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如果你是醫生，請根據患者的描述回答醫學問題。	I m a 28 year old female, 5 8 and about 150 lbs. I suffered from sudden onset spine pain in February and my doctor put me on Prednisone (6 day dose pack) and bedrest before sending me to the hospital for x-rays and a MRI . I came back negative for cancer/tumors/MS, and apparently the pain is being caused by residual nerve damage from a prior accident. The Prednisone caused my body to retain massive amounts of water, which in turn gave me pitting edema . I thought the Prednisone was out of my system, but every few weeks, the pitting edema comes back. I was sent back to the hospital to be checked for blood clots/ heart problems, but nothing was found. Why am I still having pitting edema? I never experienced it before I was put on Prednisone. Is it possible that the Prednisone is still in my system? Additionally, I used an ice pack (wrapped) to help ease the painful swelling in my ankle and now I have an ice burn on my skin. Will the edema make my skin more prone to burns? Is there anything I can do to fix the edema (long term solution)? My doctor seems to think it s not an issue, but I m going out of my mind. Any help would be greatly appreciated!	HIT hank for asking to ChatDoctorI really appreciate your concern I read all the story given here and came on this conclusion that taking the steroid without the proper clinical reason is not at all advisable because this could cause numbers of side effects, you do not seem to have any problems that could need steroid therapy, it is just the functional condition you have, hope this information helps you, have a nice day.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I had sex on last month 26th. And my period date is 16th and this month I missed my periods I thought im pregnant so today morning I checked my pregnancy test through pregasure and the result shows negative.. My question is can i take the test tomorrow again or do I need to give gap??? And still my periods dint started for this what should I think ?? Please do the need..	Hello dairy understand your concerns you did sex in the fertile phase of the period, there is high chance of the pregnancy. Pregnancy test will give positive result 8-10 days after the missed the period. So I will advise you to repeat the test once your period is delayed by the 8-10 days. Do urine pregnancy test with early overnight first morning urine sample. You can also go for blood Chat Doctor test. It will detect the pregnancy earlier than urine pregnancy test and more accurate. Hope this may help noncontact Chat Doctor for further health query Best regards
如果你是醫生，請根據患者的描述回答醫學問題。	I was diagnosed with a concussion about 2 weeks ago and have been having off and on dizziness and headaches. I plan to travel from 900 feet in Texas up to 8,000 feet in Colorado and am worried my symptoms might get worse due to the change in elevation. I am also worried the my head will not heal as fast.	Hi, You are likely suffering from symptoms of postconcussive syn Chat Doctor. You may wish to check in with your neurologist to solicit their opinion on your upcoming trip, however, I'm unaware of specific data linking speed of recovery from TBI to changes in elevation. It is certainly possible that symptoms you are already having of headaches, dizziness, etc. could be magnified until your body becomes acclimated to the change in elevation which could take about 3 weeks. However, the speed of recovery should not be affected (so long as you are not going to Colorado to Ski or Mountain Climb!). 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。	Recently Ive experienced sudden shortness of breath (with little exertion) while simultaneously experiencing diziness and cold sweats (especially cold sweat of the head). When lying down on the bed I also experience shortness of breath with a need to sit up or stand to get air into my lungs. I feel my heart fluttering during this experience.	All the symptoms you describe classically occur in heart condition. I strongly recommend you visit your cardiologist, get a EKG and 2d echo. Based on that report you may proceed with stress test and start upon necessary medication. If you are more than 50 years, hypertensive or diabetic, OT would strengthen my belief that the underlying reason is heart. For any other assistance you may contact me @ Http://doctor. ChatDoctor .com/doctors/ Chat Doctor. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	I had a dentist apt today and he indicated that I might need to have root canal surgery in a molar that has extended a bit beyond the other teeth and I am scheduled to have cataract surgery Jan 20th. Can I have an infection in my molar without pain? And should my cataract surgery be postponed?	Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as your dentist has advised you root canal treatment, so there may be your tooth is carious or attrition or there may be presence of periapical pathology. Don't postpone your surgery go for treatment of cataract then go for root canal treatment if you can manage your tooth problem. Hope this will help 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。	I have a bruise to my that bulges (almost like the point of a corn) in the center of my wrist, which resulted from risistance training. There has not been any swelling except in this one corn-size area, which stick out about 1/4 + of an inch and hurts when touched. Also there is a little loss of feeling sometimes in the center of my hand. I injured my write last weekend and am not sure if it is getting any better. Did I pull or pinch a nerve the wrong way? I have tried icing it, with little relief. There is no black or blue marking of any kind, yet it is painful to push on corn-shaped area protruding from the center of my wrist. Please help... Mark	Hello, Your symptoms seem to be related to the injury. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using ice compresses for local applications. Furthermore, I recommend maintaining a splint to prevent further damage and don't overuse the wrist for some days. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a hypertensive person on lysinopryl/HCTZ with a severe latex allergy. I recently had an allergic reaction to latex paint in my school building. The school was being painted on the inside while the kids and teachers were in the building. I was O.K. most of the day until the concentration of paint increased. (2-doors down from me) I started having burning in my chest then pain in my back, followed by a scratchy throat. I left to see a doctor. By the time I made it to the doctor, my throat started closing. I was given a breathing treatment and 2 steroid shots. The next day, I woke up with swollen legs and arms, along with heart palpitations. I was sent to the ER where I received more steroids and oxygen, along with an x-ray. The next day, I had a panic attack and nearly lost consciousness and received another breathing treatment and an inhaler. Later the same day, I found out that the x-ray showed that my heart is enlarged. Yet, I had an x-ray and MRI only 3 months ago and no such thing existed. **Could the paint fumes have caused me to have all of these weird things happen all of a sudden?	YOU HAVE HAD SEVERE ALLERGY TO THE PAINT AND FROM WHICH YOU ARE RECOVERING. IN SUCH A CONDITION, YES EVEN HEART MAY ENLARGE. BUT THERE ARE MANY OTHER REASONS OF HEART ENLARGEMENT LIKE HIGH BLOOD PRESSURE FROM WHICH YOU ARE SUFFERING. SOMETIME IF POSITIONING IS NOT PROPER DURING WHILE TAKING X-ray THAT MAY ALSO GIVE THE IMPRESSION OF HEART ENLARGEMENT. I SUGGEST YOU HAVE YOUR CHEST X-ray REPEATED AND CONSULT A CARDIOLOGIST.
如果你是醫生，請根據患者的描述回答醫學問題。	my 3 week old baby s face is broke out. I thought it was baby acne but now it is on the back of his nect and his shoulder blade and looks like little blisters. He is a pretty big baby..he was 10 lbs 8 oz when he was born. what does this sound like...baby acne....prickly heat....other rash?	Hello, By what you say I feel that this could be atomic dermatitis keeping in mind the age of the baby. Topical emollients should be working well in this scenario. But skin conditions are best diagnosed and treated after seeing them directly I suggest you upload some images here so that we can guide you better. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doctor, I am 31 yrs old male and weigh 200 lbs. I am having cough since three months. Intially my physician thought it was bronchitis and gave me amoxycillin and it was not completely gone after 1 month it was still there and she gave me zithromax and that didnt help either. lat month I got my xray done and its all clear. I am having hypothyroid which is in control and also high blood pressure and am using lisinopril 5 mg. I notice that there is some kind of itching in the throat that is causing the cough and also whenever i cough I get a clear mucus. I never had fever in the last 6 months atleast.	Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done PFT (Pulmonary Function Test). As diagnosis of bronchitis is not possible without PFT. Obstructive pattern on PFT is needed to diagnose bronchitis. And treatment of bronchitis is inhaled bronchodilators. You had not given any inhaled bronchodilators in the past, so your bronchitis is not fully recovered. So I advise you to consult pulmonologist and diagnose yourself first. You may need inhaled bronchodilators.
如果你是醫生，請根據患者的描述回答醫學問題。	55yr old male . have hepatitus c, cirrohsis and ascites (look 5mths pregnant) . had spleenectomy (30yrs ago) hense transfusion. i am not on any medication or had any treatment since diagnosed 3yrs ago. noticed swollen neck glands. should i wait a week to be seen following re-referral to consultant or go a and e?	Hi thanks for contacting us dear... Here you have chronic liver disease with ascites ...and portal hypertension... So lifestyle changes must be needed with regular follow up ..... Here in hepatitis c there are also chance of malignancy of liver....your gland also swollen. So take biopsy from it to detect malignancy...AFP estimation also done.... Cutt off oil in diet.... Fruits more. Green leafy salad taken.... In morning take grinned carrot and spinach juice daily.... Take tsp cumin seed with milk... Here for portal hypertension beta blocker can betake.... For ascites diuretic useful.... With keeping these in mind you can consult gastroenterologist..... Happy to help you further. Hope your query solved.... Take care...... Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	i have pain since last six moths in my chest (left) and i am not sure whether its ribs or chest pain. I consulted chest specialist and orthopedic doctors but in vain. The pain has gradually increased. I experience this pain mostly during night while sleeping then any other time in day and while coughing. Which doctor do i need to consult?	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out cardiac chest pain in your case. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar kind of pain. So avoid stress and tension, be relaxed and calm. You may need anxiolytic Chat Doctor. . Apply warm water pad on affected areas of chest. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright with 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。	Hello I ve gone to two doctors for probaly the past month. This all started when I had pain on the right side of my chest they said it was a lung infection and gave me penicilin it helped and it went away but 3ish weeks later all of a sudden I felt very tired and dizzy and got a bad headache all of a sudden and the chest pain was back. They put me on penicilin again which is not helping anymore and then I go to another doctor and he says it s aniexty disorder which I strongly disagree with and I also have an itching burning feeling under my rib cage/ breasts on and headaches very tired and chest pain any idea what it could be?	Thanks for your question on Chat Doctor. I can understand your situation and problem. No, this is not anxiety related. By your history and description, possibility of recurrent lung infection or bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. And if it is present than you need higher antibiotics because you are not improving with penicillin. PFT is needed to rule out bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid. So better to 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。	My brother has pancreatic cancer, he was diagnosed two months ago. He has two clots one in his left bottom leg and one on his lung. Every few days he gets a fever. What does it mean? How long do you think he will survive? He is 60 years old and has lost over 20 pounds.	You have not mentioned the stage of pancreatic cancer. Has he undergone surgery? Treatment options include surgery (if respectable), chemotherapy and/ or radiotherapy. I would be able to better comment on treatment and prognosis once I know the stage of disease. Pancreatic cancer is known to be associated with increase clotting tendency and the clots (thrombosis) in lungs (pulmonary embolism) and leg (DVT) is because of that. He needs to be placed on anticoagulants to resolve the clot and prevent further clotting.
