Datasets:

old-cookie
/

Dataset-of-AI-Model-for-Dr_AI

Dataset card Data Studio Files Files and versions Community

Split (1)

train · 95.6k rows

instruction stringclasses 1 value	input stringlengths 0 11.2k	output stringlengths 58 3.44k
如果你是醫生，請根據患者的描述回答醫學問題。	Hi...I went in yesterday to get a referral to a headache specialist and we noticed lump on my lower neck above my clavicle on the left side. Of course, Im freaking out.... My Doctor sent me for an ultrasound of the lump and I am now WAITING on the results. What are the chances its cancer vs. an infection of some sort. Extremely Worried	Hello welcome to Chat Doctor You didn't mention the characteristics of lump. Whether any change in the size recently.any symptoms because of the existing lump? You didn't mention your age.younger or old age. What is the exact location of lump in the neck or above the clavicle bone. In older age people,in abdominal cancers there will be swelling in the supraclavicular fossa(above the clavicle bone) .or may be infection in and around the oral cavity. But if you are in middle age then the sweeping, may be a lipoma or just an inflamed lymph node. Most common lump is lipoma.it is soft, freely mobile painless, contender, skin can be pinch-able from the swelling. Instead of going for ultrasound,better go for FNAC(fine needle aspiration cytology)by pathologist it will clearly tell the exact diagnosis whether it is a metastatic lymph node. Or lipoma, or just an inflamed node. If you have productive cough of more than 3 weeks duration then it may be a tuberculous lymph node also. Hope you understand my suggestion and answer consult pathologist 1stThank you Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doctor, My self Arun Arora I am from Delhi,India. Yesterday My Grandmother Was Washing Cloths after 10 or 15 mins she let down when we checked her BP it was 200hm .And we took her to hospital .ECG was Normal But in MRI it seems Brain hemorrhage .and Doctors said this treatment will be done by medical si i wana ask will be she fine .. ? Can u disscus with me about that.. ?	Hi, Thank you for posting your query. It is unfortunate that your grandmother suffered from brain hemorrhage due to very high blood pressure. The treatment and outcome of brain hemorrhage depends on the size and location of bleeding in the brain. If it is possible, please upload the CT/MRI scan of brain. If the bleeding in the brain is large, a surgery may be required to remove the blood and swelling. If the bleeding is small, then, medications may be given to reduce the brain swelling. In addition, her BP should be kept under good control. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/
如果你是醫生，請根據患者的描述回答醫學問題。	Presently i have problem of Little heaviness in my heart.i can feel everypulse in my heart which make dizziness and less concentration in my work. I have low digestion. I have good hunger but after eating it seems that food has been stayed inside, Sticky paste like stool at morning. Loose stool everytime if i take non-veg, Milk, Egg, heavy food etc. Low Concentration, low energy, Low memory, bad sleep, irritation, bad moods, muscles cramping are very mucChatDoctormon. Pleae help. is high pulse rate is due to abdomen problem? I take very simple, healty diet but nothing works.	Hello, I passed carefully through your question and would explain that your symptoms could be related to anxiety or indigestion. For this reason, I would recommend eating more frequently and in small portions. If the heaviness persists, I recommend going to the ER for a physical exam, a resting ECG and cardiac enzyme levels. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a really painful lump in my butt crack it s not a specific color or any thing it the same as my regular skin color my mom thinks it s a boil but I don t I think it is right on my tail bone and it s like an inch wide and very tender to touch I can t even sleep because i have to sleep on my stomach it hurt really bad when I walk and sit on it	Hello, Thanks for using Chat Doctor.come have gone through your query and I can understand your concerns. Probable diagnosis :Gluteal abscessDifferential diagnosis :Boils/carbuncleInvestigations needed :Basic blood routine, RBS( Random blood sugar)Treatment plan : I&D(Incision and Chat Doctor. As per your history, it seems that you have an abscess in your gluteal(buttock) area. It is nothing but collection of pus under the skin. It is a harmless condition, but it causes severe pain. There is nothing to worry in it, and it is readily curable condition. You have to undergo a procedure called I&D(Incision and
如果你是醫生，請根據患者的描述回答醫學問題。	hi i am 26 yr old...wt 53.3kg...hight 5ft....i have married 2.5yrs i have irregular period.....now iam planning for babay....doctor gave me CLOFERT100 from day 3to5day of my period and DUPHASTON from day16 to10 days......for 3 months.......is it right for me?help me	Hi, These medicines are right as first line. These medicines simulate natural hormonal cycle in women body. But if results are not positive after 3 myths, get investigated, as you have been trying since long. For irregular periods - Thyroid profile, Blood sugars, Serum Prolactin. Tube patency test- SG / SSG / LaparoscopyHusband Semen AnalysisIrregular cycles means you are not ovulating on time. You can meet Infertility specialist & take hormone injections to induce ovulation the best
如果你是醫生，請根據患者的描述回答醫學問題。	hi, i am 29 years old married woman. since last two days i am having chest pain in left side. i cant breath properly. i often have this problem, but this time it is so much painful. i am out of country now so it is quite impossible to see a doctor but i have all first aid medicines with me please tell what to do?	Hi thanks for contacting Chat Doctor... You are mentioning you have breathing difficulty many times .... Do you have asthma like allergic condition...??? For guiding treatment cause has to be known... If you have repeated such attack by allergic infection then steroid or albuterol metered dose inhaler taken if handy.... Steam inhalation useful for relieving inflammation... Sometime this symptom can occur by lower resp infection... For that antibiotic given... But here if nearby clinic available ECG done to rule out cardiac cause..... If needed Echo done later on.... Take care.... It is better to find doctor there for proper physical examination. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	i have 6-12 hard very small nodules on the bottom of my scotum just under the skin surface , the area is itchy as well. if i pick one hard with my finger nails a small flesh colored nodule detaches. i occasionally shave down there but the issue is only on one side of the sack on the bottom where it meets my cuttox. scabies, cysts, jock itch, infected hair folicles	Hi ! Good afternoon. I am Chat Doctor answering your query. Even though it needs a clinical assessment to have a proper diagnosis, from your history it seems that these might be multiple sebaceous cysts or might be some kind of warts. I would advise you to get it assessed by a dermatologist or a general surgeon in your area for a proper diagnosis and appropriate management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I have swelling around a crown and puss is coming out of it. Foul smell and taste, however, very little pain, slight tenderness to touch. I went to the dentist a few days ago and he irrigated it and said to come back in a week or so. It seems to be getting worse and I wanted a second opinion. Thank you :D	Thanks for your query, the pus discharge from the gums around the crown can be treated with a course of antibiotic followed by curettage (deep cleaning of the gums) if there is gum infection. otherwise if tooth is infected it has to root canal treated(if not treated or not properly treated) and crown has to be replaced.these conditions can be confirmed by radiographs... consult your oral physician for needful...I hope my answer will help you.take care.
如果你是醫生，請根據患者的描述回答醫學問題。	My mom is 68 yrs old woman and have swelling and stiffness in her joints of the arms and legs, her feet are swollen, she had been operated on the knees 3 yrs ago for change of knees and she have arthritis for the past 15 yrs. She is on medication like voveran- a pain killer and she is taking a paracetamol tablet when ever she feels feverish. her pain is still stagnant even after taking a painkiller. Her stiffness is more in the morning but resides as the day passes. she drinks a peg of black rum or whiskey every evening before going to sleep. Please advice.	Hello, As this sounds a case of muscle weakness due to lack of exercises post knee surgery. And at the age of 68, this is the most common problem which is faced. Doing simple exercises like - Range of motion exercises for the knee, static qua Chat Doctor. Usually at age 68 exercise plays an important role in allowing the body to be more functional. Hope I have answered your query. Let me know if I can assist you further. Jay In
如果你是醫生，請根據患者的描述回答醫學問題。	My 18 month old son have problem of cough regularly and for that we visits several times to doctors. First time in the month of March only one day in night he finds difficulty in breathing , he crying & irritable that time, after visit to the doctor & giving nebulizer (Steam) for two times in a day he feels ok and play & eat well. After one month, around 15 days before he feels likes same problem and that time the treatment is same. Next time he hospitalize for 4 days for the same problem. After checking the entire test report Dr. said that he having the problem of asthmatic bronchitis . After hospitalization and continue with medicine he feels good for next 4-5 days but again in one night he feels the same problem. Please help & guide me. is it really an asthma problem ? I attach the medical reports that taken before hospitalization and the treatment details. Treatment during hospitalization: inj. monobact 375mg -- twice a day inj. augpen 300mg ---- twice a day Kindly give your valuable suggestion.	From your description, it seems your son is having asthma problem. He should be nebulized with leveling and decor 2 to 3 times a day. He can also be given a short course of oral steroids like omnacortil 2.5 to-5ml once a day for 3 to 5 days. Give him some antiallergic in the form of cough syrup like cockpit pediatric or Petersen. You have already given him adequate antibiotics and no need for further antibiotics. If symptoms still persist, get a X-ray chest and routine blood tests done and consult your pediatrician to rule out any other disease.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi i suffer with ibs and have been diagnosed 2 years ago with divertilulitus. Yesterday morning i had a dull ache at the left side of my lower back and when i went to the toilet thinking i was passing a stool a musus discharge came out accompanied with a pale pink coloured blood throughout it. What could this be?	Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your queryStool disorders are well known in patients of IBS. So the passage of mucus is not too surprising. The stools quality may change even during the IBS condition. So maybe that is why you are feeling surprised. As to the pink color, there is a high possibility that the color is due to the pigment of something that you may have eaten, This food substance can cause the pink discoloration. However, to be on safer side, have stool for occult blood tested. If It's negative, you need not worry and the color is due to other causes, not blood. If it is positive, a colonoscopy may be needed to look for the source of blood hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.
