echo and stress test. 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。	Hii..doctor I m 19 years old. I dont able to sleep without masturbating. .I had this habit from 3 yrs early. I enjoy masturbating. ..and feel excited by releasing sperm. .too quickly. .I use to masturbate 3 times a day..not even a single day I live without masturbating. .plz tell me if it will affect my future sexual life...	Hello,Based on the facts that you have posted it appears that You have been indulged in masturbation since many years and fear yourself to get into problem of infertility in the future.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems. But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. So do not worry at all.However, it is advisable to get addicted to it. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	I have just discovered a small lump about the same size as a pea on my left knee cap. It is mobile, it goes round in circles about 1cm diameter. It is not hard like a stone but harder than a pea, a bit like a mushroom, but it doesnt squash. thank you	Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause of the lump on knee cap-Its very difficult to give any cause from the given data which is insufficient. Still with my expertise and experience andiron the facts given in your query, you seem to have either of the following-Sebaceous Cyst or Epidermis Cyst /or could be an F.B.fibroid if history of injury in the sand, corroborates it/or Could be Bursitis(housemaids knee)I would advise you to consult ER Surgeon, to rule out various possibilities of such a lump, and to plan for its treatment, which is your main concern.Don't Self-treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist.
如果你是醫生，請根據患者的描述回答醫學問題。	my daughter is 5 years , she is having breathing difficulty nd night time snoring and coughing as well as mouth breathing . due to this she has undergone adenoid surgery. and again the dr are advising to do adenoid surgey.can u give idea on this case	Hi I am Chat Doctor. . If your child has be operated for adenoids then probable cause could be chronic allergic sinusitis or rhinitis which needs treatment with steroid nasal sprays. This can also reduce the size of adenoids. If she is having an active infection defer steroid for2 weeks and treat the infection with a 10 days course of antibiotic if the secretions are purulent. Thank you for using Chat Doctor
如果你是醫生，請根據患者的描述回答醫學問題。	I have a growing lump beneath my belly button. I constantly feel lumpy movements in my stomach an last night I got weird pains like I m getting punched in the stomach. I feel nauseous all the time (not specifically morning sickness) BUT the 3 pregnancy tests I took were all negative	Welcome to Chat Doctor. 1. The history and symptoms suggest umbilical hernia.2. The lumpy moments what you are feeling could be peristalsis, and pain during partial strangulation of the bowel.3. Symptoms like nausea will be seen in case of hernia.4. To confirm this - ultrasound will give a clear picture about the anterior abdominal wall defect, contents, presence of strangulation and vascularity.5. At the same time an abdominal ultrasound will rule out other possible causes.6. Suggest to get an appointment and needful investigations, treated accordingly. Good luck. Hope I have answered your query.Anything to ask do not hesitatehttp://doctor. ChatDoctor .com/doctors/ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	What is the organ below your left chest about 2 inches above your belly button? I stretched ad it rose up about 2 inches and is as hard as a golf ball and hurts and feels like someone is pressing down really hard and feels like it will rupture right now	Hi, Dear thanks for the query to Chat Doctor. Cause and treatment-for Your lump above belly button below ribcage-In my opinion -the lump -is mostly a-Entrapped- Epigastric hernia-as it hurts and has feeling that someone is pressing down with in abdomen and would rupture just NOW. Treatment for it-a-Surgeon consultation is advised This would help you to plan a treatment for this query. So don't worry and act fast ASAP. Hope this would help your worry to take proper steps for health. Wishing you fast recovery. Wellcome again if you have any more query in this regard. Have a Good Day.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doctor.. i had an hair line crack in forefoot and a Doctor prescribed me an ointment Relaxyl DA Thermo gel after 1 and half month... but now i am having an skin allergy because of use of it.Now Doctor prescribed me defcort 6 for 1 week( three times per day). Might be skin allergic will be gone.. is there any side effect of it as it is steroid.. if yes, then what kind of precaution should i need to take.	Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Effort (Deflazacort) is a corticosteroid. For 1 week use, as mentioned my you, common side effect would be gastritis, stomach upset, vomiting, nausea, etc. You can avoid them by taking it after food, if necessary, you can also take antacids simultaneously.2. If you use corticosteroid for prolonged period, possible side effects are numerous, such as hypertension, weight gain, diabetes, cataract, glaucoma, osteoporosis, mental disturbances, skin thinning, etc. etc. Also, if you take them for prolonged periods, you should not discontinue immediately; they need to be gradually decreased under guidance of physician.3. However, for 1-week course, you can stop as suggested by your physician. Hope above information will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	hi i am nisha i am 33yr old i had pcod problem and now it is rectified and my is having motility problem but counts are good and i did my first iui last week and daily my body temperature is raising from 97f - 99f what is the reason any chances of conceiving or not kindly let me know the reason	Hi Nisha, i think I have understood your concern. As such 99 degree f is just above expected normal 98.4. Please get hologram and urine routine test done. Also, ESR, and Montauk test is recommended if you have evening rise of fever. This rise can not be directly the reason for not conceiving. Considering your PCs history, I will suggest indulging in a healthy diet and regular exercise regime. Start on B12, Folic acid when you are trying for pregnancy, as it will help prevent various risks. 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。	Hi, I was recently in a bicycling accident and damaged my three front teeth and gums above them. I went to the dentist a few days ago and he said my gums will heal and teeth will hopefully be fine. But just last night I noticed that my gum on my upper left tooth un attached itself from right to left in the middle. Will my gum reattach itself and heal buy itself? Or should I go see a dentist right away?	