如果你是醫生，請根據患者的描述回答醫學問題。	Good morning....I have been diagnosed with high bilirubin levels, I have a whole body itch, bumps that started out as 1 on the testicle then spread from the testicles to the penis, then the bottom, legs, chest and back. Can these bumps and persistent itching be connected to the high bilirubin level? Thank you	Hi.noted history of elevated bilirubin, itchiness and bumps on different body parts. It is possible that you have an infection or obstruction (can be due to a gallstone disease or tumor lesions) somewhere along your hepaticopancreaticobiliary tree. This can cause the high bilirubin levels and itchiness (due to increase deposit of bile salts on your skin). Bumps may be a secondary reaction due to scratching or manipulation when itching, otherwise, could be dermatologist in origin. It is best if consult with a doctor, preferably a gastroenterologist or a general surgeon, for complete physical examination and clinical evaluation. Other diagnostics (such as ultrasound, ct-scan, liver function tests, blood counts, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my 80 yrs father has been having stomach pains for the past 7 days. The pain is directly in the center of the abdomen.Today he almost passed out he got very lightheaded and was sweating profusely. He will see his MD this week for a complete work up. What do you think it could be?	The symptoms you had mentioned are mostly suggestive of some gastric infection for which you can take some antibiotic preferably oflox-oz or zifi-oz after expert advice along with opened or rebuild empty stomach one hour before meal for severe gastric upset. You can take Cyclops or meftal-spaz for abdominal pain and bloating. Take some multivitamin like meganeuron-plus or metilda-af once daily also.
如果你是醫生，請根據患者的描述回答醫學問題。	My 40 year old husband went through jaw surgery twice in the past 10 months. He had all of his teeth removed, top and bottom, due to a tumor , benign, found in the lower left mandible causing his teeth to rot and no bone left to hold them in. The 1st surgery he had to rebuild the jaw bone, after tumor removal, was not completely successful with the cadaver not completely taking, so there was a 2nd surgery were the took a piece of his hip bone to add to the jaw. He has healed nicely and will be receiving his implants teeth son. However, about a month after all of this started his face started flaking off and his beard falling out in patches. When it finally grows back in the patches it is completely white. He is already conscious of his temporary dentures and this condition is making him really conscious. What is this and what should he be doing to care for it?	Hello! Thank you for posting here. This can be due to stress from the surgeries he went through. Implants do not have any impact on facial hair, and he can safely get them done. Go for a stress-free lifestyle. Have foods rich in anti-oxidants like beans and berries. Quit alcohol and tobacco completely. Tobacco can also affect success of implant surgery. So, completely avoid tobacco. Take b-complex supplements with zinc. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi!. My wife aged 41 years, has some allergy which result in lots of sneezing. She often taks Cetrizine medicine. Recently, we are seeing lots of swelling on the right side of her face. As per the suggestion of a doctor, we went through blood, urine, Thyriod and sonography test and all the reports are normal. Where should be consult for her treatment.?	Hello, Welcome to Chat Doctor, As you are wife is having some allergic manifestations for which she is taking cetirizine medication which was relieving the symptoms, she should be very careful with the symptoms as it may be dangerous to the life. I would suggest her to undergo absolute eosinophil count (AEC) which will be raised in the allergic condition. For the present symptoms you can give her Tab Monte LC which helps to control the symptoms, but it is temporary. She needs to avoid the allergens to protect herself from getting these allergy symptoms. I would suggest her to undergo skin prick test (SPT) to identify the type of allergen causing these symptoms and can prevent herself from exposing to these allergens. Otherwise, she can be given immunotherapy either with subcutaneous immunotherapy (SUIT) or sublingual immunotherapy (SLIT). Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	I have chest pain more then 2 & half year, I done CT scan,Barrium meal,endoscopy,Echo 2d with colour doppler, but still i dont know what i am suffering from long limeI feel pain like some thing is burning,hurting, when i feel pain eyes dark circle become more darker,i feel hart beat is become slow some thing is swelling in left side i feel.i feel relex when the swelling is moving from left to right	Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms are not typical of any cardiac disorder. Anyway, considering your complaints and your already performed tests, I would recommend performing further tests: - an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends and investigate for cardiac arrhythmia. - an exercise cardiac stress test or stress echo, to exclude possible coronary artery disease. If all these tests result normal, you should consider anxiety as a possible cause of your complaints. Hope you will find this answer helpful! Wishing good health,
如果你是醫生，請根據患者的描述回答醫學問題。	I m 14 and I have really bad headaches that last around 5 minutes and happen throughout the day, all of my back seems to ache, I am constantly tired and can t be bothered doing anything or socializing with anybody, I always feel hungry even after I eat, and my eye twitches all the time (don t know if that has anything to do with that) what s going on?	Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to Cluster headache or SUN CT. I recommend consulting with a neurologist for a careful neurological exam and some tests: - a brain MRI-complete blood count, PCR, sedimentation rate for inflammation or infection-blood electrolytes Based on the above test results, you should discuss with your doctor on the possible treatment options. Kind regards,
如果你是醫生，請根據患者的描述回答醫學問題。	About a week ago I was trying to get comfortable to go to sleep and as I was turning in bed something kinda like snapped inside my stomach area, I freaked out but didnt think much about it because it didnt hurt much. Then the next day I had like stabbing pains in upper ab area. Then the same day I had something like a bump in my outer lip of my vigina (Ive never had sex before), and today I found a little bump inside the skin below my rectum. When I try to flex my ab muscles, the same stabbing pain is there. Whats wrong with me?	Hi. Thanks for your query. Something snapping in the abdomen while turning in bed followed by stabbing pain in the upper abdomen in the morning, now the bumps in outer lip of vagina and inside the skin below the rectum, all indicate that there is a septicemia or bacteremia may be due to an intestinal infection or so. I would advise in such a case you need to be seen by a Doctor to for your vitals and more important are the investigations like Blood -CBC as this may indicate towards the urgencyUrine and stoolUltrasonography / CT scan of the abdomen The treatment:May be broad spectrum antibiotics and regular follow-up and may be admission to the hospital and surgery if required. Better to check up for blood sugar too
如果你是醫生，請根據患者的描述回答醫學問題。	Today in St John s Newfoundland there is a bizzare criminal case where a petite young girl age 35 robbed ten stores in a row without violence or injury totally out of character for her usual, mother of one, kind and sweet personality. Later, after being released on bail she collapsed (exactly 30 days) of total hepatic failure. Her liver was damaged by acetaminophen ingestion over several years and extreme hair loss and mental confusion had been noted in the weeks prior. This poor young girl desperately needs intelligent educated people on her side who can prove beyond a doubt that ammonia poisoning is the most likely cause of her irrational behavioral changes. She has been treated...is recovering nicely (including re growth of hair) and awaits a trial facing life in prison. Any insight you can offer this poor victim of brain disease would be priceless.	Hello there! Thank you for asking, Liver modifies ammonia to urea thus detoxifies it. Ammonia is lipid soluble and it crosses brain, so yes this ammonia cause encephalopathy and alopecia. But if the stimulus is not persistent. Liver can compensate by regeneration, Rest i didn't get what to say about prison and robbery thing, More like a human resource thing. But as far as ammonia is concerned it caused those symptoms leading to encephalopathy but liver failure can let that happen only, healthy liver cantRegardsS khan
如果你是醫生，請根據患者的描述回答醫學問題。	Hello. My husband was stung by bald faced hornets on Friday night. There are 12 stings that we counted. He took benadryl right away, and the stings didn t look too bad later that night. Saturday morning, one of the stings had spread into a red rash, and he said that all of his joints hurt. He took some more benadryl, and that seemed to help. Now, it is Sunday night, and several more stings have turned into red rashes. Also, he says that his right side has become painful to the point that he cannot touch it in several places. I should note that he has not taken the benadryl on a continuous cycle. Should I be content to continue the benadryl, or should I encourage him to get checked out by a doctor? Thanks for any advice you can give.	Hello, Thank you for contact we wish you the best wish at Chat Doctor. If I am your treating doctor I would like to advice you that. Whenever insect bites us they inject foreign protein in human body. This foreign body causes hypersensitivity or allergic reaction in the body. Ben Chat Doctor. I think he should continue with it and should take two times a day, also I suggest you should discuss with your treating doctor about steroids and also antibiotic to get cured by this bite urgently. If you have anything else to ask you can contact me. Chat Doctor; Infectious disease specialist.