如果你是醫生，請根據患者的描述回答醫學問題。	My 2 mth old son has constant mucus build up at bedtime, it sounds like he s gagging on or getting really full and he sometimes spits up mucas +milk after being breastfed. The mucus is not always reachable with an aspirator..what should I be doing to help clear this up it s been three wks.	Hello dear! I can understand your concern. Please tell me a little more detail regarding family history of asthma and allergy.I would recommend steam inhalation before going to bed and normal saline nebulizations twice daily. Start montelukast sachet 4 mg once at night for 3 months and if there are still more secretions you can also nebulize with acetyl cysteine sachet dissolved in 10 ml of normal saline and nebulize with 1 ml of that diluted solution in 2 ml normal saline before going to bed 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。	I take Coreg, Micardis and Norvasc for hypertension. I also have ecopy (mostly PAC s and some PVC s). I also take Crestor and CoQ10. I read that there might be an interaction with Coreg and CoQ10. Is it because both Coreg and CoQ10 will lower blood pressure and this may cause a problem?	Hi, Yes, if taken together they may cause a very low blood pressure. Picardi when taken along with Novas may have additive effects in lowering your blood pressure and heart rate. This may result in headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart beat. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. There is no documented harmful interaction between Core and CoQ10 hence it can be taken safely. 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 mom is in her early forties and just started having trouble swallowing yesterday. I looked at her neck and it is swollen in the center of her chest where her right and left clavicle meet and create an indent. Her indent is completely swollen and it looks like she has a golf ball inside of it.	Thanks for your question on Chat Doctor. I can understand your concern. The site you have mentioned is known as supra sternal notch. And Fullness (swelling) in that area is caused by 1. Enlarged lymph node 2. Thyroid diseases3. Tracheal and esophageal diseases. So better to consult doctor and get done 1. Clinical examination of that swelling. 2. Ultrasound examination of neck and thyroid. 3. Fine needle aspiration cytology (FNAC) for confirmation. So better to first diagnose her and then start appropriate treatment. Hope I have solved your query. Wishing good health to your mother. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	My sister said while she was in bed last night, she felt like she received a shot into her heart, with the feeling of a warm fluid being injected. She awoke with a bruise this morning, and what appeared to be a red mark...like an injection site. She had a heart attack several years ago at age 38. She thinks this incident was strange, but she is not concerned. Should I alert her to call her cardiologist? What could it be? Thank You!	Thanks for your question on Chat Doctor. I can understand your concern. Bruising, red spot on chest with shooting pain are suggestive of herpes zoster (virus) infection more. But since she had heart attack in the past, better to rule out heart related chest pain first. So consult cardiologist and get done ECG and 2d echo to rule out heart diseases. If both these are normal then no need to worry about heart diseases. Herpes zoster infection causes similar kind skin lesion and chest pain. So she will need acyclovir tablet and pregabalin tablet for her symptoms. So consult dermatologist and discuss all these. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	my 22 month old was bitten by our small dog on his cheek there were two puncture wounds that we cleaned but he wont keep a bandaid on Our dog recently had his teeth cleaned and is up to date on all his shots so is my son. should he see a doctor. Our dog was eating and my son happened to put his face near his food.	Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As your son was bitten by your vaccinated dog over the cheek which has lead to two punctured wounds on the cheek. According to WHO categories of dog bite it has been categorized into Cat III. Which requires both active and passive immunization. As it is a vaccinated pet dog I would suggest you to follow1. Ant rabies vaccine on days 0,3,7,14 and 28. If the dog is healthy discontinue after the third shot of vaccine.2. A course of antibiotics like Spy Autoclave, twice daily3. Topical TB act point. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor my daughter is 4.5 years she snores very badly i took her to ent clinic they said nothing and just gave her some antibiotics saying she is still small she would be fine when she is old they took an xray n say its fine now i have given up	Dear, Welcome to ChatDoctorWe understand your concerns went through your details. You had already consulted an ENT specialist, and they said there is nothing pathological or physiological. Snoring is a noise that occurs during sleep when the child is breathing in and there is some blockage of air passing through the back of the mouth. The opening and closing of the air passage causes a vibration of the tissues in the throat. The loudness is affected by how much air is passing through and how fast the throat tissue is vibrating. Child Chat Doctor. The following tips may help you.1. Change the sleep position2. Help open the children nasal passage3. Change the pillow or rearrange the height of pillows4. Make your child
如果你是醫生，請根據患者的描述回答醫學問題。	hi there, my 15 month old son has been having regular loose, sour smelling stools for the past couple of months. Hes otherwise really well, gaining weight, happy, playful and excellent appetite. He had a stool taken last week whicChatDoctore back all clear for any infections etc. The GP is not too concerned as he is happy and well. I have cut out cows milk and yogurts which seemed to make a slight difference. the runny/loose stools are not every time he has a bowel movement, but are quite regular and always sour smelling. Also hes been cutting his back teeth and now his incissors for past couple of months, could it just be because hes teething?Thank you in advance	I have gone through the details. Let me assure you that for a child of this age, passing stool a few times a day of somewhat loose consistency is absolutely normal, and you need not worry about it. Since the child is otherwise healthy, playful and gaining weight steadily, you need not be concerned. That is the reason your GP was not concerned. You have done a good thing by removing the milk from diet as it is optional anyway, but please include curd or yogurt as it is beneficial. Curd contains beneficial bacteria which will help in reducing the other bacteria of the gastrointestinal tract that are responsible for the foul smelling stools. Since the stool examination is otherwise ok, you need not worry about that too. However, you need not think that the stool odor would grossly improve. You need not worry about the grinding of teeth. It is normal too.
如果你是醫生，請根據患者的描述回答醫學問題。	Abnormal liver function test with gall stones and an enlarged spleen Hello, my name is Bob and im 27 year old female with liver enzyme tests of 264 and 452, they keep going up and i just say a specialist today who said my ultra sound showed gall stones and an enlarged spleen, i tested positive for mono today also. my question is, as soon as i got home i started noticing a severe cramp like pain running from my left ankle up to my knee, on the inside . this is a new symptom, and the doctor is keeping an eye on my liver levels with a standing blood order to check my levels at all times, she says it may be auto immune hepititis . So what does this leg pain mean?	From the history given by you, we could think the leg pain you are mentioning could be part of an autoimmune hepatitis. The Infectious Mononucleosis can also cause these symptoms you mentioned. The elevated liver enzymes and splenic enlargement point towards autoimmune hepatitis. To confirm the tests such as Serum antismoothmuscle Antibody, Anti-Nuclear Antibody and serum protein electrophoresis and quantitative Immunoglobulins. It is not common for an Infectious mononucleosis infection occur along with autoimmune hepatitis. Regarding the Gall stones they should be untouched unless they cause clinical symptoms and signs like Jaundice and Pain. Check if there is increase in direct bilirubin due to Obstruction.
如果你是醫生，請根據患者的描述回答醫學問題。	I already had a mammogram done and also went back for additional views for the right breast. Im scheduled to have a Ultrasound on my right breast .I was told that there is a 8mm nodule on the chest wall . I had calcifications removed 6yrs ago. I have not a clue what may have caused a nodule to appear on the chest wall. If it is a cyst or worse. Can the nodule be surgically removed ?	Thanks for your question on Chat Doctor. I can understand your concern. Yes, this nodule can be removed surgically. You should definitely get done ultrasound examination of breasts. This will give you more idea about nodule size, shape, margins, association with surrounding areas etc. All these are important in diagnosis of the nodule whether malignant or benign. Since you are having history of calcification in the past, possibility of benign nodule is more. And yes, you can definitely do excision Biopsy (surgery) of that nodule to remove it. 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。	My 13 year old has had a cough for almost 3 weeks. He has chest congestion and coughs so hard he gets red in the face and ends up almost vomiting. Can coughing that hard be harmful? Should he see a doctor? I had called in but was told without a cough or wheezing i was probably wasting my time and the cough wouldnjust have to run its course. Just worried if coughing that hard can cause damage? Thank you	Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely take him to the pediatrician and get done 1. Clinical examination of respiratory system 2. Chest x-ray. Cough for more than 2 weeks, chest congestion, wheezing etc. are commonly seen with lung infection (pneumonia) and bronchitis. So chest x-ray is needed to rule out infection. He may need higher antibiotic, inhaled bronchodilator and inhaled corticosteroids (ICS) and other supportive Chat Doctor. So don't wait at home and consult pediatrician. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	i have a daugher, she is 8yrs now. since 2004 till now she is suffuring from worms..she is scraching at the back. one day i take an assesment, i saw white worm like pins. i give her zentel, but she can t stop from scraching,. i tried vermox, i even take her to the hospital to examine her stools they don t see nothing but i know that my child is sufferin from worms. when she take medicine it only last from 4-6 months it starts again. and thia thia nowa days she is complaining of pain in the abdomen. i am so worried i don t know what to do anymore	Hello, As per your history, it may be due to stomach infection. For further assessment you may require complete hologram, ultrasound abdomen after physician consultation. You may require antibiotics after consultation. Maintain proper hygiene. Take hygienic food and water. Keep him HY Chat Doctor. For pain, you can take tablet acetaminophen and metonymic acid. 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。	Over the last year or so Ive noticed a rash under the arms. Predominately under the left arm. It is black in color but does not itch. I am overweight, high blood pressure using 2 meds to control and have been using Triamcinolone acetonide to control it. Comes and goes monthly to two months..	Hi, Rashes underarms are common due to blockage of sebaceous glands and could be due to an allergic reaction or side effects of certain medications. I would suggest you keep this area clean and Chat Doctor. Apply a cream containing atelier acid. Apply warm compresses with a soaked towel. You should avoid touching or pricking rashes. If the condition doesn't get better than consult a dermatologist for proper examination and start treatment accordingly. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	my daughter lost her mucas plug yesterday. Today at Dr.s and her blood pressure is so high they have her in a holding room. she is 35 weeks pregnant with identical twin girls. Her blood pressure has been perfect through the whole pregnancy . What could be the problem	Hi there,Twin pregnancies are known to be more high risk for the mother. More so if she is having identical twin pregnancy. Do the girls share they same amniotic sac ? Monozygotic (same Sac) twins have a higher rate of complications and if her blood pressure is not being controlled, her Obstetrician should plan for an early delivery. Twins mature faster than singleton pregnancy and if the maternal condition is getting unstable it is best to consider delivery. The loss of mucus plug also indicates that she is likely to get into labor soon. Twins may require monitoring post delivery and the pediatrician should be informed, and two pediatricians should be available at the time of delivery. Hope this helps. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	hi im looking for information on adiposis dolorosa aka dercums disease. my mother has chronic pain for years and was finally diagnosed last year. but we havent been able to get information on treatments, pills are NOT the answer. what can you suggest?	Thanks for contacting ChatDoctorI am sorry to hear about your mother and her recent diagnosis of adipose Dolores. This is a disease where fatty tumors or lipomas cause pain. There are little evidence for treatment of these painful lesions. Several trials on removal of painful lipomas, traditional anti-inflammatories and steroids. There has been some improvement by injecting the painful lipomas with lidocaine which may help from 10 hours to several months. I wish your mother luck in finding relief from her adipose dolorosaHope this answers your question. Please contact us again if you have questions or need help.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, I am 19, 52, 110. I currently have mono. Just a few days ago I realized that I have had some brownish vaginal discharge. I also had a rash at the beginning stage of mono and my body is still slightly itchy and I am realizing that sometimes my vagina can be itchy as well. Is this normal or should I be concerned?	Hello, welcome to Chat Doctor, The history and symptoms are suggestive of fungal infection. The yeast are the normal comedians of the genitals which are kept under control by helpful organisms. Whenever there is imbalance in the environment these organisms will activate and multiply to produce all these symptoms. For your symptoms I would suggest you to follow1. Keep the area clean and Chat Doctor. Topical application of antifungal cream3. Oral antihistamines to reduce itching4. Single dose of Tab Rifleman, 150 mg. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello. My son is 7. Today he started having some fever. Not sure if it was due to some exposure to the sun. He was out for about an hour. His fever drops with Advil. Says his chest hurts a little when he takes deep breaths. Just gave him Advil again. Temperature is now ok. I also rubbed him with some rubbing alcohol	Thanks for your question on Chat Doctor. I can understand your concern. Chest pain on deep breathing is known as pleuritic pain. And most common cause for this is lung infection. He is also having fever. So we should first rule out lung infection in his case. So better to consult pediatrician and get done clinical examination of respiratory system and chest x-ray. If chest x-ray is normal then no need to worry about lung infection. Sometimes musculoskeletal pain can be the cause. So give him painkiller and muscle relaxant Chat Doctor. Don't worry, he will be alright. But better to rule out lung infection. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I am 43 years old male 6ft tall 225lbs(not heavy i workout).Ok just about 45mins ago im standing at work and suddenly i get really sweaty on my forehead and my back also.I have so far in life been very healthy and also on saturday i was in my garage at night working lightly and started to get weak and shaky hands also but it passed after a few minutes.Also in the last few days i have been getting heartburn pretty bad(only had hb a few times in my life before).Thanks for your valuable time	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart diseases like coronary artery disease (CAD) in your case. Sudden onset sweating, weakness, heartburn like chest pain are commonly seen with CAD. So better to consult cardiologist and get done 1. Blood pressure monitoring2. ECG 3. 2d echo 4. Stress test (trade mill test). 5. Coronary angiography (if required). You may need cardiac supportive Chat Doctor. 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。	Hello. I am a 39 year old male with a history of heart disease on both sides of my family. I have had an elctro-physiology study done. That was about 8 years ago. Over the past few months i have been seeing splinter hemorrrhages on my thumbnails and big toe nails. My body seems to ache for no apparent reason. I went to see my doctor about this earlier this summer. He wasnt overly concearned but I had some lab work completed. Of the five blood tests done, only my white blood count was abnormal. It was low. I do not smoke. I consider myself to be active enough to maintain a healthy lifestyle. Should I be concerned? Thank you.	Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Splinter hemorrhages in previous heart disease, strongly need to rule out infective endocarditis.2. However, looking at the associated low white cell count, do get a blood culture.3. Echocardiogram of the heart is also necessary to look for any vegetation. Discuss with your doctor regarding this test. Hope it helps. Any further queries, happy to help again.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 14 weeks pregnant and have bad abdominal pain that the doctor told me was probably round ligament pain. But the pain starts around 2pm everyday and last into the night. It hurt so bad I struggle walking. I started spotting 6 days ago and yesterday I have more bleeding, but it has gone down. I am concerned that it isnt just round ligament pain (this is my second and I never had this pain with my first child). How do I know what to do?	Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, even though the bleeding had stopped, I would advise you for an ultrasound abdomen to know the well-being of the fetus. Further management would purely depend on the ultrasound report. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor
如果你是醫生，請根據患者的描述回答醫學問題。	I am a female 41 years old. My weight is 79 kgs. About 15 months back I had a ligament tear on my right foot. Had the treatment with an ortho for 2 months. after about 3-4 months, i had a pain shooting from the right foot till the buttoks. this happens mostly when I sit on the floor. close to six months i am working out in a gym (1 hour a day, 5 days a week.) i do not have problems while working out. But this shooting pain has increased recently and i suffer almost daily. i am unable to sleep during night. request your suggestion on this. Thanks	Hello, It does not look that your present problem is due to old ligament tear. Looking at your details it looks that you may have compression of nerves at your back, this may be related to your exercises at gym. At present, you should follow to have relief:- Avoid weight lifting or heavy exercises-Avoid forward bending at your back-Take a good analgesic with muscle relaxant activity-Apply warm fomentation over back and leg. 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。	DCTR I FEEL PAIN IN MY RIBS ON LEFT SIDE JUST ABOVE HEART WHICH MOVES IN MY LEFT ARM AND MUSLES...WHEN I TURN ON LEFT SIDE ON BED I FEEL THAT PAIN STRONGER....ON TOUCHING THE RIBS IT LOOKS MORE PAINFUL WHAT IS IT?MY AGE IS 24 ,HEIGHT 5.7 AND NO MEDICAL CHECKUP FOR THAT	Hello, I read carefully your query and understand your concern. The symptoms seem to be related to Malia which is a muscle pain. I recommend doing an electrocardiogram to exclude other causes. I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using warm compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello I had a MRI conclusion is Multival small T2/Flair hyperintence signal areas inbilalateral cerebral white matter with sparing of corpus callosum. Most liklly due to chronic small vessel iscaemic changes.the cerebral white matter prodomenly in frontoparietal lobes with sparing of the corpus callosum and the subcortical U fibres.I have never had blood pressure,smoked a little when young,very little.I eat pretty well ,and do moderate exercise.Will I have a stroke from this,how can I prevent that.Or am I heading foe dementia.I am 60 next yr and am female.I do have truble processing what people say,and can t process too much at once.I have pretty much always had this. Could you kindly give me an answer.Thanks Paula.	Hello Paula and thanks for using Chat Doctor. I have read your query and understand your concerns. MRI results are consistent with small vessels' disease of brain. This can result from uncontrolled high blood pressure, Diabetes, high blood fats, and in some cases autoimmune vessels diseases. All these conditions predispose to stroke, so preventive measures include strict control of blood pressure, Diabetes and blood cholesterol control. Using a baby Aspirin once daily helps too in preventing stroke. These measures about preventing stroke are completed by moderate exercises and healthy eating. So, get blood tests about Diabetes and blood lipids first. Hope this helps. Wishing you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	in sep 2012 i had undergone a root canal in my lower molar tooth..everything went well.. bt in march 2013 i noticed an abscess lump on the side of the root canal treated , (gum ) the pain was agonizing and then i conslted a dentist, he prescribed sme anti biotics, n pain killers ,, i had them for almost a week n now d pain is gone . the lump is also gone.. bt now i have a hard swelling right there on rct treated tooth,, the swelling feels in d bone n its is nt painful bt is tender,,, is it dangerous ...?? wt shud i do ?? am i d first one to experience this problm??	Hi, Thanks for asking the query, Tooth pain along with swelling indicates infection of the tooth that had spread to the periapical tissues leading to formation of abscess. After successful root canal treatment the tooth is completely devitalized, so there are no chances of pain and infection. I would suggest you to visit to the concerned Dentist take an x-ray of the tooth, depending upon which the treatment will be extraction or reject. Start with tab Amoxiclav and tab Aerosol twice for three days. Take lukewarm saline gargles 3-4 times and 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 doctor..i was infected from typhoid around 2 years ago. I was treated but after that many times i used to get stomach ache, headache occasionally..recently i hv been observing rashes, fatigue, feeling of tiredness, intolerable stomach ache and frequent infections...can i be a carrier of salmonella..what treatment should i take?	Hello Your symptoms are ambiguous and with the help of these symptoms it is very difficult to establish any diagnosis. As you mentioned that after typhoid treatment, you developed pain in stomach, headache, rashes, fatigue, tiredness and FREQUENT INFECTION (but frequent infection may produce such symptoms) . The other possible reason may be :1 Hyper acidity .2 Anemia (get in hemoglobin examination).3 Resistant salmonella infection because NONTYPHOIDAL SALMONELLOSIS produces, nausea, vomiting, nonbloody diarrhea abdominal cramps, headache, tiredness and fatigue. So in my opinion consult a primary care physician and get his opinion because physical examination is important in this case with clinical history. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a physical and my liver enzyme came back as ast- 80 and dr. said should be 40. Also my slt came back 100 and dr. said should also be 40. Wants me to wait 2 weeks without my cholesterol medicine and have test taken again. Your thoughts. My medicine was crestor 20 mg. Thank you.	Dear friend, greetings from Chat Doctor I do not think you should stop the medicines. You continue the medications. Do not take. Any other medications without doctors prescriptions. You need to avoid alcohol, high fat and carboy Chat Doctor. Take more of green leafy vegetables, fiber rich food stuffs. Do exercise levels will go down slowly. Thanks for your query and do contact us for more questions.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Dr Grief.I am writing on behalf of my husband. He as been loosing weight over the last 2 years (he is normally very tall and lean anyway). He has seen a doctor about this and had blood tests. the test have come back with an elevated LFT reading he has since had a liver biopsy and that came back inconclusive (no cancer or Hep). We do not have any definitive results can you help with what other test he should do?Annick	Hello, I have gone through your query and understand your concern. There are numerous causes for weight loss. One of the most common because you have to rule out is stress and Depression. Because it is difficult to identify without any careful evaluation of possible psychological causes such as depression. Further it can not be detected by routine examination and investigations. Other possible causes are Malabsorption and Malignancy (Cancer), autoimmune diseases, HIV, tuberculosis (Abdominal Tuberculosis is common in Unexplained weight loss).Thus, he needs the further evaluation like Nutritional evaluation like levels of vitamins and minerals, Endoscopy, Colonoscopy, Bone marrow aspiration and HIV serology. Depending on the cause, we have to treat him accordingly. For example: if he's suffering from any depression, then he needs Psychological counselling and support. If the weight loss is due to nutritional deficiency, then we have to give the supplements for him. Hope this helps. Please write back for further queries. 