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Dataset-of-AI-Model-for-Dr_AI

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如果你是醫生，請根據患者的描述回答醫學問題。	hurt rib 2wks ago, still hrts a little with deep inhales and exhales but now what concerns me is that I feel lumps on that side kinda like a dent should I be concerned I read that it takes 2-6wks to recover, I also feel a clicking feeling and I got the bruise by falling hard on my ribs the left side	Thanks for your question on Chat Doctor. In my opinion you should first get done chest x-ray to rule out following things.1. Rib fractures2. Pulmonary contusions3. Pneumothorax4. Muscular injury. As blunt chest trauma commonly causes above things. And pain on inhalation and cracking sound can be heard in all. So we need to rule out all these by chest x-ray. If x-ray is normal than mostly you are having muscular injury. Better to follow these steps to get relief.1. Avoid bad postures in sleep. 2. Avoid heavy weight lifting and strenuous exercise. 3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. 5. Wear chest belt to avoid mobilization of affected area.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 26 year old female, and I am curious about some indicators of lymphoma that I have been displaying. I have several enlarged nodes (5 in the back of my neck, 2 on left, 3 on right. one on left has been present for 18yrs and one on right has been present for 14yrs. 3 in groin area one on left, 2 on right. one on right has been present 4 years. one in left side of jaw that has been present for 8 years. those are all that I know about), unexplained weight loss (25lbs in a little over one month), extreme fatigue , weakness, persistent cough and shortness of breath without any infection or illness aside from chronic hepatitis b , lack of appetite ... pretty sure I ve listed them all. I also have a family history of Hodgkin s Lymphoma. I had a contrast ct Tuesday, but haven t received the results yet and likely won t till next week. I will also be having blood work to check for any other indicators next Tuesday, and will be having a procedure to remove the lymphnode from the back of my neck (that has been there for 18 years) as ordered by both doctor s I see (one I see every week, and the other is one he referred me to over suspicion of lymphoma) to be checked. I don t know when the procedure will be taking place, and they both suspect worst case scenario. I don t think anything will come of it, however (and I am aware that it is impossible to make a diagnosis over the internet), I would like to know if I could get an expert opinion based on these symptoms.	Probably lymphoma is what a clinician would suspect based on your symptoms and clinical findings as you indicated. The diagnosis is confirmed with a biopsy of the lymph node which will give the correct subtype of the lymphoma and would help to start with treatment appropriately. Please be assured that majority of the cases of lymphoma gets cured with recent available medications. I wish you speedy recovery. I hope this clarifies your queries and would be glad to answer more if any.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Sir I am 26 years old but my penis is so small when it loose condition its only 1.5 inch when tight its 3.5 inch. and early reduced the semen and my family planes about my marriage but I am totally helpless so please help me to increase my penis size	Hello dear, The size of penis is genetically determined, and it does not increase after a certain limit. But one thing should be known that the size of penis does not determine the potency of an individual. So, do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. Though medications like Calls & Viagra increase blood flow to penis & maintains erection, it can be improved by having a diet rich in fruits, vegetables, fish, nuts & honey. Avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. Avoid smoking & alcohol. You can also do oil massage of the penis...it increases blood flow & maintains the erection. Wishing you a Healthy Life. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	hello2 years ago a large metal school locker fell on the back of my ankle, it dint brake anything it just graiced the back of my ankle but i still have a large hard lump today from where the locker hit and it wont go away. I went to see doctors and they said it will eventually go away but that was a year ago and it hasnt changed. should i be worried?	Hi, This could be Fibrous post-hematoma, or it could be subacute-bursitis with changed alignment after the last trauma. Consult a Surgeon and if need be orthopedic Surgeon. Remedy-IF confirmed as fibrous from a Surgeon-I would suggest Surgical planned Excision. If bursitis-as proved by USG study, Tab-Motrin 400 MGM x 1 weeks time with script from GP doctor. If no relief-Consult for a Second opinion with Orthopedic surgeon. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I am trying to conceive and was prescribed Siphene 100 mg for Sep and Oct cycle.In Oct,additionally follicular study was done and egg ruptured on 17th day of the cycle .I have not conceived this month also.Now I am prescribed adova for 5 days.Please advise what is the usage of adova and does it have any side effects?	Hello, Anastrozole is used to treat breast cancer in women after menopause. Some breast cancers are made to grow faster by a natural hormone called estrogen. Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. Hot flashes, headache, trouble sleeping, dizziness, stomach upset, nausea/vomiting, constipation, diarrhea, loss of appetite, weight gain, tiredness/weakness, increased coughing, or sore throat may occur. If any of these effects last or get worse, tell your doctor promptly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, this morning I rolled over in bed and it felt like my head was spinning for a few seconds. Throughout the day Ive had similar episodes when standing up or bending over to grab something. Ive never had this before, what could it be? Is it a symptom of maybe getting sick? Thanks.Steven	Hi Steven, Thank you for posting your query. Your symptoms are suggestive of benign paroxysmal positional vertigo (BPPV). In this condition, there is minor dysfunction in the middle ear. Symptoms are dizziness or giddiness, which is made worse with sudden neck or head movements. This is a self-limiting condition and complete recovery occurs in a few days to a few weeks. For relief of dizziness, you may take betahistine tablets. If symptoms persist or recur, you may see an ENT doctor or a neurologist. I hope my answer helps. Please get back 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。	I am feeling chest pain and was admitted to the hospital yesterday in the emergency, recently my husband got laid off work due to some problems with his boss and also my sister got divorced after 2 months of marriage I don t know whether it has anything to do with how I feel right, I thought it was a heart problem but after doing tests it was discovered that the pain is due to panic and stress . The doctor prescribed some pills but it got worst since I began taking the pills yesterday.	Hello and welcome to Chat Doctor. Thanks for your query. You have mentioned that all relevant tests were normal, and a heart problem was ruled out. In such a case, and taking into consideration the acute stressors which you have been facing recently, it is very likely that your symptoms are due to an anxiety disorder. It is important to understand that anxiety can manifest with a variety of physical symptoms, including chest tightness / pain, palpitations, difficulty in breathing, etc. I would also like to let you know that certain antianxiety medication (like SSRIs) can case an initial and transient worsening of anxiety symptoms, before becoming fully effective in controlling the anxiety. So, I would advise you not to worry about this and continue the medication. Also, practicing relaxation techniques like deep breathing, yoga, etc. can also be of good help. Wish you all the best.
如果你是醫生，請根據患者的描述回答醫學問題。	I recent left a work environment I felt was toxic, but was never able to determine the nature of the toxin or toxins. As I pressed for answers, I was harassed by my employers and finally terminated. I have been at home healing from too many symptoms to name. I noted an enlargement on my left5 side under my lungs which I thought at first was my imagination. Now I am worried it may be my spleen.	Hi, dairy have gone through your question. I can understand your concern. You may have some occupational lung disease or enlarged spleen or some other mass. You should go for ultrasound abdomen and x-ray chest. 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。	I had a lumbar fushion at L3-L4 done almost two months ago the inside of my right knee all the way down to mid cav is always numb now an never was before the surgery also the pain that caused the surgery is five times worst now..what could be causing this?	Hi, Thanks for writing in. While neck region surgeries have a higher success rate, the same cannot be said about lower back surgeries. Though the pressure on nerve roots at strategic locations seems to be relieved by doing surgical procedure, the patient might often complain severe lower back pain even after surgery. This happens in about 20 to 40 percent of patients and the reason is that the affected nerve roots are still under pressure in areas other than where surgical manipulation has been done. You can choose to get repeat surgery done, but that also has limitations after a fusion surgery. Please discuss non-surgical procedures like radio frequency techniques and targeted nerve root block. These are temporary procedures and might need repeat sessions every year. Wishing the patient a quick recovery.