Hello, You must visit the dentist if the gum has detached itself and is attached at some point above the teeth as the dentist can excise that part of the loose tissue. But if a considerable part of the gum tissue is still attached and not hanging loose, then there is a possibility that it will heal. Because excising a part of gingival can sometimes cause contraction the healing tissue and result in shortening of the gums and since it is the front teeth it doesn't look aesthetic. I suppose that's the reason the doctor must have waited to heal on its own. I would also like you to take soft food and not to traumatize the area while brushing. Fingers can be used for massaging the gums in that area or soft toothbrush can be used for brushing the teeth. 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 have a 1 year and 5months old child whose suffering from bronchitis and asthma, one of the medicines the doctor prescribed was sinecod forte, I am worried because I just read the label stating that it shouldn t be administered to children under 3 years old..I want to my child to be cured but I don t want his health to be harmed as well.Thanks	Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does he cough or feel breathless?2. How many nights per month does his sleep get disturbed due to above symptoms?3. Does he feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	2 months ago, my arch started having some pain off and on. Im teaching in China this year and do a lot of walking. Recently, it started having more pain with the walking. This week the pain moved up into my ankle and even aching in my leg. I see swelling in my ankle. What can I do to help it stop swelling and relieve the pain. I am on my feet quite a bit and wont return to the US until July.	you much show an orthopedic doctor. Pain in arches can be due to flat fleet or muscle imbalances, or excessive fatigue of feet muscles and ligaments on prolonged pressure of walking, standing on hard surfaces without adequate shock absorbing cushions in insole or on faulty footwear, high heels etc. Treatment is contrast bath (alternate dipping in hot and cold water for 10 minutes, massage,elevation of feet on sitting, use of ankle support in daytime, use of silicone in-sole in footwear, Take anti-inflammatory medicines and acetaminophen. Take short breaks from walking and standing. Do toe and ankle exercises regards,
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, What is the risk of getting infected from a blood draw done using a syringe contaminated with HIV blood ? The reason I am asking this is because recently I had my blood test (non HIV) done in one of government hospitals in Mumbai and I didn t see the phlebotomist using a new syringe for the test. Thanks	Hi and thank you so much for this query. I am so sorry to hear about this scare that you had. Please, if you are not sure of the quality of the syringe to be used, decline the test. If for real a contaminated syringe was used, the chances of having HIV are not zero but would really depend on a multitude of other factors. I will suggest that you follow up with a doctor and be managed as a case of accidental exposure to blood products as it goes beyond just HIV. I hope this helps. Furthermore, I wish you well and thank you so much for using our services. Feel free to ask for more information and clarifications if need be.
如果你是醫生，請根據患者的描述回答醫學問題。	I had abdominal herni surgery repair using a mesh in july , thne another umbilical hernia repair in oct now i have swollen abdomial and severe cramping every few minutes all bowel work fine i had fluid build up behind mesh told to me that with time would go away but no pain meds are helping with severe paing and cramping	HIIT can be due to nerve entrapment or inflammatory fluid collection around meshed ultrasound of abdominal wall surrounding mesh and also abdominal ultrasound to rule out any intra-abdominal pathology. Simple serous fluid collection needs no treatment. Nerve entrapment is initially treated conservatively but may require invasive methods in refractory cases.since your bowel habits are normal, so chances of intestinal obstruction are very less
如果你是醫生，請根據患者的描述回答醫學問題。	I got a small cold a week ago but I have asthma so it worsens and I wasn t able to cough up the stuff I was suppose to be. I had no stuffy nose. I went to the doctors and they put me on prednisone to help open up my airways along with an inhaler. I flew out to TX from Oregon last Friday and I fell asleep on the plane. I woke up after we landed and I had began to get a stuffy nose and I could not hear a thing. My ears unpopped a couple days later but I am still in great pain. My nose has also began plugged. I went to the doc again in Texas on Monday and I was told I have 2ear infections and bronchitis. I am schedueled to fly again on Friday back home. Was wondering if it will worsen ?	Cellophane You for contacting Chat Doctor. If you have completed the antibiotic dose then there is no need to start again at the moment. I would suggest you to do following things:> take cetirizine one at night for 5 days.> take one puff of Xylometazoline HCl 0.1% in each nostril thrice a day for first 2 days, then twice a day for 2 days. Then stop.> acetaminophen for pain (if occurs)>> take hot water in a cup add 1 tablespoon salt. Perform gargles (mouth wash) with it thrice a day for at least 2-3 days. It will give soothing effect to your throat> take boiling water in a pot, sit in front of it and cover your face and pot with a sheet. Inhale hot steam (do not get very close else it might cause burns). It will also give soothing effect to your airway. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	brest fed is not enough so i am giving farex formula to my baby 5 month old but she is not gaining weight iam giving 60ml for 2 hrs once. she is not awake in night time what shold i do for this iam worry about my baby weight. born weight is 2450 kg anf now 5 kg	Hello. I just read through your question. I understand your frustration with the feeding of your baby. Furthermore, I want to reassure you, however, that the weight that you report is not abnormal. We expect babies to double their birth weight in the first four to five months of life. The numbers you report indicate that your babies birth weight has doubled. Typically, we recommend beginning baby foods at this time in a babies life. Adding baby foods can potentially have a positive effect on your babies weight. I recommend consulting with your doctor about your babies diet. However, I again reassure you that the weights that you report are normal.
