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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 used to use primatine mist until the drug companies and epa managed to get the fda to ban it. Now I am using the ventolin inhaler prescribed by my doctor. One lasts me about 2 to 3 months and the Dr. says I am using too much. I have had absolutely no side effects whatsoever, and I am wondering what she will offer me if I can t get the ventolin as I need it. I was a heavy smoker for many years and quit several months ago. I get congested in the evening and overnight but not so I can t breathe but just uncomfortable. I am in good shape and exercise every day and can work most guys my age, 76, under the table. During the day I feel just fine. It s only around bedtime and first thing in the morning that I use the inhaler. I think I can be the judge as to when and how much I use the inhaler. I have an appointment on coming Thursday and will see what the Dr. is going to say.	Hi, By your history and description, the possibility of bronchitis (inflammation of airways) is more likely. So better to consult pulmonologist and get done the clinical examination of the respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about the severity of the disease and treatment is based on severity only. You will mostly improve with long-acting inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). So consult pulmonologist and discuss all these. 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。	Dear DoctorI am suffering from hish AEC count (1400 cell/cmm) . I have been suffering from this from very long . So many times i took medicine . Is any permenent cure for this . ow can i maintain this at normal level . All days i am suffering from sneezing .thank youNisha	Hi, Welcome to Chat Doctor, and thanks for asking. The high eosinophil count, you are experiencing is due to allergy. For treatment of allergy, you can do two things:1. Antihistaminics2. Avoiding the allergen. Avoiding the allergen is important. If you do not know it, get an allergen test or IGE levels estimated. Once the allergen is removed, not further stimulation for eosinophil production would be present, and it would reduce. Permanent cure is identifying and avoiding the allergen. 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。	My mom has been diagnosed with fatty liver, and she is up all night with dry heaves and no energy to move. She ends up in the hospital every other month or so, feels better for awhile and then it starts all over again. Is this normal for her condition	Hi, Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from "Alcohol" - Low fat diet should be followed, avoid junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese- "recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Hope I have answered your query. Any further questions are welcome. Wish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter is 4 yrs old and has weight 13 kg consistently for past 1. 5 yrs. Also she is frequently ill by day to day cold, fever and vomiting. We have been taking every care regarding hygeine. Also she suffered from chicken pox 20 days back followed by post viral fever. Her cough also is frequent. In past 4 months she has been infected by sometimes bacterial infection, diarrhea, viral fever resulted of lymph nodes at sides of neck, still in small amt visible. Please advice some kind of medicine/immune system strengthening tonic for her.	Thanks for asking. I have gone through your question and I understand your concern. Your daughter who is 4 years old is not doing well since last one and half year. She has having recurrent cold cough, and she is also episode of chickenpox 20 days before, and you are interested some medicine to boost her immune status. If I was your treating pediatrician I would suggest you multiple vitamin that can contain and vitamin A. In India it is marketed by the name of spy A to Z. If she underwent blood investigation and her hemoglobin was below 11 you can add iron. Hope I answer your question
如果你是醫生，請根據患者的描述回答醫學問題。	I have a terrible yeast infection in the folds of my legs and groin skin. I am applying nystatin and triamcinolone ointments as well as taking augmenten and diflucan. I just came down with hives on my hands, around my neck area, and possibly on my ears and head because they itch. Am I doing something wrong? Thanks, Kara	Thanks for contacting Chat Doctor with your medical concerns recently being having a problem with a red rash, possibly fungal infection, in your groin and in the folds of your arms. The first thing I recommend is that you stop using the Augmenting and the triamcinolone ointment. The Augmenting is an antibiotic and will kill off all the good bacteria and your skin allowing the fungal infection to grow unchecked. Normal bacteria on our skin helps protect from overgrowth of fungus. Also, Augmenting can cause more allergies and the recent rash with itching maybe allergy to Augmenting. The second thing is that the triamcinolone is a steroid, and it will also help the fungus grow. Steroids reduce immune response again allowing for the fungus to grow. Third keep the areas where you have a rash as Chat Doctor. Fungus likes to grow in areas that are warm dark and moist. Fourth continue rifleman and statin powder or spray. These are antifungal medication and will help control the infection Hope I answered your question. Please contact us again with your medical questions or concerns