如果你是醫生，請根據患者的描述回答醫學問題。	I got my tongue pierced 6 days ago and now Ive noticed that there is a small amount of white discharge from the hole which tastes bad. Also, my tongue is slightly yellow, which smells bad. Is this an infection, or just dead skin cells? My tongue isnt sore or swollen.	Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have yellow, smelly tongue with white discharge after piercing is due to abscess formed due to infection, area must have got infected with the bacteria leading to formation of an abscess. I would suggest you to maintain proper oral hygiene. Do gargle with HY Chat Doctor. Take Advil for pain. You should not wear stud over tongue until it will completely. Apply oral antimicrobial ointment. Take anti-inflammatory painkiller like Ibuprofen. You such suck on ice pops to reduce any type of swelling and inflammation. Visit dermatologist/ surgeon once and get it examined. Start treatment after proper diagnosis. 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 8 year old son suffers from allergies. He gets severe reddness under both eyes and across the bridge of his nose. His skin looks blistery in the red areas. The skin is bright red like the color of a sun burn. He says in only itches now and then. The rest of his face in normal colored. Please advise.	Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
如果你是醫生，請根據患者的描述回答醫學問題。	I have sore muscles in my lower legs and feeling very tired. I do have type 2 diabetes but my blood sugars are not high or out of control. The feeling of fatigue is being to be overwhelming and the pain in my legs keep me from sleeping or getting rem sleep	Hello, I read your query and I would like to say that Diabetes can cause weakness and loss of fitness. Having raised blood sugar levels sometimes after a heavy meal and occasional altered salt levels puts muscles at a disadvantage and they don't perform quite well. Also, with time as diabetes progresses, the blood supply to small nerves is lost and that nerve fiber dies. When the nerve serving a muscle fiber dies then the muscle fiber will also stop working. In addition, people with diabetes also have an increased tendency to narrowing of the arteries that is a condition called peripheral vascular disease which is caused by narrowing of the arteries, usually due to the build-up of cholesterol. It is associated with smoking and poor diet. The blood supply to the muscles is decreased with time and this phenomenon is more pronounced after exercise, as it can't keep up with the demand. Pain is often more noticeable than weakness, but both can be a problem. Hope that solves your query.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, My Brother has advanced stage lung cancer that has moved to his liver. Prior chemo and radiotherapy did nothing to the tumour. He had no side effects from both treatments, other than hair loss & a bit tired.His pain is starting to get a little worse and he is started a new mix of chemo tomorrow for the liver. It will be once a week for 6 weeks. He wants to take a 4 hour flight to see a friend during treatment. Will this be ok? Thanks, Lisa.	Generally short duration flights are not contraindicated during chemotherapy or radiotherapy. But it all depends upon the general condition of the patient. Whether he is up and about and can take care of his routine activities without any help. Even then, there is the risk of contracting infection from other people in crowded places. So, unless absolutely necessary, it is not advisable to go to crowded places like airports and planes. Besides, you will need a fit to fly certificate from your treating doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a 5 year old with severe headache and nosebleeds. He developed a slight rash yesterday after running a low grade fever for 4 days. No fever for 24hr now but bad headache and nosebleeds came on today. My hope is that it is just viral. Should I be concerned it is something more serious?	Hi. By what you quote I feel that it could just be a passing viral illness. But if the nose bleeds recur again or if his behavior is altered you need to consult a physician. Bad headache associated with vomiting / reeling sensation of the head / unconsciousness/ seizures / ENT bleeds is an indication for evaluation. As there is nose bleed - I suggest you consult your pediatrician for this as soon as possible. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	I have tooth on my right lower mouth that a filling fell out of years ago. Its like the 3rd tooth from the back. It just started hurting about a month ago and now i have a large lump that has formed on my jaw just under the tooth. It is very painful! I have no insurance can you tell me what this is and if there are any home remedies to fix the problem	HelloWelcome to ChatDoctorI would like to tell you that you got chronic abscess due to faulty restoration in associated tooth. It means your infection has reached till pulp & has resulted in abscess formation. You need to get an IOP AR done of associated tooth & get it treated. It can not be treated by filling now & requires Root Canal Treatment or Extraction depending on condition of teeth.Meanwhile, you start with Tab Aerosol SP thrice a day along with Tab Acclaim twice a day & a multivitamin once daily for 5 day. Consult your dentist as soon as possible. Take Disregards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	hi, im 22 years old. i had the nexplanon implant inserted in january 2012 and i have had no period since then? until 3 weeks ago....i have been on for 3 weeks non stop, it turns from brown to bright red constantly along with mood swings, headaches etc....i sont understand? everybody says if it was not going to work it would of done it already but i just cant understand why i am on now? and why so long :(...i was hoping its my bodys way of just catching up and getting rid of some excess blood but i dont no....please help	Hi dear user, thanks for your query. Irregular bleeding is a major side effect of progesterone implants. It may be a breakthrough bleeding. All your symptoms are because of side effects of progesterone. In my opinion, you should go for an ultrasound first to rule out any pathology, and you can try tablets of transgenic acid 500 mg thrice daily for 3 days to stop bleeding. If it doesn't help, then tablets of conjugated estrogen 1.25 mg can be taken once daily for 21 days Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	my grand daughter is almost 13 and told me she has worms in her feces, she recently Wednesday went to her DR because she was having pain in her lower right abdomen, took blood and sent for ultra sound, nothing was detected right away and now has appt for Tuesday to go over results. Would blood workd detect worms and how long they have been there, she is very frail and small in weight	Welcome to ChatDoctori appreciate your concern about your granddaughters health round or pin worms are very common parasites in the human intestines or tummy. They appear as white small thread like things in faces. They cause weight loss and sometimes itching at anal area at night. They can also cause decrease He level.don't worry your granddaughters just need to be deformed with a dose of albendazole. Give her healthy food. She will start gaining weight once deformed. The dose can be repeated every 6 months stay healthy
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Dear, I stay in Jeddah, Saudi Arabia with my mother, she is 70 years old and she is really suffering from the shortness of breath. I need the contact number for Dr. Baharul Islam or please provide me in which hospital he meets the patients. Regards, Mohammed Riaz (+966 50182 5262)	Thanks for your question on Chat Doctor. I can understand your concern. Breathlessness in old age (70 years) is commonly seen in heart and lung related diseases. So better to consult doctor for your mother and get done 1. ECG 2. 2d echo. Both these are needed to rule out heart diseases. If both are normal then no need to worry about cardiac diseases. Get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). These are needed to rule out lung related diseases. She may need inhaled bronchodilators and inhaled corticosteroid (ICS) according to the diagnosis. 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。	I am 63, 5 7 , 154#. Good health but just diagnosed with Mono. Tests show that I have had for a while, but fatigue has been biggest problem with no memory of any of the other symptoms that go with Mono. Doctor states that some test show that levels which are normal at 0.90 and mine 8.00 which is highest that test reads. Dr. has prescribed Vyvanse for fatigue but the things I read about this drug on internet are horrible. What is your opinion?	His had gone through your query. Mono can affect your memory in form of registration and recall difficulties. Investigation like MRI can help to find out affected brain regions.MUSE means mini mental status examination can help to identify early cognitive deficit which can be part of old age.Vyvanse can be given in chronic fatigue syn Chat Doctor. It is psycho stimulant can be avoided until it is required. So discuss with your doctor about it and get advise. Proper psychological and neurological evaluation will give more confirmatory idea. So consult and get help. I hope I have answered your query. Feel free to ask. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	SIR, I AM FROM INDIA MY NAME IS SUMAN CHATTERJEE I AM 25 YEAR OLD MEN, I AM MASTERBATING SINCE 10 YEARS ... SOMETIME I FEEL GUILTY MYSELF ONCE UPON A TIME I WAS ABLE TO MASTERBADE 6 TIMES IN A DAY BUT NOW I AM NOT DOING IT REGULARLY BUT WHENEVER I STARTED I CANT STOP UPTO 3 TIMES.. I REALLY WANT TO QUIT FROM IT PLEASE HELP ME..	Hi, The ten or six times per day masturbation can be considered high frequency of masturbation. You can control masturbation by practicing yoga and meditation. Make short term and long term goals in life and try to fulfill it. Meet friends and relative and don't be alone in room for long time. You should watch less porn videos and magazines to reduce masturbation. 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。	Hello, My 32-year old wife visited the ER last week with abdominal pain . Both blood work and Urine came back normal and an Abdominal CT Scan also came back normal. She was prescribed pain medication and released with instruction to follow up with PC. The PC has referred her to a GI to discuss issues. The past 12 months she has battled depression and stress and has a combination of consipation and diarhea with some blood. What could her issues be?	Hi there ~ I understand that your wife is in a lot of pain and has been having these symptoms for a long time now. She has been battling from depression and anxiety. You do not mention if she has seen a psychiatrist or a psychologist, however. I think that you would be better off taking her to a psychiatrist to have a complete history taken and proper medication taken for the condition that seems to me to be a somatoform disorder. I hope this helps. Take care and have a good day !
如果你是醫生，請根據患者的描述回答醫學問題。	I ve been feeling very fatigued and tried regardless of how much sleep I get and don t sleep well at night. I m feeling very down and depressed and have developed really bad anxiety, I also have an upset stomach and need to go to the toilet quite a lot this has all developed over the last 6-8 months	Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/
如果你是醫生，請根據患者的描述回答醫學問題。	i sneezed one night and got a pain right side under rib cage above my obliques. never had the pain before i sneezed again through the night and was really painful i could not bend over the next day. it is much better now and can bend and klift but is still sore when sneezed not as painful though	Thanks for your question on Chat Doctor. I can understand your concern. Sneezing if forceful can cause excessive straining of chest walk muscles. So muscular injury can occur while forceful sneezing. So possibility of muscular injury is more in your case. So apply warm water pad on affected areas of chest. Avoid movements causing pain. Avoid sudden jerky movements of chest. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these in 2-3 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I am 43 years old. I have been diagnosed with TB in the womb in Oct 2011. I have been taking medicine to get rid of TB I am now in my 6 month treatment . Planning to go back to India to have a go at IVF ..In the uk I had 2 failed IVF s and 1 IUI . But no one checked for TB here!!! Trying for the past 5 years in the uk!!! Waste of time!!! How successful do you think I will be with the IVF!! Thanks Bal	Hi Blinder, I am not going to disappoint you completely for your successful pregnancy after IVF, but you must know also that, there will not be very bright chances because of the following reasons1. Your Age, unfortunately the chances of successful uncomplicated pregnancy reduces with increasing age. Ovulatory dysfunction, non-response to ovulatory Chat Doctor. 2. TB of uterus reduces the ability of your endometrium to prepare the bed for the fertilized embryo even with IVF. IVF bypasses the abnormality of tubes only.3. Usually TB of womb is accompanied by TB of tubes also, and it affects its structure, fibril pick up, and patency.4. Even after successful management of TB of womb, structural damage does not revert to normal. Inspire of all these, I would say that you must try once again for IVF, there are different alternatives and options available, I hope your Doctor will discuss with you about these, and will help you closing the best management strategy for you. Best of Luck.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I have manic depression and I have had plenty of treatment, but I just don t feel I am getting better, I will admit that I thought I was doing well at one stage but then I nearly lost my dad in a heart operation and I just went spiraling back down into the dark cloud again. My family, friends and work colleagues think I am doing better, I tell people that I am doing better just so they stop worrying about me, but honestly I have never been so bad, all I think about is my own death and how no one would care. I just don t think I can speak up again and admit that I need help. I cant put my family through this heartache again. I don t know what to do. I even tell my doctor that I am fine. Can you please offer some advise.	Hello, Thanks for choosing Chat Doctor for posting your query.YOu're developing a bipolar mood disorder is none of your fault and hence you don't need to hide it. You need to be frank about your illness and about your needs. There are plenty of therapies available for bipolar mood disorder. If you are not responding to one particular treatment then in that case you should approach your psychiatrist to start you on the next possible treatment. And believe me that they are more safe than they are generally discussed . Do visit your psychiatrist and be frank in discussing your problems. Wish you speedy recovery and good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Sir! last 40-45 days, i have a big hair fall and when i use shampoo then above 150 hair are fall with root. i mean when i apply a little bit of force on wet hair. All my family member have healthy hair, this mean my problem is not genetic. For last five years, i have been suffering from skin disease (may be fungal infection) but when i use medicine then it goes but after treatment, it comes. At this time, i think my scalp is infected from this disease and hair fall is related to this problem. what should i do?	Hello, welcome explain everything about hair loss in point wise manner1. 100-150 hair fall every day is very normal. So should be considered hair fall if number of hair more than this.2. Generalized hair fall in female is mostly due to stress, poor sleep, poor nutrition and excessive blood loss due to menstruation3. Stress alopecia is also common in which female keeps their hair very tight in certain manner which creates tension in root and cause hair fall.4. Straightening and other procedure also cause weakness of root5. Other condition like fever, typhoid, malaria, thyroid, etc. also cause hair fall(less common)Treatment1. Have good sleep. Food., green vegetables, fruits2. Take iron and multivitamins like collinear at least 3 month.3. Check you blood hemoglobin if it is less iron and folic acid supplements should start.4. Check thyroid and diabetes to rule out other cause you have Dan Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, gor the past 2 nights I ve been experiencing a dull pain on my ribs on my left side just under my armpit. Activity doesn t seem to bother it but it is tender to the touch and is uncomfortable to lay on my side or even rest my arm against it. Any ideas?	Hello, I have studied your case and I think that you might be having pain and selling on rib due to some injury which you might not notice. sometimes it can be due to chest infection also. A severe cough can also cause such muscle strain. I would recommend you to get a chest x-ray and see if there is any hair line fracture in the bone. Also, some time there can be muscle pull. All you need is rest and pain killers and violin gel local application with hot water fomentation. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	This is the 2nd time this has happened to me in less then a month I get really sad, scared and cry alot really scary thoughts come to my mind. I m so afraid I could hurt myself or my kids which I love so much. I m scared of lossing a loved one. Why all of the sudden I feel this why. I love my kids, husband and my job my life is good. That s why I don t understand why I feel this why. Thank you.	Hi there ~ I understand all that you are going through. It is called endogenous or clinical depression. It is not uncommon in these conditions to have these thoughts. However, getting the right treatment in the form of medications, and therapy and maybe hospitalization for a few days might be helpful in your case. The scary thoughts are negative thoughts not just anxiety. Anxiety and depression feed off of each other. I think this answers your question. Your next stop is surely a psychiatrist. I hope this helped. Take care and have a lovely day !
