Datasets:

old-cookie
/

Dataset-of-AI-Model-for-Dr_AI

Dataset card Data Studio Files Files and versions Community

Split (1)

train · 95.6k rows

instruction stringclasses 1 value	input stringlengths 0 11.2k	output stringlengths 58 3.44k
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Monday I went to the ER bc of a kidney stone. they did a scan at 1st they said I had a 6mm stone that was infected and admitted me to have it removed. Later they said the scan was read incorrectly and that I passed my stone. I have stones all the time the only time I go to the ER is when the pain is unmanageable which before this current event was a 8mm stone. Now my kidney feels bloated all the time and I always feel like my bladder is full. I do not feel like I have to pee why is this?	Hi, dairy have gone through your question. I can understand your concern. You have kidney stone of 8 mm. It leads to pain and difficulties in urination. For pain relief you should take diclofenac sodium. You should Chat Doctor. Go for repeat ultrasound kidney. If your stone remain persistent or increased in size then you should go for surgery. Lithography can be done. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	My mother has a shadow on her kidney and lung what does that mean and what should be done next. She is 80 and had a bronchospy done 2 weeks ago going back to consultant today ... What questions should I be asking. Also as a follow up from a few days in hospital 3 months ago she is having an ultrasound of her kidney and will be meeting a different consultant for that ... What should I be asking him. My mother is completely strung out about all these tests not having been healthy all her life she had a severe pain in her stomach 3 months ago and was hospitalised but they found nothing diagnosed she had atypical pneumonia these are the follow up tests now .. Thanks	Hello, Thanks for the query to Chat Doctor. Forum. In my opinion the black shadow in the kidney area may be due to tumor or solid mass. Diagnosis can be confirmed by biopsy of the part. 2nd thing the shadow in the lungs is due to solid mass (maybe secondaries due to kidney mass) in kidney area. Diagnosis will find out the exact nature and type of this mass .3rd point is pain in the stomach, this may be due to peptic ulcer disease. Diagnosis can be confirmed by upper G I endoscopy. However, try raising the head of bead 4 inches with blocks help. Avoid greasy, spicy food. In, my opinion first consult a Urologist and get his opinion regarding kidney shadow and thereafter deal according to situation. If kidney shadow normal as due to cyst then consult a pulmonologist and get his opinion and deal accordingly. Only question is whether this black shadow is cancer or not. Good luck for your mother.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor..today is my 4th day after embryo transfer.. but from yesterday onwards i got free motions..everyone will get constipation instead of free motion..i dnt knw y it happens to me. Is this indicates a negative pregnancy. This is my second IVF... I am fearing about results	Hiwell I have read your queries in details, first be calm don't panic well truly speaking there is no correlation between embryo transfer and loos emotion anxiety itself can cause loose motion well in that case first calm down take home remedies for loos emotion like coffee, pomegranate and apple juice avoid medication as you have undergone embryo transfer and believe me it's not at all negative sign of pregnancy have faith and be patience
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, my husband has been though much testing in the past 2 weeks. It all started with a swollen supraclavicular lymph node. Then a week later one on the other side became enlarged. After a week, he went to the doctor who put him on amoxicillin. During this stage, he got extremely tired, and began running low grade fevers. After the 10 day regime with no results, he went for blood work, which all came back normal. Next, a chest xray, which showed fluid in his lungs and something in his chest. A ct scan revealed the swollen lymph nodes in his neck and either a mass or swollen lymph nodes in his chest. He went to get the fluid drained off his lung. They took a gallon off and said they would take the other gallon within a week (he has an appt. Monday). This fluid was tested and lymphocyte cells were present. He had a biopsy of the first swollen lymph node a couple of days ago and they said the results would be in within 7-10 days. The doc. said something about a type of lymphoma after the initial look at the biopsy. We now have an appt. with an oncologist this week. I feel like we are not getting enough info. They say whatever is in his chest is pushing on an artery, which is causing the fluid. I dont understand why no one knows what this is. If this is lymphoma, is there any insight as to what type it might be? Is this something where he will need his lung drained every week? He has been feeling short of breath with back pain due to the fluid. He is 32 years old and other than this has always been in great health. Any detailed info. would be appreciated. Thanks	Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation, You seem to have suffered from-NHL Lymphoma with Mediastinal Lymph nodes with supraclavicular nodes first on one side and then on the other side. Other possibility could be-TB lymphadenitis with glandular lymphdadenitis / and Acidosis. But in view of the lymphocytes in the pleural effusion, chances of Lymphoma and or TB Lymphadenitis. Chances of Lymphoma are more in view of the supraclavicular lymph node swellings. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS
如果你是醫生，請根據患者的描述回答醫學問題。	My 10 year old granddaughter has been on Dulera and proair for asthma. She has lost her hair 2 or 3 times since on these medications. she is currently loosing her hair again. It is not to the scalp, bet leaves her with a 1/2 in fuzz. Can these medications be causing this? She has had all kinds of testing done to rule out other causes.	Respected User, hi I evaluated your query thoroughly.Per se Ruler & Proair not directly associated as side effects causing excess hair loss, but - decreased host immune response following corticosteroids - less amount of iron, protein, trace elements like zinc, magnesium needed for hair growth & maintenance are responsible for it.Remedy is directed to : enrich food in iron, protein, multivitamins, multiminerals along with local applications of certain agents to make hair roots stronger. Hope this clears your query. Thanks for using Chat Doctor & keeping trust in our services. Wishing her fine and speedy hair growth. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Have had back pain (upper and middle) for several days. Today sudden, sharp pain in abdomen . Nausea and vomiting - felt somewhatbetter after vomiting. Back and abdominal persist. No fever . Pain in middle is bilateral and dull but strong. Upper backmpain feels like pulled muscle. Also bilateral. Abdominal pain just under breasts is bilateral and sharp, shooting alt with crampy. Dull but strong painin center of abdomen under breast feels likesomething boring through. Helps somewhat to press it. Sharp severe pain on rt side of abdomen and is tender to touch - also exacerbates pain in back when pressed.	Hi, Thanks for posting your quarry. As you have mentioned that you had back pained for several days, I am assuming that you have been taking painkillers for the same. Painkillers if taken in large quantity cause the symptoms you have just describe die: pain in center radiating to sides in abdomen specially under breasts. This seems like severe case of gastritis / ulcers to me which needs to b treated with antacids. You must have cold milk and milk ice creams like vanilla to sooth your cramps and pain. Do NOT take any more painkillers. Also avoid spicy and oily food. I would strongly recommend you to visit your physician for prescription for medicines. Wish you a speedy recovery. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	I have had severe abdominal/intestional pain and cramping all day since I ate some Safeway packaged salad late last night with hard boiled eggs and bacon that was expiring, with some dressing. I also have a headache and overall body ache. This has been going on for over 12 hours. What is over the counter recommended treatment.. Thanks, Bobbe	Hi. Thanks for your query. Noted your history of severe abdominal cramps and pains since you had eaten Safeway packaged salad, hard-boiled eggs ad bacon. This has given you gastroenteritis which in turn is causing headache and body ache. Since these are the symptoms suggestive of acute intestinal infection, I would advise you to take the following:Tums and omeprazole, activated charcoal, multivitamins and probiotics. I would advise you the following in addition to the above:An antibiotic and metronidazole and antispasmodic to control pain. Complete the course of 5 days.
如果你是醫生，請根據患者的描述回答醫學問題。	my grandmother has been falling out with her husband for insignificant reasons i no it sound stupid but this is becoming very regular shell strop of and leave sometimes she wont come back till dinner time we have no idea where shes went. She has also started falling out with her daughter (my mother). My grandparents are getting on in years now and my granddad has a heart condition her unusual antics are taring him apart hell stay with her for ages begging her to forgive him (for absolutely nothing) we are all worried that the stress is going to kill him someday. she will also do other things that indicate depression like wanting to sleep all day or not wanting to see people weve asked are gp but he wont give us anything to help her.	His had gone through your query. You have given many details that indicate one of the following diagnosis.1. Dementia2. Dementia with psychotic behavior3. Late lite depression.4. Depression with psychotic feature5. Organic brain syn Chat Doctor. In old age there are possibilities of behavior disturbance due to medical problem. But physical and psychological examination is necessary to reach proper diagnosis. Routine test and mental status examination will give more confirmatory idea. It can be treated with anti-psychotic and antidepressant medicines. Choice of
如果你是醫生，請根據患者的描述回答醫學問題。	hello there,,, I recently stopped breast feeding my 10 week old daughter,, she is currently on similac sensitive formula... she is very gassy and uncomfortable and has bowel movements every 3-4 days and now i am starting to get worried... do u think i need to change her formula.... do i need to get soy milk	Hi. If I were your family doctor, I would recommend that she continues with breast milk for some more time. If there's any deficiency in qty of breast milk, mother may eat/ gulp with water, 1/2 to 1 tsp of Cumin seeds daily once or twice. Its natural and harmless. If not interested in breastfeeding, pl change formula. For child cherubic myrobalan paste by grinding it on hard surface with Chat Doctor. Its infant friendly, classic Ayurveda wisdom. May give twice. It will set Digestion right, detoxify intestines, control lose motions and also remove constipation, stomachache, gas etc. It's said to be more friendly with infants and child
如果你是醫生，請根據患者的描述回答醫學問題。	I was diagnosed with a flu like virus and went into upper resp infection. They gave me z pak and one week worth of protozone and then another week s worth. I still have flem, trying to get my energy back and now I notice that I have I guess lymph nodes very sore all down my right side and left side of my trunk. It is also sore on my back from the lung area down. What should I do?	Hello, Cannot say in your particular case, but generally, there is one type of uncommon pneumonia in which the PAK is 100% effective--mycoplasma. Otherwise, it fails about a third of the time maybe slightly more. With phlegm, fever, chills, etc. Those are quite serious signs and starting over with another DIFFERENT treatment would generally be done. Pain in the lung is a sign of pneumonia That would be bad, too. 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 , my dauther is 13 months and she has a not scratchin whiter spot in her knee. What do you think it could be?Should worry? Because I am worry? Yes, my daughthe has a white spot in her knee? And I have been thinkin and worry of day becasue of this spot.	Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, whilst changing may 20 month olds nappy tonight I felt two small hard lumps, which weren t there last night! They were hard and didn t move, didn t seem to bother him. What are they? Really worried so will be taking him to drs ASAP. Any info appreciated. Thanks	Hi, Thanks for query to My Chat Doctor virtual Clinic. I studied all details of your query. I understood your health concerns about causes of lump on buttocks -Causes of lump on buttocks of your 20-month-old baby-After reviewing your query facts, In my opinion these 2 small hard lumps are from insect bites or mosquito bites, as you did not notice these lumps last night. I would still suggest Second Opinion by consultation from your family doctor. Hope this reply would help you in resolving this complex query and anxiety with it.Don't forget to hit thanks and write excellent review comments to help needy visitors at Chat Doctor. Welcome for any further query in this regard. Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist.