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 Doctor. Please help me to get a sustained relief from Spine pain (Cervical Disc Prolapse C4/5, C5/6, C6/7: C5/6 being herniated and indentation is noticed through 3T MRI report). The patient is on continuous treatment since last 3 months and the 2nd MRI report last week has not revealed any considerable change in the status. Current medicines: Pregalin 75, Etoshine 60, Elliwel 10, Myotop DSR and Rablet. Need your precious advice. Thanks. Brad, New Bombay.	Hi there, Thanks for your question at Chat Doctor At first the kind of spine pain needs to be differentiated. Scenario 1-only neck pain(axial pain) with no radiation to the arms and no tingling or numbness in the upper limbs. Such a scenario suggests age related degenerative changes or muscle strain or pull. Muscle strain or pull usually gets better with rest, medicines and physiotherapy over 2 to 4 weeks. If its degenerative problem, neck pain can linger on for longer duration. Can get better with exercises, PT and postural adjustments with supplementary analgesics for pain. Scenario 2 neck pain associated with arm pain or numbness and tingling, with unsteadiness in gait, walking disturbance(all suggest compression of neural structures) etc-here if the pain does not respond over 8 to 12 weeks, will require interventions like epidural. Nerve root steroid injections or surgery (last resort) to relieve compression. Sine in your case, the MRI shows multiple level spine degeneration(in form disc herniation) sustained relief cannot be promised. As of today we have no medical treatment which can reverse age related changes) like disc deaeration) Hence some amount of neck pain is bound to persist over time. If evidence of compression is present, surgery can provide relief of compression related pain and symptoms, Hope this answers your question All the best regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my doctor told me that I should see my allergist doctor. MY symptom are as follow:I felt itchy in my nose around 3-4 a.m and started to sneeze non stop .it is so terrible. I don t have enough sleep. I am wondering, why the symptom start around 3 or 4 a.m? what is cost?	Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. When symptoms start around 3-4 am, it usually means that the allergen (the allergy causing substance) is within bed/be Chat Doctor. It takes some time for our immune system to react to allergen hence when you inhale that particular particles while entering bedroom, your nose starts reacting after some time. Although the allergic reaction starts within a few minutes, you get peak effect that disturbs you sufficient to wake up in night after several hours. 2. I usually suggest my such patients regular montelukast and levocetirizine or fexofenadine before going to bed for minimum 2 weeks for symptoms relief.3. I would suggest you allergy testing for indoor allergens - house dust mites, insect proteins, indoor molds and pet dander (if you have pets). This will help you identify the substances causing allergies to you and also to know the measures to avoid them.4. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve your allergy symptoms.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution for better respiratory health.6. A healthy diet and regular breathing exercises will also help you in a long run by improving your immunity and lung capacity. Hope above answer and suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	having moderate to severe heart palpitations since morning, when heart skips beat and then double beats, I cough. Just feel bad...slight nausea, been drinking gatoraide in case I was dehydrated - shouldnt be... very fatigued, had to come home and put on soft clothes, couldnt finish the day.	Hello and thank you for using Chat Doctor. I carefully read your question and understand your concern. But you should not worry I think It's nothing serious. As you describe, my opinion is that we are dealing with a rhythm issue. Someone can feel strong heart beats and palpitations for different reasons. It might be what we call ekstrasystoles.These is electrical heart impulses that generates in some parts of heart different from normal sinus rhythm. This generates that escaped beat. You have this sensation like a beat is skipping, you may experience palpitations or an anxiety sensation, difficulties in taking a deep breath. This extrasystoles may happen from different reasons from simple emotional stress to other pathologies like anemia, hyperthyroidism etc. So, if I was your treating doctor I will recommend some examinations like a blood analysis to exclude anemia, the thyroid hormones, an electrocardiogram, echocardiography and of course a holder monitoring. This will help us to document and see what happens with heart rhythm. At meantime, I will recommend you to avoid coffee, caffeine products because they rise extrasistolic beats. This is nothing urgent or to worry abut, but I will recommend the examinations if the symptoms interfere your normal healthy live. Wish I was helpful. Take good care. Best regards
如果你是醫生，請根據患者的描述回答醫學問題。	i have moderate to severe cystic acne . I am on tri sprintec I am on my second week of the third pack. i also use benzol peroxide fach wash and clydamycin lotion i was on bactrim but became very ill and was hospitalized with high liver counts. That is better since off the bactrim. My cysts are goin away slowly but leaving a reddish purple marks.What can I do to help with these marks and how long will the srintec take to fully work . I do see some improvement but its so slow and its so frustrating. Is there any way to bleach these marks?	Hi, Chances of pigmentation and scarring in acne depends upon severity and inflammation of acne lesions. As you have cystic acne, your acne are more prone to heal with pigmentation and scarring. To treat pigmentation multiple options like segmenting creams, peels, microdermabrasion or lasers are available. As you are still having active acne lesions, application of a pigmentation reducing cream containing Comic acid, Atelier acid, Glycolic acid or HY Chat Doctor. Taking chemical peel sessions of Glycolic acid or salicylic acid would be very effective not only in reducing the pigmentation but also active acne lesions. From the medicines you are taking it seems you are having acne due to underlying hormonal derangement. For the same hormonal pills have been added, these might require couple of months time to show good response. Adding oral isotretinoin along with the
如果你是醫生，請根據患者的描述回答醫學問題。	I woke up the other morning,went to brush my teeth and noticed my tounge it appears to be alot more saliva than usual.it feels funny,but I have spit alot when I looked it had a funny color some what white a slight yellow to it.can you help me with this	Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have yellowish saliva don't worry this happens when there is problem of poor oral hygiene or poor digestion also. You do proper brushing twice daily. Use tongue cleaner to clean your tongue daily. Do warm saline gargle two - three times a day Use chlorhexidine mouthwash twice daily. Take one capsule vitamin B complex once daily for 7 days Consult dentist and go for Scaling and root planning. If then your problem continues then consult physician for examination and complete mammogram if necessary. Hope this will help you.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a chronic back pain I have no discs left in my lower back and several other discs in my neck and back are bad I have had all kinds of injections and they just seem to make the pain worse my doctor only wants to give me morphine but I can`t take it and they know that so how can I get pain relief	HiP lease tell me, what is the cause of your suffering and age? Do you have difficulty in walking and pain/numbness in lower limbs? My advice would be regular spine exercises(under guidance). You should have diet rich in calcium and vitamin D. Regarding medicine for backache my advice is to take nasal spray of calcitonin after discussion with your treating doctor. Take care and wish you good health
如果你是醫生，請根據患者的描述回答醫學問題。	Dear Sir, My son aged 19 is suffering from Jaundice . His SGOT is 700 and SGPT is 300. His biliburn is 6.4. My question is when SGOT and SGPT reduces then will Biliburn will also reduce. M. K. Gupta	Hi welcome, SGOT, SGPT and the bilirubin level are all coming under LFT once the function of liver will become normal these will come to normal level.Mr Gupta the best available treatment for this (jaundice) will be in Ayurveda. You approach a good doctor at your area along with the medication you have to take some precautions also1-avoid salt2-avoid oily and fatty foods like oil intake3-take rest for minimum 1month4-check the level once in 3weeksif you didn't get Ayurveda doctor at your area contact me with details, i can give you best [email protected]
如果你是醫生，請根據患者的描述回答醫學問題。	Hey there.Im a 21 yo white female that has an upper and lower endoscopy yesterday because of symptoms like: Extreme Abdominal PainInability to keep anything downHigh FeverFrequent vomitingVomiting BloodThe scope came back more or less perfectly normal. Though, he did send a sample off to be However, I woke up this morning feeling worse. Ive tried to throw up at least a dozen over the course of the day and the only thing that comes up is foam with little steaks of bright red blood. What could possible cause this? Ive even tried intentionally purging and nothing happened. Im worried because I have eaten enough food recently that I should be able to throw up back up. Also, what could cause the foam and blood? Thanks-C	Hi thanks for your question. Do not worry based on my experience, after endoscopy most of my patients have similar feelings. Just take over the counter nausea medication, and you will be key. Endoscope tube causes minor trauma to lining of the gastrointestinal tract and that is why you have foam and blood.this nausea should stop in 2 to 3 days, if it continues then see surgeon for review. Hope I answered your question.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been having pain on under my right abdominal and back for about the past week now It hurts to walk, lay down, cough, breathe (sharp apin when I tke a deep breath).... almost anything I do I went to the ER a day ago where I was given an untrasound and an xray which both were normal They then did some blood work and the result came back positive The doctor thought that I had a blood clot in my lung so I got a CAT scan whicChatDoctore out normal I was then discharged and given some motrin and narcos for the pain which neither of them seem to help The pain is agonizing. What could it be?	Hello there, Welcome to Chat Doctor. The kind of pain you mentioned, if you are a smoker or else due to some lung problems, might be due to formation of small air pockets in pleural space(pneumothorax), which at times get resolved on by own or with oxygen therapy. It could be as simple as a muscle spasm, a back muscle/ ligament sprain. Specially, sharp pain related to cough or breathing are generally related to pleura(sac, covering the lung), which is probably posted some lung infection. So better wait and keep seeing your doctor. Get well soon.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi , I am Shazia (name changed) , my mother has joint pains .This is a long story . She had allergy 3 years back so we did all treatments Allopathic ,Homeopathic and Ayurvedic .During the Ayrvedic treatment she was given Aesteroids so the Allergy was treated completely but the nerves of hands and legs got damaged . Now she has continuous pain in her legs inthighs she has a fluid which stops the movement of legs , as per the doctor if she gives more stress on that part the bones can facture , Please advise	Your mother probably is suffering from a condition called Steroid induced Bushings Syn Chat Doctor. Corticosteroids affect bone in three main ways; 1) Loss of bone mass, 2) Loss of bone protein and osteoporosis lesions, 3) increased urinary excretion of calcium and phosphorus leading to bone loss. She should be evaluated by an endocrinologist and undergo tests like overnight 1-mg Dexamethasone suppression test or a 24-hour urine test for Cortisol. She may need further medications depending on the test reports. The patient should eat foods that are high in calcium and vitamin D and low in fat. To prevent the risk of fractures in patients taking steroids, prevention of falls is important.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a sharp pain in my stomach right near my right rib cage. It came on suddenly. & I dont know if I need to go to the Dr. Also Ive had a bad cough since December 2nd and a strange bruse appeared yesterday morning on my chest & it has a strange lil bump under the bruse.	Hi. Since you have cough and pain, the possibility goes in favor of plural inflammation. It gives sharp pains. The bruise and the lump may or may not be related. The possibility can be due to strained rib muscles due to act of coughing. I would advise such a patient for X-ray of the abdomen in PA and right lateral position to confirm or rule out. You need to visit a Doctor for a clinical examination and investigations and treatment.