如果你是醫生，請根據患者的描述回答醫學問題。	My husband and I have been trying to have a child for several months. The books I ve read have differing advice on when the woman is the most fertile. Some say 14 days after the first day of your period , some say 14 days before you think you are going to start your next period, and so on. I am just clueless on when my most fertile time would be. Could you shed some light on this? Read More WWW.WWWW.WW Sign up for iVillage Special Offers	Hi there. Thank you for posting your question with Chat Doctor. I will do my best to help you. There are two schools of thought about this. Some think "fertile period" is very important while others feel it is no such thing. It can lead to unnecessary anxiety in matters of intercourse even to erectile dysfunction in extreme cases. You are probably just as well off having intercourse when the mood moves you rather than when the calendar dictates. Good luck! I hope that I have answered your questions fully and been of some help. If you have any more questions please contact me again anytime. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	For the past one month frequently getting mouth ulcer. It starts below the tounge and spreads. I have taken foric-acid tablets for 15 days, becomplex tablets for 15 days, applied gel for some time and many more medicins. Now, mouth ulcer has started 4th time and I am worried whether it leads to Mouth Cancer. Pl sugget remidies and clarify whether it leads to Mouth cancer	Hi & Welcome to Chat Doctor. I appreciate your concern and can understand your problem of recurrent mouth ulcer. Commonly referred to as authors ulcer, it is not associated with mouth cancer. In addition to local anesthetic gels, multivitamins, NSAID painkillers, full course of antibiotics like Metronidazole and Probiotics like Sporadic powder are found to be effective in the treatment of recurrent mouth ulcers. However, a dental consultation is highly recommended. Hope this answers your query.
如果你是醫生，請根據患者的描述回答醫學問題。	hi i,m fathima... now im in my 4th week 0f pregnancy... but my lower abdominal is paining daily. also i having all those pregnancy symptoms. can i travel in flight alone..? eventhough before by pregnancy while travelling in flight i feel very bad..with my health. pls answer my question	Hi Fatima, I am sorry for the health problems you are having. I am also happy that you are going to be a mother. Congratulations on that! If you are having abdominal pain on daily basis, if I was your caring doctor would ask to run the following tests before traveling: - urine analysis-vaginal swab testing-abdominal/gynecological ultrasoundThese tests are necessary to determine what is really causing abdominal pain and treat it accordingly. To my opinion, you can travel, but, should get properly diagnosed to get proper treatment. Hope it helped! Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I get lower back pain on the left side while bowling(Cricket). It happens sometimes but once it starts it stays for months. Doc said it is the disc which is getting sprained. He turned me in few directions but I dont feel pain. Its only during bowling I get it, that too when I bowl for long time. I do good warm up and warm down thou. May be coz i stress too much during match. But is there a permaent fix for it? I really wanna continue playing. Abhishek	Hi, Thanks for using ChatDoctorIn my opinion all you need to do is give you back a little rest. For immediate relief have some painkiller along with a muscle relaxant and have proper bed rest for 2 weeks. Do not lie down on soft mattress use hard one instead, do not sit for longer durations and do not travel long distance for 2 weeks. You can also apply some good anti-inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locally and make a routine of doing some back strengthening exercise daily. Start with 20 mins twice a day to 40 mins twice a day and walk for 30-40 mins a day at least. It will help you build you back muscle, and you will be able to continue with you bowling in few weeks but do not overlook at the symptoms right now. As it is still early days for you, and you can be fine and back in action with these small things. Good luck
如果你是醫生，請根據患者的描述回答醫學問題。	I have had chicken pox for 7dayr now. It hasnt gotten to the point where the pimples get watery and burst, releasing the watery fluid. Ive kept it contained with calamine and anti-biotics and i take a mixture of water and apple cider vinegar twice a day. When is this going to vanish and what can i do to help my skin heal quicker?	Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you had chicken pox lesions since 7 days now which is mainly due to viral infection which becomes activated in body once right environment is there and poor immunity of body. You should try antiviral Chat Doctor. You should take antiviral treatment with acyclovir as well. Topical application of calamine lotion will heal up the rashes. Well need not panic about it, chicken pox lesions don't leave scar as such until and unless you scratch them. Take antihistamine Chlorphenamine which is most effective for this. Eat green leafy vegetable sand fruits in diet. Don't scratch lesion with nail as it will cause bacterial infection there. 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。	A monkey bite my daughter hand in kualampur only a dot of blood comes out we went to the hospital after 7 hours the dr gave her one dose of verorab vaccine and tetanus and said thats enough is that right with simple bite with no pain.or we should seek another vaccination because this was 9 days ago.	Hello, Welcome to Chat Doctor, Rabies is a disease which is also transmitted by bite of the monkey, it is a 100% fatal disease, but it is 100% preventable by proper and adequate treatment. As your daughter was bitten by a monkey which has led to small amount of bleeding from the site of bite, according to WHO categorizes it has been categorized into Cat III. Cat III requires both active and passive immunization. Active immunization with antirabies vaccine like Verona on days 0,3,7,14 and 28. The passive immunization with rabies immunoglobulins should be given in and around the bite site as early as possible. The aforementioned treatment will protect you against developing the disease rabies. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	My girlfriend recently found out she is pregnant. She is no more than a month pregnant, more than likely she is 3 1/2 weeks. Today she got punched in the stomach by a friend and she told me it hurt and she began spot bleeding afterwards. She then told me that she had a flow bleed with light blood first, then dark blood. The flow only lasted about a minute. Is there any possibility that she can miscarry? And also, is there any chance that the baby could have been harmed or gain any physical/mental disabilites from this?	Hi dear, I have gone through your question and understand your concerns. Abdominal trauma in early pregnancy can lead to miscarriage. Spotting or bleeding are present in miscarriage or chorionic hemorrhage. She should get a transvaginal ultrasound to confirm the diagnosis and get appropriate treatment. Trauma at this early gestation do not lead to mental injury in fetus. Hope you found the answer helpful. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I was in hospital at the end of January excessive bleeding & clotting .. tests done all clear and was advised to have implanon implant out ASAP which I did.. Weeks following I had unprotected sex with my new partner & still have not had a period although I had pregnancy urine & blood tests done over 2 weeks ago which proved negative? Could I still be pregnant and should I do another urine test? Thank you.. .. never mind I will see my GP again who bulk bills my account & try & find out what is going on..	Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) First do not panic. 2) I will suggest you to get mornings first sample of urine tested for pregnancy, at least 15 to 20 days after your last episode of unprotected sex act. In case of doubt blood beta Chat Doctor test and USG will be of help. Tests done earlier than this period may not give predictable results. 3) If you are not pregnant then you can simply wait for the onset of periods or induce the periods with progesterone tablets. Your treating doctor can guide you further about it. 4) Even If you are pregnant, you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. I hope this answer helps you. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I am 31 year old female living in Pakistan. I have an oily acne prone skin for which I got treatment for an year. I dont have acne now though pimples pop up every now and then, like 1 pimple at a time. I have wheatisChatDoctorplexion. I want to improve my complexion with better and even skin tone. What cream (like that of Fair & lovely, though I know it does not address hyperpigmentation and does not last long) or medicines like (supplements) or both (cream and supplements) should I use? Cream should have permanent effect unlike Fair & Lovely. Thanks	Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY
如果你是醫生，請根據患者的描述回答醫學問題。	hello doctor,this is Priya me and my husband are married since 3 years now,and we havnt had actual intercoure till date as my husband ejaculates very soon..now we are planning for baby soon and we went to some doctors but no use .. i m feeling to go for IUI artificial insemination ..what u suggest and is it safe to go for it ? how many days it would take ?	Hello Ms. Priya, Premature ejaculation can be treated after a proper evaluation to look into the specific causes. Relaxation techniques, use of condoms to reduce the sensation over the penis, altering the posture during the intercourse such as lying on the back etc., can be tried. GUI can be tried if natural methods fail after trying seriously to get pregnant for six months. It is a single sitting outpatient procedure, done on the day of ovulation with a concentrated sample. Ovulation inducing medications may be used prior to this and hence, multiple pregnancy is a possibility. There is also a slight chance of infection. The success rate can be up to 20 percent in a single cycle. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	I was in a head on collision six months ago. I was driving wth my right hand. My funny bone in my right elbow hurts to the touch or when pushing against something. I had a steriod injection two months ago, I had a major rash that burned on the skin. It went away a month ago but now my elbow hurts twice as bad.	Hello, The symptoms seem to be related to a pain in the elbow due to overuse. I suggest icing the elbow to reduce pain and swelling for 20 to 30 minutes every 3 to 4 hours for 2 to 3 days or until the pain is gone. I recommend using an elbow strap to protect the injured tendon from further strain. Furthermore, I also suggest using anti-inflammatory medications such as Ibuprofen to relieve the pain. 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。	We are trying to conceive and my husband has a liquefaction time greater than 60 minutes and a high ph level from his semen analysis. He has taken antibiotics and there is no sign of infection. He has had 3 semen analysis done and results stay the same.	Hai, i will add Chat Doctor. Liquefaction time high indicates infection and high pH will destroy the sperm. Semen culture will rule out infection. To do semen culture take opinion from lab personnel regarding the collection of semen procedure because culture is more sensitive investigation to rule out any microbial origin or growth in the sample without influencing any contamination from external source. If your semen culture is negative. Follow my below-mentioned food advise. Follow healthy diet plan includes nuts (almond, cashew,peanuts, pumpkin seeds etc.)milk and milk products dates, wheatsesamejaggery, .pomegranate, arrowroot,cucumber seed, fig etc. add millet type of food (reign, bajra) in daily food intake. Avoid junk, fried,caffeinated foods and stress(highly influential), tobacco,alcohol.be HY
