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如果你是醫生，請根據患者的描述回答醫學問題。	i get sick to my stomach after eating at times and just out of the blue. And i have been eating a lot more than usual, i am on the birth control shot and my cycle is not normal so i spot a lot. I get sharp pains through my stomach once in a while, and in my privates after intercorse but i took a pregnancy test and it was negative. Is there a chance i could be pregnant?	Hi, thank you for your query, the fact that you are experiencing irregular periods and spotting and also cramping is a sign of the side effects of the birth control.it means that your birth control method is not suited for you. These are not the signs of pregnancy. But still if you want to be sure, you can undergo a blood test.I would advise you to consult an OB/GUN to change your birth control method. Thank you, wishing you good health
如果你是醫生，請根據患者的描述回答醫學問題。	hi.my name is judy, 22 years old,63 Kg.i have two swollen lymph nodes on my neck 1 week after i got stung by a bee on the neck. they are not tender and move when i touch them. are they swollen because of the sting or should i get tested for something else?	Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint swollen lymph nodes in neck seems to be most probably due to infection and inflammation in the areas Chat Doctor. . As you have got a bee sting on neck the swollen lymph nodes can be due to allergic reaction to the toxic substance released by the bee sting. As the lymph nodes are mobile they do not seem to be due to any serious cause. You can take a short course of antibiotics like Amoxicillin, anti-inflammatory painkiller like Ibuprofen, do warm compresses over the lymph nodes. In case if you do not find improvement in 2 weeks consult a General Physician and get evaluated and a thorough clinical evaluation and investigations like Biopsy or FNAC can help in diagnosis and treatment can be planned accordingly. Hope this information helps. Thanks and regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Ive been having a squezzing feeling in my left side of my chest where my heart is. Ive seen a cazrdioligist & had an ultrasound & a stress test, & he said my heart is structurally sound. Could my diaphragm be giving me that squeezing feeling? Could it be a spasm in my diaphragm?	Thanks for your question on Chat Doctor. I can understand your concern. No diaphragm spasm can not be the cause for your symptoms. Diaphragm is involuntary muscle and very unlikely to go in spasm. In my opinion, you should consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test) to rule out bronchitis because bronchitis can also cause squeezing feeling in chest. If PFT is suggestive of obstructive defect then you may need inhaled bronchodilators and inhaled corticosteroid (ICS). Sometimes stress and anxiety can also cause similar squeezing feeling. So avoid stress and tension if you have these. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I am using Clortrimazole & Betamethasone cream, for ring work infection on my leg , how long before it is not contagious , or can be spread? I have been using the cream for 5 days now, it seems the red spots and other redness have diminshed , but are not gone yet	Hello, Thank you for your contact to Chat Doctor. If I am your treating doctor I would like to tell you that ring worm is very contagious disease The spore of the fungus is easily dislodged and settled on the skin of the other patient and cause the infection. Until it is not treated completely it remains contagious. Your treatment is correct. If you have to ask anything else to me, you can ask me. We wish you the best health at Chat Doctor. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doc,My name is Daya 30 yrs old female.I was advised by my doctor to take yamini for 2 months to bring down my progesterone and testosterone levels which was a bit high.After this 2 mnths medication she has advised me to start with duphasthon 10mg and clomiphene.I also have PCOS .Am trying to get conceived.I have a doubt whether use of yamini will prolong my conception .Thank ub	Hi Day, Its true that Ya mini being contraceptive will prolong your conception, but it will prolong conception only till it is being taken. As you have finished (stopped) taking it, it won't prolong conception further. It's not correct to take Unfasten & Camphene blindly with monitoring ovulation, at least in first cycle. It's better to consult infertility specialist who can do ovulation induction properly to increase chances of conception. Wish you good health & quick pregnancy.
如果你是醫生，請根據患者的描述回答醫學問題。	I am experiencing pain in the lower left abdominal region or just above the groin . Its not acute, but uncomfortable and can experience in certain sitting position or while walking. Its like on/off switch. Suddenly pains for a second and then disappears. Don t have any problems while eating / drinking etc. Nothing else seems abnormal. No fever , nausea etc. Nothing.	Hello! Thank you for the query. It sounds like you are suffering from inguinal hernia. This is a condition when abdominal cavity contents are getting out through inguinal canal. This is caused by weak tissues and can be treated with surgery. So if you sometimes can find a lump in your groin, the pain appears when coughing inguinal hernia is very probable. However, if this one will be ruled out, abdominal ultrasound should be performed with fool blood work and urine tests as such pain may be also caused by urinary tract infection, urinary stones, diverticulitis, left ovarian inflammation and many more. But first, you should visit a surgeon, so he can rule out inguinal hernia. Inguinal hernia can be easily treated by surgery. However, when not treated may cause intestines obstruction, so it should not be neglected. Hope it will help. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	I am 39 years old and just found out yesterday that a CXR I had last week showed a pulmonary nodule. I am a 3/4 to 1 ppd smoker with a history of persistently elevated WBCs, fibromyalgia, and hypothyroidism. Is it probable that I have an early lung CA? My MGF is deceased from lung CA and PGF deceased from stomach and esophageal CA. Both were smokers. Thank you for your input.	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult pulmonologist and get done CT thorax with Contrast to know the characteristics of nodule because you are at high risk for malignant nodule. You are smoker and having positive family history for cancer. So get done CT thorax with Contrast. CT will tell you about exact size, shape, structure of nodule. CT will also tell about association with surrounding lung structure, mediastinal lymphadenopathy etc. All these points are important in differentiating between benign and malignant nodule. If it is benign lesion then no need to worry. But if it is malignant looking nodule then biopsy is needed for confirmation. In any case, better to quit smoking as soon as possible. So 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。	Hi i have a problem that only arises after consumption of alcohol after intercourse and ejaculation i have overwhelming urge to pee accompanied by burning pain in head of penis. This is pretty uncomfortable and lasts for 30 to 40 mins any ideas? Thanks	Degree understand your concerns went through your details. I can understand. Rough sex always effect inflammation of the smooth parts of your penis. After sex urination salivates the rashes, and therefore it burns. This is natural reaction. It is also evident that you are practicing rough sex after having alcohol, because without alcohol you donor have any of the give problems. That in itself suggests, your intercourse with the influence of alcohol is the basic problem. Restrain in the case of alcohol and rough sex. Take care. 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。	After masturbating i develop small bumps on my penis it doesn t hurt or itch an it scabed over but i managed to ripped it off when i fell doing gymnastic. Its in the middle of the shaft. An i have burned skin off before but this one is different. The bumps if i pop them release a clear liquid. There spaced out an not in cluster but im freaking the hell out.	Degree understand your concerns went through your details. Having bumps after rough masturbation is normal and possible. You said the blisters leak clear liquid. In that case, definitely dermatologist consultation is necessary. Instead of having your own thoughts and instead of getting worried. You should consult a dermatologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello... My brother , 18 yrs of age has a complex CHD: Dextrocardia, Common Atrium (single AV Valve) and unbalanced ventricles he already had a BT Shunt in 92 and BDG in 94. He is presently on Acitron, Listril and Lasilactone... I need some advice on this...	Hello dear, your brother is having a complex chaotic congenital heart disease with probably single ventricular physiology and reduced pulmonary blood flow. This usually needs multiple surgeries and single ventricle repair in which the single functional ventricle is made systemic and the venous flow is diverted directly to Pulmonary arteries.That's why he underwent BT shunt for optimizing pulmonary blood flow. And then BDG as a first stage of Fontana repair in which the SVC is connected to Pulmonary artery. Now usually this is followed by another surgery in which the IOC is also connected with the Pulmonary artery and this is generally done at the age of 10-12 years. But in your brothers case, this is not done. May be because the unbalancing of the ventricles was not that severe and one of the ventricles was able to handle at least half of the venous flow. This is called as hemi-Fontan surgery. Please show your brother to a pediatric Cardiologist and get a detailed echo to see the functioning of BDG shunt and also the native ventricles and valves. Now because he underwent BDG, he needs to be on oral anticoagulation in the form of citron. Hope this would help you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi i am 25 year old man. I have bilateral varococile. 2 years back i consultd a doctor and went through some homeopathy medicene. From that time i m not feeling pain in my testicles. Now im feeling that i have erection problem which leading me frustration . Now somwtimes when i meet my girl frnd i feel pain in my testicles . Twicw in a i ll masturbrte . Please suggest me should i take treatment. Can i become father. Next year i m planning to marry. Plz suggest me wat to do to be a healthy man and to come out of varicocele.	Hi, I could not get you completely. Twice in a --- you masturbate. If you masturbate twice daily then you should do it lesser. If it's twice a week or month then it is alright. Varicocele does not usually cause problems. What is the grade of your Varicocele on Ultrasound of scrotum. The major problem it causes is that it can lead to decrease in sperm count. I suggest you get a Semen analysis done to see if all is ok. If it is then I don't think you need to get operated for the Varicocele and if there is a problem in the analysis report then you can consider surgery for the Varicocele. You can send us the report if you get it done. You can contact me by leaving a Direct or Specialist query. 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 mother is suffering from severe stomach ache which started three months ago, she is not able to eat any solid stuff, her condition is deteriorating day by day, after several tests doctors have diagnosed her with Stage 3 Colon Cancer though her Biopsy report is pending, doctor has asked me to go for PET Scan as well to get things more clear, I request you to please suggest me if surgery is possible in her case or chemotherapy is the only option left, or if both are required.I have uploaded the CT scan, colonoscopy report, blood reports for your reference.please suggest.	Hi welcome to Chat Doctor forum. Stage 3 means that tumor infiltrated colon wall and surrounding lymph nodes - it means that surgical procedure is possible, but it can only remove microscopically cancer and involved colon. It can also remove lymph nodes, but it is not possible to be sure that cancer isn't spread already. So if ct and PE done show any metastases then surgery should be definitely done. Chemo can be started after surgery. Buzt if there is evidence of cancer outside colon then the behemoth should be done first Hope I have answered your query. 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。	I have developed a skin condition with red bumps on my neck, arms and legs. They last a few days than dissapear only to return again after a few days in yet a different spot. I have been to the dermatologist had a biopsy done and was given Clobetasol to use twice a day. This has been going on for about 3 weeks. My question is can anxiety contribute to this condition? The dermatologist said it might be a virus and she would consider an antibiotic but that shouldnt be used to treat a virus, right?	Hi. Thanks for your query. Noted the history and understood your concerns. Recurrent skin red bumps in changing position that goes away to come back at different places indicate that this is a condition called urticaria and is necessarily an allergic condition. I would advise you the following in such a situation. Post clear pictures and give detailed history. Take second opinion of another Doctor. Get stool and blood tests, you may need the following medications on empirical basis. Antihistamine to avoid allergy. Oral steroids if you are not diabetic for control of urticaria. Medicines to treat intestinal worm infestation. Also identify the foods, beverages, atmospheric conditions, dusts, mites, mold and mildew whicChatDoctore in contact to cause this problem and avoid this altogether.