如果你是醫生，請根據患者的描述回答醫學問題。	i am on cipralex for 20days now on 10 mg but still no improvement.. I took it for GAD and anxiey when talking to some people. I want to feel confident again with no anxiety but responsible and have emothions and caring with desire to work and achieve. can that be done with cipralex. I am a high achievable 33 years girl with alot of motivaions and currage to be the best. I love to have alot of friend and feel comfortble when i am around and i guess that is what missing and cause me to be a little depressive.	Hi there, thanks for the question. Cipralex is a good medication for generalized anxiety disorder. The dose could be increased to 20 m gram daily to see if it works. It needs up to 6 weeks to show its effects. However, if it does not work until a month later, there are other medications that could be effective for controlling generalized anxiety disorder, like any medication from the class of SARI. The medications from the class of SSRI are from the best, so it is better to wait to see if it works. I wish you a good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Ive had a fistula for several mos. in my mouth on top of where a tooth was pulled 30 yrs. ago. Ive had a partialfor 30 yrs. with no complaints. Fistula not bothering me. Must tooth next to it be pulled or can antibiotics be used first? Dental specialty.	Thanks for posting your query to Chat Doctor. After going through your history, you need radiographic and oral examination to trace the tooth with which fistula is associated. Then depending on the condition of the tooth, root canal treatment or extraction will be done. I would suggest you to visit an Endodontist for proper examination.Meanwhile, you can start the antibiotic course with amoxicillin 500 mg 2 times a day for 3 days. Hope my answer will help you.
如果你是醫生，請根據患者的描述回答醫學問題。	dear doctor , my friend has nasal blockage for last 6 months. and he had done endoscopy and the biospy report was malignant tumour . the features are poorly differentiated carcinoma . how long will take to recover from this? what is the treatment? sheeba	HI! SORRY TO SAY THAT PROGNOSIS IN YOUR FRIENDS CASE MAY BE DISMAL AS THE TUMOR REPORT IS BAD --IT SHOWS A RAPIDLY SPREADING TUMOR WITH HIGH POTENTIAL TO PROGRESS & GROW --- SO NOW FUTURE PREDICTIONS NOW VERY MUCH DEPEND ON TH E SPREAD WHICH HAS ALREADY OCCURRED & THE CHANCES OF CONTAINMENT OF TUMOR & ITS RESPONSIVENESS TO TREATMENT ...THIS CAN BE WELL DECIDED BY CT SCAN OF THE SINUS & HEAD & NECK AREA ---DO CONSULT AN SURGICAL ONCOLOGIST /ONCOLOGIST
如果你是醫生，請根據患者的描述回答醫學問題。	iam consuming alcohol for more than 5 years.. 180 ml per day.. Recent tests showed NHALD. dOCTOR PRESCRIBED METFORMIN 250 MG AND UDILIV 300 EACH PER DAY..IS THIS CONDITION SO SERIOUS...WILL THIS MEDICATION BE HELPFUL.. DOCTOR ASKED ME NOT TO STOP THIS MEDICATION.. WILL THAT HAVE ANY SIDE AFFECTS.. NOW I HAVE COMPLETELY QUIT ALCOHOL FOR ALMOST ONE YEAR.. REQUEST ADVICE TO IMPROVE MY HEALTH AND CONDITION OF LIVER..	Hello! Thanks for putting your query in Chat Doctor. I am a GastroenterologistSince you have stopped taking alcohol since last 1 year. I will like to advise you to get liver function tests (GOT/SEPT, S.ALBUMIN, PT/INR, AND SERUM BILIRUBIN), blood sugar and lipid profile along with ultrasound abdomen mentioning liver size and echo texture, spleen size, portal vein diameter, any ascitesPlease get these tests done upload the reports before any advice. Also mention your body mass index. Please remain in touch. Waiting for the feedback
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have rheumatoid arthritis. There is a long waiting list to see a rheumatologist in my place. I am thinking of seeing a private doctor but I have limited funds. How often would I need to see a rheumatologist? I cannot afford it every week or maybe every few months. How often do you think I need a doctor visit? I am hoping to be prescribed a DMARD like Methotrexate. Then when my slot comes up with the NHS I will go there.I take Naproxen which is not enough and I had a cortisone injection in my knee a couple of months ago. The swelling did not go down completely but I walked better. It has worn off now, and I have pain in more joints and a feeling of lumps under my feet. I am on a special diet and my CRP, ESR and high rheumatoid factor have gone down by half. But lately, I feel unwell. I would like to know the frequency of visits needed.	