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I have just noticed small round spots around my calf muscle on my left leg. I have really itchy legs sometimes and the other day I was in the bath and this one spot became incredibily itchy so i itched it as normal but then noticed today teh spots. Obviously noticing them now its in my head that they hurt more, just wondering what it could be?	Hi, Thanks for writing in Chat Doctor. The condition can be allergic contact dermatitis, lichen plans, muscular eczema, purpuric dermatitis etc. Diagnosis cannot be made without visual clue. Treatment depends on diagnosis. A visit to dermatologist will confirm the diagnosis. A skin biopsy may be required for diagnosis. Till the time you can take tab. Cetirizine 10 mg twice daily. It will help in decreasing itching. Hope this helps. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a lumbar puncture over a month ago due to high cranial pressure causing headaches, but now im suffering back pain directly where the lumbar puncture was done. Ive never had back pain/issues before in my life, and niether heat nor ice helps and the area itself doesnt hurt to touch so im pretty sure its nerve pain. Should i be worried?	Hello, I have studied your case. Usually nerve compression can't be seen on x-ray you may need MRI for this. There will be age related spondylitis but if there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I have had 2 missed periods, spotting, cramps, lightheadedness, dizziness, white discharge and have tooken 3 hpt which all came back negative, i want to have kids, am 36 and have been trying for 19 years. Am i pregnant, im so nervous it coulld be something else.	Hello dairy understand your concertgoer symptoms could be due to pregnancy, hormonal imbalance, adenomyosis, endometriosis, ovarian dysfunction. I would suggest consulting the gynecologist and undergo reproductive hormonal analysis, USG scan, ovarian follicle study to confirm the causeSpecific treatment will depend on the baseman while avoid stress, take healthy diet, Chat Doctor. In absence of pregnancy period can be induced by the progesterone pill/injection. Hope this may help noncontact further if follow up needed Best regards
如果你是醫生，請根據患者的描述回答醫學問題。	I am a chronic bronchitis patient, lot of flum is formed and I have to coughseveral times to bring it out. I am using Ascoril syrup and tablets, deriphyllin retardand inhalers Foracort and Tiova and at times Asthaline inhaler also. But I amnot getting any relief. I am 64 years old. Kindly suggest some remedy sir.	Thanks for your question on Chat Doctor. I can understand your concern. Chronic bronchitis is progressive disease. Along with Chat Doctor. 1. Enroll yourself in Pulmonary Rehabilitation center where chest physiotherapy and deep breathing exercises are done. These will improve your lung functions and reduce your symptoms. 2. Get done adult Pulmonary vaccines like pneumococcal and Influenza vaccines to prevent recurrent respiratory tract infection. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	my name is venus , i hv a frnd named rohit and he is suffering from the major prblm of brain. his nerve was pressed in an accident and nw blood is clotted thr and doctors are saying that operation is so risky. pls guide us we should prefer for operation or not?	Hi, Thanks for writing in. It is important to know complete details before giving an opinion on a surgery of the brain. A blood clot in any place within the brain should be observed carefully. The first step is to see that the clot is not growing in size. For this one or more brain scans are required. Then the size of the clot is to be discussed. The location is important because in some places even a small clot can be risky and in other places a moderate sized clot will not be a serious concern. I do not understand completely regarding compression of nerve whether it is one nerve or a particular area. It will help if you can upload scan images and reports to understand the brain compression and clot location completely. Surgery in such cases are risky but if the patient is in a pre coma stage and not responding to commands properly then a surgery can be life-saving. If required you can take another opinion by consulting a different neurosurgeon by taking scan reports and discussing the problem.
如果你是醫生，請根據患者的描述回答醫學問題。	40 yo Female, motorcycle wreck, cervicle swelling and pain, lower L skull fracture and L ankle fracture and ligament tear. X-ray shows no breaks in spine however major swelling from C3-C6, and numbness, tingling, and tremors down both arms, legs and loss of feeling in finger tips. Unsure of where to go from here	Hi, thank you for providing the brief history. As due to the accident there will be a whiplash pressure applied to the cervical spine. Due to which there will be a swelling and spasm of the neck muscles. Also, the mechanism of injury was high jerk, so there is a soft tissue Injury. X-ray can reveal only the bony areas but for soft tissue taking an MRI of the cervical spine and also a thorough clinical examination is advised. Initially a spine surgeon should interfere for clinical examination and the MRI report needs to be performed. Tremor, weakness, pain numbness etc. are a part of the nerve so needs a thorough care and attention. Stabilizing the cervical spine initially with a hard collar and taking complete rest is advised. As the medication can be helpful for reducing the inflammation and pain. Since cervical spine is the important area of the spinal column a thorough care has to be taken. I will advise to use a hard neck collar and meet up a spine surgeon along with MRI of the spine since it is an RTA. Regards Jay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, My father recently had an mri which showed several tumors in his spine which cause spinal compression after extreme back pain and loss of leg/foot sensation. They performed a spinal decompression surgery and removed several tumors. They said his spine looked like swiss cheese. The biopsy of the tumor came back as a plasma cell neoplasia. A week later, they did a bone marrow biopsy and when that returned there was no sign of multiple myeloma in the marrow. There are lesions in his kidney, ribs, spine and liver. They did a biopsy of the kidney and that lesion came back as renal cell carcinoma. They told my father they have never seen anything like it before. We could use any information you can give. They will be doing a biopsy of the rib tumor next week to determine what that is. Any thoughts?? He has several broken ribs due to the tumors on his ribs that is causing extreme pain and he is on pain patches for that and also morphine.	Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. R.C.C.(renal cell cancer), with spread to multiple sites, is advanced cancer.You've not mentioned his age and if he's on any other medication. There should be no role for doing a rib biopsy, as till increase his pain. It doesn't help further treatment in any way. All he needs is pain control analgesia and rest, in his surviving time. If you've any doubts, send his reports, as a direct question to me. Chat Doctor. Manga.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, my name is , i m 32 yrs old. i had a chipped/broken front tooth since i was a little girl.inside my nose on same side where the tooth is damaged, i would have a painfull pimple that would get swollen and filled up with pus , causing sensibility in that tooth. i recently had that tooth repaired thinking the problem would ceased but it didn t. Is this some thing major(should i freak out?) what can i do to resolve this problem? Please help, any information is appreciated. Thanks	Hello there, According to your history I can suspect your broken tooth has undergone infection since the tooth was traumatized and broken tooth exposes the dentin to oral environment and food lodgment in the area leads to bacterial infection. The infection in the tooth has gone worse due to its spread to the underlying tissues that have lead to formation of pimple like growth in the affected area or a pus pocket. The symptoms of pain and swelling needs to be subsided by a course of antibiotic and analgesics before starting treatment. The infected tooth can be treated by root canal procedure to devitalize it permanently and save the tooth or of the prognosis is poor the tooth can be extracted. Get an x-ray done the affected area and approach a dentist for the treatment. Meantime you can start with antibiotic augmenting 625 mg with analgesics two times daily, this helps in subsiding the swelling and pain. I hope this helps, take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 43 yrs old ,Since last year 2010 in July I fanted and ihave burning chest pains that goes through my arm making it weak and also the back pain. the doctors said it is muscles between my ribs but till today they dont heal .I am worried may be its my heart please help.	Hi welcome to Chat Doctor... First let me know you this burning type pain can occur if you have gastritis like symptoms ... It can lead referred pain... Omeprazole taken for it.... Second as per your doctor musculoskeletal pain could because ... Here you have chronic pain, so physiotherapy can be taken ...for stretching chest wall muscle exercise..... If pain more analgesic can take.... Here cardiac cause Seems to be unlikely. Still you can do ECG or echo to rule out cardiac cause ...Treadmill test also can be done.... Hope your concern solved. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I ve been having numbness around my mouth for about an hour - a feeling that I cannot quite control my muscles around my mouth, but I m talking fine. I ve been having a transient numbness feeling in my legs as well - a weakness type feeling. Am I having a TIA? I have had a TIA before but it only lasted a few minutes, My current symptoms have has been happening for over an hour	Hello, I have studied your case and yes it can be TIA. If these symptoms persist then I would recommend you to meet neurologist and get clinical examination done. Your neurologist may ask you to get a CT scan to confirm the diagnosis. TIA is usually due to uncontrolled sugar or thyroid or Diabetes. So I would recommend you to make sure that every thing is normal because it can become a bigger problem in the future.