如果你是醫生，請根據患者的描述回答醫學問題。	My wife recently has been unconsciously sticking her tongue out to her lower lip and feels like her tongue is slightly swollen in the in the back. She also has some pain on both side of her neck. She recently began taking an iron supplement Any ideas?	Hi, Swelling behind the tongue and pain on both sides of the neck could be because of tonsillitis along with pharyngitis. Tonsils get swallowed and get obstructed and all secretions accumulate in the thorax and give you lump type feel underneath the tongue. I would suggest you massage your neck area and apply under the chin with Desi ghee, almond oil so that Chat Doctor. Gargle at-least 3 times a day with Betadine. Antibiotics such as azithromycin, multivitamin tablet and if you have fever take paracetamol combination for this. Avoid eating oily, spicy food and cold
如果你是醫生，請根據患者的描述回答醫學問題。	My brother and I went to Thailand recently and we ve both developed some issues with bloating and a feeling of fullness when we eat.... particularly when we drink water after a large meal. We are also experiencing intermittent sharp pain in what i suspect in the gallbladder. Developed the symptoms first and it appears I have caught whatever he did about a week afterwards. Any idea what this could be? Thanks.	Hi and welcome to Chat Doctor Thanks for the query. It may be experienced if you change your diet suddenly. There may be irritation of stomach mucosa which causes gastritis or there is gallbladder attack. Some certain food can trigger gallbladder stones and gastritis. Especially spicy and fatty food. So you should eat easier food, avoid alcohol and carbonated Chat Doctor. Wish you good health. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	For the last 15 yrs my EKG has come back the same. Stating normal sinus rhythm, possible left atrial enlargement, st &t wave abnormality, consider inferior ischemia, st & t wave abnormality, consider anterolatreal ischemia. I ve been to two Cardiologist and many doctors. No one seems concern. Should I me. Thank you	Hi, The statement about the ECG itself is a bit concerning as it says about some possibility of cardiac disease of vessels. However, if this has been for 15 years and you don't have any chest pain then the report may not be very accurate. In fact, these machines made reports are not very accurate. If you are already seen by 2 cardiologists, and they signalled ok, and you don't have any chest pain or shortness of breath then you should not be worried at all. Just ignore the report. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, my husband has been experiencing for the first time in his life an allergic reaction or so we think this is an allergic reaction. It s primarily in his face and it s always random. It s been happening in the last couple of months and seems to happen only on the weekends, but again random, not all the time and it vasilates between the left side and the right side and usually his mouth area where he experiences swelling to the point of it hurting. We think either a food allergy or maybe spider bite, but we ve tried to narrow down the food items, laundry items, soaps, etc. and it s still happening. Could this be another way of his body telling him something else is wrong? When administering an allergy medicine to him, it will usually go away by the late afternoon or the next day and he always wakes up with it. Help!	HI, thanks for using Chat Doctor The symptoms are possibly due to : (1) allergies (2) sinus congestion (3) infection with herpes simplex 1 (cold sores)Sinus congestion can cause one-sided pain and swelling as could the other conditions mentioned. It would be best to consider visiting a doctor for an assessment which would include physical examination and possibly bloods. Blood tests can be done to check for allergies though if it is an allergy, it would have to be something coming into contact with this area specifically hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,I have been getting dizzy when I stand up and have to stand still until it passes.Just had my blood pressure and its 90/55.I excercise 3-5 times a week but have not for the last few weeks.Im a 44 year old female,no smoke/drink.I also experienced some pressure in the middle of my chest twice and had the feeling I was really full but had not eaten?Thanks	Your blood pressure is starting from the low end. That's not necessarily bad but probably explains what you feel on standing. I am usually the cause of these symptoms with the medicines that are used to protect the heart. If you are taking any, be sure to review with your doctor. If not, make sure you take a moment on standing and make sure that you don't miss meals. If you can't eat, be sure to have something like a sports Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi.My 35 y/o boyfriend recently told me of a lump under his ribs on his right side. He can not feel it with his hands, but can just feel it. The last little while he has also been vomiting in the mornings and doesnt have the best appetite. Any thoughts?	Hi, dairy have gone through your question. I can understand your concern. He has lump under rib cage. It can be due to some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. He should go for biopsy of that lump. It will give you exact diagnosis. Then he 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。	Age 57 5ft9in weight 225 lbs. have herd and have had prostate cancer, ...stools are loose and yellow, cramps after each meal and gas some times diareha. Started this week... No nausia associated. Taking two Prilosec per day, blood pressure med and Lipitor. Feeling the need to go after each meal?	Hi, dairy have gone through your question. I can understand your concern. Treatment of prostate cancer depends on type and Gleason's score. Treatment options are surgery followed by chemotherapy. However, prognosis depends on Gleason's score. If it is more than 7 than it leads to poor prognosis. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. 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。	