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello.myself kanchan chourasia.I am 23 year old,I live in Indore and i am doing BDS .I am in Final year. In the year 2007 i came to know that i have OCD.that time i used to check my books regularly as i was scarred if any of them got misplaced then what will i do. then i had thoughts that if my mom or dad will die then what will happen.i took treatment and councelling also.gradually i was fine.2 years back i met a boy,he was very supporting and motivating to me,i fell in love with him.but he is not gudluking.In these 2 years i was living happily with him.i told my mom also about him.she also likes him very much because of his nature.but in sometimes i used to think about his looks,but that was not much disturbing to me.but now since last 1 month continuosly this thought is creating anxiety to me that he is not goodluking,what my relatives and others will say on our marriage.also he is from Varanasi.this also disturbs me that varanasi is backward city,how will i live there.also i keep thinking that i really love him or not then i try to confirm by asking questions to myself or him to get sure about this. this really creating anxiety within me. i tried to breakup with him but i am unable to do that.i dont want to think all this about him.i searched on internet ,ifound that it is something related to ROCD.is it true?If yes ,then am i also have the same?plz help	HiT hanks for using Chat Doctor I think, you need help of a psychologist. You may have adjustment disorder or relationship issues. In that case, psychologist would have you. You need cognitive behavioral therapy. A relationship never depends upon external beauty, it depends upon internal beauty. Beauty is just for few years, but nature for life long. Better to discuss your issue with a psychologist. In case, you need further help, you can ask. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	I was diagnosed w/ pericarditis in Dec, went on two rounds of steriods.. tried to return to work for a coupl weeks and its back I am just finishing my 3rd round of steriods. what else is there to do? Dr, said not enough fluid to drain. I have Dialated cardiomyopothy and Left bundle brancch block. pacemaker implanted in 05 replaced in Sept last year. I am 41 female 240lbs.	Hi Masthead are two treatment options for PERICARDITIS.1. Medical treatment that consists of NSAIDs, COLCHICINE, and/or STEROIDS.2. Surgical treatment which is PERICARDIECTOMY (shaving of the inflamed pericardium)As you are already started with 3rd round of steroids its better you first finish the 3rd round probably it will not revert but if it does then the final curative treatment is PERICARDIECTOMY only. But due to the other associated problems you have like DCMP the surgery will carry an operative mortality risk of 5 to 20%. So I would like to advice you to discuss your options with your treating cardiologist in person. Wish you Good Luck
如果你是醫生，請根據患者的描述回答醫學問題。	My husband was bit by a spider in march of this year. He didn t go to the Dr. right a way. I took him to the E.R. two days later because he was very sick. He had 2 surgeries and almost died. His temperament has chanced. He gets mad, has become a bully, has now started saying things he never would have said before. I was wondering if the spider poison could have caused a reaction like this?	Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you. Spider poisoning never causes such a reaction. Spider poisoning only causes like wound swelling. And reaction which are locally seen. It never causes systemic reaction especially not causes nervous system reaction. You have to find out the other causes for such an illness. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I AM MRS. SATYA I AM 36 YRS OLD AND MY HUSBAND SAGAR IS ALSO 36 WE HAVE A CHILD WHO IS 5 YRS NOW HE WAS BORM AFTER 4 YEARS OF MY MARRIAGE AFTER HIM I HAVE NO SECOND ISSUE WE PLAND TO HAVE ONE SO VISITED A DOCTOR MY REPTS WERE CLR BUT MY HUSBANDS SEMEN COUNT WAS NILL HE HAD A DOPPLER TEST DONE THERE IS NO SIGN OF VARICOCELES HOWEVER HE HAD BASIC INGUINAL HERNIA PROBLEM SO HE GOT IT RECENTLY OPERATED (RIGHT SIDE 2 MONTHS) CAN U SUGGEST IF I WOULD BE ABLE TO CONCEIVE AGAIN AND CAN MY HUSBANDS SEMEN COUNT INCREASE	Hi, Welcome to Chat Doctor. The cause for nil sperms in the semen could be due to obstruction to the outlet tubes from the testis in that case its well treatable, and you can conceive once treated. Also, there is another cause where the sperm production is nil due to damage to testicular tissue itself. Here the treatment is near impossible as the cells which develop in to sperms are limited and cannot regenerate by any means. Do inquire about the cause, and you will get a conclusion yourself. Wish you the best.
如果你是醫生，請根據患者的描述回答醫學問題。	I just took my blood pressure and it was 152 over 93 pluse rate 80. What does this mean. I have never had problems with my blood pressure until this weekend when I went out to dinner and ate some ribs and ham. About an hour later my head started hurting and has been doing this off and on since Sunday.	Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern, and would explain that your blood pressure values are above the normal ranges. But this could be just an episode of high blood pressure, related to a big amount of salt intake or anxiety. I recommend you to closely monitor your blood pressure, different times during the day for the next week (in sitting position, after 15 minutes of total relax) and report these values to your GP. You need to perform a complete check-up : - physical examination- resting ECG-chest x-ray study - blood lab tests (complete blood count, fasting glucose, thyroid hormone levels, kidney and liver function tests, blood electrolytes, etc.), to exclude a possible secondary cause related to high blood pressure. If your blood pressure is permanently above the values 130/90 mm Hg, it would be indicative of arterial hypertension. In such case, you should discuss with your doctor on the above issues and the possibility of starting an antihypertensive therapy. Meanwhile, I would advise you some modifications to your lifestyle : - a balanced diet with low salt intake and low caffeine- a lot of physical activity (walking, aerobics, etc)- lose weight if you are overweight. These changes to your lifestyle would help you maintain a low blood pressure. Hope to have been of help! Feel free to ask any other questions, whenever you need! Best wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	Good evening, I have a daughter who just had her first baby 6 months ago. The baby is using a pacifier. My daughter and her husband have 5 dogs and 3 cats so there floors are dusty. In addition they live in Tucson, Az. Every time the baby drops the pacifier from her mouth, they insist that it is fine to put it right back into the baby s mouth w/o washing it off. My granddaughter seems to have a constant cold and I am concerned that it is related to always placing a pacifier that is not as clean as it should be in her mouth. They claim their Dr. said it was alright to place It in the baby s mouth after being on the floor as this will build up immunities. I worked 23 years in a state health department and we never utilized that idea with with our new mothers in parenting classes. I not sure they have discussed with their Dr. that the house has 8 animals in it. What do you suggest I do in this situation. I m thinking of accompanying my daughter and the baby to her next Pediatric appointment and inquiring about this situation. They may have not shared with the Doctor the number of animals in the house which causes a great deal of dust and dirt. Am I correct that it is very unsanitary to keep reintroducing a soiled pacifier back in the baby s mouth and this could lead to health problems for the baby. Thank you in advanced for your thoughts. Edna Vajda	Using pacifier is not recommended by any pediatrician nowadays. Because it is the medium or source of infections to the kid. Having pets in home is also not recommended because its fur or hairs might trigger asthmatic attacks and toxoplasmosis infection in child Chat Doctor. . What ever the doctor said was worn. I don't agree with his words. Better consult any pediatrician for opinion. Getting immunity by using soiled pacifier is a myth. don't allow you kids to have pacifier in mouth, it is dangerous.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor! I am currently experiencing lower lip twitching, and my left leg shaking. I also have experiencing headache after I wake up and eventually gone throughout the day but still comes back during the evening right before I sleep. Just wondering why it happens to me. I used to be so healthy yet a bit stressed up the past few days..What can you advise?	Your stress appears to be the root cause for this problem. Free yourself from the stress by intentional modes, morning walk, enjoying good company, reading good books, leaving the things to god and ignoring ego. Eat balanced diet avoid lonely sittings and anger. There are many herbs and procedures in Ayurveda which reduce stress. Body massage is a good mode. Ashwagandha is a good stress buster and nerving tonic. This will cure shaking and headache.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my baby is 10 months old. He had uti with psuedomonas aeruginosa bacteria growth heavy, greater than 1lakh. He was treated with piperacillin and amikacin antibiotics. After 21days Dr advised to take urine culture. Now bacteria growth is seen with moderate growth 40000. What treatment should be done for this? Dr suggested for mcu test and dmsa scan. Are those test mandatory for uti infection? Is this bacteria growtChatDoctormon in less than 1 yr baby? Thank you.	HI...the initial infection you are quoting is UTI (Urinary tract infection) definitely. It was treated appropriately. But the repeat culture is not suggestive of UTI. NO treatment needs to be given right now. Your doctor is right. MCU and DMS tests are definitely indicated. Based on these tests your doctor will decide whether your baby needs regular preventive antibiotics till 2 years of age or not. Please go ahead with your doctors' advice. You are in safe hands. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Dr, My mother is a diabetic type 2 patient. Due to wheezing sound while sleeping, and troubled breathing caused by asthma she is taking deriphyllin retard 150 daily(1 tablet) prescribed by our family doctor. But still sometimes in the night or early morning she is feeling shortness in breath, coughing with phlegm(white only, kind off spit). Now Doctor is increasing the dosage to 2 tablets per day. Wanted to get second opinion if there are any side effects by increasing the dosage. Greatly appreaciate your reply and suggestions reagrding this. Thankyou Ram	Hi, Deriphyllin Retard-150 can be given in the dose of 2 tablets if there is no response to its one tablet. Its common side effects include increased/irregular heart beats, palpitations, tremors, diarrhea, headache, increased frequency of urination, insomnia and sometimes convulsions (seizures). However, it should be used with caution in the elderly as the risk of adverse effects are significantly higher. If she experiences those side effects I would suggest her to take only one tablet as before along with 1 to 2 puffs of albuterol inhaler as and when required. Hope I have answered your question. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	My son is 7 yrs old he was suffering from cold and fever from last 4 days so I gave him crocin and clamp and montek lc kid.now he doesnt have fever from last 2 days but today he is complaining of pain in both his legs in his calf when he walks and it I quite painfull now what is the reason?	Hi... Pain in the legs could be due to inflammation of the calf muscles due to viral illness and fever. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics (Clamp) at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	I would like to know in laymans term what the following means: L3-L4; left lateral disc bulge causing nueral foraminal narrowing. Central disc protrusion is identified. Some of the disc material is seen to extend to the posterior superior aspect of L4.L4-L5: Central disc protrusion involving the left lateral recess. There is ligamentum flavum hypertrophy and fact hypertrophy.L5-S1: Facet hypertrophyI have been having lower back pain since October of 2009 which radiates down my right leg...on the outside of my leg. I have been seeing a chiropractor who has told me that I have some serious issues going on but it is possible to get this under control. I also have RA. I am taking anti-inflammatory meds twice a day, Methotrexate weekly and Enbrel injection weekly. But this back thing is not getting any better. I work on a computer all day so I sit for 8 hours. The pain has really changed my life...it seems to be constant now and hinders me from doing things I would enjoy. I was wondering if I should see a specialist and perhaps consider a nerve block.	HI, thanks for using Chat Doctor Between the vertebra there are discs called intervertebral discs. These discs are composed of 2 main areas, the inner aspect is called the nucleus pulposus and an outer aspect called the fibrosis which surrounds it. The disc is gel like, as person age, it loses some of its water content and small tears can occur. Your results state that there is protrusion of the disc between lumbar vertebra 3 and 4. This protruded disc (pushed out) is narrowing the neural fora min (this is a passage way for spinal nerves). There is also protrusion between L 4 and L5. The facet joints are where the vertebra meet. Facet joint hypertrophy means increased size of this area. One cause is arthritis. These changes would definitely contribute to your back pain. You should consider a specialist, physiotherapy may also help. I hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	Hey Doc just wandering what I have I m very cold I have the chills even though it s like 30 degrees Celsius I m very lazy and very tired for the pass two days lack of appetiate have eaten anything everything taste horrible Doc can you please let me know what I have and how I can treat it thank you for your help.	Hello, THX to contact us. I understand your concern. If I am your doctor I advise you to do complete blood count, test for malarial parasite, dengue, tidal test. I suspect you have the infection from one of the above suspected pathogen. Kindly check for above infection and take treatment accordingly. Once you got cured you are free from the chills and weakness. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease.