如果你是醫生，請根據患者的描述回答醫學問題。	I am plagued with acute anxiety, weight loss, and upset stomach. My husband and I were both diagnosed with Stage 1 cancers (breast & prostate) about 18 months ago. While we were going through radiation treatment, we lost our home in a fire and lived in temporary house for 6 months. We have been back in our home for about 8 months now, and things should be settling down, but I m still a mess much of the time. My doctors don t seem give much attention to the upset stomach. Instead I am taking Xanax, Wellbutrin, and Gabapentin as well as over the course sleeping aids. I don t know what to do, but my symptoms are interfering with my daily life. What now?	HiT hanks for using Chat Doctor In your case, stomach upset could be due to stress. Usually during stress, stomach upset increases. In that case, along with medication, you can try some antacid and relaxation exercise. That would help to get relief from the physical complaints. With time, medicine and relaxation exercise would look after your stress related issues. In case, you need further help, you can ask. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	Hello about one month I have been so bloated I look pregnant my lower back kills me with pain when I eat I can feel the food go down with pain under my left breast all the way around to the lower to middle of my back my pulse is high I have acid reflux so bad it feels like I am having a heart attack stomach hurts and I have lumps on the left side of my stomach I am dizzy at times and tired an lot any idea what this could be I already have ibs and no gall blader thats why I have no Idea this could be	The peristaltic movement of our bowels gradually moves the food down the gastrointestinal tract as it is digested and processed, and ultimately leads to the expulsion of feces. Your bowel movements have been disturbed, as a result of which the food is unable to move down steadily, thus causing acid reflux and bloating probably with constipation as well. It is related to the IBS that you have mentioned. Constipation can cause low back pain. You will have to regularize your bowel movements if you need to solve your problems. For that you need to take a high fiber diet. Take fiber supplements like Isabel husk daily with dinner. Alternatively, you may take lactulose syrup 2 teaspoonfuls at dinner. Take small but frequent meals. Gradually your bowel habits should return to normal and your back pain would get resolved soon after.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi , I have a MRI of Lumbosacral spine of one person in my family which says it has Mild loss of normal lumbar lordosis with grade 1 anterolisthesis of L5 over S1 vertebra with associated bilateral Spondylolysis T2 hyperintense cystic legion in the lower pole of spleen which requires further correlation with USG L3-4 n L4-L-5 show diffuse posterior bulge indenting the thecal sac .Annular tear is seen at L5-S1 level with L5-S1 IVD showing diffuse posterior disc bulge encroaching the left exiting nerve root Pl tell me what does this mean .. What are the consequences of this ? Do I need to pay for this ? Then pl don t reply.	Hi, Thank you for posting the query.First, I would like to let you know that questions posted in this public forum are answered free of cost. However, if you like a more detailed answer, then you can ask a question in the premium forum, where there are nominal charges. Regarding the MRI, there are minor abnormalities, such as slipped disc causing pinching of nerves, which may lead to back and leg pain. The treatment may include medications such as pregabalin, physiotherapy and epidural injections. The exact choice of treatment would depend on patients signs and symptoms. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
如果你是醫生，請根據患者的描述回答醫學問題。	Soon after our marriage I came to know that my wife age 29 is having family history of diabetes .I suggested her to go for some medical tests. After receiving the report we came to know that her cholesterol level is at 201.30 mgdL Triglycerides 229.30 mgdL HDL Cholesterol 43.80 mgdL LDL Cholesterol Calculated 111.64 mgdL VLDL Cholesterol Calculated 45.86 mgdL . TSH 4.67 uIUmL . Some of my friends are suggesting us to replace rice with bread atleast in one of the two meals . Please suggest what should be done to reduce the abnormal levels and also retain the normal. Further we are planning child in near future. Keeping the levels in mind will it be safe to go for it My blood group is O negative and her A positive or do we have to wait till levels get to normal or if some precautions are needed please suggest. Also I have come to know from internet that people with higher triglyceride levels are 30 percent more vulnerable to heart attack, therefore is it safe to have physical relationship while the levels are up.	Hi, I think you should consult a physician for the abnormal lipid profile. Some diet adjustment and medications will help her. Regarding the blood groups, it is alright. There is no need to worry about. If wife is positive and husband is negative, there is nothing to worry about. You can try for pregnancy as deranged lipid profile will not have any adverse effects but first control the sugars as high sugar levels can lead to miscarriages. Physical relationship can be maintained. It will not increase the chance of heart attack. Maintain healthy lifestyle and do exercises regularly. Hope I have answered your question. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	i had 7 teeth pulled last thursday and i am currently expreienceing alot of pain i cant stop pacein back and forth it hurts so bad the roof of my mouth is white in the middle but on both sides it red with yellow circles i dont know what to do my mouth is swallon as well	Thanks for your query, I have gone through your query. The pain could be because of the residual infection or Chat Doctor. Consult your dentist and get the extracted site examined if there is infection get it irrigated with saline and Betadine. If there is bony spicule get it trimmed or smoothened. You need to take radiographs of those teeth to confirm the diagnosis. Do saline gargling and complete the course of antibiotics. I hope my answer will help you. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doctor, i have a delay in my periods with 40 days (last period date -29 jul-2010). Tested urine preg test & found positive. Doctor requested to scan and found that i have single intra uterine gestational sac seen.and my PUS cells count in urine is 2-4 hdf and EPI cells is 3-5 hdf. PLease confirm if am pregnant. Also i started getting brown spots today. Am a bit worried. Please help me in this. Many thanks, Sheela	Hi I have gone through your complaints.it's good that intrauterine gestational sac seen. You are pregnant.blood spotting is complained by few, sometimes implantation bleeding, somecases associated with chorionic hemorrhage which may lead to an embryonic gestation (no embryo formed)or early embryonic demise (embryo forms and early loss of heart beat).in blood spotting cases, sustain tablets or progesterone injections are kept. Please consult to review scan after 1 wk -10 days to assess, is gestational sac regular or assess prognosis of pregnancy. Thank youRegardsvasundhara
如果你是醫生，請根據患者的描述回答醫學問題。	The top of my hands turned blue a couple weeks ago and I got in the shower and looked down and my thighs and calves were blue too. I wasn t relaly cold but the weather did get very cold that week. The blue was not in my fingertips, It was the top of my hand...mainly my knuckels. My doc didn t seem overly concerned but say I should get bloodwork done. She is not testing my for lupus or Sclederma. It happend to my thighs only this morning and my thighs have felf cold all day. Any suggestions on what I should do?	Cellophane you for getting in touch with us. As I see, the skin on the top of your hands turned blue a couple a week ago. It would have been better for us if you had told us about the tests your Doctor has recommended you to go in for. Is ANA in the list? Lupus and Scleroderma are autoimmune diseases seen commonly seen in women. ANA is positive in many of these females. Lupus and Scleroderma are diseases which affect many organs in the body. As you have just experienced skin changes so far, your Doctor might prefer to observe you for sometime before he goes in for some additional tests. Hope this helpsRegards
如果你是醫生，請根據患者的描述回答醫學問題。	Last week I had severe,,gripping pain over the left kidney area. Unfortunately i was out of town, and being a RN, i monitored my symptoms carefully. Weh I came back i went to my internist, he has ordered a CT scan tomorrow. my blood work came back with elevated liver enzymes, and u/a had trace blood. Could liver enzymes be elevated with kidney stone?	Hi there, Kidney stones shouldn't have any effect on your liver enzymes at all. Gallbladder stones can sometimes get stuck in the common bile duct, and then cause elevated liver enzymes, but this is not considered a kidney stones. Kidney stones will cause blood in the urine, pain in the flank areas, and sometimes fevers and chills, but shouldn't have any effect on liver enzymes. I hope this answers your questions. Please feel free to contact me should 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。	Hello doctor,My daughter is in the ICU with pericardial effusion and multiple tumors. The fluid has been drained and there was blood mixed with the fluid. The regular blood test came back normal with no sign of cancerous cells. My question is, what are the chances that the tumors are benign? Through my research, there is a good chance that the tumors could be a rhabdomyoma. My daughter is only 9 years old and I want to take her to the best facility. They said her heart is weak and are unable to perform any test on the tumors. They have her on Coretec and albumin and said that it was not working and put her on something stronger. Could this be a result of the pericardial effusion? I am attaching the blood test reports. They said everything was normal with no sign of cancerous cells, but are still unable to say for certain if it is benign or malignant. I am just a very worried father.	Hello, Welcome to Chat Doctor forum. Firstly, there is a diagnostic dilemma. The reports you have uploaded (attachment removed to protect patient identity) are fine. But, you should upload the echo reports and the fluid investigations as well. Now, considering the pericardial effusion with multiple cardiac tumors, the possibilities of a rhabdomyoma or a teratoma are high. However, an effusion is not common with rhabdomyoma. It is possible to have some other cause for the effusion and it can also be as a result of a heart failure. Both of these are benign tumors. However, at this stage, we cannot rule out a malignancy. The next thing to be done is that she should undergo a cardiac MRI for further characterization of the lesions, which will give us a diagnosis and also resolve the issue of malignancy. Also, if the fluid is available, it should be tested for ADA (adenosine deaminase) and GeneXpert. She should also undergo a thyroid test. Rhabdomyomas usually occurs in patients with tuberous sclerosis, so she should be adequately examined by the doctor for the same. A definitive treatment is the excision of these tumors surgically. So, you can discuss this with the doctor as well. Hope this helps you. Do write back in case of doubts. Revert with more information to a cardiologist online