Hello, Welcome to Chat Doctor forum. I have gone through your history. The only part I did not get was, that how come there have been no DMARDs (disease-modifying anti-rheumatic ChatDoctor. It is a bit unusual. If you could throw some light on the history of arthritis, it would be helpful. If it was an intermittent one initially, or now it has become persistent? Well, as per the treatment, if it is confirmed rheumatoid arthritis, they will start you on Methotrexate straight away. The follow-up visits are usually within four to six weeks for the first time, and then after three months. But a lot depends on your treating rheumatologist. Most of them advise liver function tests after two weeks to see if the dose is not giving you side effects. But that can usually be followed up with rheumatology nurse. So once you are through with first visit and improvement comes, then a three months visit suffices. But if the disease keeps bouncing back, then a bit more frequent visits are needed. But hardly before six weeks as that much time, it takes for any new DMARD to act. So it is a bit tough to predict, but do not worry. No rheumatologist will call you back in a week or two. I hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I have been to the doctor five times in the past year for sinus infections. I went two weeks ago feeling sick again, this time my legs felt weak and lymph nodes on neck swollen. He says it sounded like a virus because my throat was raw. I have finished the steriod pack and still antbiotics. I had a knot come up on my lower jawline and its immovable. Yesterday, I had one come up on my esphagus and one come up at my cheek by my right ear. Back in October, I noticed a hard knot, immovable, under the skin, attached to my skull, on my forehead. The doctor told me tokeep an eye on it but I want to know what it is. It doesn t hurt and feels smaller at times but is not going away. It feels hard like bone. Since I don t have insurance my doc doesn t want or feel the need to do blood work. Please give me advice. I am 29,with a 9 year old daughter.	Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concernsBased on your query data, In my opinion, Dear You seem to suffer from Frontal Muscle in early stage. Repeated history of sinusitis is the cause for it. Treatment-Would be to get the X-ray Skull and Check with ENT Surgeon. He would do the endoscopic decompression of this muscle under antibiotic cover, as if not done would affect your vision and more complications with it. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant
如果你是醫生，請根據患者的描述回答醫學問題。	Yesterday...the third time in six months I developed severe chills or rigor. Prior to the onset of the shakes my hands were so cold that I put on gloves in a 72 degree room. Then I was shaking uncontrollably. I didn t seem to have a fever and just went to bed to keep warm. After an hour it stopped leaving me with very sore back muscles. After about 24 hours of feeling drained with little energy. After waking up after sleeping off the chills I noticed a slight difficulty in swallowing . After the gradual 24 hour recovery I feel fine...just normal. Like I said, this happened three times with an interval of about three months. I m 76 and as a kid had measles mumps and chicken pox ...very healthy until I came down with stage four bladder cancer . It had spread to my liver and lungs and the doctors told me that only 3% of patients respond as well as I did to chemo . That was over 3 1/2 years ago and I m now minus a bladder and prostate , but supposedly cancer-free and go in for an annual CT scan and examination by my doctor at the James Cancer Hospital at The Ohio State University.	Hi there, Im happy to know that you have done well after treatment and are on regular followup. Chills and rigors are usually caused by infection. When the bad bacteria find way to get into blood circulation, the body fights by secreting proteins and chemicals and most of the time alongside chills, fever is present. In case its happening repeatedly do check temperature by thermometer and report to the doctor. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hi! I m a fourteen year old girl. I have back pain , slight fever and probably dizziness . I sneezed a small amount of blood earlier this moring. Im not sure whether it came from my nose or mouth. My body is also itchy most of the time.Is this allergies or Sinositis or something more severe? Please answer ASAP. Thank you Doc!	