如果你是醫生，請根據患者的描述回答醫學問題。	my grand daughter has a red bump (one not a rash and it looks like a large pimple) right on her spine near her butt.. the doctor said that is norma with newborns and it will go down and blend in .. It has been two and half weeks now and it looks like it is getting larger. she wil be 3 months next week.. please let me know is this normal like the doctor said?	Hi, By what you say I feel that it could be a capillary hematoma and is self-limiting as your doctor said. Skin conditions are best diagnosed only after seeing directly. I suggest you upload photographs of the same on this website, so that I can guide you scientifically. Please revert to me with images so that I can guide you better. 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 just had a dizzy spell and lost my balance and fell. I did not injure myself. I am 72 years old, had a major confrontation with my husband yesterday, and did not sleep all night. I have two small aneurysms, less than 2mm at the back of my lhead, which I take one 81 mm aspirin daily. I just took my blood pressure and it is 148-94, pulse 74	Hi, Thank you for posting your query.First, I would like to reassure you that your symptoms do not suggest any serious neurological illness. The symptoms are related to psychological stress, that developed after the major confrontation with your husband. I hope both of you would be able to sort out your differences amicably. Small aneurysms are not of any concern, and can be left alone. Aspirin is also safe in your case. I hope it helps. Best wishes, Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a follicular study on 14th day and it measured 2.3mm*2.4mm [ right ovary ] follicle size. Doctor advised me take injection [ ChatDoctor 5000 IU ] and on 15 th day morning the study shown that follicle is ruptured I have undergone ovarian drilling last month.We had intercourse on 14thand 15th day. I have a slight pain on my right abdomen. What could be the reason for that ?	Hi and welcome Chat Doctor. It can be another follicular cyst but also many other disorders such as endometriosis or pelvic infections. You should do ultrasound again to evaluate your ovary if pain persists or progresses. Pain can always be provoked by sexual intercourse, but this isn't a reason to avoid it. Take some standard painkillers half an hour before intercourse. If nothing is helpful then hormonal therapy may be started, but go step by step and I am sure everything s going to be fine. Wish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	hi doctor, recently i had pain in my abdomen while walking and frequent lose motions, so i went for the liver function test and my results are as following: AST- 46 ALT- 54 serum bilirubin: total- 0.7 direct-0.4 indirect- 0.3 do i need to worry as i have history of stomach problems like indigestion, gas, acidity and frequent lose motions from the past few years and also i have severe problem of muscle stiffness, pain and chronic fatigue, numbness n tingling in hands and feet and unable to do any hard work. i m in pain all the time and extremely tired. i have symptoms of fibromyalgia from the past 3-4 years.. kindly suggest what should i do further to improve my health.	Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Your AST and ALT (liver enzymes) are slightly high. Elevation of liver enzymes suggest injury to liver cells. There are many causes for elevation of liver enzyme like alcohol intake, Hepatitis B and C virus, Wilson disease, autoimmune liver disease for which you need to be tested. So you may visit your doctor for these tests. Also, meanwhile what you should do is:1. Avoid alcohol if you take2. If you are overweight or obese then do weight reduction by diet and exercise3. Take tablet ursodeoxycholic acid 300 mg TDS and Cap Evian 400 mg od4. Take multivitamins Alfonso get your blood sugar levels, ultrasound abdomen also hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
如果你是醫生，請根據患者的描述回答醫學問題。	I feel scared of something bad happening so much sometimes that I don t even want to move out of my bedroom to go to the toilet, I can t sleep because I imagine bad things that could happen and I get horrible images in my head of things I don t want to see and struggle to get rid of them. Does anyone know why I get this?	Degree understand your concerns went through your details. I suggest you not to worry much. Though it is difficult to diagnose your problem from the given description, I presume that you are stressed and anxious. You are disappointed due to some life events which you never expected to happen. Such a disappointment makes you lazy, intolerant, mildly depressed, tired, sleepy, low self-esteem and low self-confidence. Hallucinations are normally byproducts of obsessive negative thinking. From the description, I also note that you have a lot of spare time which makes you idle and thinking too much. Ignore those hallucinations for a week or so and they vanish. I agree that your condition is a bit complicated, but I sincerely think that this condition is common and Hun Chat Doctor. Understanding life and learning how to enjoy life are the keys. You can learn these by observing your experiences, elders, surroundings etc. You can also visit a psychological counselor for further advice. If you feel that I can be of help to you, feel free to post a direct question to me and am obliged to serve your cause. 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 had an upper back injury with pain that radiated around the chest on the left and then later it moved to radiate around to the right. Although this pain has gone i still have deep aches in the area of injury, and then developed left ventricular eptopics are they related?	Thanks for your question on Chat Doctor. I can understand your concern. Your pain at injury site is mostly related to nerve damage at injury site. This can not cause ventricular ectopic. So you should consult cardiologist and get done ECG, 2d echo, stress test and Holder monitoring (24 hours continuous recording of ECG) to identify the cause of ventricular ectopic. These investigations will also guide about treatment of ectopic. So consult cardiologist 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。	Hi doctor,I had a tooth filling done. My dentist injected anesthesia three times to get complete numbness. The numbness from the anesthesia has subsided. But I have pain inside my tooth. I suspect that the pain in my tooth is due to the drilling done in my tooth. I have a strange pain shooting from my tooth up through the cheek into my temple and sinuses. My cheek is swollen, and the pain in my cheek is a headache type pain. Is this normal after a filling?	Hi. I can understand your concern. Yes, it is painful sometimes. But it is only related to the stimulus, that means the pain at the time of chewing or due to hot or cold fluids. If the pain is continuous and interferes with your sleep cycle, you may need to revisit the dentist and get the filling removed. Sometimes the long buccal anesthesia wound gets infected and can cause pain. But in your case, the pain looks like pulpitis, and it is not usual if it continues for more than three days. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	HI HUSBAND HAS ESOPHEGEAL CANCER WITH METS COVERING QUITE ALOT OF HIS BODY HE HAS NOT EATEN IN ABOUT EIGHT WEEKS STILL DRINKING STILL MANAGING TO READ AND WATCH TV CONFUSED SOMETIME MOSTLY IN MORNING ON MORPHINE IM REALLY CONCERNED ABOUT A TUMOR HE HAS ON HIS FACE IT LOOKS AS IF IT IS ABOUT TO BURST IT HAS ITS OWN BLOOD SUPPLY WHAT CAN I DO IF THIS HAPPENS AGNES	Hi, Thanks for writing in. It will help to take your husband to your doctor and have an assessment done of the tumor which you have mentioned is about to burst. A tumor usually will not burst but the skin might give way and this will cause infection which might spread to the rest of the body. Probably your husband is on morphine and that is the reason he is not aware of the pain from the tumor on the face. Please have him seen by a surgeon and then precautions might be taken to avoid complications like development of ulcer and bleeding wound. Please do not worry.
如果你是醫生，請根據患者的描述回答醫學問題。	My 6 year old son has several bug bites around the inside of his legs, buttocks, & testicles from playing outside. Despite putting medicine on the bites & giving him an oral antihistamine medication, he is still scratching. I noticed tonight that his testicles are now bruised. Could this be caused from him scratching that area so much? Thanks!	Hi, Thank you for asking question on Chat Doctor. As the skin over the testes is thin with rich blood supply severe scratching for a log time leads to bruising. Continue antihistamine to reduce itching and an antibiotic to prevent infection. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics
如果你是醫生，請根據患者的描述回答醫學問題。	im having severe pain in my neck and a knife stabbing in my arm and numbness in my thumb due to a bulge disk this has been going on for three weeks I was in a car accident back in June 2013 went to physical therapy chiropractor for several months thought I was all better stopped going now 8 months later major pain and the lawyers r giving me the run around I have no insurance what can I do. I ve been icing it went to the chiropractor but can t keep paying and went and got a massage. I had some muscle relaxers left been taking those at night. It hurts to sit down.	Hi Dear, As per your query you have severe pain in neck, arm and numbness on thumb. Well the symptoms you mention in query occur due to May factor like injury, arthritis, Osteoporosis, Fibromyalgia, meningitis, stress, anxiety, cervical spondylosis, carpel tunnel and sustained one posture for long time like working on computer. I would suggest you to do stretching exercises of arm and neck daily and start physical therapy of neck and back. Also take ibuprofen or acetaminophen for pain. Try to avoid stress and anxiety like situation and relax yourself. If condition doesn't get better the conduit orthopedic surgeon again for CT scan and MRI to find out exact cause. Doctor may prescribe muscle relaxant, ANI inflammatory, nerve supplement and particular exercises. Chat Doctor. Hope your concern has been resolved. Get Well Soon. Best Wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	I AM SUFFERING FROM ASTHMA AND ABPA FROM LAST 10 YEARS. I REGULARLY TAKE FORCORT 200 AND ASTHALIN INHALERS. BUT THESE DAYS EVEN THESE ARE ALSO NOT RESPONDING. KINDLY HELP AND TELL ME ABOUT THE TREATMENT.MY AGE IS 46. MY HEIGHT IS 177CM. WEIGHT 70KG	Hi, Asthma is itself an allergic disease due to cold or dust or pollen or grass etc. irrespective of the triggering factor and Allergic bronchopulmonary aspergilli (APA) is a condition characterized by an exaggerated response of the immune system means a hypersensitivity response to the fungus Aspergillus (most commonly Aspergillus fumigates)You can go for pulmonary function tests if not done. Here, the treatment is mainly symptomatic which might require inhalation steroids(fluticasone or budesonide), beta receptor agonists(albuterol or terbutaline), anticholinergics(ipratropium bromide, aminophylline) as MDI or rota haler as a regular treatment. Inhalers are comparatively safer than any other form of asthma treatment like oral or injectables. The medicine inside an inhaler goes straight into the airways when you breathe in. The airways and lungs are treated, but little of the medicine gets into the rest of the body leading to lesser and lesser side effects. The advantage of inhalers over other forms are that they are causing instant relief (bronchodilatation) by relaxing the muscle in the airways decrease the inflammation of bronchi and bronchioles, you might be given oral antihistamines with mast cell stabilizers (montelukast) and steroids (prednisolone) with nebulization and frequently steam inhalation. The best way to cure any allergy is a complete avoidance of allergen or triggering factor. Consult your pulmonologist for further advise.