如果你是醫生，請根據患者的描述回答醫學問題。	I m being treated for a staph infection inside my nose with oral antibiotic and cream. In addition to this, frequent blowing of my nose has caused the skin on top of my nose and at the base to become red and raw. What can I do and/or use to help the skin? A more natural approach is preferable. Thank you.	Thanks for posting your query to Chat Doctor. Saphylococus is harboured in nasal cavity and some time present without producing any clinical illness. So you need to take complete course of antibiotic to cure it. I wanted to know what medication you had took so far. As oral antibiotics are not very much effective alone, it should be added with local application. Further you should take medication according to your culture and sensitivity report and if you didn't test that go aged for that . Mupirocine ointment are useful in clearing infection agent with oral antibiotics. So send me the deal of your medication as per your sensitivity report .thanks
如果你是醫生，請根據患者的描述回答醫學問題。	yes plz..i m 22 yr. old grl..from india..i am suffering from acne , blach heads when i was 12 yrs. old..initially they were severe...but nw reduced...but i m rid of these acne . scars, blackheads nw...i want clear skin...i m rid of doin experiments in a hope dat dey will end soon..but no results i got...in mah family no history of acne is present...i hve an early menarche ,,at 11 yrs..wich was irregular initially but nw stable...plz help me....	Hello Dear... Thanks for your query. First I must mention why Acne is occurring .the causes are ---1]increased production of sebum2]pilosebaceous duct hyperkeratosis 3]Infection of pilosebaceous glands with Propionibacterium acres. My advice would be : -Do not squeeze or scratch the pimples.-Keep your skin clean, Have healthy diet & lots of fluids.-Avoid too much oily foods.-Apply topical Clindamycin gel over the pimples -You can use topical retinoid over the comedones [be careful, burning sensation & redness often occurs after applying]- if have you are having too much of nodulocystic acne you can use oral Isotretinoin for 4-6 months [but always under supervision of your dermatologist] Hope this helps you. Stay in touch with your dermatologist. Take care :)
如果你是醫生，請根據患者的描述回答醫學問題。	male, age 47, height 5-8, weight 158. non smoker, non drinker - quit 20 years ago. On no medications. Take a one a day, fish oil, condroitin and D3 - daily. Active runner. Have chronic productive cough with white/yellowish phlem for one year. Pain in chest on upper left side - hurts when coughing, breathing deep, twisting, laying down(last 3 months). Went to doctor one month ago. Have had x rays, ct, also neuclear stress test and echo - all normal. go in for follow up with internist next week. Any ideas?	Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about major heart diseases as your stress test is normal. Sometimes, bronchitis (inflammation of airways) cancer also cause similar symptoms like cough, expectoration, chest pain etc. And bronchitis can not be diagnosed on chest x-ray and CT scan. PUT (pulmonary function test) is needed for confirmation of bronchitis. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of PFT. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	hello doctor, i m a commerce student. i m pursuing chrtered accountancy course. i m always thinking all the rubbish things. this has made me so upset that i m not able to do my studies. whenever i m studing all the useless thoughts are coming in my mind. one day i was so upset & depressed that i decided to leave this course. but at the very same moment i realised that i m leaving this only because of my useless thoughts. my only dream is to become C.A. but i was so afraid of that situation that i was unable to come out of this. as a result i become involved & entangled in this so much that i m feeling myself to mentally harassed of all these. some thoughts which are coming in my mind are: 1.i m a very bad person, i hav done sth wrong(i.e. agnst the rule, as i hav taken dummy in articleship for my studies); 2. whenever i m studing sweats are coming & my evil mind is telling again u r studing, i will ruin you; 3. to come out of this situation i prayed to God & offered him that when i will come out of this i will do this & that for U & the offerings which i have made is very tough & i m not sure that whether i could do this or not i m very afraid of this situation also; . these are few thoughts which harass me a lot. all the negative things are always attracting me. i m not able to think positively. i just want to complete my studies at any cost but my mind is not supporting at all. please advise me doc what to do. i really don t like to live a life like this. how should i handle and control my negative mind. i face a lot of problem due to this. please help me doctor.	Degree understand your concerns went through your details. I suggest you not to worry much. I can understand your difficulties and cannot classify it as a mental problem. This is just an attitudinal problem. Let me explain. You should be able to watch an entertaining movie continuously for two hours. You could play an entertaining game for one hour. In these cases, there is no concentration problems. I think you lack interest in studies. But, the second part in your description goes further to explain about some mental problems. I think you are exaggerating your symptoms. Please consult a psychologist and explain without presumptions. He should help you. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I want to perform PC muscle exercises. Will you guide me on how to locate it?	Hello, Welcome to Chat Doctor forum. PC exercises (pubococcygeus muscle) are performed basically to improve the sexual performance in men, to delay the ejaculation. To locate PC muscle, it is located in the perineum area behind the scrotum and in front of the anus. It is deep to skin and soft tissue, and urethra passes through this muscle. Hence contraction of this muscle helps to delay ejaculation by compressing urethra. The exercises for the PC muscles includes sitting with a straight back, both hands on lap. Squeeze in the anus as if trying to hold bowel while defecating. Hold and count to 10 and then slowly release the muscle. Do this for 6 to 10 times per sitting. Every day you can have 4 to 5 such sittings. While passing urine, what you can do is hold urine for 1 to 2 seconds, then, pass it, then again hold. This hold-pass can be done 3 to 4 times every time you go for a pee. Both these measures help in strengthening the PC muscle. All you need is to have patience. It will need time to show results.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my name is Devin and I m 12 years old and I ve been having ankle problems for around 2 years now. Haven t gone to dr. yet but will soon. It hurts to walk, it s my right ankle. It a dull pain on the outside and I ve iced and stretched it MANY, MANY times and I haven t seen any results. I play softball and I m debating wether or not I should be practicing and playing games or not? I have practice tomorrow. PLEASE HELP!!!	Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, the chronic pain of your ankle will demand a battery of tests to come to the conclusion about cause1 X Ray2 Blood tests - CBC, ESR, CRP, RF.3 MRI scan if any of above is abnormal.It's only when we go through in this systemic manner that we can find out the cause and give appropriate treatment hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I just received a negative blood test after my first IVF cycle I m 40 years old they transferred 3 embryos my cycle was perfect I reacted great to all medications never had a single problem until now the embryologist said my embryos were great i had 1-8 cell 2 7cells transferred. what happens and can I try again and how soon	Dear user, welcome to Chat Doctor. Never lose hope and be patient. There are many cases which are worse than yours. You should be prepared that success is never guaranteed. I there am any embryos frozen you can transfer them the next cycle. If no embryos, you may start another stimulation cycle once you are psychologically, physically and economically ready. I suggest having a hysteroscopy before you proceed to any of the previous options (if your doctor agrees). You may discover a cause which prevents implantation (endometrial polyp for example), also it was proven that endometrial injury improves IVF outcome. I wish you good luck and getting pregnant soon.
如果你是醫生，請根據患者的描述回答醫學問題。	my daughter, 50 years old diagnosed since 20 years old. Married 20 years. How to talk with her during phases of mania, her fast talking thinking she knows all. Ive been just letting her talk. She seems to go back and forth depression and mania. I no longer contribute my ideas. Im not sure how to deal with her, even after all of these years. today she called and talked non stop for an hour and said dont you think Im better. Im tongue tied, cant say yes but dont want to upset her. Whats the best way to deal with her? She is bipolar.	Hello and welcome to Chat Doctor. Thanks for your query. I understand that it must be difficult for you as a mother to see your daughter suffer multiple episodes of mania and depression. As you would know by now, these episodes can cause a lot of disruption and dysfunction in a persons' life. So, the only way of avoiding this suffering is to prevent such episodes. There are good medication available (called mood stabilizers) which can prevent such mood episodes. But it is important to take this medication regularly and be under periodic follow up in order to prevent relapses. So, I would suggest that you discuss with her husband and take her to a psychiatrist nearby for a detailed assessment and further treatment. During the episodes of mania, when she is taking a lot, sometimes, even irrelevantly, the best approach is to be neutral. But it is also equally important that you ensure her safety and have a close watch over her as such people can do rash or reckless things when they are in a manic phase. Wish you all the best.
如果你是醫生，請根據患者的描述回答醫學問題。	MY PROBLEM IS THAT ACNE,OILY SCLAP AND FACE,ABDOMINAL PAIN NEAR DATE OF MY MONTHLY CYCLE.BUT NOT CONCEIVE AFTER 1YR MARRIAGE.I HAD VDRL,THYROID,LHS,FHS,LH TVS ETC. ALL TYPE OF TEST BEFORE CONCEIVING.BUT ALL ARE NORMAL AND PCOS IS MILD, TVS TEST SOME LIQUID IS UNDER OVARY THATS IT NOTHING ELSE.I CANT UNDERSTAND WHAT IS THE REASON BEHIND INFERTILITY .	Hello, your Acne, abdominal pain near your menstruation could be symptoms of PCs. Fluids under ovary depends on the time of TVS done. If you had done the scan around your ovulation time, the fluid represents rupture of your follicle(egg), so there is nothing to worry. In case if the fluid persists throughout your cycle then I would suggest a complete check-up of your blood and hormones. But since you have been married for a year and with mild PCs, keep your monthly calendar on check, marking your ovulation (since PCs patient even mild, tend to ovulate at different times) and your post-ovulation till your menstruation time should be around 15-18 days. If its short or longer that could hamper your chances of pregnancy. All together start with a complete hormone check and your partners' sperm morphology, motility and count check.