Hello, My mother has lived with me for the past 4 years. She was diagnosed with cirrhosis 15 yrs. ago at the age of 60, even though she didn t touch any alcolol until the age of 45, when my father died. She was never a heavy drinker, but was extremely obese and ate tons of white sugar right out of the bowl. She had a gastric bypass in 1986, and now weighs a svelt 225 lbs., down from 325. She was in a serious car accident 5 years ago, broke her pelvic socket, crushed her right hip, etc. (she d been having TIA s before the accident) and is now in a wheelchair. She has since been diagnosed with kidney disease and CHF, although no on has ever told us specifically. I ve made copies of her records in between transporting her from the hospitals and rehab facilities, due to falls and now cellulitis flare ups. She s had ascites on her legs for 4 yrs., and probably her abdomen (she s so heavy it s hard to tell). The muscles in her hands have atrophied, and her extremeties are now a deep red. Her sleeping habits are all over the place, and she is constantly falling asleep, and seeming confused consistently. I have given up work to care for her, but am also married, and raising a 13 year old daughter. I would truly appreciate some honesty regarding how much longer I ll have to endure caring for her. I have POA, and my 3 siblings have pretended that we don t exist for the last 4 years because they don t want to deal with her health issues any further. Despite all my negativity, I would like her to pass away in my lovely home, rather than a nursing facility. She s so fussy, I know that no on would provide her with the empathy that I struggle to continue to give. Your response is most appreciated.	Hello, Sorry about your mothers' health condition. She is suffering from CKD with cirrhosis of liver with hip fracture with cellulitis of limbs with altered sensorial. This condition you may just take supportive care. 1. Check urine output regularly.2. Use antibiotics and diuretics to reduce edema and cellulitis.3. Reduce fluid intake 4. Check serum electrolytes for altered sensorial.5. Give low salt diet.6. Check her seem creatinine at least two times in a week.7. Physiotheraphy may useful. Please post me follow-up reports will guide you accordingly. Hope I have answered your query. 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。	SIR my father was suffering from infection in march n was admitted to hospitl for 1 month with medications and anitbiotics. but we want to consult over his health again as because his hands legs n face is sweelling again. please sir suggest me something.	Good day, and thanks for your question. Sorry about your fathers' health. How old is he? Your father would need a proper and thorough medical check including physical examination and tests to ascertain the cause of the swelling. Tests would include a kidney function test, liver function test, an abdominopelvic scan, a PSA and other vital tests. Please kindly visit a physician. Hope it helps. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,I have back pain from last 2 week, i did exercise and yoga to cure this but all in vain.Finally i have taken medicine for back pain..........I wanted to know that Currently i am doing GYM and taking medicine at for back pain, Is it harmful or does it have any effect on our body to take medicine while doing GYM.Thanks,AAAA	Hello and Welcome to Chat Doctor, Thanks for writing to us. According to the clinical history provided the back pain could be part of a mechanical back pain complex of symptoms. This mechanical back pain is caused due to bad posture at work, long work-hours in particular position, lack of proper sleep or healthy diet as well. One must also rule out inflammatory disorders, for which I recommend you to get an X-ray of your spine after consulting with an Orthopedic. MRI can be taken in case you have any nerve compression symptoms or as deemed necessary by your Orthopedic. After a thorough physical examination by your Orthopedic, you may be prescribed painkillers and/or muscle relaxants which should give you reliefAvoid weight-bearing exercises. Do only mild aerobics which does not put your back to strain. You can discuss this with your Gym instructor. Hope this helps you. Wishing you good health... Regards. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my son has advanced stage 4 colon cancer. They have removed a mass that was the size of a big grapefruit. in the mass there are strings (VERY UNUSUAL) lymp nodes are affected and they are saying aggressive cancer. Chemo has not been started yet. how long do you think he has.he is 39 years old , the doctors are saying he has had it for 5 years	Hi and welcome to Chat Doctor. I am sorry about your son and this serious diagnosis. This is really unusual in his age, especailly that kind of aggressively. Usually those cancers are found in stage 2 and 3. Statistically the five-year survival rate for people diagnosed in this stage is about 8 percent but if he doesn't have verified metastasis yet and if he shows good reaction to chemo I think he really can hope for those 5 years. Not more, unfortunately.Wish you good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	I am professional Telecom Consultant and i had performed consultancy in different countries. Recently I was going to some country and a medical problem occured which name is Hepatitus B ( HBsAG ) which seems positive in my report rest i have throughly check with doctor and they told me its negative on your body and its not affecting you at all so no treatment required. But you are a carrier of this problem and it will show your report positive so because of this issue i am not able to get work permit in any middle east country and there is no medical way to get rid of this problem. help me to solve this issue. I would be very thank ful to you.	Hi welcome to ChatDoctorForum. It is better you consult a gastroenterologist for treatment. These days many medicines are discovered. Besides I advise you some diet restrictions as Avoid fatty foods like fries, ghee, nonvegetarian dishes etc. eat the things rich in carboy Chat Doctor. Besides I advise you to consult gastroenterologist of our paid channel ASK A DOCTOR NOW. Wishing for an early recovery.