如果你是醫生，請根據患者的描述回答醫學問題。	I have autoimmune hemolytic anemia (Evans Syndrome). In Oct. 2010 I developed a cough that would not go away....had a ct scan and found multiple blood clots in both lungs. In addition they found some "spots" in the right lower lobe of my right lung. These spots continue to grow. A needle biopsy was attempted but the radiologist could not reach them with the needle. Could this be related to Evans syndrome or something unrelated entirely?	Hello ! Evans syn Chat Doctor. With your clinical background, the multiple clots in lungs were reported as pulmonary embolic? Was it detected on plain CT or CPA (CT Pulmonary Angiogram)? CPA is the best modality to detect pulmonary embolic. Consult a physician and get autoimmune profile tests of blood done - like Anticardiolipin antibody, lupus anticoagulant, Antiphospholipid antibody, beta 2 glycoprotein antibody because presence of any This is associated with increases risk of abnormal clotting in blood vessels. Also, the spot in the lower lobe of your right lung can be due to infection or lung tumor. Kindly consult a chest specialist and take opinion in person. Despite antibiotic and antifungal medications, if the spot continues to grow, it is a concern. So it is essential to grow for bronchoscopy and CT guided biopsy of the "growing spot". Do Consult a chest physician in person at the earliest.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my mom is having a back pain from last few days and her left arm and wrist is also aching from last week...im really tensed for this. can the real problem which is causing the pain can be determined by an MRI scan? if yes how much will cost it?? please help.	Welcome to Chat Doctor .1. Basic remedies for back pain are back exercises, maintaining good position, flat bed will actually give relief in most of the patients.2. You have already undergone the tests and your doctor recommended MRI means, there is something he is suspecting in the spine.3.MRI will help in disc pathologies, nerve related, spinal cord related things can be evaluated.4. So please follow your doctor, as MRI is almost compulsory to evaluate the definitive cause in case of back pain.5. Sorry cost issues can to be answered, as I do not have any idea about it. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Dear sir I am 28 Year male . My height is 5.5" and weight approximate 65 kg . i am suffering from kidney stone. My sonography report says " RT Kidney:- it is normal in size shape, Position & outline. parenchymal echogenicity is normal with the corticomedullary differentiation are well defined. pelvicalyceal system & upper ureter are dilated with a calculus of =12 mm in upper ureter two calculi noted and mid lower poles (Larger =7 mm )Left Kidney:- is normal in it is normal in size shape, Position & outline. parenchymal echogenicity is normal with the corticomedullary differentiation are well defined.No evidence of hydronephrosis in left kidney. A small calculus of 6.5 MM at upper pole.Impression :-# Fatty Liver # Right Hydronephrosis & Upper Hydroureter due to calculus in upper ureter # B/L nephrolithiasis	Hello and welcome to Chat Doctor. As a Urologist, let me opine, that your scan report shows, 1. A 7 mm stone in lower part of Right kidney.2. A 6.5 mm stone in the upper part of Left kidney.3. The right upper part of tube Chat Doctor. This will need treatment, as they're large. The right ureteric stones must be cleared first, as that side kidney is blocked, and kidney function will be affected. This can be done with endoscopic surgery.(URS-lithotripsy). If you've any other doubts, you may contact me with a direct question.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been getting grayish, spongy lumps stuck on back right side of my throat. I can feel the lump with the back of my tongue & when I swallow. I ve tried gargling, coughing, etc. to dislodge it, but that doesn t work. Then, it will dislodge & I cough it up. Smells awful. What is it? I thought maybe tonsil stones, but what I ve read doesn t sound like what I have.	Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment for Smelly lumps on back of your throat-In my opinion you seem to have infected subacute tonsils with infected mucous plugs on them, which pains on swallowing and get cleared out after coughing it out with a bad Smell.What's the color of the mucous plugs? Yellow/ green / muddy/brownish?Hence, stop worrying about it but do check it up from ER Ent-Surgeon. For Final Diagnosis and treatment needs clinical data from a Doctor. And Hence for further treatment I would advise you to Consult ER Ent-Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Ent-Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N.
如果你是醫生，請根據患者的描述回答醫學問題。	From february 19 ownwards i was suffering from hepatitis A and intially d bilurubin count was 5.2 and sgptalmost 1200... den after a month or two with the help of medicines and diet my bilurubin decreased to1.6 and sgpt became 80.... den again bilurubin increased to a.8 and sgpt remains of the normal mark of 30_20... now wats d problem is that my sgpt is constant and bilurubin is varying .. my bilurubin has increased now up to 2.9 and sgpt is a constant of 30...Doctor plzz can u suggest whether i,am having a hepaptitis under d category of Gastro or can plz define my actual conditon of the disease...	Hello. Welcome to Chat Doctor. Hepatitis A causes inflammation and scarring of liver which causes bile produced, not to exit the liver causing it to spill in to blood which can be seen as bilirubin. To rule out if there is chronic or acute hepatitis, you can get IGM and Egg HAD tested. Other tests like MRCP can be done to rule out obstructive diseases in bile duct which would have occurred along with infection. If there is only infection, then management is symptomatic and giving time for liver to heal itself so that slowly the bilirubin will subside. All the best
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doc, my 72-year-old husband has been in kidney failure since 2 months. Since he is not a good candidate for a kidney transplant, has been advised to undergo regular dialysis. What is hemodialysis? What are the indications for dialysis? How is it done? Can hemodialysis be done at home? What are the potential complications of hemodialysis?	Hemodialysis is a procedure in which a machine filters harmful waste and excess salt and fluid from your blood. Dialysis is indicated in patient with renal failure due various causes, pulmonary edema not responding to diuretics, poisoning, severe bleeding diaeresis, ASCIIs without hepatic disease, infectious complications, severe hypertension and severe hyperkalemia. A needle is inserted into arm through a special access point. Blood is then directed through the needle to a machine called a dialyzes, which filters your blood a few ounces at a time. The filtered blood returns to body through another needle. With special training and someone to help, It's possible to do hemodialysis at home. Complications of long term dialysis includes lack of red blood cells anemia, bone diseases, chest, low blood pressure, muscle Cramps, nausea and vomiting, fever and chills, inflammation of the membrane surrounding the needle, high potassium levels, which can affect your heart rhythm, nerve damage, infection and heart disease.
如果你是醫生，請根據患者的描述回答醫學問題。	hello docotor; my name is swarupa my skin is dark in colour i want to be fair what cream should i use to get fair. my age was 34 i have two childrens one is 7 years old and another one is 3 years old. last week i use skinlite cream its drug is hydroquinone+tretinoin+Mometasone Furoate cream is it good for me.	Do not use skin lite for removing tanning. Skin lite contain shy Chat Doctor. It will cause fairness initially, but it has many side effects such as thinning of skin, white spots, excessive sensitivity towards sunlight. Many of these side effects are permanent. For tanning use a sunscreen like AVOID lotion/ Neutrogena Ultrasheer Sunscreen with 30-50 SPF every three hours (e.g. 9:00amd-12:00-3:00pm) with a skin lightening agent like Ban A Tan cream at nighttime. This will give you good results without untoward side effects of steroids. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I fell the other day when I was going down a flight of stairs. I hit 2 or 3 steps on my right side lower backside. When it happened it felt like someone had hit me with a bat. Seam to have knocked then wind out of me but not really. The pain was not sharp but much more subtle. I almost blacked out from the overall pain but didnt. Now my lower back is super sensitive and when I cough or laugh it hurts. If I pull or twist to the right it hurts really bad. Could I have injured a rib? It feels like a big lump in me when I lay on my side now and hurts. Im 53 and in good shape!	HiT hanks for your thereafter going through your query I came to know that you had right side back and chest injury as you have pain during cough or laugh. It seems to me soft tissue injury. But X-ray should be done to exclude rib fracture. No need to worry. These injuries are slow to heal, may take 2-3 weeks time to heal. Its treatment assuming soft tissue injury is rest to part. Breathing exercises are of use to reduce pulmonary congestion. You can take analgesic such as ibuprofen. You can take vitamin B-complex and C to promote healing. Furthermore, you can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I was bitten by a spider (unknown type) in late October. I went to the doctor due to the site being very inflamed and swollen. I took a ten day round of antibiotics and a steroid injection. It healed well with no problems at all. Now, Nearly three months later, a huge blister with redness around it has come up in the exact place i was bitten. Why did this occur?	HelloWelcome to Chat Doctor, Spider bites are actually rare occurrences and bites from most spiders cause local redness, irritation and pain that usually can be treated at home. These local reactions usually resolve without treatment over a period of 7-10 days. I would suggest you to follow Wash the site of the spider bite well with soap and water. Apply a cool compress or ice pack over the spider bite location. Over the counter pain relievers may be used to relieve symptoms. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	I had cervical surgery on my neck 3 degenerated disks. I have swollen knots above the top of my left and right collar bones. Sometimes sharp pain shoots throught the swollen area. They have been there for a month. I have asked the Doctor that did my surgery if I need to be worry about them. I started having sharp pains in my chest and sometimes pressure on my chest. I went to the emergency hospital and they did heart attack stress test and could not find any blockage. When I had my surgery I had blood clots in my lungs and legs. Do you think I have swollen lymph nodes. The swelling is at the bottom of my neck and close to my shoulders near my collar bone. I am scheduled to have a CT scan on my neck. Will this test help find out what is wrong or do you think something else is going on? I really am not feeling well since my surgery. I am having shortness of breathe.	Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of enlarged cervical lymph nodes is more likely in your case. And CT scan of neck will definitely diagnose cervical Lymphadenopathy. So get done CT neck. For your breathlessness, I would like to undergo PFT (Pulmonary Function Test) for bronchitis. So consult pulmonologist and get done clinical examination of respiratory system and PFT. You may need inhaled bronchodilators and inhaled corticosteroid. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a friend with severe back pain she cannot bend, lay flat or take deep breath. It is localized in the center of her lumbar region. At the base of the small of her back. Its been 4 days and it has gotten increasingly worse and now her feet look discolored. There is bruising and swelling at the site but no pain in legs or limbs. She does not remember injuring it but says it started sore wednesday and by wed. Evening was locked up and excrusiating does this sound like a muscle, disc or other injury. Im really concerned	HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely a lumbar intervertebral disc injury. A physical examination with an Orthopedic will give clue for that and an X-ray followed by an MRI of Lumbosacral spine if needed will be required to confirm it. Peripheral pulses also should be looked to rule out any vascular blockade. For such condition in my patients I advise NSAIDs like Diclofenac muscle relaxants like thiocolchicoside and neurotrophic Chat Doctor. I also send them for physiotherapy after a short resting of 4 to 5 days. Hope this may help you. Let me know if you have any further query.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have spastic paraplegia. Everything I have tried has not worked. I was told to try a medication called L-Dopa. Will this medication help me?	Hi, Welcome to Chat Doctor forum. L- Dopa is Levodopa and is a ChatDoctor. It will help you in spastic paraplegia in case there is a deficiency of dopamine in substantia niagra of your brain. It is definitely going to help you if there is any deficiency. But if there is no deficiency, it will be of no help. In my clinical experience, Baclofen helps mostly in resistant cases.