如果你是醫生，請根據患者的描述回答醫學問題。	My upper lip is mildly swollen, and tingles a bit. What might be the cause and what can I do to alleviate the problem? I do not have health insurance and therefore cannot see a Doctor without tremendous trouble. Are there over the counter rememedies I can try or must I make an appointment? Please help. Thank you.	Hello, Taking Ben Chat Doctor. A topical variety can be applied directly to the lips. Try to figure out what triggered this reaction. Possibilities include an allergic creation to food or liquids, a reaction to a new dental or cosmetic product, medications and exposure to chemicals, plants or a bug bite. Remove any irritants and stop using any new products. Think of dietary changes that may contribute. Stay well HY
如果你是醫生，請根據患者的描述回答醫學問題。	some times when sleeping, I wake up because of a hug breath that feels like I just gasp for air. Yesterday I was cooking and it happen and my heart began to papitate. Lastly, when inhaling deep (thoart), my check tightens not to mention I always conjested. Yes I do have sinus	Thanks for your question on Chat Doctor. I can understand your concern. Since you are having sinus problem, possibility of asthma is more for your symptoms. Asthma can cause palpitations, breathing difficulty in night, chest congestion etc. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids. If PFT is normal then no need to worry asthma. Don't worry, you will be alright, consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I have told doctors for years that I have shortness of breath. I have taken several stress tests and do well in all of them. I can walk just fine but find that I break into a sweat and get short of breath when I am using my arms to clean, carry groceries, vacum, etc	Hello! Welcome to Chat Doctor! I carefully read your question and would explain that a careful differential diagnosis should be done to differentiate between different causes that may lead to your symptomatology:- A lung disorder. Respiratory function tests should be done to examine your respiration. Shortness of breath during exertion could be related to a lung disorder. - Myocardial ischemia: I would like to have some more information on the stress tests that you have performed. If you have performed repeated cardiac stress tests which have resulted normal, a cardiac disorder can be excluded. - A backbone disorder: This could be related to shortness of breath during exertion. A cervico-thoracic X-ray study would help examine for possible chronic degeneration of spinal columnBesides, I would recommend performing some blood lab tests (complete blood count for possible chronic anemia, inflammation tests, fasting glucose for possible hypoglycemia, blood electrolytes), to exclude other metabolic causes, which could exacerbate your clinical situation. Hope to have been helpful! Best wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	Just have gallbladder surgery 2/12/2014.I am having the same pains as I had before surgery.My doctor says it s normal to feel this way and I will be fine.Said the operation went well,no problems.Yes i did have gallstones,many according to Dr.What can this be?	Hi ! Good evening. I am Chat Doctor answering your query. Even though it is too early to comment on this post-operative pain in your abdomen, if I were your doctor, I would advise you for a review ultrasound abdomen to rule out any leftover stone in the common bile duct as there were multiple gall stones as per your history. Also, the condition of the pancreas could be known from the ultrasound report. I would also advise for some routine blood tests for you like CBC, LFT, and also a serum amylase and lipase estimation. Further management depends on the reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I went to my family doctor yesterday. For my Depo. shot. That morning I woke up with a red rash underneath my top part of my arms on both left and right sides and on both top and inner thighs. It burns and itchs. He said it was from stress and anxiety. I am worried. He put me on steroids. Should I be worried about this?	Degree understand your concerns went through your details. I suggest you not to worry much. Stress and anxiety and itching rashes could be related. Stress Can Cause Hives. Mental stress increases the amount of corticosteroids released from you a Chat Doctor. Hives develop after the release of histamine from immune cells in blood vessels near the skin causing swelling, heat, and itching. Reduce stress and live happy. Enjoy life. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My brother has jaundice, and it is occurring every year during summer. He feels very low and lazy, and his body becomes yellow. He is experiencing weakness and swelling on face and across his ankle. He also has a fever. We do not know why he gets sick every year. In addition to that, he has low IQ. Hence, he is unable to explain his situation well. We are really confused. Can you tell me what is actually happening? Please find attached the various lab reports for your review.	Hello. I went through your post and the investigations (attachment removed to protect patient identity) that you have posted. For more information consult an internal medicine physician online
如果你是醫生，請根據患者的描述回答醫學問題。	helloo Doctor, my brother has a problem on backside of the neck; he feels that blood flow is getting stopped in some nerve and he feels giddiness and falls all of a sudden.. and he visited few specialists in bangalore and hyderabad in india, they could not diagnose the problem and said everything is fine as per the scan also.. could you please advice. thanks Regards, Saikumar Patthi email- YYYY@YYYY	Hello, As you have already done the scan we need to assess your brother in person on a clinical basis. As MRI is performed we may not need to do it again. We need more details about the prescription from previous physicians and MRI reports. Now dizziness and fainting can be a correlation with multiple things but need to figure out what it could be. Is your brother having postural hypotension or hypertension? Any signs of diabetes? How about his work profile? Working on a computer? How is his vision? Any signs of neck pain? Now there are a Hun Chat Doctor. If you can provide more details than we can assess better and post questions answered we can come to a treatment part. Most of the cases I have seen in my practice of 12 years have been diagnosed with multiangular approach and treatment was accordingly implemented based on the diagnosis. Please take a wise decision step by step and rule out the possible causes which may be causing this. I think it is a good approach is made then possibly we can help your brother. Hope I have answered your query. Let me know if I can assist you further. Jay In
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My eyebrow hair root is very weak. After washing my face with water, and after wiping it with cotton cloth, I find 5 to 10 eyebrows are falling daily. Please suggest me treatment (medicine or capsules or oil) for firm eyebrow root.	Hello, Welcome to Chat Doctor forum. I understand that your problem could be disconcerting and it can be resolved. Do you have dan ChatDoctor. Also, please attach a photo of the same taken in bright light and sharp focus. We can decide on the appropriate treatment based on the above.
如果你是醫生，請根據患者的描述回答醫學問題。	My husband has a kidney stone. He had a procedure 2 weeks ago to put a stent in.I was told the stone was just outside the kidney, too high up to be grabbed and too close to the kidney to be lasered. He went back today to get stent removed and hopefully get the stone out. During the procedure found that the stone had gone back into the kidney so they blasted it. Came home with another stent to be removed in 3 days. Why could the stone not be blasted 2 weeks ago and is there a difference between blasting and laser?	HelloThanks for query. Your husband has stone in his kidney probably in upper calyx which is technique very difficult to be accessed by rigid endoscopes, that may be reason for it not being fragmented in first sitting. After putting the stent the entire ureter undergoes passive dilatation making endoscopes to be negotiated freely through dilated ureter during second sitting and stone can be fragmented easily. In blasting we use pneumatic energy to fragment the stone whereas in laser surgery we use laser energy to burn the stone. It is risky to use laser in kidney if the stone is very close to cortex and there is risk of damaging the kidney tissue. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I am 22 years old and I have been suffering with abdominal pain for months now, I have been back and forth to the Doctors but don t seem to be getting any answers, the pain was in the upper middle abdomen but now it seems to be under my left rib and in my back, I feel sick almost every day and sometimes the pain is so bad I struggle to find a position to relieve it. I have an 18 month old Daughter and this pain is making life hard work. I had a natural vaginal birth however I had to be put under anesthetic to have my placenta removed. I am very good with pain but this is so aggravating..I have had an abdominal ultra sound and it came back normal so please please help me or give me some idea what this could be. Amy.	Hi Amy, Thanks for writing your query. After reading your post, it seems that your pain in abdomen is due to increased acidity in the stomach. You should follow some precautions like :-1. Avoid spicy and oily foods.2. Donor miss a meal.3. Avoid emotional/mental stress.4. Avoid doing self-medication especially with painkillers and steroids.5. Chat Doctor. You can take antacid like Omeprazole 20 mg daily along with Risperidone 10 mg for relief from your symptoms. Antacid in gel or liquid form is also beneficial as it forms a protective layer over the damaged mucosa of the stomach. You can get yourself investigated for :-1. H. pylori infection.2. Endoscopy. If the problem persists, get your examined and investigated by Gastroenterologist. I hope this is useful to you. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I fully bent down oneday and my knee felt like snap crackle pop. It really hurt to get up and walk around and i forgot and bent down again and it happened again but worse to the point were it brought me to tears. It really hurts to bend my knee at all now and there are two pea sized humps in my knee now, they dont move and dont hurt to touch. I can put my weight on it i just cannot bend it at all. For the first day i iced it and then i just have been wrapping it in a tensor bandage. It happend about 3 days ago hasnt gotten any better.	Hi, thank you for providing the brief history of you. A thorough clinical Musculoskeletal assessment of the knee is advised along with MRI. Since you had a fall and now unable to bend the knee which is very painful movement, as per me, it could be related to the ligament injury and post complete Musculoskeletal assessment of the knee and MRI we can understand the internal structures of the knee well. Usually with - Rest, simple painkillers and physical therapy the near normal functions of the knee is achieved.in my clinical practice, such patients are treated with a combination of medication and physical therapy by which the complete knee rehabilitation is performed and near normal and much more stability of the knee is achieved. RegardsJay In 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 been diagonised with candidial vulvovaginitis and have been advised to use clingen forte. I have been suffering with itching for over a month. Please advise on following matters :1. Further for your knowledge I am also under Anti Tuberculosis Medication - 8 months. Please advise what could have caused candidial vulvovaginitis. 2. When I read the instruction on the tablet pamphlet I understand that this should be taken when patient is not responding to other therapies. I have not been under any other medicine before this for vulvovaginitis. Is it safe to use this medicine. After reading the pamphlet i am more worried as it has mentioned lots of side effects. Please advise	Hi, I have gone through your medical history carefully and can say as following:1. Candida is part of normal flora of the vagina. Its overgrowth as in your case might be triggered when antibiotics are used or when immunity is low as in your case being treated with anti-tubercular medications. 2. Clinger forte is a combination of both antibiotics and antifungal medications that would help improve your vulvovaginitis symptoms (Clindamycin, Clotrimazole and Tinidazole)To my opinion, that's a perfect choice to treat your vulvovaginitis considering your actual health problems. I advise using it as advised by your doctor wishing fast recovery! Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my 12 year old son has red blotchy rashes all over his body, it started as a red rash on his cheeks, then went all over. Its not itchy, he has no temperature and he doesnt feel sick. He is however has anaphylaxis to dairy and egg. No new foods have been introduced, washingliquid hasnt been changed. have given him his antihistamine, but it doesnt seem to be helping.	Hi, Thanks for your query. By what you describe it is more likely to be urticaria. However, it is better that you consult a doctor who will be the best person to guide you. Urticaria is a manifestation of an allergic reaction to food or medicine. Anti-histamine should help and since it has not worked in your sons' case it is all the more to know the exact problem. Wishing your son an early recovery.