如果你是醫生，請根據患者的描述回答醫學問題。	hi.i consulted a dermatologist on account of my rapid hair fall.i was suffering for the past 3 yrs.he prescribed a finax tab and mintop 5% daily.what is your take.how long would it take for me to see visible results at the least.i am sometimes feeling sleepy and giddiness ,maybe due to mintop.please advice me.i want all my hair back.	Hi there.1. Your concern is chronic halogen effluvium leading to alopecia.2. Minoxidil will enhance blood and oxygen to hair and finasteride will block male hormone acting on the hair.3. One hair cycle will be 3 months.4.so continue the prescription for at least 3 months for visible results.5.continue prescription as long as you wish to maintain the hair and protect the remaining hair.6. For visible hair loss you can try again capsules and anaphase shampoo, wash the hair will Chat Doctor. 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 m a 52 yr old healthy female, 5 6 150lbs who runs 3-4 miles, 3-4 times weekly. no smoking, drugs or alcohol use. not on any medications. Last Monday I was suddenly admitted to the hospital for facial numbness pain in left temple and behind left eye with bp of 199/100 (normal bp 118/74). I Had catscan, mri, echocardiogram , carotid ultrasound, all negative in 3 day stay. diagnosis of bell s palsy put on antiviral and steriod for 7 days as well as trigeminal neuralgia put on tegretol 100 mg twice daily. now my bp continues to be 150 s / 90 s, constant pain in face, jaw. It seems as if nerve compression somewhere (4 & 5 vertabrae degenerative disc disease managed with an occasional Aleve) is causing more pain. Is this possible? Should I be on high blood pressure meds? I see my medical doctor on tomorrow and the neurologist next Thursday	I understand that you must be worried. From the signs and symptoms only, it would seem something more than simply Bell palsy. The good news is that you seem to have undergone a pretty comprehensive evaluation in the hospital and everything has been normal. Had it been a compression of the nerves from a tumor, an aberrant blood vessel or other focal brain lesion it would've been spotted on the MRI, so while I understand that your symptoms are very disturbing, more than usual in these cases, perhaps in the setting of a viral infection, I believe it will gradually improve. Regarding the blood pressure, yes looking at those figures you should have medication. Of course, you should monitor it, if it was normal before perhaps factors like stress due to your complaints and steroid treatment have played a role in increasing it, and you may reduce the treatment in the future, but for now it seems necessary.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I havent had a period since 14th December. On 20th December i had unprotected sex, i took Levonelle One two hours afterwards. I have taken 2 pregnancy tests and they are negative. I feel pre-mentstal but yet no period. Is it likely i am pregnant?	Hello, Emergency contraceptive pills contain high doses of hormone and hence lead to hormone imbalances. This may lead to with Chat Doctor. Since you took the pill soon after the intercourse, you were amply protected. Moreover, if you always had regular 28-30 day cycles, you were in the safe period during the incident. This gave you added protection by nature. Please see a specialist for further evaluation and management if you become overdue by ten days. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi sirIs it possible to extend the life of the patient by Chemotherapy.The case is that the patient started off with throat cancer and has been treated with radiation therapy for about 2 months and now the doctors say she does not have much time.If we go by chemo then they say that then also you can have one year not more than that but i have seen cases who have lived long even having cancer i understand that it cannot be cured completely butt can we extend a patients life.pls suggest	Hi, Thanks for writing in. Cancer is a challenging condition and difficult to treat in some patients. The treatment response depends on the stage of cancer and grade of cells in the cancer area. Throat cancer has slightly better prospects and extended survival in early stages. It is important to know what stage the patient is having. Radiation therapy is given to shrink the cancer tissue. After the cancer is reduced then chemotherapy is given. In stage 4 cancer the survival is up to 2 years in many patients but might be less if there is airway infiltration and spread to adjacent structures. The patient usually dies because they cannot eat, and the airway is also involved. With chemotherapy attempts can be made to reduce the cancer and this also require attention to the general health of the patient to avoid nutritional deficiencies. Please do not worry.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, a few days ago I noticed a hard, sore, immobile lump on the back of my head.. on the right side, right where the normal bumps of your skull are. My family says they cannot feel it aside from the normal skull bumps, but I know its not just the normal bump. It seemed to have appeared overnight and is very tender and sore. What could this be?	Hi, dairy have gone through your question. I can understand your concern. You may have some Desmond cyst or skin adnexal tumor or some other mass. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I had unprotected sex on the 10th and had Unwanted 72 in less than an hour of having sex. And 10 days later, that is on the 20th, I am observing some brown and dark reddish discharge. Is that normal? Also had slight lower abdominal pain.	Hello, Welcome to Chat Doctor forum. As you took the pill on time, there is no chance of pregnancy in your case. Delayed menses and these symptoms could be due to hormonal imbalance caused by the pill. Get your home urine test if you missed your period by seven days or more. For more information consult an obstetrician and gynaecologist online
如果你是醫生，請根據患者的描述回答醫學問題。	i sprayed my shower stall ceiling to floor with triple concentrated bleach then covered the tub floor with a cleaner like comet. i added a little water and began scrubbing it. my eyes started tearing up severely, i wiped eyes, and went back to scrubbing, the smell was horrendously strong and my breathing was compromised. i took my head out of shower stall for a moment and again wiped eyes that i could hardly keep open by now. continued to scrub with face about 1 foot from the tub, with shower doors closed. it got to a point i could not keep eyes open and the tearing was pouring down my face. i couldn t breath, couldn t really stand up now, so crawled out of bathroom and shut the doors, in a short while. the tearing stopped but my thoat was tight and so very sore and burnig, i had wheezing when breathing. i began coughing and coughing for hours on end. i took benedryl and finally got some sleep, but now when i am awke, my lungs hurt when breathing, my whole body is sore and painful. is there a lasting results to what i did? thank you	Thanks for your question in my opinion you should visit a Pulmonologist and get yourself evaluated as chemicals cause pneumonitis in early and delayed formPulmonologist may request for a chest X-ray to see if there is any urgent intervention required or motif these symptoms persist and chest X-ray has changes your Pulmonologist may prescribe you low dose of corticosteroids for a short period to counter the inflammatory process, or he may add leukotreine inhibitors for the samethanksfeel 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,Since last few days whenever I eat any spicy food or chicken, after passing stools, I am feeling a bit of burning sensation for five minutes. After that, it goes away. That too in a week I feel 1 to 2 times. Surrounding the anus also while washing sometimes I am feeling a burning sensation. I do not have any other problem of difficulty in passing the stools and it is regular and clear. I request you to suggest some medication. and I have also stopped eating spicy food.	Hello, Welcome to Chat Doctor forum. Intake of spicy food may cause burning sensation and irritation of anal mucosa which may lead to a burning pain during defecation. It is due to the spiciness of the food. You may try yogurt, cucumber, tender coconut water, probiotic capsules, buttermilk. Use tablet Nexium before breakfast for one week. Avoid spicy food intake. If symptoms do not improve, please consult a physician or post me a query.
如果你是醫生，請根據患者的描述回答醫學問題。	My kid ( 3.5 year old boy) fell down last month from Sofaset and hit his teeth down. It was bleeding then. Consulted some paediatrician and paediatric dentist that time. He is fine now. But one of his teeth on upper row is slightly blackish as observed now. Could you please suggest what needs to be done ? I am located in Bangalore.	Hello, Thanks for writing to us. I have read your concern. As you have mentioned, the slightly blackish teeth on upper row can be due to-Fracture of teeth involving pulp or p e r i apical tissue. Chances of tooth being non-vital is very high. I would advise you to visit a dentist and get the tooth root canal treated. Usually, antibiotics along with analgesics has to be administered in such cases. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	does using a toothbrush for almost a month unknowingly, of a hepatitis b affected person affect a healthy person? the person is said to be in the carrier stage. I am 25, unmarried woman,maintaining a good health and I happened to unknowingly use the toothbrush of my friend who has been diagnosed as having hepatitis b in carrier stage.Will it affect me in any way. The day i realized about it... I changed the toothbrush.	Thank you for posting query. it's not necessary that you may have been infected with Hepatitis B.firstly, if you have been vaccinated against Herb, then your on the safe side. However, if your not vaccinated then it's better to straightaway test for "Bag" asap. And also your liver function test. Wish you good health. Results maybe posted here, or you may visit your treating physician. If any further questions, feel free to ask. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	HiSir, My age is 50 years. I hav a lot of joint pain and swelling on body. I undergone TSH test in which results are: SGPT(IFCC): 54.00 TSH, UltraSensitive(CLIA): 2.899 Please advice what is the meaning of these values and what should be the treatment. Thanks	Hello, At your age joint pain specially at knee joint is common. But if you are having multiple joint pains with swelling then it can be due to following reasons- -Rheumatoid arthriti-Gout-Hypothyroidism-fibromyalgia-Deficiency of vitamins like vitamin D. -High blood pressure-Diabetes-Early cardiac failure If short course of analgesic like Advil or Tylenol does not relieve your problem then you should go for complete evaluation including EKG. 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。	Should I be concerned of an ast ( SGOT ) no. of 74 and an alt( SGPT ) no. of 125? The reason I had the lab work done was because of severe stomach pain with vomiting. I am taking the medication Nexium for a hiatal hernia . I had a test done to check for heart disease and a test on my stomach to check for ulcers. They were both ok. I am still having severe stomach pain at times. I have no gall bladder.	Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. If you consume alcohol this can cause rise in your liver enzymes. If you don't get your viral markers done. And you might be having acid peptic disease, presence of ulcers is not necessary for that. Review with reports. This is my personal opinion based on details available here. If you still have any query you may please ask me. Stay Healthy. Chat Doctor, MD
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my 4 yr old fell 5 days ago from the top of playground equipment. He is complaining of stomach pains when walking or running and as of this evening has a temp.of 102 I was not at the park when he fell n was told on the day of that he fell while playing n was told by my son just yesterday of what actually happened. Now im stressed. Is this er worthy	I don't think that the fall and the following fever are related at all. This fever could be a flu which he has contracted in this season. Abdominal symptoms are also due to viral infection. If the child is playful in between the febrile episodes, you don't need to worry at all. Give SYR Cronin for fever and SYR Chat Doctor. Give plenty of fluids and high protein diet, it will gradually resolve in few days.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a total hysteractomy with a vertical incision 2 weeks ago. There is a hard lump under the top part of the incision below the belly button. The nurse looked at it and says it s likely scar tissue, but isn t it a little soon for scar tissue. It only hurts if I push on it. Could it be a hernia? Peggy	Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer from-Subcutaneou collection of the sero-sanguinous discharge at the lower end of the incision / or it could be a gaping of the Wound as a whole, which may start at the lower end of the incision.USG Study and debridement of the wound for any Foreign body of the stitch inside with sero-sanguinous collection with it. Possibility of hernia is very less, from the facts of your query. Second Opinion from Surgeon / Gone doctor would resolve this issue. Hope this would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS
如果你是醫生，請根據患者的描述回答醫學問題。	After stopping breastfeeding changed from a progesterone only contraceptive pill to a combined pill. I had a week break with no intercourse and then also no intercourse for 2 weeks of taking the new pill. 2/3days before my 7 day break I had very light bleed for about a day and have had no period during 7 day break just bloating , mild cramps, is this normal when changing to a new pill?	Hi, thank you for your query. Yes the changes you are experiencing are due to the changeover from POP (Progesterone only pill) to Combined pill. Because as the pop suggests, it contains only both estrogen and progesterone, hence to body will take time to get adjusted to it. These will last for a few days to a week. If it continues for more than 10 days then I would advise you to consult an OB/GUN to change over to a different form of contraception. Thank you, wishing you good health
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I have been using Betnovate 1/5 cream on my hands and arms for approximately 4 years to treat an eczema/ psoriasis type rash. I have noticed resently that the pigmentation has been stripped in those spots and I now have white patches. I have stopped using the cream and the rash seems to have improved but not disappeared. Will the pigment regenerate or is the damage permanent? I am a 35 year old female in good health. Thankyou for your assistance.	Hi thanks for writing here. Betnovate is a steroidal preparation which is used for treating eczema, it is a potent steroid and has to be applied under the observation of a dermatologist. Common side effects are skin atrophy, secondary bacterial infections like bacterial or fungal, loss pigment leading to white patches, steroid induced acne etc. Based on your history I can assume that you have got loss of pigment, stop applying cream now apply placenta gel two to three times over affected part, which will help faster repigmentation.Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I have rash-types over my legs and also welt-type rash appears across my stomach or mid section. I think they are hives but one cannot be sure. They come and go but those little red dots on my legs stay awhile. They do not always itch. The ones on my mid devotion do itch. Are these hives?	Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. If they itch, possibility of hives is more, however, there is possibility of dermatitis also. Diagnosis of skin condition is best done by direct examination of the skin. Hence, a dermatologist would be the best person to identify the type of lesion.2. I usually suggest my such patients antihistamines like cetirizine or levocetirizine for 7-10 days (depending upon response) which treat and prevent itching.3. I would also suggest you to regularly apply calamine lotion or moisturizing cream/lotion over the skin lesions. It will help to recover early.4. Please avoid irritating/woolen and tight clothing. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	My friends 6 year old boy hit his head at school yesterday, she just found out today that the school did not tell her that when he awoke from being unconscious he was seizing and stiff, eyes rolled back into his head and foaming from the mouth (her son has never had a seizure). being that she did not know this occurred she just watched for signs of a concussion. all day today he has been complaining about abdominal pain... Do you know what this could be from ??	Hello, Head trauma is, unfortunately, a common occurrence among child Chat Doctor. However, most of them are not knocked unconscious and have a seizure. Abdominal pain is not a typical sign of a concussion. When he fell, could he have hit his abdomen? Could he have stomach flu? I recommend your friend have him seen by his primary care physician or at the ER if his condition is severe. 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 is 7 years, her upper teeth has been loose since 4 months ago but now is crooked, is having a huge space between the two front teeth and her gums from the top are deollen and purple like a bruise . She had shark teeth on the bottom teeth that she only had lost, but seeing her gums turning purple- black is freaking me out	Hello there, Permanent teeth start erupting at the age of 6 years and onwards, shark teeth or secreted teeth is the feature of milk teeth. As your daughter is 7 years old her permanent teeth will replace the milk ones. Visit a dentist for confirmation, x-ray examination will show the underlying permanent tooth buds accordingly go for treatment removal of teeth or to save the teeth. Cleaning of gums and a course of medication will cure the swelling n redness of gums, take care.