如果你是醫生，請根據患者的描述回答醫學問題。	sir i am mazhar from india and i am having erection problems from last couple of months..my sperm count is also very low..i am able to ejaculate by masturbation but the erection is not right for intercourse..also even if i try it i loose ercetion immediately..i love my wife and i dont want to loose her..she thinks that i dont like so i have this problem..please help me..i consulted a doctor and he prescribed be ashwamed capsules and winofit gold..but its in vain..	HelloThanks for query. You have problem of Erectile Dysfunction which is psychogenic in origin. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Taking Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. Chat Doctor. . You need
如果你是醫生，請根據患者的描述回答醫學問題。	I have severe pain when putting pressure on left leg. Can not walk w/out assistance due to the severe pain. Hurt in my left buttocks / hip. I felt a day ago like I had pulled a muscle but now it s so severe all I can do is cry. Not so painful while sitting even though I feel it. 55 yr old female.	Hi, You have not directly mentioned, but it seems that this pain is acute (less than 24 hours) and has occurred after a strain to a muscle (I suggest in the future you clearly mention when the problem began). - A pain in the buttock and hip which is worsens by pressure could be due to the local inflammation or tightness of that area. The origin can be the muscles (in most cases), tendons, joint capsules or the joints themselves. As you mention that you cannot walk without assistance, the damage is significant. Please check the area and see if there are any bruises, swelling or local warmness/redness. If there are, you should refer to an orthopedist or ER to have x-rays and a detailed exam. -If you do not detect any of the above things, and it is less than 48 hours since the symptoms, you can use ice massage every 3-4 hours for 5 minutes. Do not apply the ice directly on the area, rap the ice in something and use its cooling effect indirectly. In the first step and the first 2-3 days, use acetaminophen to reduce pain. You can add other medication such as ibuprofen or diclofenac and change ice massage to hot massage after the 3rd day. If the pain is high enough after 3 days that makes you use assistance to walk, you have to refer to an orthopedist even if you do not see the above signs (swelling, redness, warmness, fever, local bruise). 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。	and seeing therypoy and psych im on limatal 200 mg a day keppra 1000 mg faty liver history of vervical cancer did leep no more then I have throid where I lost iwas 1415 8 tall now 104 I take Zoloft to and senna onlty thing that works for bowels and nexiuma and klonipn I did always have in verted nipple but do now have chest pains back pain all over and pain in breat why do I keep loseing weight so fast I did ct scan ekg now there taking ne off meds my doctors said ill never be able to drive or work and I have a 4 prone cane and need glasses plus I don t haave money to get awnser from this site is there a way around it	Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* The reason for weight loss needs detailed case evaluation with physical examination and study of the reports done till date.* For chest and back pain primary relief can best obtained with PPI as omeprazole and analgesic as ibuprofen (400) mg after meals if no history of Chat Doctor. * If you have financial issues to pay for answers, can anytime request to customer care personnel to ask me premium question free of charge complimentary. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello DoctorAs per health check up report attached, My sgpt and sgot are high. I am taking LiV 52 tablets since last 3 months on and off(1 tab , 3 times a week). Please let me know if all ok. I dont drink regularly but just once or twice per week have beer. Diet is low in carb and fat. Always do morning walk for 20 mins.RegardsVarun	Hi and welcome to Chat Doctor. It would be easier if you've posted the exact liver enzymes findings. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar and alcohol of course. If ultrasound didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. Liv 52 is helpful but only if associated with these measures I've mentionedWish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, my name is Linda and I experience chest pain occasionally throughout the day, but have felt it every night for about a month in a half. It s hard to take deep breaths, it feels like I can t sufficient oxygen to my lungs. The chest pain feels like pressure against me and occasion sharp pain. I was diagnosed with neurocardiogenic syncope and I don t know if that is related to these event. I am taking florinet to maintain my blood pressure because it tends to be low. Sometimes I feel sharp pain the left side of my chest. I am 5 1, 105lbs, 22 years old. I have a history of fainting and used to have anemia a few years ago. I had a pituitary tumor that is no longer on my pituitary gland. Thank you!	Hi, It looks like gastritis and reflux problem. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole before breakfast once a day for 2 weeks. For pain, you can get antispasmodic like Dicyclomine prescribed. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I had rct on Thursday and my well Its like concrete fell out today Ive not had any pain all day but as Im ready to go to bed Ive started getting pain like a dull ache and very sensertive as I look at the tooth its got half of my tooth missing Im going to try get in to the dentist tomorrow but will it be just a straight forward filling?	Hello, You lost a temporary filling placed while a tooth is having root canal treatment and while waiting to complete a restoration. Did you complete the root canal which usually takes more than one visit? During root canal therapy, the temporary material keeps medication in the tooth and oral bacteria out of the canal system. Once completed, this material won't last long especially if the tooth is badly broken. Your dentist should discuss restoration options. I highly recommend a post and core with a full frown for back teeth such as molars. Your dentist will determine if your pain is common such as from some gum irritation or pressure from a sealed root canal. Take some Anti-inflammatory medication such as Tylenol or Advil. Your dentist may suggest an antibiotic if you are having discomfort with healing. Avoid chewing in the tooth area and gently rinse to keep clean. Thank you for your inquiry. I hope you feel better soon.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor, I had severe pain in max sinus region,ct scan was performed, which concluded that severe polypoidal mucosal thickenings.This is the first time it happened like this in life.its from abt a month,today only reports came .i am on antibiotics now,prednisilone for 3 days is prescribed,nasal spay also.any more home remedies to relive them???? I Dont want to go for surgery,as its for first time,will it get controlled, I am so worried????	Helloo.read through your query.I suggest u few things which may help u with sinusitis...1)do steam inhalation 15 mins daily twice 2)do breathing exercise(Panama)for 15-20 mins daily3)do yoga or exercise for 30 mins daily.follow this REGULARLY.and it will help u.but it takes little time to be cured thru this.for sudden cure u may require surgery...be cool and calm .be happy.happiness is the best medicine.can cure anything...hope your benefitted something from this reply.have a healthy day!!
如果你是醫生，請根據患者的描述回答醫學問題。	sir, my age is 47. i am having HTN and DM II. My microalbumanurea is 537. Pl. suggest how to reduce it. my age is 47. I am having hypertension with diabetes for 10 years. my microalbumanurea is 539. Please suggest how to reduce it.	Hi, Your microalbumaanuria is very high, it indicates that due to diabetes kidney is markedly affected. There is possibility that you might have developed Nephropathy. To decrease keep diabetes strictly under control. Strict control of blood pressure. Control of urinary infection which precipitates the condition. You go for serum creatinine and other testsRemain constant contact with urologist, diabetologist.
如果你是醫生，請根據患者的描述回答醫學問題。	I was bite by something inside my glove while working outside yesterday, below index finger on back of hand. It felt like my hand was on fire, and the bite location soon began to feel sticky (half dollar size area). There is minimal swelling, no definitive bite marks, just radiating pain/burning into related finger, and forearm. I would rate the pain about an 8, enough to prevent sleep.	Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you have got a localized anaphylactic reaction with the poisonous chemical injected by the bug or insect while it stung your finger. You should take anti-allergic medication like Ben Chat Doctor. In case if there is severe pain you can take higher painkiller like Tramadol. In case if there is no improvement even after one week you can consult an Allergist and get evaluated and treatment can be planned accordingly. Hope these information helps. Thanks and regards.