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 lazy one, and all the time\s something is running in my mind. I am not accurately able to focus on my studies, and I am getting afraid and tensed by every little issue. So kindly help me.	Hello, Welcome to ilciniq.com. Continuous something running in mind if it is unwanted is called brooding or rumination. The more you continue it, the more problems it may create. Problems like making you more lethargic. Better start behavioral modifications like exercise, distraction techniques, keeping yourself engaged, etc., with a proper timetable. Watch yourself for anxiety, and depression symptoms if any, then seek help accordingly.
如果你是醫生，請根據患者的描述回答醫學問題。	My partner develops a fishy smell after we have sex, the odour is very strong and can last for days. he has been to the drs and was given antibiotics but that hasnt helped. we had oral sex and i went down on him, he ejaculated and he then again developed the smell the following day? his seman doesnt smell or taste fishy its just the general area of his genitals..can you help as it is having a big impact on our sex life.we used to have sex at least 5 times a week but now its only once aweek because we dont want to develop that smell again.	Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection or other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.
如果你是醫生，請根據患者的描述回答醫學問題。	I have chiari 1 malformation I decompression surgery end of April..I then had a csf leak from my dura patch and had to have surgery to do repair..I had pressure and pain and went to local ER who did CT scan and it showed psuedomeningocele..I am still in alot of pain..what could be going on another leak?? Or the surgical pain (May 15,2012) or the psuedo?? I am so scared its another leak but don t want to go to ER again if its just needs time...	Hello, I'd be happy to help if I can. If you continue to have symptoms suggestive of a recurrent CSF leak, then it needs to be evaluated by a health professional. While neck pain may have a number of causes ranging from musculoskeletal pain to arthritis, your history of prior brain surgery and recent leak with repair significantly raises suspicion that this could be another leak. I'm not entirely convinced that you need to rush off to the ER, but it would make sense to call/page your neurosurgeon and ask to see him/her as soon as possible. Of course, if you are having nausea/vomiting or fevers, I would get to the ER to rule out meningitis. I hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	My 43 year old daughter was recently diagnosed by her dentist as having 2 right lower jaw tumors. She has had no symptoms. The Oral Surgeon told her these need to come out soon. He will also remove part of her jaw bone. My question is: are these types of tumors usually malignant? She will have an US of the Breast and a complete body scan prior to her surgery.	Thanks for your query, I have gone through your query, the tumor of photogenic are commonly benign but are aggressive like ameloblastoma. Other tumors like keratocystic photogenic tumor or ameloblastic fibrous can occur these are all benign. Malignant tumors like ameloblastic carcinoma, interosseous carcinoma are rare. Get a chest radiograph or PET CT done to rule out metastasis if it is a malignant tumor. Take biopsy and confirm the diagnosis. 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。	Hello doctor,I am a 35-year-old female. I am suffering from a vaginal infection. I want to get pregnant. Is it safe and possible for me after treatment?	Hello. There are different kinds of vaginal infections. The most common are yeast infections and bacterial vaginosis. They are easy to treat most of the time and should not alter your ability to get pregnant. These types of infections can also occur during pregnancy and can safely be treated at that time as well. It is difficult to give more detailed information without knowing the type of infections and the treatment provided.
如果你是醫生，請根據患者的描述回答醫學問題。	My girlfriend and I were having sex yesterday and the condom slipped off. At the time when it slipped off, I was not inside of her, and I had not ejaculated at all. There were traces of pre-ejaculatory fluid, although I had urinated prior to having sex. We were wondering what the likelihood of her becoming pregnant is, and whether she should take Plan B.	Hello dear, I understand your concern. In my opinion the chance of pregnancy with ejaculatory fluid is very, very rare. This might occur in case of coitus interrupts where the much of pre-cum is ejaculated into vagina and intercourse is stopped just before seminal ejaculation. As there were only just traces in your case the pregnancy is very, very rare. So relax. And there might be no need of plan B. Best regards...
如果你是醫生，請根據患者的描述回答醫學問題。	hi my name is jesse, i have had some issues with my neck slash shoulders over the last year, after a ct scan and some other type of scan it seems i have 3 compressed discs in my neck. tonight i was playing rugby and i got hit in my neck and my whole upper body went numb then sharp pins and needles came. it has been 3 hours since the incident and i still have severe pins and needles in both hands and slighty down both forearms. have i just hit a nerve, should i wait till the morning to see if its still there or should i seek medical attention asap	Dear Jesse, Thanks for using the Chat Doctor. As you are suffering from compressed disc and with that any injury over that area might have compressed your nerves. If there is any swelling due to injury it'll further compress your nerves and can damage it. Kindly seek medical help asap. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks get well soon....