如果你是醫生，請根據患者的描述回答醫學問題。	I fell and my face hit my dresser and my teeth went through my upper lip and my face was cut. I received 6 stitches on my lip/face across the vermillion border that I had removed 2 months ago and one stitch that dissolved inside of my upper lip. I was left with a decent scar line that healed quite nicely and straight but there is a huge hard ball inside of my upper lip where the stitches were. Its the size of a marble and I want to know if it is just scar tissue or something more and if it will dissolve over time. You cant see it from the outside unless I smile very big and you look closely, it protrudes a tiny bit. Its more annoying than anything feeling this huge ball inside my upper lip!	Thanks for your query, I have gone through your query. The hard ball kind of structure could be because of the stitches or secondary to the trauma. It can be secondary to fibrosis wound healing, or it can be a fibrous or fibrosis muscle. Consult an oral physician and get it ruled out. If it is a fibrosis tissue then it takes some time to become normal(months). If it is increasing in size then get it surgically removed. 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 praveen,i had masturbation habit of more over three years. i do this every may some time two or three time for a day. This is affect my future life?i had a another problem also i additited to sex. i want a solution to get relieve from this.	HelloThanks for query. Based on the facts that you have posted it appears that you are indulged in masturbation since many years and worried about future sexual life.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. All the problems that you are facing now are mind related and due to anxiety. Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	am suffering from loss of normal cervical lordosis,what this means? mild posterior bulging of c6/c7 disc indenting the anterior sub aracnoid space mild posterior and right paracentral bulging of c5/c6 disc without without significant neural compression	Hello, What they are describing is basically straightening of the neck. There is usually a bit of a negative curvature to the neck, just as in the low back above the waist. This can be lost over time in the neck due to degenerative changes in the spine, but it in and of itself does not cause any problems. You also have a few disc bulges which are not causing any significant problems. Disc bulges are very common and almost everyone has a few starting in their 20-30s which don't cause any problems. 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 hurt my knee when pulling my snowmobile off the trailer and was wondering how long should I wait before seeing a doctor. My knee swelled up so I have been keeping it up for a couple of days and icing it. The selling has gone down but it still hurts if I walk on it much. I am also wearing a knee braes which seems to help. Is there anything else I can do? Today was my first day back to work and by the end of the day its was very hard for me to walk on it.	Hi, In addition to icing it, elevate, and support it by your knee support. You may start using hot compresses after the first 48 hrs and take some medicines like NSAIDs in topical gel or tablet forms like Advil, and Acetaminophen. Try to avoid running or vigorous actions and try maintaining it straight as much as possible to avoid bending it. The main idea is to decrease the edema around your knee to allow joint free mobility. This may take from days to a week. If pain persists I recommend you to ask your physician for required imaging according to his physical examinations like x-rays or MRI if he suspected minor fissures, teared muscle or tendon to protect yourself. Hope the above information helps you. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter (age 25) was recently admitted to hospital due to extreme upper back/left side pain. It had started in the morning after getting out of bed and got suddenly worse PM. She received Oramorph (liquid morphine), a Paracetamol drip and Entinox. These did little to reduce the pain. Later she was given Tramadol. This helped slightly. Blood tests were normal, apart from the D Dimer test which was raised (level 21). Initially though to be a blood clot on her lung, the Consultant said that that was unlikely as an X Ray of her chest was clear and heart trace normal. She was then given Diazepam (to relax her muscles). This seemed to help and later that day she was discharged. She is still in a lot of pain. The medication does help when it kicks in. She had a check-up today. The Doctor said he could detect muscle strain as he side and back muscles were in spasm. Any idea what caused this, what it is, is it likely to return and what about the D Dimer level?	Hello, Thanks for your query. I suggest you to try back strengthening exercises by extension of the back muscles which can be taught by your Orthopedic or Physiotherapist. This will help to relieve the possible muscle strain which causes the pain. You may be prescribed painkillers and/or muscle relaxants which should give you relief. Physiotherapy may also be advised if necessary. I would suggest you to try swimming as this will help most in back conditions. Avoid weight-bearing exercises. Do only mild aerobics which does not put your back to strain. You can discuss this with your Gym instructor. Eat a diet rich in fresh fruits and green leafy vegetables, nuts, milk, eggs, pulses and cereals. Chat Doctor. Do brisk walking exercise for 40 minutes daily. Get 6-8 hours of refreshing sleep daily. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	I was in ER for a seizure thursday night. I had a neck/ head injury ( concussion in early october) I,was down for a week. I have been numb and tingly in hands all day, left hand is almost numb. I am in a lot of pain, and havent been able to sleep well for two days. I have appt with p.c.p in morning. I have also been having auras and sight issues and pulling neck pain . should I just go to ER? or wait it out?	HiT hank you for your question. From the symptoms you have described you might have injured your neck during the seizure. Numbness and tingling are result of affection of the nerve. In your case the symptoms are getting worse. The best decision in this situation is rush to the ER. I hope you have already received appropriate treatment by the time this question is answered. Also, please be advised in case of emergency situations, always rush to the ER. The doctors are trying their best to answer your questions as quickly as they can but answering each and every question within minutes is not always possible. Next time on sudden worsening of symptoms like these please rush to the ER as early as possible. Best wishes with you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I fractured my 4th metacarpal 4 weeks ago and had the cast removed yesterday. I am in Thailand so personalised physiotherapy from the hospital is not on the agenda. What exercises can I do to strengthen the finger and reduce the swelling? I can just about curve my middle and ring fingers but cant currently raise my ring (fractured) finger. Thanks	Hi, You can start with hot packs to whole your palm. Here is a list of exercises that you can do. All exercises need to be started gradually and should be pain free:# Squeeze a small soft ball in your palm# Try to hold a 250ml bottle# While stabilizing other fingers try to bend your ring finger as much as possible# Hold a paper in between your ring and middle finger tightly as much as possible and try to pull the paper out# Face your palm downside and try to lift the finger(you need to stabilise other fingers)# Put your palm upside on a table, stabilise your fingers with other hand, flex the wrist. So similar thing with palm downside, massaging on palm and reverse side will help in removing adhesions. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	I got a severe concussion 5 days ago. CT scan was fine. I vomited for a couple days. Still nauseous. Balance is bad. Vision is strange- white lights, tilted, everything is farther away. Speech problems. I m easily agitated & other than that my emotional feelings are flat. Other things but I think you get the point. I have an eeg & MRI scheduled for next week. This afternoon my right eye started to hurt. Tonight, it s swollen and looks like a black eye. It hurts worse. I hit the very back top of my head FYI. Do I have to go back to ER again?	Hi, Thanks for your question. I do understand your pain and discomfort. As per your history indicates you should do two things now:-1)Do a Detailed point wise neurological clinical examination by a euro surgeon 2)Do an MRI scan now, not in next week3)Now admit yourself where neurosurgical ICU unit is present. I hope I was able to ad Chat Doctor. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	I am 30year old women with one child. I m suffering from pain on left heels from the time of child birth(3yrs). I have severe pain when standing after sitting or lying... intensity of pain varies with climate and after walking some distance..plz tel a remedy	Dear patient You are having plantar fasciitis. Its condition commonly seen in middle-aged women and mostly bilateral. There is inflammation of heel bone at attachments of plantar fascia. This leads to pain on weight-bearing and even at rest. You should wear soft heel cushion in your boot or Chap pals. Start tab diclofenac plus serratiopeptodase combination twice a day for 5 days. Do stretch of ankles in morning before getting out of bed. If all this measures does not relieve you of pain in a week you should ask for injection depose Chat Doctor. This is effective in 90 % of patients. 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 a pain in my abdominal area. Its in the center (not left or right side at all). It hurts to take a deep breath/cough/yawn and is quite tender to the touch. It problem starts at about the end of the sternum (is that the bone in the rib cage?) and is about the length of 3 fingers starting from the top to the bottle. It feels like a sore muscle (as if I had been doing a lot of crunches but hadnt). I dont have any symptoms related to digestive issues (urine is normal, stools are normal, no gas, etc). I just lost my job so Im in the process of getting my own insurance. i am trying to see if this is something to be concerned with. It started yesterday. The pain has been consistent since I started yesterday.	Hello, Thanks for the query to Chat Doctor. Forum. As you mentioned that pain is just below the sternum i.e. pain in the epigastric region. The reason of this pain may be due to stress (tension) of job. Hyper acidity develops more acid secretion and this causes pain and there develops gastritis. So don't worry and don't take tension. Take antacid syrup (tetracaine with it), you will get quick relief. Still, no relief then take proton pump inhibitor after consultation of your doctor. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	I shot method that someone had madeup in there top drawer for 2 days. Ten minutes after i done it my eyes started going sideways and i hit.the.floor couldnt look up or walk i puked for 3 days scared to go to Er but 4th day ambulance came n got.me they said only thing they find is low blood sugar feed me n realeased me i still get real dizzy n feel sick if i walk far or fast what is it?	Hi Thanks for using Chat Doctor Forum, There is no need to be panic. You have recovered from hypoglycemic attacks, Remember Do not Go in to hypoglycemic/hyperglycemic Level in future too. My Advice is to purchase a portable Blood Glucometer as they are cheap nowadays, and it could save your life. It is not advice to take Sugar during this attack without noting Blood sugar level.Therefore, Kindly do simple test before suffering from attack as it prevent low blood sugar level. Take Healthy diet and Check for Hemoglobin to prevent giddiness due to anemia. Consult doctor for every 3 months and be free of disease. I Hope I Provided Useful Information. Do ask Further Questions to help You get well soon. Regards Chat Doctor. Kingston John David
如果你是醫生，請根據患者的描述回答醫學問題。	My wife has been diagonosed with UTI due to E-Coli infection (colony size: 10 to power 5). She is 18 weeks pregnant. She was complaining of white particles of visible size in her urine since almost an year and the doctors advised several CUE and C&S during this period. In the last C&S she was detected with E-Coli growth.The doctor looked at her reports and suggested that she can take 7 days dose of Augmentin 750 & Citralka syrup (considering them safe during pregnancy). We got a repeat scan after the dosage completed. But she still was sensitive to same components and the growth was still the same. This time she was advised to take Taxim-0 200 alongwith Citralka for 10 days. She has already completed about 7 days of it but she still feels the same symptoms of UTI and has lot of white particles.>What might be the cause that she is not responding to the medication even though she is sensitive to it Also, is this something to worry about - can it harm the mother or the baby in any manner before or after birth by taking so many antibiotics?Please advice.	Hi, welcome to Chat Doctor the doctor has prescribed you the antibiotic which is safe in pregnancy, if she is not responding then better get the urine culture and sensitivity repeated, you can talk to the doctor and put her on some iv antibiotics where the infection is cured faster, in normal cases we can wait and use the higher antibiotics but in pregnancy trying out with other higher Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	i am having some pimples under eyelids when they rub on eye my eye starts getting red blurred vision in tolarance from sun light i have checked from doc they said it is an allergy known as spring catarrah and one they have done cryo under my eye lid in one eye lid they have suggested me cromal allergan celluvisc drops for my eye i am having problem for 10 years and the problem sometimes stops and some times it starts giving problem	The allergies don't go itself it can be controlled by medicines but for cure we have to find out allergens after getting allergy TESTS DONE YOU CAN FIND OUT ALLERGENS ENVIRONMENTAL AND FOODS AND YOU CAN GO FOR Desensitization THERAPY FOR CURE FOR WHICH YOU HAVE TO GO TO ALLERGEOLOGISTTEMPORARY CAN USE ALLEGRA 120 MG OD ONCE A DAT TILL YOU REACH CONCLUSIONNEOSPORIN H EYE OINTMENT OVER THE EYECHROMAL FORTE EY Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, my son, who is now 3, has a birthmark on his back that his first pediatrician consistently asked if it ever became inflammed. He was under 1 when we moved, and at that point, it never had. Since then, on several occasions, usually when it has been very hot (we moved to a desert) it has become inflammed and white in the middle, a lot like a bug bite or pimple. None of his other doctors have showed any concern of this, but his first always wanted to know if it ever had done this. What could be the cause?	Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 26 I have been doing research and I believe I have low cognitive ability I have tried guided meditation and it has not helped. I believe I am slower than most people and cannot make connections and have a hard time its focusing studying completing tasks having goals . I have read of modafinil and I believe I fall under the symptoms	Degree understand your concerns went through your details. You are already 26. How will you rate your educational and allied performances all those prior years. I think you are already aware about this, or you were just ignoring the symptoms. You may not have memory problems. You may be having some learning disabilities or cognitive disabilities. I suggest you to consult a clinical psychologist for a psychometric assessment in those areas. You will exactly know what is troubling you. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. 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 recently had a thyroid biopsy done that came back with the result of Benign Neoplasm Thyroid Glands. Today my doctor s office called and said that my blood work shows elevated liver enzymes. I now have to schedule a liver ultrasound. I m wondering what might be going on?	Hi and welcome to Chat Doctor. Thanks for the query. I don't think that thyroid issue is related to high liver enzymes. High Lots can be caused by many factors and most commonly it is seen in fatty liver or gallbladder issues. Other possible and more serious disorders are hepatitis, cirrhosis, autoimmune diseases and some other. You need to do more detailed Gastroenterology work up to verify the exact cause. Benign thyroid neoplasm is common finding, and it requires only frequent follow up.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。	Im having a rather scanty period where theres hardly any blood but just a lot of brown and i dnt have any pain with it until nightime but the pain is only a little bit in my lower abdomen and its very sharp but the problem is on the birth control pill cerazette have been for the last 8months nearly and i shouldnt b having any periods at all	HelloThanks for writing to us. It is not a rule that while on Cigarette you should NOT be having periods at ALL. Cerazette often causes a period that is very scanty and only consists of brownish spotting such as the one you have described. So please do not worry. The period would be accompanied by mild pain also, which is normal. Continue taking Cigarette as has been instructed to you and do not worry. All the best.