Hi, you seem to be having infection because of which you have fever and other symptoms, during infection it is possible for the nose to bleed sometime, or it can be due to sneezing very hard also. You need not worry if It's happened only once or twice during infection with cold and fever. If it persists and your nose is bleeding even after you infection has subsided then please go to ENT specialist and get yourself checked. For the itching on your body it can be related to allergy. If you have family members with asthma or allergy then its mostly due to allergy only. You should visit dermatologist, he will help your skin problem, with right approach it can easily be controlled. Thank you Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	HI, i feel a lump when i tilt my head forward and a little to the left. If I press on it I get a little nauxious. I was diagnosed with Bell s Palsy last week. I also have really bad headaches and migraines several times a week. I do not know if it is just a tension thing or something more becuase I feel so bad all the time lately.	Hi, dairy have gone through your question. I can understand your concern. You have bells palsy. SO your movement restriction may be due to that. You should take a course of steroids and also go for physiotherapy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	I am concerned about my six year old son. He rarely get sick and when he does he is not a big complainer. However this time around now on day two he is still dizzy with headaches, can not get out of bed with out him complaining about his legs hurting. Will not eat anything, but is drinking lots of fluids. Should I be concerned?	Hi, Is he having fever also? An acute onset fever, headache and leg pain usually suggest a viral fever. All that is needed most of the time is bed rest, paracetamol, a soft diet and plenty of fluids for few 3-5 days. Give calorie rich Chat Doctor. If symptoms are not getting down in 2-3 days, he is not at all taking orally and feels dizzy even after adequate fluid intake, kindly take him to doctor as we will have to rule out conditions like dengue fever in this situation. Hope I have answered your question. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	My son 10 yrs is detected HBSAG +Ve with investigate report done by Metro Hospital Noida. Kindly advise,IS THERE ANY RISK ?, WHAT IS THE BEST TREATMENT FOR CLEAR THIS VIRUS FROM HIM.? WE COULD HAVE THE BEST DOCTOR @ DELHI NCR..Kindly help.......Kindest Regards,Rnk,mk,ma+91 0000Ghaziabad	Hello Mr RNK, How are you? My name is Chat Doctor. I am a Liver transplant surgeon and I hope to answer your question today. I am so sorry to hear about your sons' diagnosis. Hepatitis B infection occurs either by exchange of body fluids or from mother to child during birth. But not all patients infected with hepatitis B need treatment. 80-90% of patients infected with hepatitis B, spontaneously clear the virus themselves and do not need any treatment. Around 8% of patients have the virus continuously without suffering from any ill effects of the virus (carriers). 1% of the patients unfortunately develop chronic effects of the virus which affects the liver and damages the liver. These patients will end up needing treatment. The liver damage will be evident by blood tests. Also, the stage of infection can also know by blood tests (Head, Anti He Ag, Core antigen, Viral Load etc.). I am sure your doctors are doing all the appropriate tests. Please do not hesitate to contact me for further details. [email protected] this helps and hope you start to feel better. Have a great DAT
如果你是醫生，請根據患者的描述回答醫學問題。	My husband is diabetic. his blood sugar has been running very high for the last few days...158 to 196..also his feet and ankles have been swelling and his right knee is painful and a little swollen. I took him to see his Dr. when it first started...she thought it would be ok.	Hi, If 158-196 mg/DL are fasting blood sugar results, than it is true that these are not good result. If these results are not fasting, than we can say that the situation of Diabetes is Ok! About her swelling in his extremities, there are several possible causes like heart disease, kidney disease, lymphedema, deep vein thrombosis etc. The pain and swelling in his right knee can be signs of a possible local inflammation and this can be the cause of her actual high blood sugars. My advice is to consult physically his doctor because it is necessary to do some blood tests and an X-ray of his right knee to check for possible causes that can explain his actual situation. These tests are very important to reach the right diagnosis. A diuretic scan be helpful but only after the right diagnosis you can have the right treatment. 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。	Can I use nitrofurantoin to help treat a dental infection if that is all I have available at this time? I dont have a regular dentist and it isnt easy for me to get antibiotics. I need 2 take something now and thought this is better than nothing. PLEASE respond quickly!!! Thank You Brent Bearden 443-378-2975 YYYY@YYYY Feel free to call so I can send pic	Hello have gone through your query. Nitrofurantoin is an antibiotic commonly used in urinary tract infections. Nitrofurantoin has poor tissue penetration and is not indicated to treat anything other than simple cystitis (urinary tract infections). If you really can't visit a dentist and I were your treating doctor I would advise you to take lifetime plus clavulanic acid combination if not allergic to it. For pain a painkiller can be taken. Hope this answers your query. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	I recently collapsed due to back pain I have severe pain from my L-4 vertebrae down to my tailbone, I am unable to stand or sit straight due to pain in my L-4 to L-5 I can only straighten my back when lying down, I am standing about a foot shorter due to fact im curved over, when I turn, or move I feel pain in my back, pain in tail bone when passing wind it all stared about 2 years ago when my girl friend was sitting on my knee and I stood up to fast with her and colapsed due to back pain in the same area, know it has happend to me 4 time after hurting my back out of the blue at the slightest movemet over the two years it feel like my spine is becoming more curved, now it actually feels as if there is a vertebrae missing or moved around L-4 to L-5 to the point where you cant feel one vertebrae at all I am 22 and have been unable to walk 4 times due to this same problem, I am still awaiting referal fron gp can please tell me what you think this is thank you.	Hi, I read attentively your complaints, as I understood this will be your first visit to the doctor. Which you should not miss because your history suggest for lumbar spine fractures and dislocations, of course after general physical examination. If this will be the case plain radiographs and further lumbar CT or MRI will eventually be needed in your doctor judgment. I have to insist that you should have as soon as possible the medical appointment. Wish you all the best.
如果你是醫生，請根據患者的描述回答醫學問題。	I haven t been to the dentist in a year and I know that I have cavities between several teeth because I can see them. 2 teeth are very slightly sensitive, but not to hot or cold. I have a dentist appointment in 5 weeks (due to insurance reasons) and I plan to get them filled then. I do brush and floss my teeth, but I also consume soft drinks regularly. I have stopped that habit recently though. What are the odds of me needing a root canal? Will my cavities be deep?	Thanks for your query, I have gone through your query. The chances of the spread of decay from dentin to pulp cannot be predicted. It can take months to years... If the decay is too deep or approximating pulp then it can involve pulp in 5 weeks. If you think of insurance and delay the treatment, you might end up to go for root canal treatment rather than normal fillings. So I advise you to go to some educational dental institutes and get it restored. You need to take radiographs like IOP AR to see the extent of decay. I hope my answer will help you, take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi can I ask u plzz about my babys ultrasound im. In 22 weeks and 3d shows that. Renal pelvics of the left kidney of my baby is 4 mm which is normal but the right one is 11 mm which is abnormal..... plzz can u kindly explain what its mean and what can I do now and if there is any risk factor of dawn syndrome. As I read that kidney disorder may be factor of dawn syndrom plzz im very scared	Hi, The affected kidney is likely to be obstructed which is not uncommon, and certainly does not mean the child has Downs syn Chat Doctor. Another possibility is that the kidney is recycling the urine from the bladder, and we call it reflux. Either way, as long as the opposite kidney is doing well, you need not worry about this. Instead, you should be following up carefully, and soon after the delivery of your child, say after the first 72 hours or so, you can get an ultrasound and see what is the nature of illness which has affected this kidney. Either way, this looks eminently correctable, and I would not worry about it at all, if I were you.
如果你是醫生，請根據患者的描述回答醫學問題。	stomich hurts with mucus like exc feels like it might be some type of ulser light burn discomfort but not much acid burn had 12mm kidney stone lazered out 1 1/2 years ago was told i have 2 small ones left in me shood pass eazy but stomich has hurt eversense feels like light burn dull pain eating does not hurt me could it be the stones left in me or could it be a ulser	HelloThanks for your query. Based on the facts that you have posted it appears that you had Kidney stones and bigger was removed by endoscopic procedure. You have two more small stones left in your kidney. The pain and discomfort that you have now is due to these stones and not due to gastric ulcer. Please consult qualified Urologist and get your Ultrasound scan repeated to determine the present status of the stones that you have in your kidney. Please take broad spectrum antibiotics like Ciprofloxacin along with anti-spasmodic like Spam Procyon twice daily. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria.