如果你是醫生，請根據患者的描述回答醫學問題。	well 3&1/2 months back i was prescribed WINOLAP-5 for my wheezing . i had that for about 10 days. i was fine afterwards. Lately i cough out mucus during night time & now due to cold i am having bad stuffy nose , wheezing as well light asthmatic feeling can i continue with winolap-5? my e-mail address is YYYY@YYYY	Dear Mr. galaxyfunworld, Good morning, By your history it is apparent that you have allergic tendency with off & on episodes of breathlessness. Cold or flu like illness aggravates the symptoms. I suggest you to have your chest examined by your doctor for assessing the degree of bronchospasm. Meanwhile, you may please continue T. Wino lap for 5-7 days. Plus Steam inhalation/ nebulization 3-4 times a day and a short course of bronchodilator + steroid therapy would also help. I hope you find my response to be helpful and informative. I hope this answers your query, I will be glad to reply any follow-up query that you have. Wishing you best of health.
如果你是醫生，請根據患者的描述回答醫學問題。	Blood Report is as follows :Haemoglobin : 15.4 gm/dlHCT/PCV(HCT 001) : 45.8 %WBC Count : 7000 cells/cummPlatelet count : 0000 cells/cummESR : 04 mm/1 st hrMCV : 87.7 flMCH : 29.6 pgMCHC : 33.7 %RDW : 13.2RBC Count : 5.22 millions/cummRBC Series : Normocytic NormochromicWBC Series : Count normalWhat is Normocytic Normochromic ? Is my blood report normal ??	Hello and welcome to Chat Doctor, The blood report is absolutely normal and within limits. The report gives information regarding the levels of hemoglobin, hematocrit, red cell indices, ESR and total leukocyte count. The terms normocytic normochromic refers to the size, shape and chroma of the red cells. If there is any abnormality of size, shape and chroma of the red blood cells, that will be detected by red cell indices and peripheral blood smear examination. Variation in these parameters identifies red cell abnormalities like anemia. In your case the red blood cells are within normal limits. Thanks and take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	i am having pains under my left breast and rib cage, also, I am having pains in my chest. I have just been diagnosed with heart papitations and a leaking valve. I have been told, bc I am not getting dizzy or feeling fatigue, it not anything that I should weary about. Could this be something serious?[	Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical scenario: inflammation or a musculoskeletal pain, a lung disorder, a cardiac issue, etc. Coming to this point, I would recommend performing further tests to investigate for the possible underlying causes: - a chest X-ray study and pulmonary function tests-complete blood count, PCR, ESR for inflammation- an exercise cardiac stress test to exclude myocardial ischemia-thyroid hormone levels to exclude a thyroid gland dysfunction. You should discuss with your doctor on the above tests. Hope you will find this answer helpful! Kind regards,
如果你是醫生，請根據患者的描述回答醫學問題。	I am 10 weeks pregnant and suffer from palpitations. I was taking antenol 25mg but had to stop this immediately by my docto due to pregnancy. I was okay for a while but the palpitations have started again. Its not too bad reaching about 100bpm but I can feel the beats quite strongly and sometimes I experience missed beats. I am awaiting my first antenatal appointment. In my last pregnancy I suffered a thyroid problem where I had to take medication. This was just during pregnancy as it went back to normal after the birth. I am also feeling really tired and no energy which I understand is probably due to my age of 37 and just being pregnant. I am going to see my doctor tomorrow but would like to know what I should be asking and if there is anything that can be done to reduce the palpitations when they happen. Also shouldnt I be having a blood test to check my thyroid now? Also would the palpitations/missed beats cause any damage/stress to my unborn baby?	Hallow Mummy, Palpitations and missed beat any time during life is a warning signal. You should report to your physician for evaluation of your heart function. Severe anemia may also cause such signs. Get your hemoglobin estimated. Tiredness and fatigue with history of Thyroid dysfunction calls for your evaluation of Thyroid function. It also can cause palpitations. Get your T3, T4 and TSH estimated in your blood. It is good that you have your appointment with the Obstetrician tomorrow. Brief him/her all your symptoms and get all the investigations done. Accordingly, you will have to start appropriate treatment. Hope this helps you,
如果你是醫生，請根據患者的描述回答醫學問題。	my son had a bacterial and viral attack 2 weeks back and was on antibiotic therapy for 10 days(im and oral).yesterday again i foundhis (temprature axillary)raised upto 37.2 but became normal with 10ml of fevadol.what should i do now?is it okey to get fever like this?	Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No high fever for two weeks raises suspicious of some severe infection. I advise you to investigate your self completely. Once the investigation is completed we can conclude the disease and its type of infection. I suspect typhoid fever or dengue fever. Please investigate the cause for further management of the disease. Till the report came I advise you to take paracetamol for control of fever. Maintain the essential HY Chat Doctor. Take the enough food. You can give a cold water sponge if the temperature is not responding. I will be happy to answer your further concern on bit.ly/
如果你是醫生，請根據患者的描述回答醫學問題。	I have shortness of breath upon simple exertion, off balance and weakness in both legs, I have a history of vit. D deficiency, iron deficiency and I had an acoustic nueroma treated w radiation about 10 years ago, I feel so uncomfortable, could u tell me what might be going on, thank u	Thanks for asking your question I completely understand your question breathlessness have variety of causes if you were a smoker then it can be COPD, it can be metastasis from the primary malignancy, can be heart failure if associated pedal edema is there, and many more causes, u need to consult a pulmonologist who can request for a chest X-ray and spirometry and diagnose your conditioning panic this situation can easily be handeledthanks / regards feel free to ask more questions may god bless you with good health
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, my baby is one year 9months old. She is suffering with vomiting and dark green loo. Seems like motions with foul smell. Suggested by doctor to use ofloxacin ,metronidazole. Is it safe to use the drug as there is a warning on the carton as CARCINOGENIC	Hi... Thank you for consulting in Chat Doctor. PLEASE STOP ANTIBIOTICS (OFLOXACIN AND METRONIDAZOLE). It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics (OFLOXACIN AND METRONIDAZOLE) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D 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 cavity and I can t get it fixed for 2 weeks. The pain comes and goes but it s worse with hot food or beverages. It s a throbbing nerve pain and I have been using hypericum 30ch and it s been effective but I think I may need something else in the evening because I didn t get as much relief this evening with the remedy.	Hiiiwell the only treatment for cavity is its removal followed by restoration. Depending on the extent of tooth decay treatment is decided..... like for instance if it HS reached up to pulp (the innermost part of the tooth) then only root canal treatment can save the tooth & if it is limited up-to enamel of superficial dentin then it can be restored easily. It is advised that u consult a dentist as soon as possible & get your cavity examined. Get An IOP AR done it would to exact extent of tooth destruction. In your case since you can't visit a dentist for 2 weeks you should take any anti-inflammatory Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have knee pain in my right knee a little in the front lower section and then a lot in the back left bottom corner. I had stepped off a step in the dark and hurt it but not that bad. I golfed the next two days and then over the past 4 weeks its gotten better then worse then better and worse	Hi, Thank you for providing the brief history of you. Need of a musculoskeletal assessment with special tests for the knee is recommended. Also, as mentioned by you, the pain region, it appears you may have sprained the ligament in the knee joint, mostly there are few to get sprain are the Anterior cruciate ligament, meniscus and medical collateral ligament. To find out which ligament has got sprain an orthopedic special test can be performed and checked out. Also, an MRI will help understand the extent of ligament injury, as in MRI the ligament are visualized. Also, treatment will be planned accordingly. The treatment includes - rest, medication for pain and physical therapy for pain, strength and mobility. Based on my personal experience if the Spain the recovery is 99%. RegardsJay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Ive been feeling sick to my stomach since late last night but have not gotten sick once yet. It went away for most of the day and I was able to eat but now its back. I just want to know if its a good thing or a bad thing to just make myself sick? Ive been eating pretty bland things all day so Im not sure what is causing the nausea.	Hi! Good afternoon. I am Chat Doctor answering your query. Nausea could be due to any food which could be causing sensitivity to your intestines, or due to some intestinal infections which might have creeped in from outside food if you are frequent eater from outside. Any dysfunction of live due to inflammation could also give rise to a nausea. If I were your doctor, I would go for a general physical examination of yours apart from some blood tests like a complete blood count, a liver function test, and if need be an ultrasound of whole abdomen. Further management would depend on the reports of investigations done. Till then, you could go for a proton pump inhibitor along with an anti-emetic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, Two weeks back i was detected ITP and doctor started wylosone 45mg. My question is I feel always tired and fatigue since before starting medicine and still now. Why? I not able to walk more distance my breathing started fasting. I not feel still any better health after starting steroid. Why? Is tiredness is the part of ITP?	Hello dear thanks for your query at ChatDoctortiredness is not part of ITP. It could be due to steroids. Steroids can cause tiredness and restless less. But your saying tiredness is before starting steroid, other causes should be ruled out.important because I would consider here is anemia, it can cause fatigue, restlessness, and breathing problems. Get one complete blood picture to rule out any anemia. If symptoms are increasing, difficulty in breathing please consult doctor for further investigation and management. Do not stop steroid abruptly for any reason regards
如果你是醫生，請根據患者的描述回答醫學問題。	i was diagnosed with crohns disease feb 2010. i have had a right hemi collectomy. i have today been to doctors with lisons in my mouth and they think it is lichen planus but need abiopsy to confirm. just wondered what lichen planus is and will i be asleep when biopsy done. many thanks	Hello. Thanks for writing to us at Chat Doctor Lichen plans (LP) has an autoimmune etiology. It presents as itchy, polygonal, violates or purple colored, flat lesions. Itching is a prominent feature in lichen plans. Sites commonly affected are wrists, abdomen (flanks), shins, flexor arms. The disease may be localized or generalized. Oral mucosa as well as nail involvement may also be seen in LP. Oral lesions may cause eating and swallowing difficult. The diagnosis of LP is mostly clinical however a skin biopsy may be ordered to confirm the clinical diagnosis. Skin biopsy in LP is performed under local anesthesia. You would be awake but you won't feel the pain. Topical treatment of lichen plans is with prescription topical super potent steroids e, g clobetasol propionate cream OR Clobetasol propionate cream. These alone are sufficient for limited disease. In addition to topical steroids, oral steroids and HY Chat Doctor. Lichen Plans has a good prognosis, the lesions ultimately subside, but there may be a few recurrences before it finally subsides. Post-inflammatory hyperpigmentation may persist for months of years after LP have resolved. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. Im experiencing inexplicable pain in my stomach. In the beginning if felt like someone twisted my stomach, and now it more like someone has turned my intestines or my stomach into a twist. It is truly a devastating pain. What might it be, and what can I do?	Hi. Thanks for your query and an elucidated history. Such a severe pain in abdomen of the character of twisting can come due to an intestinal obstruction due to many reasons like, kinking, stricture or a cancer; or can occur due to a condition called a volumes of the intestines in which the part of the gastrointestinal tract can get twisted at two points. The simplest test is X-ray of the intestines / abdomen in a standing position. You may need an urgent surgery to relieve / correct one. I would advise you to rush to ER and get admitted investigated and operated if it is a must.