如果你是醫生，請根據患者的描述回答醫學問題。	I am sufferring from External & Internal Piles with Anal Stenosis . Also, Frequent Sores in Upper Part of Mouth, Lips , Toungue, Throat and Esophegus with Fever and Stomach Fullness for 7-8 days each month. That disappear automatically and reccurs after 15-20 days. Please advice what to do. Presently i am taking Liquid Parafin (Agarold) as Laxative for Piles from Last 2 months and Stelbid Tablet. Please advice. I am in deep stress. Whether this will develope Cancer in me?	Hello! Thank you for the query. First you need to calm down as this does not sound like a cancer. However, you need to look closer to your symptoms and have some diagnostics. If you do suffer from constipation for years, have had blood or mucus in stool and lost some weight recently, you should have colonoscopy performed. Your hemorrhoids might need some surgery which can also set you free from stenosis. Your throat and tongue pains connected with abdominal pain can be due to acid reflux disease and throat inflammation due to acid irritation. If you do have chest burning, upper middle pain after a meal, nausea, you should have upper GI endoscopy. Moreover, you should have abdominal ultrasound, full blood work and urine analysis performed. 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。	I have orange discharge and have had it for a couple months now and ive been to the doctors and they keep telling me that it is an infection....and they have treated me for different infections and nothing seems to help. Im scared that something is seriously wrong!	Hello dear, Do not worry. You are suffering from bacterial vaginosis or trachomas vaginosisTake following advice.1. Wash your vagina with this water twice a day for two to three days with warm water2. Apply Apple cider vinegar: it has excellent antibacterial and antifungal properties3. Salt Bath-Wash your vagina with concentrated salt water whenever you feel the itch. This will give you great relief instantly and prevent further multiplication of bacteria. 4. Antibacterial/fungal talks: apply candid powder5. Keeping The Vagina Chat Doctor. Wear Loose Clothing7. Also take antibiotic You should use following single dose treatment:1. AEE 1000 mg (AZITHROMYCIN) 2. MINI 1 G (TINIDAZOLE) 3. ZO CON 150 mg (FLUCONAZOLE) or you can take tablet metronidazole 400 mg three times a day for three avoid sex and avoid douching till you get better. Hope this may help you. Take care and stay healthy.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here...I think my 2 yr old daughter has a yeast infection. She has a red vagina, very sore and white discharge inside. Is there anything I can do for her or do I need a prescription cream to help her?	Hello dear! I would like to ha e a little detail about the discharge?.is it foul smelling?.how do you know it's a yeast infection? Did you go for any tests like culture and sensitivity of the discharge? If no then I would like to advise this test(culture and sensitivity of the swab that takes the discharge). If it is minimal and there is no smell then apply juridic acid containing cream like fusion after washing the area thoroughly with water and mild soap thrice a day along with spy. Vermox 5 ml twice a day for 3 days. Also rule out urinary tract infection (go for a routine examination of mid-stream urine and also culture).if it is thick, whitish and smelly, apply clotrimazole 1% cream once daily for 7 days Hope it will help. Wishing your child good health :-)
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I have a lump on my aroela close to my nipple it been there since feb. 2011. I had my son in sept. And I breastfed for like three months and stopped cause my breast were too engorged so I put cabbage on them to drain the milk. Well yesterday I felt a pain in the lump and it looked like it wanted to pop so tonight I took a nice hot shower it popped right in white liquid came out also with thick white stuff and a little blood. So now Im trying to figure out what is going on. Please tell me this is nothing to worry about	Hi, dairy have gone through your question. I can understand your concern. You have breast lump. You may have galactose, inflamed cystic lesion or benign breast lesion. Chances of cancer is low. But you should go for mammography and fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Experiencing throbbing pain in my back in kidney area after I urinate Goes away in 5 minutes or so after I urinate. I am a big water drinker and I often have a full bladder whenI go with a nice full stream. Urine is usually light colored. No pain when I go. Just throbbing in back area after.	Hello, thanks for writing in. After reading your post, I would like to consider a urinary tract origin for your pain-especially a stone. Your pain is associated with the act of urinating, and typically felt in the flank region-where the kidneys are located. I would suggest an ultrasound, as well as a routine urine/culture to start with. It is great that you Chat Doctor. .keep it up. Hope this is helpful. Do write in if you have any other questions. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	hello, i am 43 years old..im having this pantal since oct 7, 2011 after eating chicken..but we have a history of allergy coz my daddy also have that..it only occured at night most, at daytime not so..imy height is 5;2", weight 125lba, im only taking benadryl 25mg at night only..my legs, tummy, arms are the favorite parts where pantal appeared..what will i do?	Cellophane you for posting on Chat Doctor. From your description its looks like you are having episodes of urticaria or hives, a kind of allergic skin eruption. I would advise you to consult a dermatologist for proper management. Usually I advise a long term course of various antihistamines with or without corticosteroids. Also, in certain non-responding cases various other medications like Dawson, montelukast, cyclosporine, omalizumab can be tried. Thank you Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here... Hello Im a 49 year old white female and a couple of years ago I was diagnosed with a light heart arithmia, no big deal but I feel allot sometimes like my heart is beating fast out of my chest adn I can feel it.	Hello, This can be simply due to anxiety, low hemoglobin, thyroid, cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. So you will need 24 hour holder monitoring if ECG is not informative. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. Hope this helps you and get back if you have any doubts.
如果你是醫生，請根據患者的描述回答醫學問題。	I very rarely get headaches, and when I do, theyre sort of all over. For several hours now, Ive had a very localized and painful headache in my left temple. I just went to take some Advil with very cold water, and immediately it felt like there was also a toothache on the back tooth or teeth on that side. Im miserable, and want to know how to make this pain go away. Will it let up? Should i just wait it out and suffer through? Should I go to a doctor? Or a dentist?	Hi, Thanks for asking the query, Pain in the tooth indicates infection, an infected tooth can be root canal treated to save it permanently. Headache can be of dental origin (radiating pain). I would suggest you to visit to a Dentist and get a checkup done, take an x-ray of the tooth. Take tab OOXML TDS and tab Aerosol TDS for three days. Maintain a good oral hygiene, use antiseptic mouthwash gargles twice daily. Hope this helps out. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doc i am a boy of 17 years old and i have had ED for a good year now and i have thought of all the possibilities, and one of the conclusions i have come to is can having a laptop on your lap everyday for a good while have an effect on erections? I can get an erection but it is not as strong as it should be and will become flacid in seconds.My problem is very embarrassing and its taking away my sexual youth.	Hello, The laptop usage and putting over thigh has no correlation with erectile dysfunction. Usually after a few seconds or minutes of erection if sexual stimuli decrease than erection lost. But if you feel erection is not proper in this few days than you have to consult a psychiatrist for detailed evaluation. The excess stress, obesity, spinal problem, prostatic problem, smoking etc. some causes. If needed your doctor will suggest you investigate with Doppler penile angiography 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。	Recently noticed that Im very tired during the day. Type 2 Diabetic...recently off insulin...controlling diabetes with oral drugs, diet and exercise. I dont know if the tiredness has anything to do with that. Difficulty falling asleep, at night, and staying asleep (that has been occurring for several years. Any ideas ?	Hello, Thanks for the query. If you have T2 DM, and if the blood glucose levels are not very well controlled then there is every chance of feeling excessively fatigued and tired almost throughout the day. It is essential to maintain FBG Sleep disturbances tend to occur with increasing age. But if one exercises over 1 hour every day, follows a proper pattern of going to bed, then chances of getting a good sleep do increase. Plus one should also learn certain relaxation techniques which help reduce the stress and bodily tension and help in inducing better sleep. Supplements like Calcium, Vitamin D3 also help in reducing muscular fatigue. Since no specific details are given it is rather difficult to give very specific answer. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	My mother is 60 years old (diagnosed with leukemia) and often she has breathing problems especially when she walks she would be gasping for breath afterwards. At nights she can t sleep because of this issue. She was prescribed Aeroflux to use for one week but the problem is still there	You did not mention the type of leukemia: acute or chronic, lymphocytes or myeloid. From the description in your query it seems she is not on any active oncological treatment. Breathlessness (dyspnea) can be due to many causes in a patient with leukemia: low hemoglobin, respiratory infection, embolism, pleural effusion etc. You can discuss it with your oncologist. I would be in a position to guide you better if you improve upon the details in your question.
如果你是醫生，請根據患者的描述回答醫學問題。	respected sir, I have a baby boy who is 2 years and 8 months old.He tells of pain in his both legs since past 1 month. Ours is a small house on 3rd floor and my baby is in front of my eyes 24 hours , I know there is no overactivity that my child does; instead I can say he cant get enough place to play. Then why he complains so.Pain is in daytime as well as in the evening. Doctor please help me . I d be grateful to you.	First let's try to locate the pain is it in his knees ? Lower legs ? Calf muscles ? Or is everywhere ? Does this pain prevent him from playing ? Does it awake him in the night ? If you press against his legs, does it hearts ? OK, if this pain is discrete and can't be located, and doesn't prevent him from activities, and no tenderness is felt when pressing on legs, and mostly pain is afternoon or the night, then there is nothing to worry about, it's called the non-specific lower limb pain of childhood, or some like to call it growing pains, anything else besides what I mentioned here is worrisome and needs to be investigated by his pediatrician I hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I have mouth ulcer for last 4 days and now since day before yesterday, I have slight swelling under my right jaw. If I touch, I feel pain, otherwise its fine. For Ulcer, I am using Mucopain and Smile Ointment. For Pain under the jaw, I thought it must be infection, hence I started Uthral ( Antibiotic ) - 250 mg. I have taken for 3 days. I have no other symptoms. What could be the cause? Hope the treatment is correct.	Hi, There is no treatment for mouth ulcers as they are self limiting, and they heal with in 7 to 10 days. But we can do certain home remedies so that the pain caused by them is reduced and the chances of infection are not there. These are:- 1. Do not eat anything which will irritate the ulcers. Try to take something liquid or semisolid.2. One can apply Aloe Vera juices as it has excellent healing properties.3. One can use the mouth wash which is made by boiling the Sylvia.4. Eating kiwi fruits are supposed to have the healing effect on the ulcers. It is said that one should eat three kiwi fruits a day.5. One can do warm saline rinses as it will reduce the chances of secondary infection6. Applying honey on the ulcer also helps. Honey is also applied on the gums of the baby when the baby is having irritation on the gums due to teething.7. It is said that when one has ulcers in the mouth eating tomatoes help. One can even take tomato juice.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello sir .am calling from ranchi. I am 31years old. I am married and having a baby of 4 month. I marry before 1.5years.from the first day of marriage I found weak erection in my peny. I also don t get morning erection. Mujhe sirf apne peny ko sahlane se erection milta hai. Before marriage l masterbate twice daily. I used to smoke 5-6 cigarettes daily. I used to drink alcohol once in a week. Now I have left all the bad habits -masterbating, smoking, alcohol. But my peny eraction is weak. I can sex with my wife. But my erection is not enough hard. Before 2 years. I was getting strong reaction and morning eraction. Please help	It's not a serious problem, so do not worry much. Your history reveals Shukrakshay because of excess masturbation in the past. All you need to do is to replenish nourishment of saptdhatus i.e. from NASA That to Shaka That. Some simple static food protocol and rushy and samba group of herbal combos as well as some good local herbal applications to give strength to penile vessels and caverns is your requirement. If you do it sincerely, it takes seven weeks, as per Cedar July principle of Ayurveda. If you agree, pl consult any Ayurveda doctor or me through direct question. Hope it's helpful.