如果你是醫生，請根據患者的描述回答醫學問題。	I am Anita Jha "32years old . I had a baby girl of 8 years old . Twice I had a miss carriage But since 3 years I am planning , but I am unable to consume now . I had my Follicular Test since from four month every thing is normal Kindly advice me reason for not consuming . My weight is 70 kg , height is 5.3 .	Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible. Infertility is very common after miscarriage and can take a while to cocaine but nothing to worry about .....you will soon m sure just do your cult work up like ultrasound etc. and also do your husbands work up as we it's v imp even if you have child
如果你是醫生，請根據患者的描述回答醫學問題。	I have just found out I have a hole on the heart, I had a very bad cough and my chest was killing me could this have created the hole. I now have another cough I don t see the Dr. for another 11 days not sure what to do, I don t want to have another strock	Hi Welcome to Chat Doctor . I have gone through your query and can understand your concern. Severe causes doesn't cause hole in heart. But a hole in heart can cause retention of fluids in lungs & cause severe cough. This severe cough aggravates with physical activity or lying down. Severe cough with hole in heart should not be ignored, As this can be a worrisome symptom. Rush to the emergency roofer to a cardiologist Hope this information helps
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter (3 year 9 months old) is getting some rash around her mouth. Her temperature is less than 100 degree Fahrenheit. She is active and normal except that she cannot open her mouth wide because of the rash. What could be the cause of this rash?	Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY Chat Doctor. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	i am six months and i been having numbness in my hands while sleeping my right hand swelled up twice while sleeping and while on my way to work my leg gets numb and tingly...today half is numb and the hip/buttock part has a very sharp pain is this normal?	Your symptoms are suggestive of peripheral neuropathy. Generalised neuropathy should be tested for diabetes, hereditary disorders, inflammatory infections, autoimmune diseases, protein abnormalities, exposure to toxic chemicals (toxic neuropathy), poor nutrition or vitamin deficiency, kidney failure, chronic alcoholism, and certain medications. Kindly check your blood sugar levels. Vitamin b12 injection can be administered. Chat Doctor. Hope that was helpful. Let me know if I can assist you further. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	my son went to the hospital mondaY for severe lower back pain they only took his blood pressure a nurse he said and she said it was muscle lumber pain and gave him two perscriptions and sent him on his way he never even went into the ER and saw a dr he said, his pain is gone in back and now has a severe stomach ache and is nauseus. could he have a flu? i was just visiting up north with him and had almost the same thing starting with bronchitis he did start a cold last week, I went to ER and they said I had a kidney stone but no stone was on cat scan they said i must have been passing it, im lost and concerned my son is never sick	Hi, Thanks for writing in. Flu is a condition which is caused by the common cold virus. It might involve many organs and cause different symptoms depending on the strain of the virus. There is a strong possibility that your son might have the flu from his clinical features. Some patients might experience severe joint pains and this is like arthritis with fever. A close monitoring of the symptoms is required. He should get enough rest and healthy food. Please make him Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	in 1998 I ruptured l5s1 and had a laminectomy, I did well for several years, but over the last couple of years have noticed atrophy of my r lower leg muscle, burning pain down my leg. I am on Neurontin, and wrap my leg with an ace wrap in order to continue working. Is there a way to reverse the atrophy and pain without surgery	Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion if the atrophy has been for more than a year than chances of it recovering even with surgery are minimal. Meanwhile I would like to have your complete examination and MRI investigation to see the status of your spine now. There are chances that if surgery can no more be done than you would need good physio to have some recovery. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only.
如果你是醫生，請根據患者的描述回答醫學問題。	hi dr. My wife is 63years old. we are undergoing medical check up every year. she is having high blood pressure and taking medicines for the that and it is under control(80-140) when checked last. today she observed a small tissue like thing at the outer opening of the anus. she has no pain. but when touched it gives pain. Is it a polyp. should we go to the doctor immediately. We have a plan to go to chennai next month shall we wait until then or seek immediate medical advice. waiting your advice.	Hi, there is no relationship between hemorrhoids and blood pressure. This polyp could be an external hemorrhoidal button. The most common cause of hemorrhoidal disease is constipation with few weekly evacuations and hard stools. The most feared complication of this problem is the hemorrhoidal thrombosis. This complication is marked by severe anal pain and bleeding site. If the pain became severe or if anal bleeding is present, you must go to immediate medical consultation. The blood pressure is arterial pressure, while the hemorrhoidal disease is a venous disease. So, there is No relationship between these diseases. Hope I have answered your question. If you have any further questions I will be happy to help.