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doctor.. I wanted to know the side effects of Istamet 50mg/500 mg tablets for diabetes? My mom has sugar and she has takes these tablets and she feels very low on energy after taking this and Tri Glynase 2 Forte... What can be the reason for this? Her sugar tests are good and in control....	Hi, Stamen 50 mg/500 mg is a combination of two medicines sitagliptin (50 mg) and metformin (500 mg) commonly prescribed to control blood sugar in type 2 diabetic patients. Its common side effects include vomiting, abdominal cramps, diarrhea, metallic taste, low blood sugar levels and a serious complication lactic acidosis (metformin-induced). Based on the history given your mom seems to have developed a very low blood sugar level apparently caused by taking stamen 50/500 along with triglynase 2 forte together. She needs a dose adjustment of the prescribed medications by her treating doctor and frequent monitoring of blood sugar to safely use both medications. Hope I have answered your query. Let me know if I can assist you further. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,For almost two months, I am having widespread fasciculations. It started from my right arm and became widespread. After some time, I began to notice my right shoulder, and knee started to get fatigued quickly. I have visited my primary doctor so many times until I was given a referral for an EMG. My EMG test was clean, no form of denervation, and the neurologist diagnosed my fasciculations as benign. But now my muscle twitching is worse. Currently, I am getting constant twitching in my right biceps, and it occurs consistently without breaks. I have sleepless nights. Please help.	Hello. I reviewed, and I am glad to confirm that we can exclude any possible motor neuron disease, neuropathy, or muscle disorder. I would recommend checking vitamin D, plasma levels for possible deficiency, and thyroid hormone levels for possible thyroid gland dysfunction. Possible treatment options would be Clonazepam that helps to reduce muscle twitching and also calm down your anxiety. You should discuss with your doctor on the above tests and treatment option. I remain at your disposal for any further questions whenever you need. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	My boy is 11 day old. Doctor suggested merotec 125mg, mextra, vomnu, coscoril for rashes, heart beat and cold. After taking 3 dose , baby is suffering from fever and crying for last 10 hr. When mother is providing feed then he is not crying else crying. How long mother can provide milk to baby and what could be the reason of cry?	Hi... I feel that your kid has to be evaluated further as any kid less than 3 months old with fever should not be prescribed antibiotics without proper blood test and blood culture. I do not recommend giving so many medicines for such a young infant of 11 days. The crying could be due to nasal block or also could be due to irritability due to an infection in the brain. I suggest that you take him to an institution set up where his fever needs to be evaluated. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	I had ARDS and was on ECMO about two years ago. Now, out of no where, my lungs are in pain. Horrible pain, to the point where I dont want to take deep breaths because its unbearable pain. What could this be caused by. I have no fever, no soar throat, or nasal drippage. Its also only on my left side that hurts.	Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset severe left sided chest pain is mostly seen in heart diseases. So better to get done ECG and 2d echo first. If both are negative for cardiac pathology, no need to worry about heart diseases. Possibility of lung related causes is also less because you are not having cough or fever or sore throat. But better to get done chest x-ray to rule out lung causes because you had ARDS in the past. If all these investigations are normal than possibility of muscular spasm is more. So take painkiller and muscle relaxant Chat Doctor. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright. But first rule out cardiac cause Pulmonary causes. Hope I have solved your query. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I just got all four wisdom teeth taken out last Tuesday. The swelling has gone down and I am on antibiotics. I have a hard quarter size lump on my right jawline that appeared 2 days ago and hasnt went away. Its painful to the touch. It can only be felt on the outside of my jaw. It is infront of the extraction site right next to the jaw muscle in the cheek. The underneath of my jaw is also swollen. what could this possibly be? Will it go away on its own?	Facial swelling in the area of the tooth extraction should be treated with heat after the first 24 hours of ice. Apply a moist warm towel to the area on a 20-minute on, 20-minute off schedule. Repeat as necessary. Rinse your mouth with warm salt water (1/2 teaspoon of salt in a cup of warm water) after meals and before bed. Do not use commercial mouth rinses. Even after a week or two of this regimen the lump/swelling doesn't subside visit your dentist for evaluation. Please remember complete healing doesn't occur for a few weeks to a few months following the extraction. However, usually within the first week or two, enough healing has taken place for use of your mouth to be reasonably comfortable in the area of the extraction. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, well I live in California and during the summer my legs and Thighs get really red and Blotchy. it s not itchy at all. and I m not fair skinned. but only my legs get red and blotchy. And I have no clue what it is! I hate it so much, because I can t wear shorts. It s just to embarrassing. and also I don t know if this will help but I m a high school student. Please help!	HelloThanks for the query HelloWelcome! I would be pleased to answer your question. Your history and clinical picture are suggestive of Recurrent Folliculitis associated with secondary eczema. 1. Mupirocin ointment twice a day for 5-7 days whenever the bumps come. If there is no improvement within 3 days of this then you will require an addition of steroid cream along with that. 2. Dial Antibacterial liquid soap for bathing. Continue this even when asymptomatic. 3. Mupirocin cream twice a day in the inside skin of the nose for 14 days. This may seem strange since you have no symptoms there, but this is the commonest site of carriage of the bacteria that causes this condition (staph). Infection keeps recurring from here through carriage by the fingers to other parts of the body. NOTE: Steroid and mupirocin will require a prescription, so I would recommend discussing my recommendations with your GP/family physician. Bacitracin is an OTC alternative to Mupirocin cream. Please feel free to ask if you have any queries.
如果你是醫生，請根據患者的描述回答醫學問題。	My gran daughter was bron with white patches on her legs and a white spot with white hair coming out of it on the tip of her bang sight. She is two now and the white spot of hair has shrunk, or else its just that she has grown and now you don t notice it much. However her legs are very noticeable. They are from low thigh to shin bilaterally. Is this a disease that will progress? Or will it stay the same? Her mom also had two whit spots on her legs but they are 1/2 dollar size and haven t changed in size. Her grandfather had an inch of white hair in the same spot as my grand daughter that never changed either.	Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Dear Sir My mother, 66, his patient since 2006, dealing with Parkinson s disease medication to 375 mg Avukar a rate of half a tablet every 6 hours Now, the drug does not work effectively where he became a drug effect 12 hours a day any stage reached the end of the dose Now facing the problem in the movement, as has become unable to move, stiffness in muscles and in some cases, difficulty in speech and disturbances in sleep and thinner Are there any medications to help levocar (levodopa+carpedopa) medication to assist in drug delivery to the brain and be effective and their side effects are mild? I want to ask for neupro patch Is it effective and whether its content and served in this case and does not have serious side Itar? I hope that I find your reply soon Nader Ali Sudan	Thank you for writing about your mothers Parkinson's disease (PD). PD is a degenerative disease of the brain, and main symptoms include tremors of hands and feet, slowness of all movements, rigidity of limbs and postural imbalance. Unfortunately, it continues to progress and medicines become less effective over time. Regarding euro patch, it can be effective in this stage of PD. Euro patch (rotigotine) should be used in addition to levodopa-carbidopa combination. It is fairly safe except that it may cause BP to fall in some cases. Please start euro patch under the supervision of a neurologist. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter is 12yrs old & a healthy thin, her spine has always stuck out as well as her shoulder blades. I thought as she got older this would maybe go away, but if anything her spine sticks out more...especially if she s slouched forward, should I be concerned?	Hi, I deeply regard your concern towards your daughter.1) You have mentioned that she is thin, this is the most probable reason why her spine is sticking out. This would go away only if she gains weight. However, you should take care that she does not bend forward too much while reading or watching TV, phones, using laptop etc. This will cause posture related back problems.2) If her posture is good and straight, you have not much to worry about. Make sure she gains weight and have a BMI around 21 to 22. Make her do regular exercises for her age. Yoga too is recommended with proven benefits. And you do not worry you are a loving parent. Hope I have answered your query. Let me know if I can assist you further. With best regards,
如果你是醫生，請根據患者的描述回答醫學問題。	i was out in the rain all weekend and now i have a persistent cough. But now that i think about it I was using bleach and CLR on sunday afternoon and now i have a persistent cough that is like a sudden coughing fit and i feel like i could cough at any time. do you think it was the chemicals or being out in the rain all day?	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, your cough is mostly due to bleach and CLR use. These chemicals produce Fumes. And when these Fumes go inside airways and lungs, they cause irritation and inflammation. And they intern cause cough. So while cleaning, you might have inhaled Fumes from these cleaning chemicals which is causing you cough. Usually this kind of cough is self limiting in nature in 1-2 days. So 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 pain between my breasts, on the surface. Feels like a muscle just beneath skin. No other symptoms (except panic.) I have controlled high bp, always test normal with meds, am otherwise healthy though overweight and 59. I am active and try to exercise regularly. Last physical 4 months ago, everything fine. Father had an angio after 70, mothers side no history of heart problems.	Welcome to Chat Doctor I have gone through your query and understand your concern. It is likely to be muscular pain. You can take analgesic such as ibuprofen for pain relief. No need of panic but you can get your heart function test to rule out heart disease. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	i have had a gastro virus like symtoms for 2 months now lost over 10 pounds, different types of diarreah and a LOT of loud noisy gas....just read about the cyclospora outbreak and wonder....no doctor has found anything yet and I do not want a colonscopy are there others with this kind of thing??	Hi, thanks for using Chat Doctor Cyclospora infection can cause diarrhea, bloating, weight loss, loss of appetite, nausea. It is caused by infection by a parasite. The infection is detected by the examination of several stool samples over the course of a few days. More than one sample is needed because the parasite may not show up in a single sample. If you suspect this and live in an area where the infection is prevalent then you can consider sending samples to the lab for assessment. Colonoscopy however would be able to take a detailed look at the colon and determine if there are any other factors that may be causing your prolonged diarrhea such as inflammatory bowel disease. I hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	87 year old mother whose blood pressure is consistantly between 146/73 to 190/91. During cataract surgery last week it was 212/101. Dr prescribed Atenolo 25 mg. Pressure dropped to 80/50 in one hour and then up to 121/70 in the next and then maintained that until she took her medicine the next morning when it was 146/70 again. Dr said to cut pill in half. Now every day my mother feels week and has to nap. Had heart tests and everything is OK in that area. Is this normal dosage and lethargy?	Hi, It is a normal dose for such pressures. But the people with advanced age may develop sucChatDoctorplications, especially in the first dose. If she feels weak and sick even after cutting the dose, then it would be a better idea to change the medication. Calcium channel blockers, such as Amlodipine are more preferred in her age, ACE inhibitors may be prescribed as well if there is no renal impairment. Wishing a good health to your bothersome back if you have any further questions