如果你是醫生，請根據患者的描述回答醫學問題。	I had back muscle spasm last week. Went to the chiropractor and he helped my back pain, but since then I have been having some pain still in my back but the most uncomfortable pain is in my right arm, up into my neck and collar bone. I noticed the pain seemed to be going to a spot on my collar bone area, I then noticed a lump on the right side.	Hello, Thanks for your query. The low backache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time. Having said that, you might want to consult your orthopaedician for a detailed physical examination and appropriate investigations. It might help with few medications and physiotherapy for a few days. Physiotherapy particularly lumbar traction for a week and back strengthening exercises after pain relief work well. Remember that medicines usually don't play a role in long term treatment, what does are exercises. Few exercises that the therapist will teach you must be done for lifetime. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	i have a dark black brown spot on my face , neck and hands from last 5 to 6 yrs. i have shown my problem to my local dermatologist they said that it is a symptoms of lpp and they suggested me various types of vitamin capsules and ointments but there is no satisfactory result to me and the problem remains the same. its look very odd and shame to me to have a dark spots on the face . so pls. suggest me some advice about the disease	Hi, I can understand your concern. Lichen plans pigments is characterized by dark brown to slate gray pigmented skin lesions and unfortunately these do not resolve completely as pigmentation is deep. The treatment modalities supposedly giving desirable results abuse of sunscreen with SPF 50Oral vitamin C and antioxidant supplement intake dailyApplication of steroid cream or tacrolimus ointment along with HY Chat Doctor. Hope that helps. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	Not even two weeks ago, I was just getting over a terrible cough. Well, now Iamsick again. I cough consistantly, about 70% of the time its been me coughingsohard and so frequently it makes breathing hard. On top of that, when I end upcoughing like that, my chest and stomach hurt, and occasionally Ihyperventalate. I am also extremeley congested. With my congestion, comesdizzyness,light-headed, and I am very tired, but I cant seem to get more then five hours ofsleep. I dont have a thermometer, so I dont know my temperature, but I feelvery hot and have been in the occasional cold sweat. I am only 17 years old,andgenerally healthy, I am not over weight, and I consume on average 6 bottles ofwater a day. I excersize and eat healthy.	Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out bronchitis in your case. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is normal then no need to worry much. In teenage, undiagnosed stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	My mother has got a diagnose of essentiell tumor. her head and upper body is shaking all day long. She got something called betablock for her suffer, but she couldnt use this medicine - she was stumbeling, couldnt speak clean, and she looked like she was on drugs. i dont think her doctor knows wchich medicine to give her. In advance of this she got some medicine that removed all her cortisol out of her body - she is lucky to be alive.	Hi, Thank you for posting your query. I have noted your mothers symptoms. They are suggestive of essential tremors. In essential tremors, there is shivering or shaking of head, voice and hands. It may run in families, and therefore, it is also called as familial tremors. Beta blockers are the Chat Doctor. It seems that your mother had side effects with that. Options for her include low dose beta blocker such as propranolol 10 mg once daily. If she has side effects with low dose propranolol, then, she may try clonazepam tablets at night or topiramate tablets in daytime. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health,
如果你是醫生，請根據患者的描述回答醫學問題。	I have this bump behind my knee. I am an 18 year old woman and i have never had one of these before. I noticed it after i came home from a hotel about three weeks ago. It hasnt grown in size but it just sits there. It is whitish colored when not irritated and it sits below the skin. when irritated, it puffs up and looks like a little mole but white.	Hello! Thank you for the query. Lump behind the knee can be a Becker's cyst. It's a kind of benign lesion filled with clear fluid. It is connected with the knee joint. Can give pain especially after physical activity. I suggest you to consult your doctor. Ultrasound of this are should be done. If Becker's cyst will be confirmed, you should consult orthopedist. If it will be diagnosed as other type of lump, you should visit general surgeon. Hope this will help. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	When I lie down I can hear my stomach when I breathe kind of like when I breathe in then something moves in my wind pipe but instead it appears to be something small moving in my stomach and it also makes these horrible squelching noises. I also seem to have a lot of built up gas in between meals which when I burp also leads to the horrible squelching noise. I used to be bulimic, do you think I could have damaged my stomach in some way?	Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. 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 the symptoms of chest pain, gaseous distention of stomach and noises from stomach. So better to avoid hot and spicy food. Avoid junk food. Avoid stress and tension. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic Chat Doctor. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	i have epididymitis with no pain urinating, no discharge, no sharp pain. i am worried that it could be caused by unprotected sex.. but the last time was almost 9 months ago. have no blood in my urine or my semen. my Dr. prescribed ciprofloxacin for 10 days. 500 mg. as i understand this medicine is for bacterial infections.. should i still ask my doctor to test me for STIs and STDs	Hello, Welcome to Chat Doctor, As you are not having the symptoms painful micturition, itching, foul smelling discharge and bleeding there is no point in testing for STIs. The symptoms are suggestive of urinary tract infection for which your doctor has prescribed the course of antibiotics and this will settle your symptoms. If you develop any of the aforementioned symptoms then you have to think about the lab investigations to confirm the presence of any STIs. 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 had unprotected sex last March but took emergency contraceptive afterward. Six days after, I had the bleeding associated with the emergency contraceptive. Two weeks after that, in the first week of April, I had my period for six days (my usual period lasts five to seven days). In May, I had five days of the period although the last two days were only very light bleeding.Now I was due for my period four days ago, but I still have not got it. What are the chances that I am pregnant and if not should I be worried about my late period?	Hello, Welcome to Chat Doctor forum. Firstly, as you had three episodes of menstrual bleed including the with ChatDoctor. As you have missed your menses now by four days and if you have been sexually active during this cycle as well, then you must rule out pregnancy first with a home urine pregnancy test kit. If negative, then the delay is most likely stress-induced and you should wait for at least five days to allow menses to start naturally. If not, then you would need an ultrasound pelvis to check for endometrial thickness which if more than 8 mm. You can be offered a with
如果你是醫生，請根據患者的描述回答醫學問題。	My mother is suffering with Tmj Ear pain hi im prashant My mother is suffering with Tmj Ear pain i hope ull help me my mother aged 65 is suffering with cerebral atrophy since 18 month.her symptoms are severe ear pain .we have got done all the tests like (CTSCAN , PNSSCAN, MRI ) where the doctors found it was this problem. her MRI test contrast has Age related cerebral atrophy. she doesnt have memory loss nor recognizing problem nor speaking disorder everything was normal except for the severe pain frequently what r the medicines to be used for reducing her pain of severe pain in the inner ear can we r very much confused y shes undergoing such pain .can any tablets be given to her for treatment of diffuse cerebral atrophy. Mri brain study report (A small vascular loop is in contact with cisteranal portion of right 7th & 8th nerve complex with normal course , thickness, signal intensity of nerve complex) Currently taking medicine :- Pregabalin 75 mg, Mecozen plus , pacitane There is no effect of above medicine she having a pain as it is please suggest any other medicines so that she will get well soon looking forward for ur help thanking u	Hi welcome to Chat Doctor forum. Thanks for asking a question to Chat Doctor. F. Your mother had cerebral atrophy, and unbearable ear pain due to infection of the internal ear. Your mother is under the treatment of a neurologist for cerebral atrophy. It is a permanent change with no way for complete relief. And she is using medicines for maintenance. Now she has got ear pain due to infection of the internal ear. That is to be treated completely. So I advise you to consult an E.N.T.surgeon for diagnosis and treatment. He will give treatment for medical treatment, if no relief he may propose mastectomy, with advise of the neurologist. There is a possibility of complete relief. Wishing for a quick and complete recovery. Best regards.
如果你是醫生，請根據患者的描述回答醫學問題。	i don, know what are te reasons behind that mi eocinophils has risen to 12. i work in AC room and it is dust pron area. but in last one month or so i have developed sneezing and cold . it is just not leaving me. regularly i do yoga and walking and reasonably good health at my 50 years age. please advise how can i improve this.	Hi dear cause of increased eosinophil you have yourself mentioned in your question. The commonest cause of increased eosinophil is allergic reaction, due to any allergen, in your case as you have mentioned is dust, which causes you sneezing and cold. The only way out of this condition is to avoid the allergens, dust in your case, or you have to find any other allergens. You can also try anti histamine in the form of Levi cetirizine
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my mother has very bad groin pain shooting down to her knee, she has had xrays, ultrasounds, ct scan with and without contrast and 2 MRI s and they still cannot figure out what the issue is. today she went to the cancer institute to see if that would be the issue? would you know?	Hi, thank you for providing the brief history of you.a thorough clinical examination is advised. As she is having groin pain I suspect it to be muscle pain and needs physical therapy. Also, this looks even a pinch of nerve in the lumbar spine which needs a thorough clinical examination. As with physical therapy the ROM of the hip will improve and also the strength in the muscles. In my clinical practice such cases are referred to physical therapy and with exercise they respond well. Regards Jay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	female patient admitted in the hospital complaining about joint and muscle pain, accompanied by fever her lymph nodes and spleen were enlarged patient exhibited a butterfly like red rash on both cheeks and across the bridge of the nose. what might be the problem. and what would be suggested as a treatment regimen	Hi, thank-you for providing the brief history of you.a thorough musculoskeletal assessment is advised. As you were admitted in hospital for systemic pathology. Due to the stay in hospital, medication, immobility, etc. there is joint and muscle pain. It happens to most patients admitted in hospital. Where post discharge they can undergo some physical therapy for maintaining their muscle property and joint mobility. As with meditation, Breathing exercises and general body exercises you will be back to normal. Also, exercises improve the metabolism and immune system which helps the healing of the body and also improve the overall feel. The aches and pains arises is due to the imbalance in the physiological system occurred due to the systemic illness. With exercises most patients bounce back. RegardsJay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,Lately, Ive been feeling really lazy and uninspired. I get sad for absolutely no reason. I am sixteen, female, and started in a new school at the beginning of this school year. I dont know whats wrong- I sleep so much now, but Im still always tired. I have these moments where I just feel really sad, and i have no idea why. Sometimes, I feel so uninspired that I dont even bother completing assignments. I dont have social anxiety or anything... I love people. All this is completely new to me. I dont know whats going on. Help?	Degree understand your concerns went through your details. I suggest you not to worry much. You have no problem at all. You are passing through a period called adolescence. During this period such mood and feelings are common. You are identifying yourself. You want answer to so many questions about your gender, role in society, family, friendship, career, future etc. Furthermore, you are unable to find an answer because you have very limited experience, you are not mature mentally. Therefore, the confusion. Confused mind loves inactivity. That is what you are feeling now. You have to cultivate a habit of cheerfulness and joyfulness now to keep intact throughout your life period. Behavioral pattern mastered in this age period is your behavioral pattern throughout. For psychological counseling and psychotherapy visit http://psychocure.webs.com/Hope this answers your query. Available for further clarifications. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	I have an mri that staes at c5-6, a disc protrusion in the left foraminal zone measureing 0.4 cm AP by 1.1 cm TR is present and demonstrates an annular tear. this disc protrusion appears to contact the exiting left c6 nerve and results in mild to moderate left neural foraminal narrowing. there is no significant right neural foraminal narrowing. at c6-7 the disc protrusion within the right foraminal zone measuring 0.4 cm AP by 0.8 cm TR results in server right neural foraminal narrowing and possibly impinges upon teh exiting right c7 nerve. the superimposed disc bulge along with dorsal ligamentous hypertrophy results in mild to moderate canal narrowing, decreasing the AP diameter of the spinal canal to 7 mm. the disc bulge also results in moderate to server left neural foraminal narrowing. What does this mean? what treatments or surgery will have to be done to correct this? me	Hi, Thank you for posting your query. Your MRI of cervical spine shows features of degeneration of discs (soft tissue located between the vertebral bodies), which has bulged at two levels. This has resulted in compression of the cervical nerves, which take care of sensations and strength of arm muscles. Common symptoms are pain in the arms, weakness or numbness of arms. Usual treatment is with medications such as pregabalin and physiotherapy. Surgery is required in about 10% of cases, to relieve the pressure from the compressed nerve. Best wishes, Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have kidney stone in the both kidney, left kidney stone dia 11mm & right stone dia 7.8mm as per USG report. both kidneys fuctioning normal & there is no rrenal obstruction by the stones as per IVU report. Now what will be best ttreatment for me, I am 35 years old, male.	Good Day, and thank you for being with Chat Doctor ! The best treatment for you is ESL or shockwave therapy. This is done by putting you on a machine and fragmenting the stones for easier passage. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have complicated migraines, simple partial seizures and are controlled by Lamictal. I have a long time pain from sound intake and it has worsened into my face. Other sensory triggers the pain. It has become just way too much to handle. I sought advice from friends and groups and nurses, that have trigeminal neuralgia and they suggest Carbamazepine.I learned it lowers Lamictal. I contacted pharmacy that said many will test blood serum of Lamictal and then add Carbamazepine and adjust Lamictal to therapeutic levels.My doctor is a bit concerned. She is not a pain doctor or neurologist. I am waiting to see one. But my condition makes it hard to travel in a car. My doctor asked I seek advice. Do you agree that checking the serum and adjusting is fine to do, in order to take Carbamazepine?The second option is Oxcarbazepine. In your experience is it a good pain drug for TN and does it mess up Lamictal? I found a study that said it did not.I was thinking I could start it now while I wait on Lamictal levels. And see if it helps. Just really struggling. Pain cream not helping much in certain places. My old neurologist wanted me to lower Glutamate as much as I could and suggested Namenda at one point. I know many people are on two and three drugs. I hope to try injections for the pain soon. Do you have any suggestions?	Hello, Welcome to Chat Doctor forum. Firstly, we need to be sure if your pain is really Trigeminal neuralgia (TN) as there can be other causes of facial pain like idiopathic facial pain, Post-herpetic neuralgia. Sometimes dental causes of facial pain can mimic TN. Trigeminal neuralgia has sharp, shooting episodes of pain in any distribution of the trigeminal nerve. Pain is mostly along one side of pain and lasts for a few seconds. Pain can be triggered by brushing teeth, cold air, chewing of food. Mostly there is no baseline pain. For TN medications, Carbamazepine is the first line FDA (food and ChatDoctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,I had a dental scan the week I conceived my baby or possibly the day I conceived. Should I be worried?	Hi. The dose of radiation in a dental X-ray is very less and approximately 0.01 mSv. This will not cause any significant harm if you got X-ray done on the day you might have conceived. Please avoid X-rays during the pregnancy.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, So I have no food allergies . 2 days ago I ate seafood jambalaya and did not feel anything. yesterday i had crabs for lunch and did not feel anything again. For dinner though I has shrimps and 2 eggs . I suddenly felt itchy and later on had allergies. I took Celestamine and i felt sleepy and fainted. I couldn t hear and I lost my vision for minutes. Back in high school I had sudden allergic reaction to egg too, but I m not allergic to eggs. Now a college student by the way.	Hello Game, So you had a moderate to severe allergic reaction and even though you mention at the start you have no food allergies - which usually never means - you say you had egg allergy. You definitely need skin prick test against the common food panel - peanut, cashew nut (if you had a reaction), fish (sardine/cod), shrimp, crab, lobster and aeroallergen such as house dust mite. Or a specific IGE blood test against the above to understand why you reacted. You can get over egg allergy (at least 75%-80% do by age 5 years), but you retain the susceptibility of food allergy only to become allergic to a specific food later. You must keep an anaphylaxis kit with cetirizine, EpiPen, steroids and dial the emergency number if you get in trouble again. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I noticed that my 4 year old son seems to have a small growth of something white in his ear canal. It looks like a small bumpy area and then a line that circles the canal. He only complains when we clean his ear after a bath and it s a very mild complaint. I only noticed it because he came to me and said his ear bothered him so I took and flashlight and had to pull his ear a little to be able to see. He only mentioned it that once. Any idea what this is?	Hi, Welcome to this forum. Can understand your concerns. Small white growth in the ear canal of a 4-year-old child could be due to fungal infection, acute supportive Otis media. And examination of ear canal should be done by a ENT specialist doctor. After examination, the white fungal growth should be removed from the ear. Eye Chat Doctor. I hope this will help you. Wishing your child good health. Take care. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hello. I injected mcat into the bend in my arm. I think I touched a nerve. Now the right side of my left arm has been numb for over a week. I have been to see the doctor and they have told me to wait to see if there is any change and then possibly do investigations on my nerves. But I am very worried that I will never get feeling back in my arm again.	I read your question and I understand your concern. I don't think your doctors are wrong though, if there has been nerve damage from the injection it will need some time for the nerve to heal itself, can be a matter of weeks, it's not a question of healing it through medication. Perhaps an ENG could be done to assess the degree of damage to the nerve, but that wouldn't change the outcome, just could make a better prediction on the chances of full recovery. I hope to have been of help
如果你是醫生，請根據患者的描述回答醫學問題。	hi is it possible to control ones mind by sitting in one place..i am feeling such effect i have meet one psychiatrist and i am feeling such effect i think now the that psychiatrist health is not good.. and if not that psychiatrist is not controlling my mind i think there is some god behind me i cant able to see	Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that the problem you are facing now is of your own creation. For the time being, science is incapable to answer your question. Because science is not yet developed enough to answer your query. But there is another view point. Today nobody living in this world is that capable to control somebody's mind. Such a capacity needs to be developed psychically as well as spiritually. Such a person is not available. Definitely not a psychologist or psychiatrist. Therefore, you should not worry. I suspect that you are troubled so because you could have developed paranoid schizophrenia. Please work with your psychiatrist to get good cure. Do trust him. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	my daughter(5 months old) having some allergy on head.for that doctor suggest LOZISOFT.when ever apply that one.she have immediate cold .is it safe for my baby please tell me	Hello, Welcome to Chat Doctor forum. Allergy only on head (I assume scalp) is not a very common condition. I assume that the doctor has provided you with a diagnosis like Atomic dermatitis. Infants having scaly, itchy lesions in scalp can also have a seborrhea dermatitis or some infection like fungal or bacterial. Lozisoft lotion is just a moisturizer containing liquid paraffin and algebra and is safe for infants. It is usually given for Chat Doctor. However, if your baby is not responding well to it, she can possibly have an allergy to any of the ingredients or fragrance used in the lotion.Also, if her scalp lesion is not resolving then please consult your doctor again for reviewing the diagnosis and providing an alternative medication. There are many similar emollients or moisturizers available of different brands like aqua soft, closest, NMF_e, your doctor may prescribe an alternative for solving your problem. Wishing your daughter a speedy recovery.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi! I was diagnosed prediabetic five months ago. A1C of 5.9. Im thin, but I skipped meals and then drank a sugary frappe each night. I learned to eat healthy. I retested two months ago. My A1C was 5.6. If I test again and get an even lower result, does it mean that my body will be able to tolerate sugar like a normal person, or will my blood sugar shoot up at the first slice of cake? I plan on permanent diet changes, but I want to feel like Im back to normal.	Hello. I would like to extend my appreciation that you have started a healthy eating pattern. As shown by your A1c, your blood glucose levels have begun to decrease. 50 percent of prediabetic become diabetic in 5 yrs. 25 percent remain so and 25 percent regress to normal glucose tolerance. Since you were in the pre-diabetic range, It's prudent to engage in healthy eating and remaining active always. An occasional frappé is alright but stick to something healthy almost always. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I have discomfort in chest for 1 week with upper back discomfort throat and I ve had toothache on both sides which lasted about a week. I had inflamed heart 6 months ago and was wondering if this could be happening again but I also think I could have indigestion. I am a 56 year old female.	Thanks for your question on Chat Doctor. I can understand your concern. If you do have a history of heart ailment get yourself evaluated again to rule out any recurrences. IF it is normal then it could be acid reflux for which eat small frequent meals instead of large meals. Exercise regularly, do not lift heavy weights, keep your head end elevated by 2-3 blocks or pillows, give a gap of 2-3 hours before you sleep after your dinner. 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.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I was lightly bitten by a dog (that appeared to be a house pet) and the bite only left two scratches. It did NOT penetrate the skin. There was some saliva (the dog wasnt foaming), but I cleaned it immediately. This happened 24 hours ago. I dont know if the dog had its vaccinations	HiT hanks for posting your query on Chat Doctor. I appreciate your concern for the suspected dog bite. The rabies virus is predominantly found in the brain and the salivary secretions of the rabid animals. In view of the history of dog bite with some salivary secretions on the scratches, you are required to take the anti rabies vaccine after the thorough cleansing of the wound, a booster dose of Injection Tetanus toxic. The anti rabies vaccine has to be injected into the deltoid muscle of the arm on the following days 0,3,7,14, and 30 days. If the dog happens to be healthy after 10 days, you may discontinue the remaining doses of anti rabies vaccine, 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。	Hello doctor,I am a 21-year-old female, non-smoker. I noticed a bump at the back of my throat the other day, but I am not sure how long it has been there as it does not cause me any pain. I had my last dental visit before two months, so it must have developed sometime since then. I got the three-stage Gardasil vaccine when I was younger so I am not sure if that helps rule out HPV or not. I am out of the country until four months, so I am wondering if this is something that needs immediate attention or can wait until my next dental appointments. What is this red bump at the back of my throat? I am currently taking Ortho tri-cyclen.	Hi. I have seen the picture you have attached along with the complaint. (attachment removed to protect patient identity). It looks like a pharyngeal ulcer because of the patchy and reddish appearance. Chances of infection of the tonsils are also greater. But you have mentioned that it is totally painless and has been there for a while. So I reckon you visit an ENT specialist not a dentist for this issue. If this is painful while swallowing or ChatDoctor. It can be treated with simple antibiotics then. If not this has to be ad