如果你是醫生，請根據患者的描述回答醫學問題。	i am a +2 student going to be 17i was amazed to see in some of the case sheets of some cancer patients........especially in my grand mas case sheet (she is dead due to cancer) that death due to unknown causes.........so i decided to seek that reason...whats that unknown cause	Thanks for your question on Chat Doctor. I can understand your situation and problem. Cancer is systemic disease. In letter stage of disease, it can affect almost all organs of the body. So sudden death in cancer patient can be due to any of the following. 1. Sudden Cardio respiratory arrest. 2. Brain death due to brain metastasis. 3. Pulmonary embolism due to involvement of Pulmonary vessels. 4. Severe deny Chat Doctor. You need to get done postmortem to rule out exact cause for death.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I need some advice as I am concerned My daughter which is only 12 yrs of age has done a blood test on Friday. I went in back to the Gp for results today the gp me told me everything was great except her insulin I am a worried mother and dont know what to do next, her insulin level was 26 and she was fasting. What should I do next can I please get some advice on what to do next,should I go back to the Gp pick up her results and go to the kids hospital, please help me Im really concerned	Hello there.yes the fasting insulin level of your daughter is slightly less than the normal level, but it can be physiological or normal. Have you done the fasting and post radial glucose level test?if yes then were the levels normal or raised? I suggest that you should consult a doctor preferably a child specialist or MD medicine. They can further add on test which your daughter need to do.tank you
如果你是醫生，請根據患者的描述回答醫學問題。	i have abig size of fibroid (120cm) before 3 months i was pregnent but after compliting 2 months i got abortion after two days it was starting severe pain in my lower abdomen . my doctor told me that it is because of degenration of fibroid and it will go away with in two weaks.but now one months is compliting but my pain is not going away.please give any suggestions	Hi. Thanks for your query and an elucidated history. This is a typical case wherein the fibroid get enlarged or change in their format to have with hormonal changes of pregnancy. If you are still having pain or so., Get an MRI study done. At an appropriate timing you can get Laparoscopic removal of the fibroid, which is a standard procedure now. Till the fibroid is present you will not have a full term pregnancy, hence this has to be removed. Such fibroid cause Abortion and hence has to be removed, then only pregnancy may be possible.
如果你是醫生，請根據患者的描述回答醫學問題。	I was just told by oral surgeon that I had a RANULA. He wants to cut each side of the floor of my mouth and drain but not cut it out. Then stitch it up. Im not comfortable with the evasiveness and not removal of it. Can you tell me what my options are? Thanks Marilyn	Hello, You can consider removal, but this can include some additional removal of surrounding tissue or part of the salivary gland. Chat Doctor. If the condition does not reoccur and is not chronic, you may not need additional treatment. Conservative treatment as a first step is generally my recommendation. Injection of an antibiotic directly into the site is another consideration for treatment. Consider seeing another surgeon for a second opinion, if you are not comfortable. A thorough clinical exam with diagnostic test is necessary to give you proper recommendations, but do not feel forced to make a choice if you do not feel you have all the details necessary to make you comfortable proceeding. Thank you for your inquiry.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,I am feeling very tired and having a mild fever may be due to some exertion that I have done in last two days. I am in office right now and about to have D COld total. Shall I go with it or shall I have some other tablet.Please reply ASAP, I am not feeling too well to work.ThanksVineet	To know what it is exactly due to, i need to know whether, in addition to fever, you have cough/runny nose/throat pain/abdominal pain/nausea/vomiting/burning sensation on urination/increased frequency of urination. If it is fever with cough/throat pain you can take paracetamol, antihistaminic, and antibiotics like azithromycin. If it is fever with abdominal pain/vomiting/dysuria, you can take paracetamol with antibiotics like definite/norfloxacin.if it is just a fever, take paracetamol only.I guess, you do not have any medical illness/ Chat Doctor. Meanwhile, take plenty of oral fluids, bed rest and light food.I hope you will find this information useful. Wishing you a faster recovery. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter is in the hospital for over a week for back pain and an infection. She has been given enimas, and all kinds of bowel moving meds and nothing has moved. They tell her they see poo but it isn t moving. After the enima just clear liquid comes out. It has been 8 days without going poo. What should she do?	Hi, Thanks for asking on Chat Doctor. I have gone very carefully through your query. As per your history is concerned please do check and ruled out intestinal obstruction by doing a physical examination. Check her abdomen is swollen or tender. Secondly do an abdominal CT scans to confirm the diagnosis. Admit her and place IV line into vein in her arm so that fluids can be given. Put a NASA gastric tube through her nose and into her stomach to suck out air and fluid and relieve abdominal swelling. Place a thin flexible tube catheter into her bladder to Chat Doctor. So after stabilized she needs surgical treatment and obstruction part will be sent for histopathology examinations. So nothing to be worried at all and prognosis is 100% good. So do not take chance by staying at home, admit her now. Hope that helps.
如果你是醫生，請根據患者的描述回答醫學問題。	sir i am suffering from cyplisease VDRL1.16 titler & TPHA + 1.32 .I was taken a 3x penicillin injection & antibitec medicine. i am not fit for forigion jobs. How many times are taken fit for my blood report for medical fit.please reply me request sir.	Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. V Chat Doctor. It will directly respond to the antibody against the syphilis. You have to wait for approx a month period once you complete the treatment. Please complete your treatment otherwise the title will come back once again. I will be happy to answer your further concern on bit.ly/
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I have been married for 10years , but we were unable to get a child, I am the 1 with the problem. I have been tasted and given herbal medicine to take for years but no results. After doing microbiology all the past years, the result always are::::( oligospermia with poor viability & motility) & ( severe oligozzospermia. I have used all my savings but no results. Am asking if I will ever be a father? Or I just let my wife go & get married somewhere else, instead of wasting her time. Sometimes I feel like committing suicide	HelloThanks for query. You have been diagnosed to have Oligoasthanozoospermia meaning there by that your sperm count and sperm motility which is the main cause of your infertility. Truly speaking there are no medicines that can increase sperm count and sperm motility . Consult qualified Infertility specialist to explore possibility of conceiving your wife with the help of newly assisted reproductive techniques like IVF or CSI with sperm concentration technique. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had my second depo shot in march, 1 day after the first day I could. Recently Ive had headaches, cloudy urine, dizzy spells, strange cravings and an assortment of other seemingly pregnancy related symptoms. Is a pregnancy possible while using the depo shot, or are these all side effects?	Hello, The efficacy of the demo shot dwindles as it approaches the third month or the 90th day. This is enhanced when there is weight gain during usage of hormone medication. Also stress, concomitant use of certain antibiotic and other medications can reduce the contraceptive effect of hormones and can lead to failures and hormone disturbances leading to several symptoms. Your present symptoms can also be due to the hormone effect. To clarify, you can get a blood test for pregnancy. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	I ve been having heart palpitations for about 3 weeks. I have had them before but just for a day or so and it goes away. I thought it was just due to the stress of the holidays but this last week it s gotten worse. Every single day and all day long intermitantly. I had a really bad day a couple nights ago where it did really big flips like my heart was going to jump right out of my chest , I had tingling sensations down my arms. It seems to have improved now but still going on. And I m having shortness of breath also. I ve made a doctors appt, but it s not for 4 more days. What is going on? Will this go away?	Hello, Thanks for choosing Chat Doctor for posting your query. A lot can be answered in a better way IFI knew your age. But the kind of problems that you have described doesn't appear to be physical in nature. It is more so ever appears to be psychological. You should get an ECG done and get a consultation from a cardiologist. If he says it is fine, which mostly is what he will say, then you should visit a psychiatrist who can train you with some relaxation techniques and also help you with CBT. He may use some Chat Doctor. All said it is not something big you need to worry about. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link:http://www.ChatDoctor .com/Funnel?page=askDoctorDirectly&docId=64634Wish you a good health!