如果你是醫生，請根據患者的描述回答醫學問題。	A young man age 25 was just diagnosed with stage 4 melanoma. The tumor was ver large and bloody and on trunk. Hes had this thing for like 4 yeats but just started getting worse. Then last month he lost nearly 20 lbs in one month. Whats a fair prognosis? How long would he have to live?	Hi, Welcome to Chat Doctor forum. The survival rate of 5 years is considered to be 15 to 20 %, means 20 patients among 100 patients survive 5 years. Out look is better if the lesion is in the distant part, and in the lymph nodes than in organs. And if lactose deny Chat Doctor. Besides giving treatment give him fresh juices of palatable vegetables, to have an UN explained little recovery. Wishing him good health. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Im a 17 year old female. I have been very dizzy (like the feeling of passing out), a random cough (very constant as if Im sick), sharp pains in my chest close to my heart, and head aches. But I always have headaches so I dont know if thats relevant. Please someone tell me whats wrong with me, very scared. Thank you .	Hi. I can understand your concern. Ideally ECG and 2d echo should be done done first in your case. If both are normal than no need to worry about heart diseases. HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. You can take proton pump inhibitors. But along with Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I had unprotected sex a month ago and took the morning after pill the following day. A few days later I had a very heavy period that lasted a week. I am now due my 2nd period and have experienced spotting (brownish sometimes with a little red in it) but nothing like a normal period. Is this ok? Also, be advised that I gave birth 9 weeks ago.	Hi, Thanks for the query. Emergency pill can cause menstrual disturbances like altering the period of menstruation, and also they can cause inter-menstrual spotting. For more details:http://srsree.blogspot.in/2012/08/emergency-contraceptive-pill-short-term.htmlPossibly this spotting will subside soon, and you will resume your cycles. Usually bleeding will stop after around 4 weeks from delivery. Better to avoid emergency pills and choose some regular method of contraception like barrier method or progesterone pills to avoid future problems. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	hey I have 3 lumps on my neck 2 on the side just blow my ear and one on the part where my neck connects to my jaw ends and a red patch next to the one on the right the red patch appears that comes out of my neck sort of like a grouping of small spots what do you think it is	Hi, dairy have gone through your question. I can understand your concern. You have multiple lumps in neck. It may be enlarged cervical lymph node due to reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lump. 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。	I went to my doctor for my yearly physical and my blood pressure was 129/92 and she did not say anything about this, the last time I went it was around that range as well and I had mentioned it but she did nothing about it. Should I be on blood pressure medicine, high blood pressure runs in the family	Hi There No there is no need of any antihypertensive at this stage but as hypertension is there in your family you should take precautions. What you need to do is to follow healthy lifestyle habits in your daily routine like 1. Exercise daily for 5 days a week.2. Do not smoke if you do 3. Avoid high salt diet and junk food.4. Eat good amount of fresh fruits and vegetables This will keep your blood pressure under control Wish you Good Health
如果你是醫生，請根據患者的描述回答醫學問題。	Thank you. My wife has Stage 3C, had successful debulking and a post op CA 125 of 64. She was hesitant about chemo. Went to health clinic to change diet to vegan. 2nd week @ clinic she felt the cancer growing again. Now approx 8 weeks post surgery & CA125 is at 127, CT without enhancement shows more growth. PET scheduled for tomorrow. Chemo to begin July 1. What should we expect?	Thanks for your question on Chat Doctor. Postoperative chemotherapy is advice to prevent local as well as distal spread. During surgery, due to handling of tumor mass, possibility of spillage is high. And this is the reason for local recurrence. So post operative chemotherapy is given. Since your wife has not taken post-operative chemotherapy with increasing CA 125, growth on plain CT, all these suggest local recurrence. So get done PET SCAN to rule out local as well as distal spread. And chemotherapy is the only option now.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been down with influenza past week and have experienced instability in my left leg function. This has resulted in me falling several times. It seems as though the leg collapses without warning . I am generally in great health, quite active, and no know chronic diseases.	Hello, Welcome to the magical world of health care, I went through your query, and such instabilities with history or repeated falls indicate towards internal derangement in the knee ligaments mainly ACL and PCL, what you will need is an MRI of the knee joint followed by probably arthroscopic reconstruction of the ligaments if they are torn. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doc.... ummmm, I wiped out 4 days ago on the ice, flipped right back and smacked the back of my head... felt like I crushed it..... also ....right after.... it felt like there was a massive rush of blood streaming down my skull into my neck...weird.... it was internal.... i didnt break the skin.... I had all the symptoms of a mild concussion.... only lasted a hour, and i havent had to take any sort of pain relief... thus far .... but my head feels strange... ( p.s. only a walnut size bump at the very top... it is finally gone...) ---- I feel a little dizzy now and then - doesnt last long .... and my head feels weird ....do i need to worry? -- thank you for your time / response - Laurie	Hi, Welcome to Chat Doctor forum. As you describe it appears that you had a hard injury to the head. Resulted in a bump, and it resolved. There is no vomiting, and unconscious less, so it may not be a concussion. Anyhow I advise you to consult a neurologist for diagnosis or excluding the concussion. You may need to have a C.T.scan for diagnosis. Wishing for a quick and complete recovery. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I was recently diagnosed with an anxiety disorder and have not consulted an ADHD specialist. My doctor prescribed 37.5 mg of Venlafaxine for my anxiety and possible ADHD, but it made me feel extremely moody, sad, and sluggish. I have consumed one tablet for two days alone. I am afraid of taking Venlafaxine due to potential withdrawal symptoms. Is it recommended to stop immediately or continue until the side effects subside?	Hello. You are on a low dose of Venlafaxine (37.5 mg once daily) to manage your anxiety. Usually, the dose will be increased to 75 mg once daily after a week or so. In your case, consult with your doctor about any increase in dosage. It will take one to two weeks for you to get used to the medication, and then you will have the therapeutic benefits gradually. In most people, side effects will wear off when the medication is continued for one to two weeks. If it is difficult for you to manage the side effects or if it does not wear off, consult with your doctor so that he can monitor you and switch to another medication if needed. Follow relaxation techniques like breathing exercise and progressive muscle relaxation. It will help to manage anxiety. I hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a high indicator on one of my antibodies test. It is Monoclonal gammopathy and was wondering what that indicator might be. I have sjogrens and also have sea ssB indicators for years. Will monitor other in a few months but cannot find info on this antibody. Thanks	Hi dear thanks for your query would be happy to help firstly I want to tell you that monoclonal gammopathy is a disease of immunoglobulins ; in simple term "antibodies". The following preliminary investigation has to be done to confirm your diagnosis:1. CBC with PBS (routine blood count with peripheral blood smear)2. Calcium level (increased)3. Creatinine level (increased)4. X-ray of the spine and chest (bony lytic lesions)5. Bone marrow aspiration and biopsy (increase in plasma cells)6. Serum protein electrophoresis (M band seen). You need to do these tests as early as possible. Kindly share your reports once you receive them. Hope this helps. Thank follow up questions will be appreciated. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a very very very sharp pain down my right leg when I stand up and start to walk, this started with a very sharp pain in my right upper butt yesterday, I sett a lot and I think its my sciatic nerve ???. I have been on my back all day , icing 1/2/hour then 1/2 no ice and every four hours i take 4 ibuprofen 200mg. I have to drive tomorrow can I find a stretching move that would help.	Hello, I have studied your case. Usually nerve compression can't be seen on x-ray you may need MRI for this. If there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 53-year-old and I am circumcised. I have a 4 x 4 mm reddish flat area below the penile head, it does not itch or have pain, sometimes it almost appears normal in color but at other times it becomes more reddish, there is no discharge and does not appear to have any bumps, I have not had a sexual partner in two years and as far as I know I do not have an STD, any thoughts?	HelloThanks for query. The red dish flat area beneath glans penis is mostly due to infection of glans penis (Atlantis). It could result from contamination by inner wares or due to masturbation. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. It should get cured within a week.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my father is 87 and was hospitalised last week saturday... he was diagnosed tht he has Pneumonia/ lung infection... its been more than a week now but ther is no progress in his condition.... yesterday he seemed fine but today he s weak nd thy put him on oxygen... wl he survive ?... its killing me to see him to like that. Please be honest with me Dr	Hi I do care for your concern. Pneumonia most of the time caused due to bacterial infection of lungs. It usually takes 2 to 3 weeks to completely get cured of this disease with adequate medical care. You have mentioned his age to be 87 and during this time his immunity will be somewhat lower and also his nutritional status. As the infection occupies some space in lungs, usually oxygen mask in provided. With adequate medical care and nutritional support pneumonia as such can be completely cured, unless complicated by other associated medical conditions. Hope I have answered your question, If you have more doubts feel free to ask. Thank you.

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