如果你是醫生，請根據患者的描述回答醫學問題。	My husband has such bad nasal congestion for the last two weeks - getting increasingly worse -has seen his PCP-been on antibiotics - recently had a CAT scan of head - waiting results. Face so swollen this morning he looked like a caricature. How serious can this be and if does not resolve - what can happen?	Hello, Welcome to Chat Doctor, Oral antibiotics definitely help to reduce the infection and there by reduces the nasal congestion. As your husband is having severe nasal congestion I would have suggested him1. Steam inhalation with Vapor caps2. Oral Nasal Decongestant3. Oral LEvoctrizine with montelukast The medicines can be taken after getting the prescription from your treating doctor. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	hi i think i am pregnant i dont have the money to go to the doctor or get a test. but my period is 10 days late and im havin crampin and instead of a period white an clear discharge yesterday i had a little liight brown discharge my boobs are sore and i am exhausted!	Hallow Dear, Since you have missed period for 10 days and your breasts are tender, the chances of pregnancy are very high. Apart from the missed period, the other symptoms of pregnancy are:1. Nausea & vomiting with pica2. Frequent urination3. Breast symptoms: Engorgement & tenderness, dark discoloration of nipples & areola with areolar widening, Montgomery's tubercles under areola and secretions from the nipples. These all symptoms start appearing about 10 days after missed period. You are having a few of them. Dear madam, the pregnancy is never diagnosed only on symptoms in early stage as these symptoms can be due to some other underlying cause also. So please get your pregnancy test done on overnight first early morning urine sample. This will confirm your pregnancy. Moreover, brown bleeding during any stage of pregnancy is not a good sign and indicates risk to the baby. So please report to Emergency Room where you will be subjected to ultrasonography to assess the safety and health of the baby. You are probably underfeeding yourself because of nausea. Please force-feed yourself to feel more energetic. Banana in cold milk is very good to overcome nausea. This nauseating feeling lasts for first three months. Then gradually you will feel better. I hope this helps you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have a weird lesion that I just noticed in the back of my throat a few days ago. For the last couple of months, my throat has felt slightly strained after the normal conversation. I currently take Lisinopril, HCTZ, and Amlodipine for hypertension. My PCP prescribed a Z-pack and referred me to ENT since she does not know what the lesion is. So I am wondering if this is something that I should be concerned about in the meantime. Since I started taking Lisinopril, HCTZ, I have had strong cravings for acidic foods such as vinegar and hot sauce. I initially thought my diet was causing issues with my throat, so I significantly cut down on these types of foods. In addition to the lesion, I have noticed white scaly patches in the back of my throat.	Hello. The normal pharyngeal mucosa at times has a granular appearance. In addition, it may be present in acute granular pharyngitis. This is nothing sinister. Z-pack with adequate analgesia if you have pain, plenty of fluids and warm saline gargles or Chlorhexidine should help. There is nothing to be concerned about.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello! Help please :) I am overseas on a working holiday at the moment and a week ago I had to have gallbladder surgery. I have booked a flight home as I was told I could not lift anything for a month and my job here is a hotel cleaner. I am now wondering what my limitations are and if I can still do my job? Thank you	Hello, When have you undergone gallbladder surgery? Have they removed gallbladder? Avoid fried foods, high-fat foods, foods with strong odors and gas-causing foods. You should also stick to small and frequent meals. Avoid French fries and potato chips, high-fat meats, high-fat dairy, such as cheese, ice-cream and whole milk, pizza, ghee/butter, creamy soups and sauces, meat gravies, oils such as coconut and palm oil, chicken skin, spicy foods. Eat whole-grain bread, nuts, legumes, cauliflower and cabbage. Avoid alcohol intake and avoid smoking. 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。	Hello Doctor I took my brothers blood pressure today and found it to read 128 over 70 and pulse rate 111 beats per minute is it too worry about ? He said it has been like that for a while, he is on medication for high blood pressure as well as psyciatric drugs.	Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns. What is his age? For how long you're suffering from it? Any other associated problem? Like diabetes ? Any history of heart problem? Is he having fever? As far as BP is concerned it is in normal range, he needs to stick to his medications. Which Chat Doctor. He needs to be looked for. Is he running fever? Normally it should be between 60 and 100.do make a chart of his pulse rate along with BP. if it is consistently greater than the 100 then do meet your doctor. Meanwhile stay calm and continue with your medications get well soon Hope your query is adequately ad