如果你是醫生，請根據患者的描述回答醫學問題。	hello dr..I did a face wax yesterday with fem wax strips..i jst had to put on the strips and peel it..but after doing it..it has caused red bumps on my face nd now the skin has become brown in colour..i boght elcon ointment..will this relieve me from the scars and how long will it take?	Hello and welcome to Chat Doctor. It seems you have got local irritation to the wax cream you have used. It called Contact irritant dermatitis. Nothing to worry as your skin will be fine soon. I would advise you a week course of oral prednisolone in low dose (5-10 mg). You can use Elton ointment which contains mometasone but supplement it with application of antibiotic like juridic acid cream to prevent any secondary bacterial infection. After good quality moisturizer like detail DAM twice a day over full face. Avoid use of any cosmetics/face wash for few days. Avoid direct sun exposure and use water-based sunscreen before stepping out in sun. Hope this was useful. 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 husband has asthma, and COPD he takes symbicort and Spiriva. Hes 55, lately hes really tired, some muscle tightness in his hamstrings, some back pain. Im learning about his medical history and what to do. I have a general understanding and Im trying to learn more. I have noticed that hes goes for a week or so before he refills his meds and we are addressing these habits. Do you have any advise?	Hello dear, Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of:1. Stalin or Corticosteroid Inhalers-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, can be used it whenever having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Antihistamines can also be used to provide symptomatic relief.4. Protection from exposure to cold, dust or other allergens. Presence of pain can be attributed to either fatigue of respiratory muscles due to labored breathing or due to infection. If symptoms still persist, it will be better to consult a Pulmonologist & get a proper physical examination done. So that appropriate management steps could be taken. Wishing 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。	Hi, I have been feeling intense burning sensations (like rubbing of jalepenos) on my face while sleeping at nighttime. It usually begins with cheeks then face, ears, neck and (at times) spreads to arms and feet. Also, arms and feet feel itchy and once you start itching it just doesn t go away. It is more frequently nowadays. Last night, I felt the same burning sensation on face/ears but (not as usual - for the first time) it followed by me feeling nauseated, extremely dizzy and sweating profusely. I am borderline diabetic with Hypertension - taking pills and both are well managed. Your opinion is greatly appreciated!	Degree understand your concerns went through your details. I suggest you not to worry much. From the given symptoms, paranoia can be diagnosed. But that is not all. These symptoms also could manifest if you are stressed, hugely disappointed or obsessing these thoughts. Therefore, differential diagnosis is required which can only be provided by a trained psychologist / psychiatrist. Researches prove that medicines alone cannot cure anxiety disorder. Along with medicine you should practice psychotherapy techniques to streamline your lifestyle and meditation and yoga techniques to calm your mind, body, streamline your metabolism and thinking style. Please consult a psychologist. Please consult your current physician for further advise on your problems other than psychological. 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。	I have been having problems at work and i was ill with anxiety/panic attacks. Last few days ive been so sleepy and my legs feel weak and shakey really infact all my body and i just cant sleep and if i do its for a few hours tops. Could this be anything serious like cancer or other related problems im really scared ive been to the doctors loads and they told me to do breathing techniques please help	Hi dear, according to your symptoms and signs you might have depression and anxiety. Whether you have severe chest pain or palpitation which leads to feeling of dying?any symptoms like low mood, loss of interest, irritability, fatigue, appetite disturbance etc....consult psychiatrist for detail history and mental status examination. Not to worry much there are many medications which helps you. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	My 9 year old son suffers from asthma, yesterday he got very bad hives. Doctor said he has pneumonia. Hives went away over night and came back very bad this afternoon and are getting worse as the night is going on. He s on predisone, azithromycin, Benadryl and cetirizine. Doctor said as long as his throats to closing and his hands aren t puffy, wait it out. Are bad hives normal with pneumonia and after having antibiotics and benadryl?	Your 9-year-old has asthma, which is in itself an allergic condition or called atomic state. Hives a part of allergic. Spectrum. He is having the hives as a part of his allergy and asthma both caused by an infection either by bacteria or by virus. He is on appropriate management namely antibiotics, steroid under antibiotic cover and antihistamines ---all three are necessary at this point in time. What should be done at this point is to keep a watch on the way air is moving in and out of his chest, monitor his state of alertness and if available a Blood gas analysis to see his oxygenation and carbon dioxide level. The answer to your question is that hives can occur in an atomic child. But be reassured the whole episode will respond to the medications given.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have a habit of eating fennel seeds a lot. Could this be the reason for not getting pregnant even after trying for two years?	Hi, Welcome to Chat Doctor forum. Fennel seeds can normalize your gastrointestinal tract and nervous system. It balances excess pitham. It helps in balancing heat within the uterus, that is very much essential for getting pregnant. So, daily consumption of fennel seed life long will never affect the pregnancy. You may continue consuming it. Please check gynecologist or Siddha or Ayurveda doctor to evaluate why there is a delay in conception. Please check for your husband too. The reason may be identified for specific treatment.
如果你是醫生，請根據患者的描述回答醫學問題。	Sir, my daughter has problem of vaso vagal. previously three days before she felt dawsiness, blank on eyes, she can not stand up as she feels vertigo , also on left side getting stretch from neck (behind the ear) to leg. I have instantly give strugeron, vertin and chonotril. on the next day Nuero physician have prescribed franxit 0.5mg & amitone 10 mg for due to tension and depression condition. but after two days taking franxit and amitone. my daughter have stopped to movement of left hand and left leg in that that case what I understand these is side effect of medicione or paralysis effect.	Dear friend, welcome to Chat Doctor. From your description, it appears to be a developing paralysis. Side effect would not cause loss of movement on one side of the body. Is she fully alert or getting Chat Doctor? I think you should immediately see your treating neurologist to get her evaluated. She needs admission and testing. I hope to have answered your query satisfactorily. Take care, and please keep me informed of your progress. Good Luck ! May I request you to rate your experience here before you close. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	About 10 days ago I had unprotected sex with a prostitute for the first time ever, after exactly 30 mins after I had sex , I saw this redness on between the head of my penis and shaft, its been there ever since, it usually turns white and starts peeling off in a way but when I take a shower its red again, I dont feel any pain, or itchiness in any way, I also did use a condom but the then didnt use one for about 3 mins.	Thanks for asking in Chat Doctor forum In short: Mucosal erosion may have caused this. Explanation: Getting redness within 30 min of unprotected intercourse with anyone is not infection. As per my opinion it is the mucosal erosion for having sex without lubrication or having sex when both are Chat Doctor. So, abstain from sexual activity for now and visit a doctor to get yourself examined for your lesion and for HIV/STD as you had unprotected sex with a prostitute.