如果你是醫生，請根據患者的描述回答醫學問題。	Back pain below waistline. Constant. Intensifies if standing, walking, Severe pain with exertion, like carrying groceries, especially with pushing an object like cart, or vaccuum. Throbbing pain, & also muscle spasm when walking, or when going to stand up or sit down. Better when laying down but still constant. Hurts more if cross legs. Diagnosis, Treatment ??	Thank you for writing to us. I think that you have a muscle injury. This is a soft tissue injury which is causing the pain and the spasms in you. Here are a few things that you can try which will help you:Ice the area for 15 mins 3 to 4 times a Hayward the area by using a hot water basis the above do not help, then you can also take ibuprofen cream to help release the pantry these for 5 days and then follow up. All the best and wish you a speedy recovery. I hope this helps you. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My period was on the 18 of November. I had sex on the 29 of november I took postinor plan b pill the next day. On the 1st of december I had sex again an took the pill the following morning. On December 10 it happen again an I repeated took the pill again. What are the implication of taking the pill three times in a row an could I be pregnant.	Hello misunderstand your concerned have used plan B pill in the wrong way. It should not be used for regular contraception. If you took pill with in the 24 hour of sex then chance is only 5 percent. Because it is very effective in preventing the pregnancy in around 95 % cases. But in your case high chance of hormonal imbalance as it contain high dose of progesterone. Sometime period may be delayed by one or two cycle or period may be excessive or earlier. If period will be delayed by the 12-14 days then I advise you to go for Blood Chat Doctor or pregnancy test as to diagnose the pregnancy. If pregnancy will positive then you have to abort the pregnancy by using abortion pill under the advice of gynecologist. But High chance of period irregularity and in this case you have to consul the gynecologist for proper evaluation and treatment. Oral contraceptive can be used for irregular period in hormonal imbalance cause by the plan B pillow in future keep the unwanted 72 as an emergency option only. Hope this may help you Best regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my husband was diagnosed with cancer in his kidney 8.5cm . He has been to hospital because this caused a dvt in his leg, a large saddle p.e. a massive one in both his lungs and several small ones in both lungs.....He is home and resting but in himself ok..He has just done a fitness test that puts him at high risk..He has bronchiectas, and a flail chest, due to coughing due to an infection earlier this year, 8 breaks in 6 ribs.... he is due to have the kidney removed in the next couple of weeks... a C.T scan done 4 weeks ago showed the kidney cancer, but doc said there did not seem any secondary cancers.... 48 hours ago he had pain in his jaw upper arm and left and middle chest.. called an ambulance...hospital said aftere.c.g. not a heart attack... they did an x ray.. said white shadow near flail ches..said didnt know what it was, but put him on antibiotics and sent him home the following day with adischarge saying its pnumonia ???..did bloods etc no temperature. No cough etc..... my question could the cancer have spread to the lungs...husband used to smoke gave up 10 years ago, he, s 68.....thank you	Hi, Thanks for writing in. Sorry to hear about your husbands condition. It is very much possible that the white patch in his lungs indicate pneumonia which is an infection. Spread to cancer may occur but due to the pattern of symptoms he has presented with recently, a lung infection looks more likely. If the antibiotics do not show any improvement he may need to take another X-ray. The history of PE is also significant in the presence if flail chest and bronchiectasis in causing pneumonia. Hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, I had a miscarriage in April 2012. I am having trouble becoming pregnant. My last four cycles have been irregular and having trouble trying to figure out when im ovulating. I also wonder what would the method be since my partner works out of state and we only have sex approximately every 4-6 weks.	You are in a difficult position, because with irregular periods it is difficult to predict the day of ovulation, and you don't have sex often. You can use an ovulation predictor kit to help you, but I would suggest that you speak with your doctor. Your actor will be able to prescribe you medications that will make your ovulation more regular and predictable so that you can time our sex better and make it easier to get pregnant. I wish you the best of luck!
如果你是醫生，請根據患者的描述回答醫學問題。	I am 29 yrs old. My height is 150 cm. I have been through 3 operations. One c-section. one myomectomy to remove fibroid and one laparoscopy to remove adhesions. I have constant abdominal cramps now. When I am hugry, passing stool (no constipation) even aft that. I am v puzzled. Sometimes the pain gets very severe. What do i do?	Hi and welcome to Chat Doctor. Unfortunately pelvic surgeries cause excessive adhesions formations and this is hardly treated. You should do frequent gun work ups to evaluate ovarian and endometrial changes because it can case such pain too. It is usually not recommended to do laparoscopy in abdomen full of adhesions, but you can expect that it will cause repeated problems in the future. Wish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	hi!two days back i came to know about my uncle s malignancy but we dont know what kind it is. he is hospitalised in ,treatment has not started yet. today they told us that the infection has infected his entire body and there is no treatment unless of ventilation. they even dont know the stage of the disease.not losing the hope we want to take second opinion. he had gone through the major surgery to know the disease ten days back.after few hours of surgery some yellow fluid was coming out from his nos,it stopped now living his health more critical. please suggest.	Hi there, The situation seems serious. For any cancer therapy to be done like radiation or chemotherapy, the general condition of the patient must be good enough to allow it to be administered and be able to be tolerated. If a person is on ventilator then practically giving chemo or any other cancer directed therapy is nearly out of question. Hence, we need to wait and hope he recovers from infection and is weaned off ventilator and then undergo investigations and therapy for cancer. In case he deteriorated then very little can be offered from treating for cancer point of view. Take care Regards
如果你是醫生，請根據患者的描述回答醫學問題。	I am having loose motions daily. Have symptoms as back ache, slight stomach cramping, gas formation, incresed apetite, excess fatigue and tiredness, increased discharge.missed period that is due today although am on 28 day cycle. when should i consult a doctor?	Hi. Thanks for your query. You should consult the Doctor now as you are suffering from SP many problems of loose stools, backache, cramping, gases, fatigue and other symptoms including the so called late period. The cause of your symptoms may be due to severe intestinal infection with septicemia. This needs a proper evaluation and treatment with an antibiotic, probiotic and symptomatic treatment, investigations if required. Consult Doctor immediately.
如果你是醫生，請根據患者的描述回答醫學問題。	I am having dark color to my semen for about two days now. I had hernia surgery about 6 months ago, last several weeks been having some abdomen discomfort nothing terrible. Nothing in my urine. I am thinking this is just a UTI or prostate infection???	HelloThanks for query. You have undergone surgery for hernia repair 6 months back and noticed your semen to be of dark color since 2 days.which you have doubt to be related to hernia surgery. Please note that this is not due to hernia surgery but most likely to be due infection of Prostate (Prostatitis) Consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Semen examination and semen culture It should get cured with antibiotics like Doxycycline along with anti-inflammatory medication like Diclofenac for 2 weeks. Further specific treatment if required will depend upon result of these tests and final diagnosis. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I was diagnosed with pneumonia 2 days ago at med express and was given a prescription for levoquin. I cough up clear phlegm. My research tells me I m being treated for bacterial pneumonia but the clear phlegm ,Indicates viral pneumonia. I m a 67 year old male who quit smoking last November.	Hello sir, Seeing at your history would like to know more about your case. Want to look at your chest x-ray first. And if its definitely diagnosed pneumonia, then in case you could be right that it could be viral pneumonia. But you can't stamp it as viral from clear phlegm. Get done white blood counts which will be within normal limits in case of viral and high in case of bacterial pneumonia. Also get done Calcitonin and CRP level of your blood. It will give you final idea. And as you were smoker phlegm might be due to Bronchiectasis or COPD. Rule out that.
如果你是醫生，請根據患者的描述回答醫學問題。	I hit my head on a steel fence post last week and had to have two stitches. I was told the cut went to the bone. Since then I feel like I have no energy and at times my head feels fuzzy or like there is fluttering movements inside my head. I don t want to see a doctor if it is not necessary. So what could this feeling I am having be?	Hi, Thanks for writing in. Since you had ahead injury and still having fuzziness, it will help to get a brain scan if not done earlier. Please consult your doctors explaining your symptoms in details and ask for a scan if you can get one. Since you had to get two stitches, the wound might have been significant and there can be occasional confusion and fuzziness even with a slight head injury. If your scan is normal and your symptoms persist then you are having concussion injury. This takes time over a few weeks to recover completely. Please do not worry.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Dr., my baby girl is 7 months old about 4 weeks ago she was very sick with a viral infection for about 1 week. A week after the last fever she had a small fever again and at this time i also noticed she developed a peanut size lump between her breast and armpit (closer to armpit). We called her doc and they didnt seem worried about it said if it got bigger to call back but otherwise theyd look at it at 9 month apt. Im nervous about what it is because its been about 3-4 now and its not getting any smaller. Any ideas as to what it could be? Thanks.	Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment -In my opinion your 7 MTV baby girl is repeatedly seek and needs care to uplift her general condition by proper diet and medicines from your PCP doctor. The armpit lump is neglected from your doctor as its mostly due to lymphadenitis with viral infections she recently had and would go in next 2 myths time or so. If it still remains and does not grow, it may little more to resolve as she is having weak body defenses. So keep a watch if it grows in number and size. Else forget and wait and watch. Show to ER surgeon if it grows and worries more. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N.
如果你是醫生，請根據患者的描述回答醫學問題。	hi.. i have a breathlessness problem.. it usually occurs when i exercise. is it curable? i hAVE ALL the asthma symptoms but the doc.. sid that m not suffering with any kind of asthma.. my lungs are very clear.. but i always feel uncomfortable in breathing.. m gaining weight cause m not able to work out,, plz help..?	Hi. I can understand your concern. Possibility of asthma is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of asthma. It will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have had this little bump on my stomach for a few years. I have attached a picture of the bump. I have shaved the area to give you a better picture. The bump is not growing or increasing in size. It has been the same size. What could this be?	Hi. I have seen the attached picture (attachment removed to protect patient identity). Since there are many causes of nodule and complete history with good clinical examination is necessary to diagnose the nodule, I would like to give a differential diagnosis of what could it be. Although it is looking more like a dermatofibroma, other possibilities are sebaceous cyst, pilomatrixoma, calcinosis cutis, folliculoma, and dermoid cyst. However, almost all these conditions are benign and simple surgical excision is the treatment of choice. I would suggest you visit a local dermatologist so that he could palpate the lesion and can reach the diagnosis.
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 problem with biting my lips. Last week it was so bad that when I looked at the inside of my bottom lip it was white from all the little pieces of skin that were hanging off. They heal fast, but the wounds also effect how I sound and are able to play my instrument. I need help!	Hello Repetitive lip biting may be due to some underlying anxiety. Due to underlying anxiety individual may start biting lips or chewing nails. This may progress to compulsive lip biting and may result in injury to lips and cause significant distress to individual. I would advise you to consult a Psychiatrist for help. Sometimes even psychological interventions like counselling and relaxation therapy help in improving the condition. Medicines like Fluoxetine, Paroxetine are very useful in such situations as they help to decrease anxiety in individual. Apply some lip balm on lips to avoid cracking from Chat Doctor. Hope this helps you, thanks
如果你是醫生，請根據患者的描述回答醫學問題。	Hi this is buvana age-24 from chennai.Iam having sneezing while cooking and cleaning my rooms for the past 1 yr for this i have consulted the doctor and have undergone an endoscopy on my nose.and the doctor precscribed me to use the nasal spray called DUONASE,after using the spary i feel relieve in the 10min.as i have been using this spary for the last 4months.In the mean i use to have cough continously where it will goes after i take the tablets and comes again within 1 or 2 month. in between i have taken the blood test it shows me everything is normal.but last week i had severe cough and i found difficult to breathe in the night.this breething problem is happening for the first time.what should i do now?how to cure these things?is this is the symptoms for ASTHUMA?Pls advice......... Pls suggest me which nasal spray i can use ... or else can i use DUONASE which iam using currently? iam having cough with sputum.	Hello Bulawayo are suffering from Allergic Rhinitis and associated wheezy bronchitis. I think it is better you go for Budecort1.0 mg res pules by nebulizer regularly once a day for 15 days and take telecast daily for 1 month, if you have Duane nasal spray you continue to take, You must avoid air solution exposure. You are going to be all right soon.Otherwise, you may take forecourt 200 inhalers regularly. They are safe and effective.