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doc, I am at 26yr and married at 3.6 yrs back. we are trying to conceive from last 1yr again but no good news so far.all reports are normal and went to abortion with medicine two years back due to financial problems. my doc suggest letoval tablets and injections last month and this month again because she is expecting endometriomas on right overy 1.6*2.0 cm but not confirming the problem. if that is the problem can I get pregnency? is that problem due the abortion with tablets? please help me to conceive.	Hi there, I have understood your concern. 1. First do not panic. 2. Please do not worry and do not correlate the pregnancy termination to your present problem .3. I'd there us possibility of endometriosis is chocolate cyst, then please get laparoscopy and hysteroscopy done. This will help to tackle the ovarian cyst problem and also help to know about patency of the fallopian tubes. 4. Mild to moderate severity of endometriosis can be treated completely with surgery and medical treatment. You can go ahead with ovulation study and GUI, if the tubes are patent. If tubes are not patent then you can get pregnant with IVF technique. I hope this answer helps you. May God bless you with a bundle of joy. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello , in july 2013 i had lump in my left breast and had FNAC done result came out as cyst.I had also done mammo and MRI for both breasts in aug 2013 and result was 2 small cysts in right breast and 6 small to medium cysts in left breast.Iam not talking any medicines except evion 600 and multivitamin.I sometimes have left breast pain (not severe),but sometimes worries me.Pain transfers to right shoulder too.Is something i have to worry,please advise....	Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of bilateral breast cysts, I would tell that surgery is the best way for treating the cysts; other options are repeated aspiration of them and preventive measures to avoid infection! Always use tight-fitting inner garments...and painkillers if necessary! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,Till school, I was a very bright student but while pursuing graduation, I lost my interest in studies. Now I am not able to concentrate on studies and keep on thinking about other things. I am very tensed. What to do?	Hello. There are various reasons of lack of interest in studies. Not having the subject of one\s choice, parental expectations, the stress of performance, anxiety problem, lack of motivation. I would advise you to make a schedule and follow it strictly. Set some rewards for better performance. Do yoga, meditation to increase concentration.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,I did a TMT as a formality for a new insurance policy, and the comment says, TMT MILD POSITIVE FOR INDUCIBLE INFERIOR AND LATERAL WALL ISCHEMIA.. is this dangerous, just let me know. i have a balanced lifestyle, with regular exercising and almost zero cholesteral and adequate carb diet. Iam 37 yrs, 170cm tall and 72 kgs.. Kindly suggest on how big a worry this is...	Your cardiologist will decide what should be next step... As there is problem in stress test need to undergo... Coronary angiography... Either conventional or CT angiography.... Chances of coronary angiography becoming normal Is also good... But its always to be 100% assurance . Which can be through coronary angiography... Need personal interpretation of your TMT report to tell significance ... Take care
如果你是醫生，請根據患者的描述回答醫學問題。	Have little like bumps which I assume are varicose veins on my scrotum amd today on eof them broke oen like a pimple and bleed profusely. I called my family dr. and he told me to apply pressure to it for 10 mins it did stop bleediig which was brigth red blood. I asked about following up on it and he just said watch it-lol. I have a few of ths on my scrotum but none have ever bleed. Is this the normal process. I am overweidgt but not extreme nad have a rather lg scrotum . Can I excpet more of these to burts?	Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Your current health issues seem to be due to -Long Standing and Advanced Varicose Veins of the Scrotum-which was not noticed / or was not cared unknowingly. This needs to be verified with other causes of large Scrotum-which could be due to accompanied- Inguino-scrotal hernia/ or accompanied Filial Scrotal enlargement. The Cause of this in your case needs to be investigated. Other causes need to be verified, as discussed above. For this you need to consult Surgeon and Urologist from Surgical Department. Remedy-Dos in your case-Check With Doctor-Rest-for few days-4-5 days-with head low would help you to strengthen the Varicose rupture site and would avoid recurrence in time to come.you need to Urgently plan Micro-Vascular Surgery for correcting the varicose veins in Varicocele which many need ELVT-endoscopic laser ablation of the engorged communicating vessels and Foam chemotherapy to reduce the engorged mass, as your case is advanced Varicocele. Bleeding from the Scrotal Varicose Veins - is not a normal process, and indicates long-standing Varicose veins with thinned out skin over it, with minimal trauma causing bleeding -as happened in your caseReduce on obesity by strict dieting plans from nutritionist and family GP. Check Testosterone / LH/ FSH and thyroid and blood sugar levels, which could be low due to long-standing Varicose Veins of the Scrotum-Varicocele and fix if diabetes/hypothyroidism is the cause of obesity in your case. Get physical check with Urologist who do USG and Color Doppler studies to assess the severity of Varicocele / with accompanied testes atrophy -if it's there. There are many causes which need to be verified amongst the causes discussed above before planning specific surgical remedy in your case. High protein low Calories/low fat / high fiber diet to built up body muscle mass and loose obesity. Proper Gaming and walking exercises would help you a lot but under guidance of Physician-as to avoid more ruptures due to uncontrolled exercises, due to increased abdominal and venous pressure. Vit B12 and Folic Acid- to stabilize aid BMR rise and reduction of obesity.Thus, You should consult Urologist and Physician. This would resolve the complaints of yours. Constant follow-up with local family or specialist Urologist and Physician for long term would give you long remissions of such pains in time to come, which would depend on meticulous follow-up treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. For early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! 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。	i am 25, female, 5foot 6 inches tall and weigh 18stone my boyfriend is 36years old 5 foot and 8 inches tall and is 19stone we have been trying for a baby for 17months now.my boyfriend has been tested and he is fine.my boyfriends sex drive is very low and we only have sex about once a month is this enough and allso my periods are irregular so its hard to judge when im ovulating do you have any advice to help us concieve ?	Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. If everything is fine, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Tell your partner to meet an Chat Doctor. It can be treated. Hope I have answered your question. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	iam having blood tests done ,been told iam anemic 7. something ,ihave been anemic most of my adult life as i dont eat well ,now i am worried because they are l ooking in to reason and one of the reasons being cancer .i can not stop worring as in the past iron tablets have worked.	HI WELCOME TO ChatDoctorI have gone through your query about your anemia. I am anxious to know, first : Your AGE ? , Second : Gender? , Third :Your Lifestyle ? Any way, It is good the you have realized the importance of eating. 7 HE is too low. It should be 11-15 F / 13 -16 Deficiency of hemoglobin would decrease the oxygen-carrying capacity of the blood. This also decreases the number of red blood cells resulting in a condition called anemia. Causes of low levels of hemoglobin levels include poor nutrition Never mind, it is never too late. There are ways & means to good health. Magnitude of the survival advantage from improved nutrition, can even be greater than the magnitude of the treatment effects being targeted in current clinical Chat Doctor. Only gulping on medicines will not help to secure your perfect health. I would like to suggest you to modify lifestyle to fight your health problems is one of the most effective treatment options in my view. Vitamin and mineral supplementation. There are several minerals and vitamins that can increase hemoglobin levels. Most important of these are iron, vitamins B6, B9 (folic acid), and B12, and vitamin C, which is important for enhancing the absorption of iron. Our health depends mostly upon our lifestyle & what how & when we eat. A diet full of processed foods will produce biochemical and metabolic conditions in your body that will decrease your immunity, so avoiding fried, fast, processed foods is definitely the first step in the right direction. One of the important strategies to achieve healthy body is a diet containing essential nutrients -- fresh, raw whole foods. Fiber letup, onion, potato, fruit -banana, grapefruit, plums apple, pomegrenade, beet root, egg fish, fish oil for Omega-3, green leafy veges, Iodine, artemisinin and green tea. Take beneficial natural supplements full of antioxidants serve as antibiotics serve as important defense mechanism to support immune health while fighting cancer and all diseases cells. Coconut water, Aloe vera juice 20ml juice & 2 TBL spoon AMLA juice Twice a bitter gourd juice25-30 kills bacteria on mass basesLemon juice with water twice before meals, Turmeric powder, level spoon with a cup of hot milk at bedtime, All are great antioxidantsWith all above, Adopt Physical activity in order to renew healthy cell and rebuild itself, to, eliminates toxins in the body and boosts the immune system, and enhance assimilation of food which also cleanses the lymphatic. You should make exercise a lifelong commitment. Do 30 mins walk/ exercise - from head to toe, yoga, Panama - deep breathing, Kapalbhatti / Laughing aloud and meditation to detoxify your system to accelerate the process of recovery. . The condition is REGULARITYContipation is the mother of all illnesses so is mental stress /worry /anger. Avoid them further suggest you not to worry and take action fast, Above regimen will surely gradually, help you to lead happy worry free healthy life ahead Magnets &
如果你是醫生，請根據患者的描述回答醫學問題。	I was diagnosed with bronchitis yesterday and given benzonatate 100 mg every 6 hours, it hardly did anything and lasted only a few hours, I called the pharmacy and they said I could double the dose. I took it at 10 pm and cannot stop coughing. I dont know what to do. It is a dry hacking cough. She also gave me a prescription of methylprednisolone and said to take get it filled if the antiobiotics and teh benzonatate dont work...Im not wheezing do not have sinsus problems. I dont know what to do	Thanks for your question on Chat Doctor. I can understand your concern. Best treatment of bronchitis is inhaled bronchodilators. Since you are not taking inhaled treatment, your cough is not improving. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol). Better not to take methylprednisolone because it is a oral corticosteroid and having many side effects. Don't worry, you will be alright with inhaled bronchodilators. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	hii had dignosed liver abscess on 665 (80cc) and inflamatory apendix 6.5 mm on 12-12 -12 and took dosage of metronidazole 3 time a day for 10dayz& augmenten 625 bd for 10 dayzzzzzi have no pain feeling ok but still confused if it returnns again than??what shuld i do?	Hi, dairy have gone through your question. I can understand your concern. You may have amoebic liver abscess, and you took course of metronidazole. You are feeling ok so nothing to worry. Furthermore, you should go for ultrasound abdomen to check complete cure. Nothing to worry about recurrence. 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 have been dealing with anxiety for almost a year now. I have also been having weird electric current type zapping, which is very uncomfortable and painful. They go through the whole right side of my body, sometimes coming and going for minutes. I think it is from my anxiety, and not because of my medication. I take Librium, Gabapentin, and Seroquel. I did experience similar currents a long time ago, but they went away. This time, they will not go away, and I need help.	Hello. Hence keep these points in mind while you consult a nearby psychiatrist for your examination. Take care. For more information consult a neurologist online Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	My grand daughter is 16 years old. She recently lost her father after a 3year battle with cancer She has been in two psychiatric facilities. She has been home in a private day school for the last six months. She is still giving her mom my daughter a difficult time. She wont take her meds and is mistreating her brother. She doesnt want her mother to have any social life.	Degree understand your concerns went through your details. From the given information it is evident that your granddaughter is not out of the threshold of the traumatic mental shock she received due to the death of her father. She should continue getting her treatment through psychiatric facility. She is only 16, and therefore she should be encouraged to lead a social life instead to keeping her indoors. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. 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。	Hi, I am Fahim. My Father is a patient, his creatinine was 297umol/L laste three month ago and presently he is under treatment and recently found his creatinine is 236.90 umol/L. But last two weeks he is suffering from decentry for which he have to go to toilet 6-7 time /day. He can eat anything, has vomiting tendency. His kidney doctor is also prescribed some drugs for this decentry but it have no improvement. please suggest what should I do now?	Hello Fa him and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Your fathers suffering from kidney failure, as the doctor would've told you. In addition, hes got dysentery. That also causes nausea and diarrhea. He should be on antibiotic course, after a stool culture test. His nausea is also related to the kidney failure, as creatinine level is high. He must take fluids according to his urine output levels only. Ask him to follow very low salt and protein restricted diet. No fresh fruits. If he has any doubts, send all the reports to me, as a direct question. Chat Doctor. Manga.