如果你是醫生，請根據患者的描述回答醫學問題。	Found a lump behind my ear. Doubtful it is a lymphnode because I was told the bump is too high by a nurse. When touched it is tender. Not red or swollen. It is about the size of my finger tip. Started getting really bad headaches in my ear and all around. Becoming dizzy often.	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 for the post-auricular lump-From the limited facts and story of your query, you seem to have infective lump, and mostly it is Lymphadenitis with infection of the Scalp.ATreatment-Would depend on the cause. As I don't have any first hand clinical information, I would suggest consulting ER Surgeon to rule out other causes and who would treat it accordingly by either medicines or by surgical excision if need be.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。	Nearly four weeks ago I broke & dislocated my ankle, since then I have had two surgical procedures one ex fix for a week to reduce swelling followed up by a internal fix, since discharge from hospital I ve managed the pain quite well but in the last few days I have developed a hot tingling pain localised to the top of my foot & the base of my toes. When moving the toes I can feel a pulling sensation in my foot. The area does not feel hot to touch & I have got good capillary refill in my toes. I have been NWB on my right leg since the accident happened, elevated at every opportunity & ice used on a regular basis. Regards P	Thanks for asking pain you're getting may be due to impingement of nerve medial plantar which supplies sensory supply to foot also supplies muscle of great toe & other toes the pain is due to bone spur pressing against nerve or the screws or plate used for internal fixation i WNT to ask u that did you exercise after discharge or not since lack of proper stretching of muscle may cause edema or sometimes pain so i advice you to do some stretching exercise regards
如果你是醫生，請根據患者的描述回答醫學問題。	an MRI showed I had1)-radia tear of the free edge of the body of the medial meniscus2) acute grade 1 sprain superimosed on chornic sprain in the MCL3)moderate-sized knee joint effusion4)-degenerative chondrosis/articular cartilage fraying in teh medial compartmentcan you translate into simple work what that means and i was told by the doctor i needed surgery, do you agree?	Hello, Thanks for posting your query. In simple words, your MRI shows that a fibrous band between knee joint is torn, and medial cruciate ligament (MCL) which stabilizes keen joint and holds bone is sprained. Certain amount of excessive fluid has collected around or within the joint of your knee. Cartilage under knee cap is damaged. Bones of thigh and leg are rubbing each other at knee joint. Yes you need surgical repair so that further damage can be prevented and normal function regained. Hope it helps. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	hello, i have been operated for Total Hip replacement surgery two months back. Dr. is insisting of wearing full length stockings regularly for min. three months. I find very incomfortable in wearing and continuing as it lead severe itching and skin erruptions. Pl. advise how far it is essential to wear them? Tandon	Dear Sir/Madam, I thank you for having faith in Chat Doctor and for seeking help on your issue; I have gone through your symptoms, and in my opinion, the doctors' insistence is because it can promote your venous return and prevent any deep vein thrombosis. But as far as I understand it's not must be worn at all times, when you are walking you can get rid of them. I hope I have been able to provide you with a satisfactory solution, if you want to clear any doubts about my opinion, feel free to contact. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	I had my gallblader removed in Dec. I had had abdominal and back pain for a couple months. A hyda scan showed that it was non-functioning. A month later I went to the ER with severe pain in my upper addominal area. The Drs think it was a stone in the bile duct. 3 weeks later I still had pain, but not as severe, so a endoscoptic ultrsound was done. That was normal. I still have bloating/swelling (right above my belly button region) pain and middle back pain. The GI dr I am seeing didnt suggest anything further..is my pain ect normal after all that??	Hi. Pain after surgery is not normal, and we have to find a cause:I would advise you the following:ERCP will help to see the exact architecture of the biliary tree and stenting and spincteroplasty of the sphincter of odd may relieve of your pain if this is due to sphincter of Odd Dysfunction. As there is a history of pain in abdomen with back-ache- this is the most common in either Gastric Ulcer on the back-wall that is posterior in medical language or pancreatitis. The rarer reasons can be lymph node mass or aortic problem. Investigations will help you for a great diagnosis and a proper treatment.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, My husband is taking Oxycodone due to a broken leg/surgery. He has been taking this pain medication for one month. We are trying to conceive our second baby. Will this medication afect the fetus? Or the health of the baby? Or can it bring birth defects? Thank you.	Hello, and I hope I can help you today.First, there is no medication that can be taken by the father that has any way to get into your system or a baby if you conceive. Medications can only affect a fetus if you take it while pregnant. The only issue is that certain medications may decrease a men sperm count and affect fertility, however pain medications like Oxycodone do not have this effect. So there is no reason for you to worry about conceiving while taking this medication. The best way you can prepare for a healthy pregnancy is to follow a well-balanced diet, limit alcohol consumption and avoid cigarette smoke, and take a daily prenatal vitamin or folic acid, as folic acid supplements in early pregnancy helps to prevent certain types of birth defects. I hope this answers your question and best wishes for your upcoming pregnancy,
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I have a really bad toothache on a tooth that had a root canal about a year ago. The pain goes away for a minute if I swish with cold water but comes back just as bad after that. The pain feels the same as it did before I had the root canal and its stopping me from sleeping	Thanks for your query, I have gone through your query. The pain in the root canal treated tooth is because of the gum infection in the tooth, or it can be because of the improperly filled tooth. Nothing to be panic, consult an oral physician and get a radiograph done to confirm the diagnosis. If it is an improperly treated tooth, then it has to be retreated. If it is a gum infection, then get scaling and root planing done. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole combination. 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。	Hi My sons Age is 2.5 years he is suffering from fever for 3 days, 1st day we had given P-125 2 times and 3 rd time we gave MEFTAL-P after that we had completed the MEFTAL-P 5 ml (3times) dosage for two days. But Every 7-8 hours his temperature is raising up to 102.How many more days i can continue the MEFTAL-P	Fever and respiratory infections, commonly due to viral causes, is pretty common in child Chat Doctor. High rise of temperature is a characteristic of viral fevers but could also occur in other conditions like typhoid. Paracetamol helps in reducing the temperature. Metal P contains metonymic acid which is more effective in reducing temperature. There is no course as such and these medicines need to be given whenever the child has fever. Sponging with water at normal temperature would also help. These medicines are will not harm your child, and you need not worry about continuing the medicines for a number of days. However, if the fever lasts for more than 7 days, get the child investigated for typhoid. Till then continue the medicines you have mentioned.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, Ive recently had unprotected sex with my girlfriend and I did not ejaculate or climax until 10 seconds after I got out of her vagina. But when I was out, I felt something sticky at the tip of my penis.. Could it be that I prematurely ejaculated? We had sex just last night around 11 p.m.	HelloThanks for query. A sticky liquid at the tip of penis before ejaculation is mostly a what is called as pre-cum. It is a mucus secreted by mucus secreting glands located in Bulgar part of urethra which acts as lubricant for free passage of thick semen in the urethra during ejaculation. What you have noticed at the tip is this thick mucus secretion and not the semen and nothing to be worried about . Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my mother is suffering with diabetics with average levels of under 200 but recently once she had 470 but we are think that huge level must be wrong tested.. what my question is shes getting pus from her leg toe and we are very much bothered about it , and shes getting sweat , pains in back neck, in hands and legs and she gets lot of pain in hand fingers and wrists... please sir give me the ultimate suggestion to get my mother out of it.. iam waiting for your valuable reply..thank you..	Hi, In your mother there is development of diabetic foot (with infection)Diabetic patients are more prone to develop foot problems because - 1) loss of protective sensation of foot (diabetic neuropathy) which make patient more prone for injuries to feet. 2) Impaired blood supply due diabetic radiculopathy, which impaired nutrition of leg. 3)Diabetes patients are more prone for infections and poor, delayed wound healing. I will advise you to consult your doctor immediately. 1) She requires to be detailed clinical & foot Examination. 2) Blood investigation for evaluation of level of infection, nutrition, diabetic complications. 3) Intravenous antibiotics. 4) Strict blood sugar level monitoring and control (possible need for intravenous insulin). 5) Imaging of foot to assess underlying bone involvement, to assess blood supply of leg. 6) Depending upon her clinical condition and test results she may require surgical intervention. 7) She should strictly avoid weight-bearing on affected foot.