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 15 yr old boy and have a small bump on my testicle and went to a doctor and he sent me to an ultra sound, so i did today, but the results will not be back until a week and i wanna know what it might be. He also said he has never felt anything like it before and he is a urologist for a while now. Is this a good or bad thing?	Good Day, and thank you for being with Chat Doctor ! For masses inside the scrotum it is important to get a scrotal ultrasound to check if the mass is inside the testicle or outside the testis. There are numerous structures in the periphery of the testis like the epididymis etc. that can have cysts. Cysts structures are benign and not a cause for worry while intro testicular masses are almost always malignant and needs Surgical removal. I would wait for the ultrasound to see what you have. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes. Manuel C. See IV, M.D. DBU FPGA
如果你是醫生，請根據患者的描述回答醫學問題。	I had a pelvic ultrasound and the majority of the endometrium is thickened and measures less than 2mm however there is an area of irregular mass with a thickness of 2.6mm. Radiologist says possible blood clot or endometrial irregularity. Does this mean I have cancer. I am 72	Hello, Normal endometrial thickness is 8-11 mm. In your query, you didn't mention bleeding. Usually bleeding in the postmenopausal age should be screened for malignancy (cancer). Early diagnosis has good prognosis. Consult gynecologist and go for D & C (dilatation and curettage). Histopathological report says about your endometrial status. If it is normal, then no worry but if it turned out malignant, then you should go for hysterectomy that is removal of uterus. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	My son was born 7 weeks premature with a grade 3 IVH. The bleeding stopped soon after but led to hydrocephalus. He is now 20 months. He does not have a shunt. His neurologist didn t wanna put one in because he said there is no pressure at this time. He s been getting nosebleeds for quite sometime now and they keep getting worse. Could this be related to the hydrocephalus in any way.	Thank you for asking on Chat Doctor. Newborn brains are in the process of development especially in preterm. The inner lining of the brain is very thin. As the development of the brain progresses, a substance called myelin is formed and acts as an insulator of the nerve fibers and helps them in functioning. But in preterm sometime bleeding may occur below the thin lining and as there is resorption of the blood, the blood debris often block the 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.My tongue has developed a sore ( a white layer with rugged surface ) extended upto throat and i feel pain if i eat anything , and also let you know that I suffered from viral fever for a week and now i have normal temperature ,Dipu, Dhaka	Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint the white layer over the tongue is due to yeast infection known as ORAL THRUSH or CANDIDIASIS and there is a possibility that you might have taken antibiotics when you suffered from viral fever and antibiotics many a times precipitate thrush as they disturb the bacterial flora of the mouth that is responsible to fight infection by other organisms. Although viral fever does not cause thrush but reduced immunity during certain infections can lead to over growth of opportunistic organisms like Fungus and cause activation of infection. Nothing to worry, consult an Oral physician and get evaluated and in case if thrush is diagnosed the physician can advise you to take antifungal mouthwash like Statin mouthwash for gargles. Taking more of Probiotics like Yogurt and garlic can help in faster clearing of infection. In case if still it does not resolve oral antifungal medicines like Fluconazole can be advised for 2 weeks course. 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。	My shin started itching randomly one morning, and has been annoyingly itchy ever since 2 weeks ago. There is a colorless rash that looks like goosebumps, and when itched the rash becomes slightly numb and raised when itched. It spread to my other leg, though not as bad, and I fear that it could be spreading up farther past the knee. Diagnosis? Treatment? Either is appreciated. (I had a nasty case of poison oak about half a year ago, where the rash was all over my body, including the legs. Could this be the cause?)	Hi, It seems that you are having urticaria. There are many cause of urticaria. In your case it is acute urticaria. Cause may be irritation, allergy,heat, solar,cold, psychological,internal cause, Chat Doctor. . You should undergo varieties of blood tests. If there is any cause is found., cause should be treated. If no cause is found, it is called idiopathic urticaria. You take antihistamines like fexofenadine, deloratidine, levocetirizine....etc Short course of steroid may be taken. Avoid soap bath. Avoid certain food like brinjal, eggs,fish, chicken,banana, fermented food, curd.etcStilll, you consult dermatologist.... I hope you got my answer.regards.
如果你是醫生，請根據患者的描述回答醫學問題。	i have contracted citrobacter koseri after tkr.i am on ciprofloxin,rimicyn fucidin for 12 months.my crp has been below 10 for the last 5 blood tests the lowest was 2.1 two weeks ago the tablets were started on 7 july 2012 Q.how much longer before the citrobacter is considered dormant or stable in the body and can stop the antibiotics	Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Citrobacter kosher is always pathogenic in the body. So you should test yourself for the culture and sensitivity. Once the report is available you can take the treatment accordingly. Completed treatment should be taken. Hygiene maintenance is important tool and should be adopted. It will help us equally in the treatment as antibiotic do. Please adopt good handwashing practice. This will also help us in treatment. In alternative to taking a will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor
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 bronchile cough from child hood and flum formation. My wbc count is always on higher side from 13000-14800 and found blood with flum. I got treated by IV injection and now at 12000. How to control my cough and flum? please advise.	Hi, dairy have gone through your question. I can understand your concern. You have cough with sputum. You may have pulmonary tuberculosis or some other respiratory tract infection. Furthermore, you should go for x-ray chest and sputum AFB test. If needed go for sputum cu culture and sensitivity test. 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。	hi doctor..i dunno from where to start..since 7-8 years my parents are having hard time...having many differences..my mom behaves in a very abnormal way...having very low self confidence and my dad is also suffering from some kinda complex...he over-eats at times..is very moody n aggressive n is probably little bit sex maniac or a patient of OCD....what can i do to help them both??/troubled daughter	Degree understand your concerns went through your details. I suggest you not to worry much. You are the right person to deal with them. You observe their behavior. Furthermore, you know their characters and I hope they both love you. A loving daughter can bring in changes in her parents attitude and behavior. Do it with the help of your friends and siblings if you have any. Try your best and if need be consult a psychological counselor as a last resort. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been having some difficulties with breathing and discomfort in my chest -- working with my primary dr. to find out the cause -- at this point they suspect paricarditis. Had an echocardiogram done Friday and wore a haltor monitor for 24 hrs. waiting on test results. My question is 2 fold - 1) if I have paricarditis, how is it treated, and 2) if it isnt what could this be? (they have ruled out lung problems with xray and ct scan of lungs)	Hello and welcome, Pericarditis is treated mostly with non-steroidal anti-inflammatory Chat Doctor. But variety of factors (infections, autoimmune diseases) may cause pericarditis and your doctor may prescribe additional treatment according to the etiology of the disease. Other causes of dyspnea and chest discomfort are: -heart failure -cardiomyopathies-endocarditis-valvular problems (probably your doctors have ruled out these conditions with echocardiogram)-myocarditis-ischemic heart disesase-heart rhythm disturbances (holder monitor should detect it rare rhythm disturbances)-gastroesophageal reflux disease and other esophageal pathologies (you might need endoscopic evaluation) -obstructive and restrictive lung disease (spirometry)-pulmonary hypertension Ordering additional tests depends on your previous test results and physical exam findings. I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know. Thank you, Malik Among MD
如果你是醫生，請根據患者的描述回答醫學問題。	I was recently diagnosed with advanced cirrhosis ( a biopsy was done) however I recently had a sleep study and it showed my oxgen level drops to the 70 s during the night ( no sleep apnea) could this possibly be due to the cirrhosis and if so how do I present it to the hepatologist?	Welcome at Chat Doctor I have gone through your and being your physician I completely understand your health concerns. For how long you're suffering from it? Any other associated problem like diabetes or hypertension? Are u obese? What is your BMI? Any other abnormality of upper respiratory tract infection? Any history of asthma or bronchitis? Do u smoke? What is your HE level? As far as cirrhosis of liver is concerned, i don't think there is any association, but there is one probability that you might have got pleural effusion which is Chat Doctor. You need to get chest X-ray for it. What is your serum albumin levels? My advice to you is to get your FBC along with the CHEST X-ray and meet PULMONOLOGIST so that u can be investigated and managed properly. Meanwhile stay calm get well soon Hope your query is adequately ad
如果你是醫生，請根據患者的描述回答醫學問題。	hi good morning doctor,my self chaitanya patel having jaundice before 4 years and that time i had medicine and got cured, now my HbsAg test is resulting positive. i want to undergone medical test for my job. is there any medicien which will cure my HbsAg test for short time.	Hello, Having jaundice four years back could have been either hepatitis B virus or any other virus. You must have developed the virus now, if u had no history of it. Once your Bag status is positive, please consult your Gastroenterologist, so that he can advise you further test to know if the disease is active or not (head), whether your body have developed immunity against the virus or not (IGM anti He), and how much is the viral load at present (HBV DNA- quantitative analysis), with USG abdomen to see your liver status, only Depending on these parameters can anyone decide if treatment should be started or do you just need regular follow to know the viral status, and Hepatitis B virus spreads via bodily fluids, please ask everyone in your family to be evaluated and if they are negative for the virus, let them get vaccinated immediately, but anyone is positive they should go about it the same way as yours, hence please consult your Gastroenterologist and get yourself completely evaluated. Hope I could help you. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	hi, I slipped and fell on some ice last night and landed on my lower back, just above my tailbone, of course today im in pain and its really sore, im assuming its bruised, but I woke up with a headache too.. should I use any kind of heat or is cold better for it? I have been taking ibrophin(motrin) its not helping.	Hello, I think you should use cold therapy to avoid swelling of that part of the body. You should worry if you see blood in the stool that means that the tail bone is fractured and dislocated and has damaged the rectum (the end part of the bowel). If that is the case you should go to ER to see the doctor. Otherwise, you may be sore for few weeks in buttocks when you sit. You may use pillows to sit and take Ibuprofen and Tylenol combined. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	I have pulmonary sarcoidosis ( crhonic) upper right lobe removed 4 months ago with scarring in left lung , after surgery I have afib and put on amiodarone 200mg 50mg of pred. my pulse rate at rest is from 90-96 if I walk to back room itt goes up to 128-144, I have never had a high pulse rate I am 43 /male could this be pulmonary hypertension? short of breath, always tired pressure in chest on right side of brestbone. Please help	HI Thereafter going through the details provided by you, I understand your concern and I would like to tell you that as you have developed A FIB after surgery and your resting heart rate is keeping on the higher side, It's basically the A FIB due to which you heart rate goes that high during activity. No pulmonary hypertension does not contribute much to increased pulse rate, instead it is the cause of your breathlessness and sense of pressure in the chest wall. I would like to give a trial of DIGOXIN to control your resting heart rate, but its advisable that you should consult your cardiologist personally and discuss your options. I wish you Good Health