如果你是醫生，請根據患者的描述回答醫學問題。	I was laying on my side in bed when suddenly I could not stretch my jaw. It felt locked in place after about 10 minutes it loosened and I could move it anyway I wanted. One side of the jaw gained mobility first and then the other. My mother sat next to me and heard the cracking like sound. What is this condition?	Thanks for your query, I have gone through your query. The locking of the jaw can be because of the disc displacement in the temporomandibular joint. It can occur secondary to trauma or malocclusion. Nothing to be panic, Consult an oral physician and get it evaluated. Meanwhile you can take tablet proximal, do not hard food, do not open your jaw too wide. You can give hot fomentation over the joint. 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。	Hey there I was facing some issues with my penis it erects but not for long time I think my skin at lower dick head is attached it is not broken nd it is also painful because of which my erection fails can you suggest some way to open it without much pain	Hello share your concern This could be due to pain during erection, I would like further information to guide you better libelous age any exposure to unprotected sex? Is it since birth, or you have developed it recently In my opinion you can apply lidocaine ointment for pain during erection Please consult your doctor for a circumcision as a permanent cure. Maintain good hygiene don't manipulate it with unwashed hands Hope this answers your question Best wishes
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, my 3 year old was sick one week ago for 2 days, what ever she ate came straight out. It was followed by fever. The fever stayed for a couple of days but was never higher than 38.5 Celsius. She also had a a small rash on her chest, patchy rash. Was thinking the fever disapeard but today fever has gone up to 39.3 and she complained of pain on the back of her head. Am bit worried now that there is something more serious happening?? Do I need togo to hospital? Many thanks	Hi... Thank you for consulting in Chat Doctor. It could be any viral erythematous illness. The other possibility if it is an itchy rash could be a toxic urticaria or viral illness induced allergic reaction. Skin conditions are best diagnosed and treated after seeing them directly. I suggest you upload images on this website and get back to us. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY Chat Doctor. 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. Regard -
如果你是醫生，請根據患者的描述回答醫學問題。	What could cause a 33 year old males MPV to drop to 0? This count was taken twice in four days and both times came back zero? Patient was recently diagnosed with thrombocytopenia, platelet count was 32 and 29 when counts were taken at 0 MVP. Also, patient had been off steroids for eight and twelve days, respectively, and taking no other medications.	Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Mean platelet volume is a measurement of average size of platelets.2. Abnormally low MPV can be seen in thrombocytopenia, as production is impaired.3. In immune destruction of platelets, it will increase due to presence of giant platelets. Absence of giant platelets could indicate better prognosis.4. Repeat test after a week for further evaluation. The present zero MPV is possibly due to non-evaluation by the machine due to thrombocytopenia. Hope it helps. Any further queries, happy to help again.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have hair loss problem. Please advice.	Hello. Hair fall is a very common issue nowadays. There are several causes for hair fall. It may be genetical or acquired. Acquired hair fall may be due to changes in food habits and lifestyles, using excessive shampoos and conditioners, using hot water to wash hair, direct exposure to sunrays, consumption of salty and sour foods, etc. Some diseases like diabetes, hypothyroidism, chemotherapy treatment also lead to hair fall. Raised DHT hormone level is also responsible for hair fall. So there is a need to know the exact cause of hair fall and try to resolve them physically or medication. Blood sugar fasting and PP, thyroid profile, DHT, lipid profile. Apply Baidyanath Mahabhringraja oil in hair roots and do gentle massage with finger tip for 10 minutes daily at night and in morning wash it with Himalaya gentle protein shampoo. You should shampooing alternate day. Orally you can take Follihair tablet one tablet once a day after meals. Do these things regularly for two months and provide your valuable feedback. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	My elbow keeps locking and it has been in extreme pain for a while now. It hurts to straighten it out and when I do stretch my elbow it stops at angle. I cant fully flatten out my arm. Also it makes a loud popping sound. What is causing this and whats wrong with my elbow??	Hi, There are two possible causes of elbow pain. First is osteoarthritis and second is any previous injury. In both these cases there is a loose fragment inside the joint which gets stuck in the joint while moving and this is a reason you get this popping sound. This can be confirmed under an x-ray. Application of hot packs and elbow strengthening exercises will help you to relieve pain to some extent and if the pain is uncontrollable and the presence of a Loose body is confirmed on X-RAY minor operation needs to be done. There are no medications present that will give permanent relief from this 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。	I do have stomach infection which caused pain in one side of wisdom teeth due to gums.. Does Levoflox 500 /Cepodem 100 is a good antibiotic to take..? I am just 26 years old.. I had the same problem few years back and dentist gave me Cifox TZ that time...	Hello, Read your query, as you have toothache this can be due to wisdom tooth is impacted vertically, horizontally, medially, distally or due to infection due to caries causes periapical pathology leads to Periapical abscess, Periodontal abscess or Peritonitis. For this you should consult dentist and go for investigations IOWA x-ray of tooth and if it is impacted then discuss with your dentist and go for extraction, if pain is due to infection you should go for Root canal treatment or Oral prophylaxis. In meantime, you can do Luke warm saline gargle two - three times a day, you can take painkiller like Eugenic plus or retool DT for temporary relief. Hope it will help you. If you have further queried I will be happy to help.
如果你是醫生，請根據患者的描述回答醫學問題。	My 1.5 Months old child is having a hole in the heart. I have been suggested a heart surgery. I am a resident of Barmer, Rajasthan. I can afford to travel anywhere in the country for the best surgiCal treatment. Kindly suggest the best ways. Is there any technology for surgery by binocular without an open heart surery.	Thanks for your question on Chat Doctor. I can understand your concern. Open-heart surgery is advisable in child Chat Doctor. It is having excellent prognosis, and we can achieve near normal heart functions with open procedure than closed one. Since your child is just 1.5 years old, better to go with the best treatment and hence open surgery is advisable. Best center for such surgeries is Narayana Hrudayalaya in Bangalore. So consult there. Hope I have solved your query. I will be happy to help you further. Wishing good health to your child. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	My son is 4 years old. He took milk of magnesia yesterday and hasn t pooped yet. He took some this morning too, and so far, nothing. Gets cramps every now and then. But no poop. The bottle says to call a dr if don t poop after taking. Should I worry?	Hello, I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? 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 Dad is 75 years old and has been taking hydrochlorathiazide and amylodipine (Norvasc - 10 mg) for some time. Then at night he takes doxzosin and zolipedem (because he s not sleeping). His blood pressure is really low and he s been feeling lightheaded. Any suggestions?	Hello, Regarding your concern, I would explain that the dizziness and lightheadedness are probably caused by low blood pressure values, which is related to the antihypertensive Chat Doctor. For this reason, I would recommend reducing the doses or even stopping doxazosin and Novas, as long as his blood pressure values are low. It is also necessary for performing complete blood count to check for anemia. 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。	im a type 2 diabetic since last 14 years i always try to keep my fasting below 100 and my PP below 150 & HbA1C below 6.5 but in december 09 my cerum cretinine was 1 in feb10 1.1 , in june it was 1.2 n now it is 1.3so it is increasing at the rate of 0.1 for every quarterso kindly giv suggestions to control it so that it culd be controlld within the limits	Dear Friend, greeting s from Chat Doctor. Increase in serum creatinine gradually indicates deterioration in the functions of kidneys. You need to get evaluated properly. Diabetic are prone to Nephropathy especially if sugar levels are not in proper control. We need to get your microalbuminuria, HbA1c, fasting and post pron dial sugar, lipid profile, thyroid hormone levels, creatinine clearance for knowing your kidney status and GFR. Usually in diabetic patients are put on ACE inhibitor s or Arms to prevent Nephropathy especially now that your creatinine levels are increasing you must start. Meet your doctor with the report s and keep your sugar levels in control. Proper lifestyle changes are also needed. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	Hello ! i am 23 years old male and i had a so called panic attack 1 and a half years ago. Since then i am upset regarding my heart and have taking atenolol 25mg (as per symptoms). i sometimes feel my heart slows down and also feel slight dizzy but it recovers in a fraction of a second. sometimes my temporal veins engorge as well and i feel light-headed and slight numbness in my left jaw. Sometimes i also wake up at nights with mild pain on my upper back and my eyes are red and itchy with pupils dilated. since this winter i also notice my nails getting slightly bluish. I had my EKG and Echo 4,5 months ago which were normal Please guide me in this matter. Thank you	Hi, Welcome to Chat Doctor Forum Panic attacks can occur in physical and psychological illness. As your ECHO and EKG is normal, then it is better to rule out psychological reasons (panic disorder, GAD, stress and depression) and other physical reasons (thyroid imbalance, anemia or increase BP) in your case. For evaluation and management you can meet nearby psychiatrist as your symptoms started after a panic attack. I hope this information has been both informative and helpful for you. Wish you Good Health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here... My wife is suffering from depression. And she loses her memory. She can be very angry and get upset for nothing. she can hit somebody and after some time she behaves as if nothing has happened. what do you think she is having problem./	Hi there, Thanks for writing to us, The information provided by you is not sufficient to make a confident diagnosis. From the available information, there is a possibility that your wife is having dissociative spells where she loses memory to those particular events. Memory loss as such is a symptom that is commonly encountered in either depressive illness or in some organic causes of illnesses. It requires a detailed psychiatric evaluation and if felt necessary, a neurological consultation. Hope this helps, Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	HI dr. My fiance has a problem with pain killers like combiflam & brufin.. Whenever she suffers through headaches or any body pain due to excessive physical exercise, she is supposed to bear the pain as she couldnt take such pain killers.. Any other remedy for killing pain??	Hi, For body pain use hot pack it will reduce the pain, and ask your fiancé to do active exercises, aerobics, and light resistance exercises, relaxation exercises also. It will help in increasing strength and will also make bones strong and I believe it will help her in tackling body pains. Do take steam bath twice a week. And for headache use any topical pain balm and apply tight cloth around head and sleep. Along with these take 8-9 hours sleep. Avoid stress. Hope you will find the answer useful. 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。	Chest x-ray. Is there any solution for upper right zone ? sIR, hi, this is XXXXXX age 25 years from hyderabad,,, sir i had some medical tests regarding the visa process for saudi arabia . they failed me in the test by giving a report that my chest x XXXXXXX shows right upper ZONE CALCIFICATION , then i had x XXXXXXX from another famous radiologist he says that i had nothing when i discussed this thing to people who failed me in the test they says that i dont have any problem but there is a effective starch on my chest and there is no solution for that and i cant go to gulf countries coz of GCC rules,, kindly help me in this,,, is really there is no solution for this problem	Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having inactive scar tissue in right upper zone due to past infection like tuberculosis or pneumonia. Any lung insult whether tuberculosis or pneumonia or trauma, once treated can be healed by fibrosis or calcification. And these will remain throughout the life and appears on x-ray as whitish lesion. But this is not active, infectious lesion. To prove this point you need to consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis. If both are negative than you can argue with visa authority about not having active, infectious disease. So consult pulmonologist and discuss these.