如果你是醫生，請根據患者的描述回答醫學問題。	Is vascular inflamation and cerebral venous thrombosis of the brain the same thing? Weve been getting all kinds of diagnosis for my mom. MRI/MRV shows something definitely something in her brain. Her symptons are severe headaches, confusion, nausea, etc	Hello, Vascular inflammation is different form cerebral venous thrombosis. Cerebral venous thrombosis is a type of stroke. While vascular inflammation is not stroke, but it may lead to repeated stroke. These two disorders have different manifestations on the brain MRI and different clinical symptoms. Sometimes, they may overlap: vascular inflammation can lead to cerebral venous thrombosis. You should discuss with her doctor on these issues. 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 constantly cry when I get nervous, dissapointed, or afraid. Its an everyday thing and affects the way i interact with others. I cant talk to my boss or a professor without choking up and i cant tell people what i like or dislike even without feeling like i need to shed some tears. I wont be sad about anything, ill just cry, or well, choke up. are there any disorders-besides depression- that could be causing my problem?	Degree understand your concerns went through your details. I suggest you not to worry much. Why are you saying besides depression? Did anybody diagnose you for depression? Crying Without becoming sad could not be depression. Depression patients are usually sad mostly with crying occasionally.Otherwise, the present condition could just be due to disappointment about your simple social phobia. Please visit a psychologist for correct diagnosis. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. 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。	Hello. I have always had blood in my urine. But now I am 5 months pregnant with blood in my urine. I am having pain in my right kidney. I can not tolerate lying flat on my back. I start having spasms in my right kidney every 3-4 seconds. It also hurts to walk. I did have leukocytes in my urine but not alot. They diagnosed me with kidney infection but possible also kidney stones. Any ideas? My greatest concern is that I went to my OBGYN a couple of months ago with a bulge on the right side of my navel. It felt like something ripping when I would move do you think this is any relation?	Pain on movement is not related to kidneys, but related to the muscles. Application of warmth, local gels and Muscle relaxants should help. Your urinary problem needs confirmation by urinalysis, urine culture. MRI is needed to look for stones as the pain occurs repeatedly. Once confirmed, treatment can be started. Antibiotics will cure UTI and stone treatment depends on the size and location. Best regards
如果你是醫生，請根據患者的描述回答醫學問題。	My 6-year old brother has a big lump on his upper gums. It kept growing bigger these past few days and now there s this white spot on it. What exactly is it? He s been taking clindamycin; it was prescribed to him by his pediatrician . His pedia didn t know what it was either. :/ (the lump just keeps on growing even with the antibiotic )	Hithanks for your query bro has a lump on his upper gums with a white spot on it that is growing inspire of antibiotics clindamycins there any caries in it????how was your bros oral hygiene????I think in this age group its most probably a dental cystic needs to be examined properly to stamp it any specific type among 3 types of cyst we usually come across take a digital x-ray of the upper jaw including maxilla and sinuses to know the actual position and attachment of the lump do consult a maxillofacial surgeon for better management cancer in this age group is rare though it needs to be confirmed by FNAC or biopsy my info I think ll be of help to you thank u
如果你是醫生，請根據患者的描述回答醫學問題。	hello dr. i am 32 year women and i married 7 years ago .in the first month i was pragnent but on 6th week baby groth was stop and i suffered with DNC .Till the time i am trying a lot but no baby i have we trying medicines and a lot but no baby my weight is increase 79 now and my height is 5.3 my husband test r normal but my period date change some time more then 45 days some time just 8 days but last 4 periods date change but periods r normal flow so what to do .am really worry and upset plz help me and solve my prob .thanks a lot	Dear member, Thanks for writing to Chat Doctor. You have mentioned irregular cycles. That means either you are not ovulating. Weight gain causes polycystic ovarian syn Chat Doctor. Your fallopian tubes also need testing for patency. I would recommend following tests. COMPLETE HORMONE PROFILEThyroid profiles to check the fallopian tubes. Ultrasound scan on 2nd day of periodicity back with reports. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	I have an eleven year old son, who for the last nine days has had very little energy - complains about being very tired, has a headache that we treat with ibuprofin/tylenol - no fever really, recently says stomach hurts, some loose stools, dizzy when he walks around, but every now and then he gets up to play, then I find him laying down again. I thought it was a virus and would run it s course, but when do I need to do more?	Brief answer :Stomach infection. Detailed answer :Hi, welcome to Chat Doctor. Your 11-year child is feeling low, his stomach hurts and few loose stools, these are symptoms of stomach infection. In my opinion, You should give Oflox-ornidazole tablet two times a day for 3 days. However, since this is a prescription medicine, i advice you to meet the local doctor to confirm the diagnosis. I hope this has helped you. Take care. Regards - Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi! my girlfriend had a really bad experience last night around 2 a.m. First of all she got cold and she was feeling bad for the past few days but last night she was so upset, she was having big trouble breathing because of the mucus and she start crying. After about an hour her both hands (mostly the right arm through the hand) go numb and she wasn t able to open her fingers without my help. Also her feet got cold during this attack. I did some massage to her arms, hands, neck and feet. She was finally better and we could sleep and now she feel fainted, no strength to get up. Do we need any kind of medicine or it was just a normal attack when you cry so much? I m trying to find an answer and i will appreciate your help! Thank you.	Respected user, hi I evaluated your query thoroughly.* Relates to profound hypothermia effect on the body.* Follow certain steps at home for faster recovery-turn on room heater maintain room temperature properly till she is in comfortable zone not suffering tremors.- cover her body with enough warm clothing.- give more liquids by mouth preferably hot coffee, green tea, homemade juices.- avoid stress / anxiety / panic.- refrain from smoking / alcohol at present.- convey her to relax, deep breathing exercises help a lot-tab. Acetaminophen (325) mg as stat dose.- if possible get her Blood pressure checked by digital machine.- consult in ER if required. Hope this helps you. Welcome for any further assistance. Thanks for using Chat Doctor s & reviewing my answer. Wishing her fine recovery. Regards dear 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 a thickened anterior mitral valve leaflet.i just want to ask if this can cause of my dizziness and palpitation? It s really hard for me to travel because of my dizziness. Even when im riding in a motorcycle i still feel dizzy and most of the time i vomit during travel.. I feel chest pain, palpitation. Before i vomit, i observed that i hiccup many times before i actually vomit. I also have menniere s disease. I really dont know what are tha causes of this. Pls explain it doc. Tjank you	Hello Welcome to Ask a Doctor service I have reviewed your query and here is my advice. Dizziness may have several reasons, but most common is vestibular dysfunction and Deniers disease, but it may not be due to mitral leaf let stiffness, only if the disease is in severe conditions, as a dizziness have many causes it has to be looked for another causes and for that certain tests are there that needs to be done, last is functional elements that also plays the great role in dizziness so try to come out of this. Hope I have answered your query, let me know for further assistance.
如果你是醫生，請根據患者的描述回答醫學問題。	hi, i have had a lower back pain ,now it has moved to my hip .I cant remember hurting it but i was sitting for about 4hrs 4days ago it seemed to ease but came back again moving as i said to my hip.Could it be lack of exercise bad sitting posture .Have you any ideas. cheers James	Hi I am Chat Doctor. . In my opinion it could be a kind of sciatica due to nerve compression thus causing this kind of radiating neuropathic pain. Of course lack of exercise, bad sleeping or sitting postures, heavy lifting, vigorous movements, can cause that kind of pain but don't worry sometimes it subsides simultaneously. You may begin with spinal straightening exercise, physiotherapy, hot massages with topical gels and even yoga helps. Use painkillers like Advil tab when needed, B12 vitamin supplementation, muscle relaxants will be effective for now. If pain persists I may recommend further imaging by MRI and a neurosurgeon point of view for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I was wondering why my stool was white. Ive read a few articles online and they say that it is a liver problem. This makes me very concerned especially when Im only 16. I want to know what I can do to correct this problem. Is it the foods that Im eating or what?	Hi I have gone through your query.... See because of presence if bile salt in stool color is brown to yellow.... But if bile not produce by liver or if obstruction to its pathway then bile salt not present and can lead pale stool.... So this should not neglect ..... Following causes ruled out...-gall stone-liver hepatitis -cirrhosis -sclerosis cholangitis -alcohol affection - Chat Doctor. ...USG abdomen done.... If cause not clear then magnetic resonance cholangiopancreatography might be done....CT scan also useful..... Avoid alcohol and smoke if habit.... According to cause treatment done... You can take follow up advise from our elite panelist after investigation... Keeping above things in mind consult doc. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Patient is cronic case of AF. Is regular on anti coagulant and is taking acitrom from past more than 8 yrs . Due to recent gal bladder surgery/thereon internal bleeding etc and then fever for about more than week in last 3 months. Had 3 hospitalizations recently. lost more than 12 kg. All her recent test reports are normal. Feeling very weak and fatigued . can any health supplement /Tonic be given so that she gains strength, keeping in mind that she is on acitrom.	Hello. I have gone through your clinical details, you mentioned Tab Action for AF. But did not mention regarding doses and other medicines for AF and also did not mention etiology behind AF. Whatever You mentioned, It seems like your patient is suffering from some sepsis. Significant weight loss is a sign of some catabolism in the body related to infection or some other pathology. So first, you focus on to find out exact pathology behind weight loss. Because if we do not treat that pathology we can not stop weight loss whether you supplement some caloric foods or some tonics or not. So my advice for you to find out etiology behind significant weight loss and meanwhile you can supplement with high caloric diets like some Protein powders along with Iron supplements and some Multivitamins with Zinc. You also give some Diastase enzymes for proper digestion.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi how are you? I thought that i had a uti however two urine samples taken by by gyno and then my pcp came back as neg for uti but had a high level of white blood cells. no i am getting a pain on my lower abd ( it feels like ovulation pain) what can it be	Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would after clinically examination of your abdomen and a general examination, would advise for an ultrasound abdomen which would help in ruling out a few intra-abdominal pathologies. The diagnosis would be based mainly on the physical examination finding, and the investigation findings. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. 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 friend whose 13 yr old daughter has had persisted heachaches for about 6 months, sometimes can t go to school for days, has ended up in emergency dept and hospital several times but still no relief or diagnosis for her except maybe tension!!!But headaches starting occurring re day after having braces on. Coul there be some reaaction to the braces, such as the tension of the braces or some type of allergy to the type of metal the braces are made of. This girl is a great kid no problems, loved her studies and sport but her dentist says no problem with brace, cany you help me, to help my friends daughter Tiffanny, Dianne	Hi and welcome to Chat Doctor, Moderate to severe attacks of headache can be neurological pain seen in MIGRAINE. Since the girl is young and is we cannot expect tension or stress related problems in her to be the cause of headache. Headache due to tension applied by Orthodontic wiring or braces is rare, and no orthodontic tension is applied by elastics which is low tension used for tooth movement. Yes it can be psychological feeling of a patient to experience such pain. So you can try removing the braces and check if the headache is relieved. Or else I would suggest you to consult a physician and get the examination done who can come up with exact diagnosis and treatment plan. I hope this information is satisfying. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I noticed a while ago I had a tiny red dot (size of a pinhead) on my gums right at the base on my front lower tooth . It does not hurt and does not bleed . My gums are in good condition and I get regular check ups. Any idea what it could be? When I looked closer, it almost looks like my gum is red with some broken blood vessel or something. Thanks!	Hello there...it's good that you get evaluated periodically.....reasons for the red spot could be many...to begin with the simplest of all it could be a traumatic ulcer that would have happened because of trauma to the gums while brushing or middling your pen or pencil between your teeth...the next reason could be an inflamed gum...then could also be a sinus that would have resulted from the tooth above...the tooth would have had an injury earlier or would have decayed resulting in the spread of infection apically, resulting in sinus.... Get yourself evaluated clinically for a confirmatory diagnosis and management...
如果你是醫生，請根據患者的描述回答醫學問題。	My second to the last tooth on the right side of my upper jaw and the gums between that tooth and the last tooth have been in pain for quite a while now. I ve seen multiple dentists who have told me that they don t see any signs of a cavity or of anything being wrong, yet the pain still persists. Before, the pain would only come up when I chewed on things that were tough, but now it seems to be constantly there, getting worse whenever anything touches it now. I went to floss for what seemed like the 100th time and in previous tries, the gums between these two teeth would only hurt when I persisted on seeing if something was stuck between them. On this try however, it started to hurt as soon as the floss touched the gums. I didn t even put that much pressure on it, just gently seesaw-ing the floss until it got between my teeth. I really want to know another person s opinion on what I should do. It s come to the point I just want to remove the tooth or get a root canal .	Hello & welcomeAccording to the symptoms you are presenting here your problem seems to be associated with your gums' inflammation known as gingivitis. As no cavity is there & pain progressively become intense (in starting while chewing and now even on touching) so most probably this is gingivitis and there is no need of RCT and extraction. Start doing warm saline rinses 3-4 times a day, HY Chat Doctor. Visit to your dentist for deep cleaning you will get relief. Thanks and take care.
如果你是醫生，請根據患者的描述回答醫學問題。	sir i am 34 years old i had got married before 02 years when i test my semen analisis my count and motility was low and varicocele after the 06 months treatment like proxceed,clomid,vitamin E,,reparil,padutin now i had repeat test my count is 28 milion/ml motility 30% fast,progressive 10%,morphology 26%.please advice me to improve motility and other parameters.thanking of you	Hello, The sperm count and Morphology seems to be improved with medicines as they are within the normal range. But motility is still little low. You can take multivitamin tablet and hey Forte like tablet for that. You can discuss with your treating doctor and such medicines can be prescribed. Don't take the stress and avoid excessive heat exposure. Smoking and alcohol should be strictly restricted as it can affect motility. I suggest you get checked your testosterone level as well. 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。	I have a rash all over my body I am a 59 year old women they are spreading more a dr called in a steroid pack and I am taking Benadryl but it is spreading more and does itch I have not taken anything different. I now have a flush face and temp of 99.3 what might this be	Hello, Perhaps you have Hives/ Acute Urticaria. Hives are itchy welts with a surrounding flare. Hives may happen as an allergic reaction to a food or food preservative, Chat Doctor. Alcohol is also a common cause of hives. I suggest you to use a soothing lotion e.g. calamine lotion, 2-3 times a day to calm down the rashes. In addition I suggest you to take an oral antihistamine e.g. Tab cetirizine 10 mg once a day for symptomatic relief from itching. Hope I have answered your query. Let me know if you need any more assistance.