如果你是醫生，請根據患者的描述回答醫學問題。	I am 18 years old, and my boyfriend is 20. We have been together for 4 years, and recently we both discovered a desire to have children ASAP. We have been trying to get pregnant for about a year, and we have yet to have any luck. Will an infertility doctor treat someone at my age? I have cysts on my ovaries, and my uterus is shaped like a bean. We really want a child of our own. Also, we have been using pre-seed for a couple months.	Hi welcome to Chat Doctor. I have gone through your question. As you were trying for 1 year and didn't get success then I would advise getting some investigations for you and your boyfriend. For you consult a gynecologist for ovulation profile, thyroid profile, histosalpingography HSG. And for your partner semen analysis should be done. Then one can say where the problem is. Hope I have answered your question. Would be happy to help you in the future. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	My 15m old since birth has always had a hard time pooping she goes regularly but its always big and hard and causing her alot of pain to push out. We have tried Moore fiber ext but after about a week it stops working. Just to get herbto poop I have to hold her legs up. Shes also allergic to lactose so drink lactose free milk	Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory position daily at the same time will help a lot. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I am just getting over a cold where I had nasal and chest congestion. My nasal passages have cleared for the most part, but I still have some chest congesion with clear mucus. Sometimems I have experienced bad coughing spells where my chest stars burning. What could this be? I have never experienced this before witih a cold.	Cellophane You for contacting Chat Doctor. Severe sore throat can cause these symptoms. I would suggest you following things:> Take Defense Chat Doctor. > Take levocetirizine one at night for 3 days.> Take hot water in a cup, add 1 tablespoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID:> Chilled water>
如果你是醫生，請根據患者的描述回答醫學問題。	Hello my daughter is 7 years old she has red dots All over her back her chest and I m not sure where else she says they itch... I was thinking it might be chicken pox but they don t look big enough to be chicken pox they re a bunch of smaller tiny red dots all over for stomach Oliver back chest and I m not sure where else what might it be	Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of red spots on chest which could be due to allergic reactions to substances causing irritation of the skin, excessive exposure to sunlight, contact dermatitis, such as when you come in contact with poison ivy or cold sores, dermatitis, or eczema. Need not worry. I would suggest you to apply cold compresses on them, take antihistamine like Ben Chat Doctor. You can apply combination of topical Darlene + nadifloxacin gel at night. If condition doesn't get better than consult dermatologist for proper examination and rule out cause like chicken pox and bulbous pemphigoid. Doctor may prescribe corticosteroid or antibiotics course. 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。	My mother is suffering from AIH. She is on steroid for some time now. On noticing depression, doctors have suggested her daily dosage of Zapiz. She has developed this continuous regurgitating kind of action. Is it because of steroid or side effect of Zapiz? Whats the olution to come out of it?	Hello, your mother is on steroid and has developed depression and was put on rapid. Then she developed regurgitation. Now you suspect rapid for the same.First-steroid, when given for longtime - can cause depression and many other psychiatric disorders. (it is seen very commonly in clinical practice).second: rapid is not a Chat Doctor. Your mother should revive something like~ sertraline/ Escitalopram etc.Third-the regurgitation appears to be due to reflux, which is most probably related to steroid use and not rapid. Rapid does not cause this thing commonly. However, another possibility can be because of depression/ anxiety. So, I would sincerely advise you should talk to a psychiatrist in detail about your mother. Hope the reply is useful please feel free to ask more questions
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have a very sore throat for the last three days and have been taking pain killers and antibiotic (Azithromycin 500), but they only gave temporary relief. I noticed small ulcers at the visible part of my throat, not sure if these were there when the symptoms started. These are the only symptoms I have. I checked symptoms of tonsillitis but did not have them except sore throat.	Hello, Welcome to Chat Doctor forum. If it is an ulcer, the antibiotic can worsen it, so please stop antibiotics. Please capture a photo for your throat and send it to me. I need to see the ulcer. Is the ulcer tender for food and water? Do you have reflux?
如果你是醫生，請根據患者的描述回答醫學問題。	I am very healthy and active. However, I have pain in the upper part of my legs from time to time. It will linger for three or four days and go away. It seems to be in the muscle, sometimes inside my thigh and sometimes on the outside of my thigh, sometimes right and sometimes left side. What would cause this and how do I treat it?	Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment with MRI of lumbar spine is advised. Now since you are active and healthy, the injury to the soft tissues to the spine will lead to pinch of the nerve. In the initial stages the symptoms arises are little discomfort in the thighs and legs. But it is always misunderstood as just a muscular pain. But later stages this becomes big and lead to radiating pain in leg. Getting a thorough assessment done and MRI will help understand the pinching of the nerve. In many cases the MRI turns normal but the little touch of the disc to the nerve will alter the sensory pathways and later stages becomes different. Also, undergoing proper physical therapy should help stabilize the spine and these symptoms and the future ones can be controlled. In my clinical practice I see such symptoms and find that actual problem starts from the lumbar spine and needs a proper training. Physical therapy in the early stages helps the majority of patients and over a long run of 5-6 years we do not find mucChatDoctorplains as we keep a track of the patients and their symptoms quarterly. RegardsJay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	hello sir, my name is suman magar. Im a college student. Im 5.2 inch, and im 17 years old boy.and im from nepal. I want to increase my height to 6 feet. Is this possible that i can be 6 feet tall? And also i dont do any physical excercise, is there any medicine for help me to increase my height? Please help me sir.	Hello dear, Height of an individual is determined by Genetics, Environmental & Nutritional factors and Hormonal factors (most important the Growth Hormone secreted by pituitary gland in brain) An individual stops growing in height after the fusion of the Epiphyses (growth plates) of the long bones, which occurs by the age of 17-21 yrs in males. So...you may still have a chance of increasing your height. Make sure that you are taking a healthy & balanced diet, exercise regularly & avoid stress. Protein rich diet like soda, groundnut, pulses, etc. should be incorporated in your diet plan. One more thing...avoid consuming any over the counter medication which claim to boost your growth hormone & increase height...it may be harmful. Wishing you Good Health. Thanks and take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 17, 5ft5in, and weigh around 120 pounds. My pulse has been above the 80s for a while and today, after waking up without eating, my blood pressure was 88/70 and my pulse was 105. My mom checked my blood sugar and it was 67. Are these normal and whats causing them?	Thanks for your question on Chat Doctor. I can understand your concern. No these parameters are not normal. Your blood sugar level is normal. But your blood pressure and pulse rate are not normal. You are having hypotension and high pulse rate (tachycardia). Tachycardia is mostly due to hypotension. Most common cause for hypotension is decreased oral intake of fluids. Other causes are infection, deny Chat Doctor. So better to get done blood report like complete blood count and ECG. If both are normal then you are mostly having deny
如果你是醫生，請根據患者的描述回答醫學問題。	My top right canine tooth has been decaying for a while and it started to hurt a few days ago and i tried salt water rinse and advil but now the gum above it is swollen but the tooth doesnt hurt anymore but there is doscomfort in my gum what do you think could get rid of this at home? i dont have dental insurance and im not a rich man	Hellothe tooth is not hurting anymore because the nerves inside are dead, and the infection has progressed to tip of the root. With the details provided by you, it looks like there is an abscess at the tip of the root, that is why you are having swelling in the gums. The treatment advised would be root canal treatment. You shouldn't have waited for so long after knowing that there is decay. If it was in initial stages just a simple filling would have been sufficient. Anyways don't delay anymore, get the root canal treatment done before other complications develop. Other option is removal of that tooth (which should be last option because canine is an important tooth and it being one of the front tooth will affect your looks if it is removed). Visit dentist at the earliest and start with the treatment. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello,I am a 41 yr old male and I have a large lump between rectum and groin. It appeared 2 days ago and is now extremely tender and the lump is moving down to my scrotum. I am trying prep h but it is steadily getting worse. I have trouble sitting, bending, etc	Hi. It would most likely be a abscess or collection of pus - infected. I suggest you see a Surgeon soon to get it evacuated and start a course of antibiotics along with anti-inflammatory medicines. The medicines should be continued for at least a week to avoid a recurrence of the infection. So please see a Doctor preferably a Surgeon at the earliest. Take care and feel free to ask any questions you might have. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had an MRI done of my lower spine to pin point a back problem. The findings also were of multiple bilateral renal cyst , many of these are lobulated in appearance. these are incompletely visualized on the localizer images & on axial images of the spine. When ask by the nurse about my past health, she ask who was treating my Kidney disease . This took me aback a bit as I was not aware that I had Kidney disease. Is this something I should pursue?	HiT hanks for your query did not mention your age. There can be a number of causes of renal cysts. Some of them are benign while others need to be followed up. A few small simple cysts in patients > 65 years age may be of little clinical significance while multiple large cysts in a persons I suggest that you see a nephrologist. He/she will look at the scans and decide what can be done further. I would recommend doing the following tests as well: Blood urea and creatinine levels and Urine R&M. Hope this helps Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	I went to my old dr the other day to get back on adhd medicine. He put me on what I use to be on which is 2 20mg adderall daily. I have barely slept, barely eaten, all I ve has to drink is water and a good bit. What little I do pee, which is VERY little, hurts real bad. My liver feels like is tearing open and my kidneys are sore. You know of it will go away or should I go to the hospital? I don t have much money to go to hospital but should I anyway?	Hello dear, I understand your concern. It seems you have UTI and parenthetic reaction of liver. Urine tests, liver test and ultrasound should be done to rule out it. For treatment, I suggest- Definite 1 tablet twice after meal for 5 days and Cyst on 2 tablets twice a day for 1 month.- LIV 52 should be given two tables twice a day 15 minutes before meal for 1 month.- Ashwagandha 2 capsules daily for 2 months. You will feel better, don't worry, just take following up medicines. Wish you speedy recovery

Subsets and Splits

No community queries yet

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