如果你是醫生，請根據患者的描述回答醫學問題。	Undergoing chemo 2x month...my second treatment was last Weds thru Fri. I have been sweating more than usual and without fever since last night; In addition, been feeling fatigued w/o nausea or vomiting. staying hydrated and watching temp while resting. Should I be concerned?	Hi, Thanks for writing in. Chemotherapy is the infusion of medication that works specifically against cancer cells. These are strong medications and destroy abnormal cells. When acting on abnormal cells, few normal cells are also affected. These can cause symptoms like sweating, tiredness or fatigue with or without nausea. Sweating can also be present. These are mild side effects. However, if fever is persistent and high then any other secondary infection must be investigated for and treated if present. It is good to maintain a temperature chart every 6 hourly and also have adequate amounts of fluids and healthy diet. If your temperature is consistently more than 100 degree Fahrenheit for more than a day then you should talk to your doctor and get treated. Please do not worry.
如果你是醫生，請根據患者的描述回答醫學問題。	37 yo male with swollen left cubitol node. He has just finished 2 antibiotics that he took at the same time. The node has become very hard within the last few days. He has sores that will not heal, mainly one that he squeezed and hard little white balls came out. He has been diagnosed with cat scratch fever through CT scan. He has had a low grade fever and now he is just running a low fever it hanging around the 96 degree mark.	Hello, As there is swelling and diagnosed with cat scratch fever I will advise continuing the antibiotics under the guidelines of the physician. As the infection within the body will take some time to get over with. Also doing a blood and urine test is important as any misunderstood clinical signs and symptoms may not allow the proper treatment line to follow. For the swelling, I will advise using icing and do simple forearm exercises which will help the muscles to be stronger to not allow any swelling to occur. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	i have pain in my testicals ...it is that i am feeling pain in my weist also at same time in both sides. . past 3 days on words i am with my girl at evening times .... yesterday i kiss him at that time i dnt have pain but after that very much pain in my testicals ... 2 to 3 hours .. please tell me suggestion	Hello, Pain in the scrotum can be the result of serious conditions like testicular torsion or a sexually transmitted infection (STI). Ignoring the pain may cause irreversible damage to the testicles and scrotum. Often, problems with the testicles cause abdominal or groin pain before pain in the testicle develops. Please consult a doctor in person for physical examination and diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist
如果你是醫生，請根據患者的描述回答醫學問題。	I am suffering with Hyper tension from last 15 years. Doctors prescribed allopatChatDoctoredicine Nefidine/Tazloc etc one after another. I am having side effects like hyper-acidity/heart burn/pressure high in eye. Inform side reflexes are due to above medicines.	Hello, You may take this medication after food intake. Usually they may not cause acidity. But if you take with empty stomach it may. Use tablet pantoprazole before breakfast for one week. Avoid alcohol and spicy food then it may subside. If no improvement please consult with your physician he will examine and treat you accordingly. Take care. 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。	I recently had a dobbler done on my groin and legs, they were searching for a blood clot, but the report came back stating that there was no clot, it is likely iliac vein involvement. I have back pain, leg pain, and a lot of groin pain. I am looking for a doctor who specializes in this field	Hi there. As per your symptoms it is my analysis that your pain is originating from the back and is being referred to the groin and leg. It is most probably a prolapsed intervertebral disc at multiple levels which is compressing on the adjoining nerve roots leading to the articular pain. It is usually accompanied by some tingling sensation. Kindly get an MRI of the spine done and get it evaluated by an orthopedic. For the time being taken analgesic like etoricoxib and pregablin-methycobalamine combination tablets. Spinal extension exercises taught by a physiotherapist will help. I hope my advice has helped Good luck
如果你是醫生，請根據患者的描述回答醫學問題。	Hello! My 6-month old fell off my bed (about 3ft high) and he was already tired before falling, so after the fall he cried for about 10 minutes and I gave him a bottle of milk (which he drank the whole 8oz) and he fell asleep. Should I let him sleep? Oh, and he also had a little blood coming out of his nose. Thanks for any advice.	Welcome to the ChatDoctorI understand your concerns but don't worry. You may monitor his pulse rate, respiration and tone at home. If there is persistent increased pulse rate, continuous bleed, poor tone, seizure, poor activity even after expected sleeping time then do visit a pediatrician for proper clinical examination and definitive management. If everything seems to be fine then there is no need for any other treatment. 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 am suffering from moderate acne from last 5 6 years. From last 2 years i have been using this benzoyl peroxide acne kit Proactiv. And i was satisfied with the results. Now from last 1 month my skin is breaking out badly. Just to try i used Vichys normaderm tri active imperfection cream. And after that my skin got worse. i got pimples everywhere on my face. Used it for a week. And now i am again using Proactiv. Even though it is healing the pimples but its very slow. Plus im getting new pimples everyday now. Pls help me. Im confused about what i should use and what i should not	Hi Mishap, Firstly I would advise you to stop using Vichy and proactive products. Though they are good but response to these creams can vary from person to person. To treat acne, use a mild salicylic acid face wash and water based moisturizer. If you are having comedones, get them extracted. Also visit a dermatologist, to get your skin analyzed so that an oral antibiotic or oral isotretinoin can be started along with anti acne creams. Once your skin is better with medication, you can switch over to either of the products you have been using as maintenance(proactive or Vichy). Hope that solves your query. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, Good evening I had a 6 months old boy baby. Now me and my husband are having sexual relationship but without taking precautions we did 3 times. But we don t want another baby soon. am getting afraid if i get pregnancy soon. and after delivery i didn t get periods. how i test this and when i will get periods. if i get pregnant what are the steps to be taken to avoid it. please give suggestions. and i had right breast pain while feeding left one. but am feeding both. till i had pain whats the reason for this. waiting for your reply. Thank you	Hello. Congratulations on your recent delivery. Couples who rely on breastfeeding to prevent another pregnancy are taking a bit of a chance. Many nursing mothers begin ovulating within two to three months of delivery, while others may not ovulate for a year or more. The problem is, there's no way to predict when you, personally, will become fertile again, so you could actually ovulate, conceive and get pregnant without ever having a period. Thus, if you want to prevent pregnancy you should at least use condoms, and you may want to talk to your doctor about other forms of birth control."b" Now, your breast pain might be a symptom of mastitis, which is a common problem in breastfeeding mothers. Mastitis is caused by a bacterial infection in the milk ducts of your breast, and it can often be managed by simply applying warm packs to the breast. It's okay to continue feeding your baby from both breasts, even if you have mastitis. If your breast tenderness doesn't improve within a couple of days, see your doctor; you might need an antibiotic to get things cleared up. I hope that helps. Enjoy your baby boy!
如果你是醫生，請根據患者的描述回答醫學問題。	I have two swollen lymph nodes on my right armpit. One is considerably big and the other is quite tiny. These started to hurt about 3 days ago and became visible only yesterday. I had the flu which I am still not fully recovered from and also got my menstruation today. Could this be the cause or shall I go and check it out? Thanks	Thanks for posting your query to Chat Doctor>lymph node can be swollen due o any kind of infection It is there protective function. But you need to be sure that these are the lymph node and not the other type of swelling. You should contact to general surgeon for local. Examination of node as this area is connected with breast so any kind of pathology may leads develop such type of condition presently you can take anti-inflammatory Chat Doctor. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I have a nagging pain on the left side of my back, like around the kidney / lower lung area. Sometimes it feel like whatever is there is mushy or like its a flowey feeling like a underwater, but sometimes its a bit sharp. I am quite a healthy 50yr woman, have some weight on around middle, and have been drinking a lot of wine lately, which i know is causing the weight. Sandra	Hello, Thanks for writing to the pain on the left side of back could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done. If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely. The other causes that need to be ruled out include lung infections like pleuritic. Hope this helps you.
如果你是醫生，請根據患者的描述回答醫學問題。	i injure my knee over a year ago. i did not have the chance to go the doctor because of not having insurance. A year has past and my knee injury has healed but not completely. It start to get painful when i ran less than an hour. my knee is really stiff after a few minutes of running but not painfully. With the Obama care in a few days and hopefully my knee will finally get to look at. I m just scared that it might have gotten worst. What can i do?	Hi.your knee pain could be due to less stability and strength in the muscles supporting your knee joint... I would suggest you to start a stability program and insist to properly DI good warm-up and warm down to avoid any future issues.stability program can include exercises like Bridging. Clamshell...single leg lift sideways...step-ups.squats...initially be started without weights and as you get comfortable increase load...clamshell exercise leg to be held in resisted position for at least 19 secs and repeated for 6 times each leg.all other exercises can be done for 15 reps.each...keep icing your knee. Frequently at least thrice in a Day. Prefer good training shoes. Hope this is helpful for you. Key idly revert in case you need any further clarification....
如果你是醫生，請根據患者的描述回答醫學問題。	My friend had a fever of 104 last night and a runny nose today. I was with her today at a meeting and as we were leaving she had an awful coughing fit (I was not with near her at the time) and had to go to the bathroom to dry heave. Do you think this is very contagious? Am a likely to catch it? I can t afford to be sick at the moment as I finals this week.	Symptoms of running nose, fever & cough point throat infection & it might be contagious thing. But chances of the infection to another person by airborne rout depends on several things.1)It mainly depends on type of the infection (Bacteria) because some are easily transferred by air route. 2)The distance between you and infected person small the distance changes of getting infected are more.3)Ventilation of room. If the room is closed having no open windows/ a/c room the chances of infection are more.4) last & most important factor is your status of immunity. If your health is good & immunity is also good then chances of being infected are very, very less. But if your immunity is poor the may get infected. So considering the way of exposure you had there been very few chances of getting infected. Now the only thing you have to do is observe yourself & if at all you show any of the sign of infection rush to doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	hi i m 18 year old my height is 5 f and i m suffering from typhiod fever .i had become the victom of it before. when i was 9 year old and again at the age of 14 and now i m again suffering from it i want to know that can i eat yogurt and noodles during typhiod	Hello there, Typhoid recurs due to exposure to a contaminated source of water or due to eating non-vegetarian food like eggs, fish meat that is not prepared hygienically. You can have yogurt and noodles but preferably homemade. Also, as you will have bouts of lethargy and tiredness-Coconut water, bananas are beneficial to get rid of the tiredness. You can also have a diet that includes plenty of fresh fruits and greens and take care of your protein intake. Buttermilk, curd, whey protein can be added to your diet. Avoid oily or heavy food as it will make you more lethargic. Precautions that you can take is always Chat Doctor. Either boiled or filtered. If travelling carry your own water bottle or
如果你是醫生，請根據患者的描述回答醫學問題。	Hello i am a 26 yr old female who is 52about 140 lbs. I have been suffering for about 8 years with chronic low back pain from three hernniated discs in my lower back L2-s1. I know the kind of pain that i have and this is not it. Tonight i discovered a painful lump on my right lower back that hurts to touch but is moveable. Its about the size of a nickel. Just wanted to know if any one knew what this could possibly be. I have received shots in my back about two months ago. This painful bump just popped up tonight. Please help!!!	Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the painful movable lump injection-abscess with pains.2-For your age with 3 herniated discs and repeated shots in the back, -Post-Injection-Abscess is the most probable cause for such an acutely developed back lump.3-Hope this would solve your query.4-Wellcome for any more questions on new or this subject also... 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 have done ultra sonic on my kidneys last days, the doctor found small lesion 4,3mm in cortex of my left kidney, he mentioned to me, no problem and advice me donot think about it it could be stone or angiomyolipoma, but im very warry is there any stone could be imbeded in the cortex?. if it angiolipoma what can i do. by the way, this lesion was detected befor with the same radius (4mm) since 18 month ago. what can you advice me please Sir?	Hi, Thanks for writing in. Angiomyolipoma is a benign tumor commonly seen in kidneys. It is a bunch of vascular, smooth muscle and fat containing tissues. If it has not grown from 4 mm in 18 months then there is no reason to worry. Angiomyolipomas are often found incidentally when the kidneys are imaged for other reasons. Angiomyolipomas found incidentally usually require no therapy (when small), although follow-up is recommended to assess for growth. Larger tumors, or those that have been symptomatic, can be electively embolized and / or resected with a partial neurectomy.