如果你是醫生，請根據患者的描述回答醫學問題。	sir i suffered ingunial tb was operated with it but i did not take any treatment for it and the wound was healed in a month or so do i still have the disease in me.my wife did not catch it through me is what i feel as she has delivered a baby recently.am i totally cured is my child at any sort of risk	Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes it can transmit to other family members if you are not completely treated. Wearing a mask can prevent infection transmission to other members via respiratory tract. In my opinion you should test yourself for the TB test. If you are free from the TB there is no need to worry. But if you are currently infected with TB than you should take complete treatment so other family members won't infect with it. Your wife must be having good immunity against the TB that is why she won't infected until now. Your baby will have same immunity as her mother is having, so you can allay the fear that your baby will be infected with it. You can have high protein and carboy Chat Doctor. Avoid single binge-eating, instead you can have small frequent diet. Daily exercise, meditation and healthy living can keep you away from the all the medication. I will be happy to answer your further concern on bit.ly/
如果你是醫生，請根據患者的描述回答醫學問題。	I ve had Fibromyalgia for about 25 years now and am doing so bad it s scary. I ve changed my diet over the years and eat really well, vegetarian, no nightshades, all organics, well balanced. I meditate and do Yoga and started pool therapy but I become a wreck, even when I take it easy. My mind is going. Memory loss and confusion and balance is awful. About 4 years ago I had a fall and got Complex Regional Pain Syndrome to go with it. My chronic sinusitis has become unbearable with roaring in my ears and insane sinusitis. At 58, I m getting scared my mind days are numbered. Sincerely, R. Jane Gagner	Hello, I understand your concern and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to memory problems (dementia, depression, etc.). For this reason, I would recommend consulting with a neurologist and performing cognitive tests and a brain MRI. Some blood lab tests (complete blood count, thyroid hormone levels, vitamin B12 or vitamin D plasma levels) are necessary to investigate for possible metabolic conditions that may mimic this clinical situation. In the meantime, I would recommend discussing with your doctor on the possibility of starting duloxetine therapy. 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。	I have two or three spots on my genitals that seem to be very similar to pimples. They seem about the size of an average pimple and they seem to be filled with an offwhite/yellowish fluid. Im 18 and am sexually active now, but I have seen them all the way back to my middle school years. They do not itch or bother me or anything, but they look alarming, I guess. Should I be worried?	Hi, Thanks for posting in Chat Doctor. I have read your description and understand your concern. The lesions what you are describing appears to be bacterial infection of the hair follicles of the skin called Furunculosis. Kindly do the following to overcome it. 1. Clean the area with antiseptic solution like Povidine-iodine twice daily. 2. After Chat Doctor. 3. Take anti-inflammatory Tablet. Ibuprofen after food. 4. Wear loose fitting undergarments and avoid friction in the area. Maintain good genital hygiene. Gradually, the lesions should get better and subside completely. Hope the information provided would be helpful. All the best.
如果你是醫生，請根據患者的描述回答醫學問題。	30 year old female, 131 pounds, Mitral valve prolapse, frequent palpitations and urge to urinate, nothing seems to make them better or worse. Dorsalis pedis pulse was +3/+4 and posterior tibial was +1/+4. On birth control for 6 years, smoked for 3 (1-3 packs per day), and I think the EKG showed premature atrial contractions.	Hello, Yes MVP can cause palpitation and urge to urinate. The palpation is mostly because of ventricular premature beats or any change on rhythm. In sensitive patients even atrial premature beats can cause palpitations, also at the same time a Hormone is released from the atrial causing diuresis. I would suggest you to consider beta blockers if palpitation is debilitating and aspirin as MVP, birth pills and smoking all cause small thrombus. Lastly avoid smoking as it per se can precipitate extra beats. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	I was in the ER for an allergic reaction to shrimp. They released me with Prednisone & Benadryl get rid of the swelling in my tongue. It s 4 days later & my tongue is still swollen and now my lips are too. I don t think I should take the Prednisone.	Welcome in Chat Doctor. In reference to your query regarding allergic swelling of your tongue and lips, which is still persisting even after taking steroid (prednisone) and Ben Chat Doctor. Though you got relief but still swelling on tongue is there. As you said only 4 days have passed, so I think you may continue the treatment for three to four days with tapering dose of prednisone. At the same time you should avoid contact with shrimp. Thanks for consulting Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have had diarrhea, severe nausea, and weight loss for three weeks. Bloodwork showed slight elevation in liver function and bilirubin. Stool samples were negative. Ultrasound was normal. Dr. Put me on cipro and flagyl. Feeling awful...still nauseous and diarrhea. Lost 11 pounds. Going for endoscopy Friday. Any thoughts.	Hi, dairy have gone through your question. I can understand your concern. You may have some liver disease. You should go for complete liver function test. Your nausea and diarrhea may be due to altered liver function. You should avoid high fat diet. Just go for endoscopy and liver function test. It will give you exact diagnosis then you should 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 husband and I are trying to get pregnant so I am very intoned with my cycle. I ovulated on April 26 which we had intercourse that very same night then we did again on April 28th.today will be 5 dpo for me and all day today and yesterday I been lightly cramping and very gassy..I also feeling a dull pulling only in my left lower pelvic area ..how good are my chances of be pregnant with the dates we had intercourse ..and could the feelings I been having be do to implantation? ?	Hello, I would be happy to help you with your question. It is unlikely that you would have symptoms related to pregnancy only 5 days after ovulating / conceiving. These symptoms are more likely related to the second half of your cycle. Here is a better strategy for getting pregnant:1. Count day 1 as the first day of your cycle2. Assuming ovulation is on about day 143. Have intercourse on days 10/12/14/16I hope that this helps!
如果你是醫生，請根據患者的描述回答醫學問題。	i am suffering from lower abdomen pain along with pain in vagina while peeing..i am even having constipation ..i had i pill 2 days back....my partner dint leak while having intercourse...and we used condom as well...rubbing of upper layer of both parts took place but it dint leak at that time to...what to do...m worried?	Hello, Thanks for posting your query. According to your description you are probably having urinary tract infection, it is frequent in women and usually caused by sexual intercourse because the female anatomy can make women more prone. It is usually presents with pain during urination, pain and cramping in the lower portion of the abdomen as well as the back, fever, nausea and vomiting.Most time it is caused by E.cold, but other bacteria like gonorrhea and Pseudocodes can be the cause. Take large amount of water, cranberry juice can also help. Keep your genitals clean, and it is better to pee before and right after having sex as it flushes bacteria out. You are advised to visit your doctor and perform some labs like CBC, urinalysis, urine culture so that it can be diagnosed and later treated with proper antibiotics. Hope it helps
如果你是醫生，請根據患者的描述回答醫學問題。	I cannot breathe at night if I ingest casein, peanut products, almonds, or soy products. I m wondering if this problem is related to non-alergic sensitivity to these foods or is it related to inflammatory response? How to overcome? I use a CPAP machine... I also use Triamsinalone corticosteroid possibly linked to glaucoma which I want to avoid using and I also use another nasal Spray... can t rememaber its name off-hand... --Bill--	You are an allergic person as you are using nasal spray I suppose. The difficulty in breathing that you describe after ingestion of certain food products can be due to your allergy and lead to an asthma attack sometimes.However, you are on triamcinolone steroids that would be the treatment for any allergic disease but for an instant relief it won't help and hence you need to use an inhaler that provides instant relief. You can take Ventolin or Stalin nebulizations or inhalation SOS
如果你是醫生，請根據患者的描述回答醫學問題。	My mother age is 49 and she is suffuring by maigrane headche last 4 years now its seviour and also problem of high BP,recurrent UTI , Renal Disease ( As per DMSA Renal scan report scaring in the left kidney and right kidney with avidence of scar ,Left Kidney function 7% and Right Kidney function 93%) Current Medicince Daily - Calcigard Retard, Metapure XL 50, Telma Q, Rozucore 10. Mg. minipress 2.5 Mg, Nephrosave( for Serum Creatinine 1.5 ) Febutaz/Fubujet ( for Uric Accid ) and yesterday my family dr. prescribed injection Nerokind for headche. now i am totaly blank because since 2003 i am faced the all problem what we can do? Now BP is normal range where as need to be continued above all medicine. because due to all dosage body hit gone up, Please........... Please..........Help me 0000.	She appears to have chronic infection of the kidneys with almost non-functioning left kidney and compromised right kidney as well as the creatinine is slightly high. She needs to control her BP in the range of 120/80 to 130/85 as well as avoid any further UTI. Furthermore, she seems to be doing alright with the current medicines. If she again has a UTI you might need to add a daily bedtime antibiotic tablet to prevent her UTI. Otherwise, you should continue with they same medicines and a close follow-up