如果你是醫生，請根據患者的描述回答醫學問題。	when i am standing for a period of time with a tight belt holding up my pants i experience a pain lower right hand side below the belt level........this become intense and takes time to go with the aid of pain killers and a cold compress. Is it my belt? what am i damaging? i had two mri scans and nothing was found.	According to your symptoms it seems you are suffering from compression of lateral cutaneous nerve of thigh. The nerve usually get compressed due to tight-fitting belts or clothes. You need not worry. Just start wearing of loose fitting clothes at waist level, or you can tie your belt over umbilicus level. Mild analgesic such as ibuprofen and pregabalin would help. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	My son recently started daycare and has gotten sick. He is 4 years old. Last night his fever was 102.9. Ive been giving him Motrin and he has a cold also, and trouble breathing, especially at night when he is quite loud and coughs a lot. I just took his temperature again, and it was 96.7. He is also really cold to the touch. That seems low to me......should I take him to the hospital?Thank you, Lauren	Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child. By what you quote it seems that your child probably has got wheezing episode. Due to wheezing episode he has difficulty in breathing at night. Since, temperature is also low, you should take the child to emergency and get the child examined. I hope this will help you. Wishing your child good health. 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。	whenever I lie down for a long period I wake up n spit a little bit of blood n after a couple seconds it goes back to clear. im not sure where this is coming from? I went tot he dentist she filled in cavitys n said I might njeed a root canal...could bad gums bleed without bothering them? where is the blood coming from?	Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have gone to dentist, and he advised you Root canal treatment you should go for it, blood can be due to gingival bleeding due to poor oral hygiene also You should go for proper treatment and oral prophylaxis if again you find blood in mouth then consult physician and go for investigations Complete mammogram, Hope this will help you. Wish you good health Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,I am a 25-year-old female. I found a quarter-sized hard nonmobile lump under my nipple a day ago. Is that an usual spot to get breast cancer?	Hi, Welcome to Chat Doctor forum. It is usually uncommon to have breast cancer in this age group. It looks most likely a benign breast lesion or a localized infection. You have not given many details about this lump such as skin or nipple color change, any nipple discharge, whether you are married/unmarried or breastfeeding mother, any family history of breast or ovarian cancer which may be helpful in identifying high-risk breast lumps. Nothing to worry about, but it is recommended to visit a mammalogist or a General surgeon and let them examine this breast lesion. If needed they will put you on close follow up or investigate further with ultrasound breast or MRI breast. The significant risk factors for developing breast cancer are. 1. A family history of breast cancer.2. Obesity.3. Certain genetic syn ChatDoctor. 4. Any previous breast lump.5. Hormone replacement therapy, history of estrogen intake.6. Early menarche or late menopause. In case you have any family history of breast or ovarian cancer then you must go for genetic counseling also.
如果你是醫生，請根據患者的描述回答醫學問題。	I get stomach pains occasionally and they start off mild and gradually get worse. I supposedly have acid reflux and I take Prilosec to help, but I still get these stomach pains. My urine and stool also smells a little off when I get these pains also. Any idea whats going on?	Hi. Thanks for your query. The most probable causes of such a pain in the abdomen which starts as mild and then gradually getting worse. Prilosec for acid reflux may help you, if not take an additional Risperidone, antacid, medicines for anxiety and stress, soft bland diet and a complete serene sleep. Urine and stool smell indicate that there may be an intestinal infection. Get a course of an antibiotic, Metronidazole and symptomatic treatment.
如果你是醫生，請根據患者的描述回答醫學問題。	hi doctor, i just want to ask..i am starting to use daphne pills for 7 days..starts at the first day of my menstruation.then my menstruation stopped on the 6th day, then i had unprotected sex the next day. i am worried, is there a big chance for getting pregnant?	Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. In a woman who has regular cycles, day 10 to 20 of the cycle is the most fertile period of the cycle. As per your history, you have unprotected sex on day 7 of the cycle. So PLEASE do not worry. You will not be pregnant. I hope this answer helps you. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	My husband has just taken his blood pressure it is 136/98 he is 49 and in good health but under alot of stress with his job. He has also been getting severe headaches the last few days, On Thurs., his bp was 155/99. At what point do I consider it an emergency?	Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Yes, stress increases load on heart and leads to high blood pressure.2. High blood pressure with headaches is a warning sign. At this age the blood pressure should be around 120/80 mm of Hg.3. Emergency is when it crosses systolic above 180 and diastolic above 110. However, do not wait for emergency, start exercises, weight reduction, diet control and medication. Hope it helps. Any further queries, happy to help again.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your queryHi,I am Shwetha, i guess i have some mental disability, because i am not normal as others are. I wont think normally as others. My thinking will be different and it will be wrong for everyone only for me it will be correct. I want to know why it is so.	Hi Shanghai understand your concern. But only basis of it we will not guide you exact what you want. Thinking process and thought formation require detail evaluation. Detail history is must in what area and how much it affects to you. So revert with detail of your thinking and how it will affect then I will guide you further. Or consult psychiatrist and tell him about all do you have, and he will assist further. Thank you. Happy to help you. Take care.

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