如果你是醫生，請根據患者的描述回答醫學問題。	I have fibromyalgia and am looking for an exercise regimen to get me moving and build my core. Because of my pain, I ve become sedentary and need to move more. Can you recommend some exercises to start me out slow and then progress to a moderate plan? Due to weather, I prefer to stay indoors.	Hi, thanks for giving a brief idea about your history. Well for fibromyalgia there is very limited access for each and every thing. But a continuous variation and modification of exercise will always be of help for making core look with doing Pilates. Along with it please look forward with breathing exercises. As breathing is the first one to focus. Try doing strengthening of the antigravity muscles. I mean to say, the muscles of your back. Them look for upper limb strengthening and lower limb as well. Focus on strengthening but without weights. That might not sound sensible. But yes I mean to say same thing. And I spoke exactly what I meant to. Strengthen while using no weights. Well, a guidance from a professional physical therapist always words to an extent a better. For my personal experience with fibromyalgia patients I prefer to divide the whole program into different variations like meditation, yoga, breathing exercises, fitness training, strengthening conditioning, etc. There will be a lot of fora about the fibromyalgia and lot of patients are benefitted with various things. What I mentioned was a rehabilitation package which can be fluctuation on a basis of demand and supply. I wish you a speedy recovery.
如果你是醫生，請根據患者的描述回答醫學問題。	Baby girl is 17 months, teething, and was determined to have hand, foot, and mouth 7 days ago. Three days of fever, before we went to ped. 6 days ago she tripped on carpeted floor and landed with pacifier in mouth. Mouth bled. Top gums are still very swollen, are completely covering up her 4 top front teeth, and have some pus. Is there an infection or is this just the hand, foot, and mouth / teething?	Thanks for your query, I have gone through your query. The bleeding with swollen gums and pus discharge can be because of the break in gums secondary to trauma super added with infection of gums or tooth (Denton alveolar abscess). Nothing to be panic, consult a pediatric dental surgeon and get radiograph done to rule out a fractured tooth. Meanwhile you can take a course of antibiotics like amoxicillin(if you are not allergic). I hope my answer will help you, take care.
如果你是醫生，請根據患者的描述回答醫學問題。	my son who is 16 was in a car wreck in may and his foot was swelled very severely and non wieghtbearing, he went to orthopedic who had put him in a boot for three weeks and then physical therapy. xrays was preformed that showed a small chip in the heel bone. they diagnosed him as having a sprain. he was doing great for two months and now he is back to baseball condictioning and being on his foot at school and this oval shaped knot has popped up on top of foot with swelling and pain. the swelling and pain seem to be worse when he is on his foot. the more active he is the worse his foot is... could they have missed a lisfranc injury or could something else be wrong?	Hello! Welcome to Chat Doctor! Thanks for writing to us, I have studied your case with diligence. Physiotherapy like ultrasound and TENS will help in early healing of torn ligament. I will advise doing MRI ankle for soft tissue involvement if pain remains persistent. Till time, you can continue physiotherapy and also use supportive splint or brace. You can start tab tender for early healing of ligament consulting your doctor. 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。	my mom had a nervous breakdown i dont know why. im only 13, and really scared for her. i was at my grandparents house when my dad pulled me outside and told me she had a nervous breakdown and it sort of seemed like there may of been a reason but when i asked they said i dont know or tried to avoid it. im confused and scared	! I have read your question carefully and can understand your concern. The problem in the query is that the term which you used" nervous breakdown". This phrase can mean a lot of things, like for example-crying bitterly, or shouting, or creaming or hurting other person etc. To exactly tell the treatment or diagnose the condition, one needs to know what exact happened, how was your mother behaving? Also, it will be useful to know if she already has some diagnosed psychiatric illness or on some medicines. Hope you understand the point. Feel free to ask more questions. Please donor worry, as all kinds of emergencies in psychiatry can be managed effectively, without hurting the patient or the family.
如果你是醫生，請根據患者的描述回答醫學問題。	hi doctor.i am 26 year old mother of 2 year old baby .not having my periods yet.i was having gastritis problem and fatty liver problem 3 months back due to which i vomits for 2 months regularly(yellow acidic vomit)and now vomit stops but i m having headche all the time and heartburn and eye strain also.what is this can u help me to get rid of this.when it all becomes to normal?thanks doctor	Dear Friend. I would like to know how were you diagnosed to have fatty liver. Was it associated with pregnancy? There is a condition called as Acute Fatty Liver of pregnancy. If not, then alcohol is another cause of fatty liver. If you don't consume alcohol, You high be having Non-Alcoholic fatty liver disease, And Your vomiting might be because of Non-Alcoholic Steaohepatitis NASH. Get your Liver function tests and tell us. You can take a combination of Pantoprazole and domperidome for heart burn, gastritis. Stay Healthy
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doctor, My father has been diagonised with cancer in throat. His age is 72 years. 1 year back he went through radiation therapy , but last week it was diagonosed , that it re occur on his vocal cord. Doctors have told for slavage by laser operation. On net came to know abt pulsed-KTP laser treatment. what is that ?	Hi, Thanks for writing in. The pulsed KTP laser is pulsed potassium Titans phosphate laser. It has been in use since last few years. This is under category of anxiolytic lasers have been shown to be an effective treatment strategy for laryngeal papillomatosis which is a grow thin throat. These lasers precisely target hemoglobin within the microcirculation of cancer regions. It has been demonstrated that the advantages of the fiber-based pulsed 532-nm potassium-titanyl-phosphate (KTP) laser with local anesthesia are better than conventional surgery. Please do not worry.
如果你是醫生，請根據患者的描述回答醫學問題。	i am a 23 year old male. i get a feeling like a warm liquid is running down my lower left abdomen, right about my waist line. it isnt painful, just really strange. it happens every 20-60 minutes and doesnt have a specific trigger. i am very active and have read it may be hernia, appendix, or kidney. looking to see of the possibilities.	Welcome to Chat Doctor .1. Abdominal hernias are generally without pouching, symptoms can be similar to what you are having, but you are not localizing the pain.2. Cholelithiasis can also give the similar symptoms.3. Other causes might be bowel infection / inflammation, renal stones, acid peptic diseases.4.However you need to get an appointment and your doctor might ask for an ultrasound, which will help in narrowing the diagnosis or definitive diagnosis. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 52 years of age and suffer constant dizziness and balance problems when standing up. I feel as if there is pressure in my head. I had a test done my heart beat is low and when i stand up my blood pressure is low . I have been told i suffer from from anxiety. Can i know about some treatment?	HI Thanks for posting your query. I personally feel your evaluation for your problem is inadequate. I advise you to get your ears tested by an ENT specialist, get an MRI Brain also. Also increase your salt intake, Chat Doctor. You can take Tab Vermin 8 mg as and when required for dizziness but do get these tests done and revert. Also, please mention how much exactly is your Heart rate and BP in sitting and standing position.
如果你是醫生，請根據患者的描述回答醫學問題。	hi my name is mesbah i m 26 year old i had ovarian cyst so i opprate this and removed after 6 month i had conceved but some hormonal disturbance i had miscarrage my weight is now 72kg my doctor give me now a becefol tablets for 1 month i want to now conceved plz help me my miscarrage had 4 month ago	Hi, Thanks for the query. I understand your concern. Early months abortions can be due to abnormal formation of fetus (blighted ovum, abnormal ovum or sperm), /certain infections (mumps, rubella, other viral infections, stds)./ hormonal deficiency/ history of fall. You should get investigated to exclude these before you plan. Get needful treatment. Then try. (Your treating gynecologist must have done it. Tab. Folic acid helps in preventing certain malformations of fetus. *for fast conception-After being treated for possible cause of abortion & being in good health (both of the couple). Ovulation should be tested for, by LH surge test. Have unprotected sex from the date the test is +ve . For 6 days. Test for pregnancy with hit after 8 days delay in periods. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a red itchy rash all over my body. the day it started I took a bath with purfumed salts and milk. do you think it would be the combination of the two to cause the rash or that I m allergic to these specific bath salts. I recently used bath salts that would seem harsher on the skin with no problem. I know the bath salts I used with milk are supposedly just sea salts and fragrance and paraben free.	HelloWelcome! I would be pleased to answer your question. From the description of the lesions they seem to be either an Allergic contact dermatitis. Which has become chronic at the moment. The Allergy can be due to external allergic agent. The response to the agent results in an itch scratch cycle. As in the more one scratches the more the area itches and so on. The first step in treatment is to break this cycle by giving relief from itching and instructing the patient to avoid scratching as much as possible. It can occur localized as in your case. Here is what will help: 1. Clobetasol propionate cream + Mupirocin cream: Mix and apply over the affected area twice a day for 14 days then switch to Fluticasone propionate cream once at night for 2-4 weeks. The specialist to see will be a dermatologist and he or she can prescribe these for you. Nothing over the counter will help much, the only product with some benefit is 1% Cortisone cream. 2. Tab Clarity 10 mg twice a day for 14 days, then once a day for 6-8 weeks. Initially the dose can be increased to 2 tablets taken twice a day if there is insufficient relief in itching. 3. Sara sensitive lotion can be used 2-3 times a day to give further relief from itching. This can be continued even when the above creams have been stopped. 4. Avoid scratching the affected areas as much as possible. This is most important. Whenever it is not bearable soak a towel in ice-cold water and keep it on the affected areas or apply the Sara sensitive lotion. Lastly keep the affected areas as well moisturized as possible with a moisturizer of your choice. NOTE: 1% Cortisone cream, Clarity and Sara lotion can be bought without a prescription. Please feel free to ask if you have any queries.

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