如果你是醫生，請根據患者的描述回答醫學問題。	SIR WE HAVE DONE FOLLOWING TESTS (CASE HISTORY) PATIENT NAME-PREMALATA BISWAL,AGE -76 YRS,(FEMALE)HAVING LONG STANDING DIEBETIC TYPE-2,COMPLAINED ABT ASCITIC FLUID RETENTION.1ST WE DID U S OF ABDOMEN & PELVIS .RESULT OR IMPRESSION:CHRONIC MEDICAL RENAL DISEASE GRADE -III,MILD SPLENOMEGALY ,MILD TO MODERATE ASCITES ,THEN WE DID FLUID EXAMINATION-FLUID EXAMINATION(22.09.2012) : SPECIMEN-ASCITIC FLUID,COLOR-PALW YELLOW,VOLUME-08 ML,CLOT-NIL,SUGAR(GLUCOSE)-1588 MG/DL,PROTEIN-1.2MG/DL, ADENOSINE DEAMINASE ACTIVITY-08 U/L,GRAM STAIN-NO BACTERIA SEEN,Z.N STAIN OF AFB-NEGATIVE,CYTOLOGY TOTAL COUNT-225 CELLS/CUMM,DIFFERENTIAL COUNT:CYTOSMEAR FROM CENTRIFUGED DEPOSITS SHOWS: LYMPHOCYTES-70%,MESOTHELIAL CELL-25%,POLYMORPHS-5%,NO MALIGNANT CELL SEEN.AFTER WE DID CA 125,RESULTS 42.00 U/ML,CA-19.9 RESULTS-126.91 U/ML,AFTER THIS WE PERFORMED PLAIN & CONTRAST(BOTH ORAL & IV)ENHANCED CT SCAN OF WHOLE (29.09.2012)ABDOMEN,IMPRESSION:FEATURES ARE SUGGESTIVE OF 1)MODERATE ASCITES,2)MILD THICKENED ANTERO-PYELORIC WALL OF STOMACH,3)RIGHT RENAL CYST.4)MINIMAL RIGHT SIDE PLEURAL EFFUSION.SUGGESTED :UPPER GI ENDOSCOPY.AFTER THIS WE DID ENDOSCOPY ON 30.09.12 IMPRESSION- FEATURES OF GASTRO-DUODENITIS.KINDLY SUGGEST WHAT TO DO?	Her ultrasound findings are suggestive of chronic kidney disease (CKD) however there are many tests which are needed to confirm it.1) Hemoglobin and CBC2) Kidney Function Tests3) Urine routine and 24 hours urinary proteins4) HbA1c levels5) ECG6) EchocardilographyAlso the sugar levels in ascetic fluid are very high indicating that her diabetes is uncontrolled. Accumulation of fluid in abdomen can be a part of diabetic kidney disease as well as of associated heart disease. All these reports are required to know that. Meanwhile, she should reduce her sugar, salt and water intake and take medicines like Las ix or Dy tor if not taking already. Should get in touch of a nephrologist in your city.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I am 29 yrs old, i am trying to concieve for a yr now. i am diagnosed for few PCOS and given Danzen "Serratiopeptidase" 5 mg, Formit "Metformin Hydrochloride" 500 mg, and Cinnamon Plus tablets. will i be able to get pregnant while on these medications or only after i finish?	Hello, Metformin is a very effective medication in the treatment of POD. Metformin establishes hormonal balance and induces ovulation. Once you start ovulating, chances of pregnancy are really high. In the meantime, maintaining a healthy weight is also important in the management of POD. Eat healthy, exercise regularly, and continue cinnamon plus. When trying to get pregnant, it is better to avoid Serratiopeptidase as its safety during pregnancy is unknown. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	I got a few fillings on the left side of my mouth almost 2 weeks ago. Then I got a few fillings on the other side under 1 week ago. Im still having pain in my mouth. I cant sleep. It hurts to eat. I cant eat anything out of the fridge without sharp pain in every spot I had fillings. Is this normal?	Hello, Youmay experience some sensitivity that would be considered normal. It should be with the teeth that had the new fillings and taking pain medication such as acetaminophen and ibuprofen should make you feel better. If you were told that a filling was particularly deep the sensitivity may linger especially to cold temperature. Try toothpaste for sensitive teeth and fluoride rinses for some relief to sensitivity. If your gums are sensitive and irritated from the recent dental treatment, rinse with warm salt water and use gentle techniques with brushing and flossing. There are conditions that will require you to return to the dentist for an evaluation. Does your body feel different from before you had the fillings done? You may need an adjustment to your bite. This means you have a high spot. Reducing a small amount of the new filling may relieve your symptoms. I suspect this may be your condition when you have an overall feeling of sensitivity, mainly cold sensitivity, and had more than one filling done recently, Is your pain increasing with hot sensitivity and pressure sensitivity accompanying your discomfort? This raises the concern of an infection. A very deep filling can be too close to the nerve which allows bacteria to enter causing infection. The tooth would require additional treatment such as a root canal. A less common situation would be an allergic reaction to the new materials in your mouth. Monitor your symptoms and update your dentist. Thank you for your inquiry. I hope my initial suggestions offer relief, and you feel much better within a week to two weeks. If your symptoms slowly improve take care with a softer diet and avoid extreme temperatures. Continue to practice good oral hygiene and call your dentist for return visit if your condition does not improve shortly.
如果你是醫生，請根據患者的描述回答醫學問題。	sir my son is already a patient of nephrotic syndroms. He is getting 25 mg of steroid. his albumin protein is nil as todays report. suddelny i came to know that he is having jaundice. his report is AS SERUM BILIRUBIN -4.8,DIRECT4.3 INDIRECT-O.5, SGOT-452, SGPT-350. He is taking livomyn, zincovit and glucose. i want to know is it the right treatment for getting cure within 10 days. what r the things that i can give him as meal. i am giving him only papaya,apple,pomegranate white rasgulla and sugacane but his appetite is not satisfied.	Hello! Thank you for the query. Such results mean that there is some blockage in miles ducts (homeostasis). Such condition in most cases is caused by gall stones due to migration of a stone to the bile duct. It can cause abdominal pain however it can give no symptoms at all. This has nothing in common with the Chat Doctor. You cannot treat it by yourself. You should visit your doctor as soon as possible as such bile flow blockage can cause acute pancreatitis. Abdominal ultrasound should be performed. TO treat that, ERCP is necessary. Hope this will help. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	My 13 year old daughter has recently informed me that her breasts are slightly lumpy. She said it hurts around the nipple area and it feels like there are small pebbles when she moves her finger around the breast in a circular motion. She has gotten her period (March of this year), and she is a perfectly healthy child, but should I be worried about the lumps she claims to feel? Thank You, Katy	Hi. I've gone through your query. I can understand your anxiety. Breast lumps in case of your daughter could be a BREAST BUD as she is growing up or focal modularity (area of thickened breast tissue) which is evident before her periods, or it could be fibroadenoma advice you consult your doctor for breast examination, for a chest USG & a mammogram if needed 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。	Fell today from top of steps to bottom from black ice I didnt see. (4 steps in all) I keep getting this excruciating burning pain from my outer left hip up towards the left side of my lower back, more near the kidney area than the spine, and it feels like electrical fire. Could it be Im out of alignment now and possibly pinching a nerve? In addition, when I touch over the area of my left hip, I feel very numb to the touch. Any suggestions? I appreciate your feedback, thank you!	If you are not able to walk or finding it really very difficult to bear weight then it can be a fracture of your hip joint. Also if bending forward or backward or any position is uncomfortable then you might Have had fractured your back spine or the fall might have lead to a slipped disc. This can be confirmed on MRI. In either case you need to take rest and apply over the counter pain relieving ointment. Hot packs can be applied very 2 hrs. Hope you find this helpful.
如果你是醫生，請根據患者的描述回答醫學問題。	I just started nicotine replacement patches today and placed the patch on my hip. After a couple of hours I started getting really sharp pain and cramping on the corresponding thigh. It s bad enough that I have to sit when it flares or I feel like I will fall over. Is this likely caused by the patch and what can I do to alleviate the pain? It s only day one and I don t want to give up do to the pain.	Nicotine replacement therapy uses products that supply low doses of nicotine. These products do not contain the toxins found in smoke. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine with Chat Doctor. Nicotine replacement therapy is of the most help for people who smoke more than 15 cigarettes a day. It is not yet proven to help people who smoke fewer than 10 cigarettes per day. Facts about using nicotine replacement therapy:You have 10 times higher chance of quitting permanently if you do not cheat on the first day of use. The more cigarettes you smoke, the higher the dose you may need to start. Do not smoke while using nicotine replacement. It can cause nicotine to build up to toxic levels. Nicotine replacement helps prevent weight gain while you are using it. You may still gain weight when you stop all nicotine use. The dose of nicotine should be slowly decreased. TYPES OF NICOTINE REPLACEMENT THERAPYNicotine supplements come in many forms:GumInhalersLozengesNasal spraying patch
如果你是醫生，請根據患者的描述回答醫學問題。	I haven t had my period for 3 months, I have tooken about 10 pregnancy tests and they have all came up negative. The past few days I ve been having lower abdomenal pains and a pain on the right side of my stomach. I have also been constipated but if I do have a bowel movement it is very painful. What could this be?	Hi. Thanks for your query. Doing so many pregnancy tests is not going to help, you have to get an ultrasonography and other relevant test to see why no periods. Now you have pain in the lower abdomen and the right side. You also have painful motions with constipation. You have to go other tests:Blood, urine and stool. CT scan of the abdomen to see whether you are suffering from Ovarian problems causing delayed periods or any other problems. Once the diagnosis is done, get the treatment according to the reports and the opinion of a Gynecologist.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a nerve injury to my foot done by accident by a surgeon in dec of 2009. Since then, I have been on Norco, Percocet , and Valium as well as something to sleep. I have had nerve graft surgery which was my 6th surgery on the foot and heading into the 7th surgery for the toes because they have retreated backwards. I think I take too much Norco (about 5-6/day 10/325) and Percocet (about 3/day 10/325); the Percocets have been for the last several months and the Norco for 2 years. I have decided to get off of all of it and I need to know how on my own without rehab . I still have pain in the foot, but I hate the meds and how they alter my personality, my energy level and just knowing that I take meds. Can you help me?	Dear user, very sorry to hear about your injury. You have to keep in mind that chronic neuropathic pain is very hard to control, something I think you know by now. Its very important that you keep on working with your rehab, getting off your medication by your own completely might have negative consequences on your situation, talk it through with your doctor to lower the doses or change to milder form until you feel better without them. Legs messages might help but without proper pain medications and rehab your injury might not get better as fast as you wish. I hope this advice helped you, and please get better soon. Best regards,
如果你是醫生，請根據患者的描述回答醫學問題。	As per discussion with my doctor, I have PLID problem. He prescribed me some medicine: 1.Winop (Ketorolac Tromethamine 10mg)----- 1+0+1 2. Neurobest (Vitamin B1, Vitamin B6 & Vitamin B12 )-------1+0+1 3. Amilin ( Amitriptyline Hydrochloride BP 10mg)--------0+0+1 4. Maxima 20 ( Esomeprazole BP 20mg)-----------1+0+1 I am taking this medicine for 1 month, but not improve my condition. Please give a suggestion.	HiT hank you for your question. Prolapsed Lumbar Intervertebral Disc can be very painful at times. Next medication I would add for my patients after the ones you have described is gabapentin or pregabalin. This acts specifically for nerve related pain. A lumbar brace may help by decreasing painful movements. Next option if medicines are not helpful is selective nerve root block. This needs careful reviewing of the MRI image and is done by a spine surgeon/pain specialist under image guidance. Most of the patients will seek pain relief with this and the injections can be repeated if needed. Injections followed by physical therapy keep pain under control. Surgery(microdiscectomy) is a last option if all the previous ones cease to work. Hope this is helpful. I would be happy to answer any questions you may have.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Im 19 years old and Im in a relationship and Ive been experiecing cramping and pain in my stomach for 2days and it really hurts wheb I lay on my stomach Im female, and it crampin in the lower area but mainly my stomach left side tghe most. Could you help with any idea whats wrong	Hello, As you are sexually active, I would think of either a PID (pelvic inflammatory disease) or an ectopic pregnancy. If I were your doctor, after a physical examination of your abdomen, I would go for a serum Chat Doctor test and an ultrasound of the abdomen. Once pregnancy excluded, other tests like a PV examination and a culture sensitivity of the vaginal or cervical swab might be considered to rule out PID. Till the reports are ready, I would advise you with an antispasmodic and a proton pump inhibitor Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.

Subsets and Splits

No community queries yet

The top public SQL queries from the community will appear here once available.