如果你是醫生，請根據患者的描述回答醫學問題。	My husband has been diagnosed with stage iv esophagel and stomach cancer . He has had surgery to remove the large mass in his stomach. He also had metastatic cancer in the liver and lymph nodes. He has undergone 7 treatment of chemo and he is getting worse(sicker) with each treatment. I know his prognosis is not good. He now whats to stop treatment and just live his life without being so sick. About how much time does he have in your estimation?	When treating the stage IV cancer patient, the aim of the treatment will be different from the stage cancer. The aim of the treatment is tried to decrease his sufferings from the disease and disease caused problems. This approach is called palliative treatment. There is always debate when to stop the treatment and leave him without any cancer treatment. Carcinoma esophagus is different from the cancers of the other areas. The starvation will take upper hand and most of the patients will suffer because of this one than the cancer itself. As Physician I will not give any treatment which will give him more harm than help. Giving more chemotherapy, now will come under this category. It is fact that our aim now is to give more comfort to him by looking after his food intake, and also to see how he should be comfortable in all aspects. If his general condition is good, the survival may be months, otherwise in weeks. To me, it is reasonable to tell you to be strong and to prepare yourself for the worst thing within short period. I am sorry to be like this. You and physician aim at present is to give possible comfort, less pain to him until he stays with us.
如果你是醫生，請根據患者的描述回答醫學問題。	HI I ve been having heart palpitations for 2 days - they are constant throughout the day. I don t have any caffeine in my diet, do not take any drugs or medications, do not have a very stressful job. Is this cause for concern? When should I see my doctor?	Hello, I would explain that your symptoms could be related to possible cardiac arrhythmia. For this reason, I would recommend performing a resting ECG and a cardiac ultrasound. Some blood lab tests are necessary too (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible electrolyte imbalance). An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. 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。	My 4 year old seems to have a few white bumps on tha back of her tongue. I do not see it on her throat anywhere though. She had pancakes for breakfast and did not complain about eating. However, she does say it hurts a little bit when she swallows water or eats food. She does not have a temperature either. Could this be strep throat? Should I take her in to see a doctor today? It is Sunday. Should I wait and go tomorrow on Monday? She seems in good spirits and actually wants to walk ot the park.	Hi... Welcome to Chat Doctor . I have gone through your query and can understand your concerns... As per your complaint the white bumps over the back of tongue that are painless, small does not seem to be due to any pathology as they are Circumvallete Papillae which contains taste buds and are arranged in typical "V" shaped pattern and are naturally slightly raised structures.However, they can get slightly more prominent and raised due to eating something hot or spicy. You need not worry as nothing seems pathological and to further confirm consult an Oral Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi DOCTOR, i feel like i have got a lump in my throat and have a terrible headache - feel like my forehead is falling off and feverish as well - i went to see my doctor last week for the same problem but still feel like i have never been to the doctor if you know what i mean	Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment for lump in throat and headache-In your case the cause of the headache and fever is -Acute Tonsillitis. Which may be bacterial/viral. Needs supportive treatment -with plenty of fluids, antibiotics to prevent complication of secondary infection, B-plex syrup, liquid and bland diet, painkiller and antipyretic. This advice is based on the facts from the history you give and needs further clinical check. This treatment would need ER Ent-Surgeon under whose care it needs to be taken for better results. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N.
如果你是醫生，請根據患者的描述回答醫學問題。	My grandad is in hospital at the moment. He has liver cancer which burst last week and he has had to be put on a ventilator. He has had multiple organ failure and was too weak to go to theatre. He is now due to have an endoscopy. Does this mean he is getting better if he is able to have an anaesthetic and go to theatre. Also what is the likelihood he will recover?	Hi and welcome to Chat Doctor. Unfortunately this sounds very serious to me. Obviously this is terminal stage of liver cancer and this is one of the worst cancers. Today there is almost no contraindications for anesthesia so it doesn't mean he is better. I can't predict without findings, but condition is very serious. I don't know reason for endoscopy, they might suspect of internal bleeding, perhaps. All in all I wish you good health and I hope for the best.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here... i have a pea sized lump in between the top of my breasts on my sternum. it doesnt move. i noticed it around two years ago but forgot about it and then i noticed it the other day when i pushed a press-stud against it it hurt. is this anything to worry about? thanks emma	Welcome to Chat Doctor .1. The symptoms / history suggest a benign lesion in between the breasts at sternum - possible cause could be lipoma - fat containing lesion.2. If It's not obviously visible and no significant pain or disturbance then just followup - no action required other than followup.3. If any concern and want to get rid of the lesion - get an ultrasound scan to confirm the nature of the lump, where it is existing from and where all its spread.4. A FNAC - fine needle aspiration cytology will help to histological diagnosis of the lesion.5. In benign lesion if causing any discomfort - it can be excised. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I have just been diaagnosed with Normocytic Anemia. Everything I have looked up is relating to nutritive or iron deficiency anemia. I want alternative treatments or any treatments for wht i have, please. Do I need to see a Gastroenterologist for a colonoscopy?	Hi, dairy have gone through your question. I can understand your concern. Normochromic anemia is seen in blood loss or chronic renal disease. You should go for ultrasound abdomen to search the cause of bleeding. And you should also go for serum creatinine level. Consult your doctor and take treatment according to diagnosis. 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。	I have neck and back pain on my right side. has been going on and off for two weeks. Same with head aches, flashes of pain, on the right side of my head. It also hurts when I swallow but that may just be allergies. Everything seems to be only on the right side of my body. Can this be associated with a pinched nerve potentially?	Hi, thank you for providing the brief history of you. A thorough clinical Neurological assessment is advised. As you have pain on the right side of neck and back pain as well, it can be suspected of the spine issue. But since you are even mentioning headache, flashes of pain and swallowing issue I will advise to undergo a clinical Neurological examination. As most pain are just muscular and be treated with simple medicine after a clinical Neurological examination and physical therapy for the neck and back works well with functional recovery in 2-3 weeks of time. In my clinical practice such cases are first clinically assessed and then the later part of the treatment is initiated. RegardsJay In 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 certain ambiguity regarding these terms which I would like to be cleared. My relative had an ischemia of spinal cord resulting in a spinal cord infarction . I would like to know if this comes under the ambit of CVA (Cerebrovascular accident) or is that term used only for Brain and not spinal cord.	Dear Mr Rag haven Chat Doctor. Infarction or death of tissue is a result if ischemia is severe. In true sense cerebrovascular accident means effect on the brain. Spinal cord infarction is a separate entity and comes under category of Occlusive vascular lesions and spinal cord infarction is also known as spinal stroke. However, mechanism both at brain and spinal cord are same i.e. less blood supply Good wishes Protein
如果你是醫生，請根據患者的描述回答醫學問題。	after visiting a restaurant i noticed that my mouth felt sore on the inside and about 3 hours later it was very painful...i looked in the mirror at the inside of my jaw area and i noticed a big bump on the inside could that possible have been from the food or something else?	Hello and welcome. Thanks for sharing your concern. It could be due to ongoing process of teeth decay. Now it appears that an abscess has developed which requires an urgent treatment. You can start with antibiotics and analgesics after meeting your dentist. Upon proper evaluation the offending tooth can be treated by root canal treatment. Start with warm saline rinses. Hope it helps. Thanks. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I had missed my periods last month.and doctor suggested to tk Norgest after a pregnancy check which was negative.i ended using medicines before 3 days.but havent got my periods yet.i did a pregnancy check on the 2nd day of not getting periods using a pregnancy test strip.it was negative.Is there any possibily im pregnant and not yet shown?	Hello dairy understand your concertgoer delayed period could be due to hormonal imbalance, ovarian dysfunction, change in lifestyle and dietary habit, excessive stress. As pregnancy test was negative, there is no chance of the pregnancy.(But if you have done pregnancy test 8-10 days after delayed period. Pregnancy test will give true positive result when period will delay by the 8-10 days). You can also go for blood Chat Doctor test for accurate confirmation of pregnancy. Generally after stopping largest, period will come in next 4-7 days. So you can wait for next 4-5 days. If it does not come then consult the gynecologist again to rule out the other cause. Hope this may help noncontact further if follow up requires Best regards
如果你是醫生，請根據患者的描述回答醫學問題。	Urine turned yellow and cornia is yellowish after gallbladder attack. I read response on your website by Dr. Sapan J Pandya that this is expected and should get back to normal in few days. Some other websites suggest that this could be due to passage of gallstone into common bile duct . Can this happen and if so is a cause of concern?	Hello Amid. Thanks for your query. Did you have an attack of Cholecystitis ? The most common cause of such an attack is presence of a gall stone and it usually dent cause jaundice unless you have cholangitis or as rightly said by you, the stone goes to the common bile duct. So I suggest you undergo Upper abdomen USG to know the exact cause. If the jaundice is due to hepatitis then it gets back to normal in a few days. Evaluate your jaundice properly. Go for liver function tests. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	The hard palate has a symetrically shaped, pinkish/purple blotch in the center of it. It does not hurt or itch or anything annoying, but it is noticeable. It s been there for about 4 weeks and seems to fade or become lighter for days, ony to return again more dark. It seems to have a little heat or warmth associated with it lately. There are no lesions or blisters of any kind, just a symetrical looking rash or blotch about 2-3 cm. long and a cm wide on each side from the middle.	Hi, Thanks for posting the query, According to your clinical symptoms I suppose that you have developed infection in the region this could be due to infection i the tooth, trauma due to food product or something else I would suggest you to get a checkup done by a Dentist take a radiograph of the region to give a clear review, take tab almost -c TDS tab diclofenac P TDS for 3-5 days, at home take lukewarm saline NAD antiseptic mouthwash rinses, take multivitamin supplements, maintain a good oral hygiene, Hope you find this as helpful,Take care!
如果你是醫生，請根據患者的描述回答醫學問題。	thin membrane disaese , yong male patient presented with haemoptysis and haematurea no cast ,but albuminurea ., surprisingly renal biopsy done revealed diffuse segmental proliferative ,no antibody detected by immunofloursent micro. other lab investigation an physical examination were unremarkable . thanks	Hi, The basement membrane is a sheet like structure in the kidneys where filtration of wastes takes place. Thin-glomerular-basement-membrane nephropathy is a familial disorder with an autosomal dominant pattern of inheritance, characterized histologically by diffuse thinning of glomerular basement membrane and clinically by microscopic hematuria. One copy of the abnormal gene from either parent can cause this disease. Development of autosomal nonprogressive Thin-glomerular-basement-membrane nephropathy involves heterozygous mutations in either COL4A3 or COL4A4 genes.

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