如果你是醫生，請根據患者的描述回答醫學問題。	Have a rotten odor from years of UTI ...allergic to sulfa, so have been taking Cipro for a long period of time. Now after only one pill or even a half of one, I will get painful mouth ulcers under my tongue and on my gums. Odor is causing me great discomfort. I take multiple showers to function and be around public.What to do? One pill kicks the odor and infection..just cant stand the side effect.	Thanks for your query, I have gone through your query. The ulcers could be because of the allergic or hypersensitivity reaction to the ciprofloxacin like allergic dermatitis or plasma cell gingivitis. Consult your physician and ask for a substitute Chat Doctor. For the ulcers take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. You can also take topical anesthetic and analgesics like Anabel gel for the pain. You can rinse your mouth with mouth washes like either. Consult an oral physician to rule out other possible causes of ulcers and halitosis. I hope my answer will help you, take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,11 weeks ago, I delivered my baby. I breastfed for only one day. But, my breasts continued to leak heavily for four weeks. I bled for three weeks and I still have not had my first period. I have taken a few pregnancy tests. All are negative, except one, which was a faint positive, which a minute later changed to negative. I took a test again and straight away became negative. I have PCOS and my periods do not get delay for more than a week. During my last pregnancy, I did not get positive pregnancy result until I was 2 months pregnant.	Hi. It seems that you have delivered two to three months before. It is normal that you bleed in less amount up to one and half month. It is absolutely normal. After delivery, you do not ovulate at least for three weeks and on average for three months. So, you do not have periods. Sometimes, you may have an irregular period for more than three months and that is why urine pregnancy test is negative. Your hormonal cycle can be irregular for some time after delivery because it was almost blocked for 9 months during pregnancy.
如果你是醫生，請根據患者的描述回答醫學問題。	I just received m blood work results for c-reactive protein, cardiac- the level was 4.57. I know this is high but I m not sure if this is something I need to take care of immediately or if it can wait until morning. I am under a cardiac physicans office but they are not open at this time.	Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Your CRP is mildly elevated.2. CRP is an acute phase reactant protein which is elevated during inflammation. It is not an urgency. 3. It is possibly due to an ongoing infection or inflammation. Need more history of chronic diseases or associated infections, medications for further opinion. Nothing to worry on an immediate basis. Hope it helps. Any further queries, happy to help again.
如果你是醫生，請根據患者的描述回答醫學問題。	i have a lump above my belly button and it hurts to touch or when i lean against something. I just recently found out that my left side kidney is not working and has not for a while the way i understand from the two CAT scans that i have had. I was told that there is a blockage on the top of my baller, so is this why i am hurting and have the knot above my belly? I am tired of it hurting for I can not get any rest with it hurting.	Hello, welcome to Chat Doctor, from the description of your symptoms, the swelling you might be having at the belly button could be -abscess-hernia- mass would suggest you need to get an ultrasound done as you have other abnormalities present, to know what is exactly wrong. Would suggest get reviewed by a specialist for appropriate investigation and treatment. Wish you a quick recovery and all the best. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I was in the er over a month ago due to what I was told were bruised muscles in my right upper rib cage they did x rays ... Said it wasn t pluresy... Gave me a few scripts for the discomfort... But, Tuesday am I woke up and it feels bad.... Even worse... Could it still be from supposed bruised muscles?	Hi, thank you for providing the brief history of you. Lets being with the pain you are having in your chest area. Since you may have a direct impact on the rib bones, it will give pain for some more time. Healing will take it own time as the rib bone is thin chip of bone. Also, as x-ray has confirmed no fracture or pleurisy you shouldn't worry much. You should try performing regular breathing exercises - Deep breathing, coastal breathing, diaphragmatic breathing. Note - when you do breathing exercises you should place the hand over the area affected as it will give support to the area to avoid any pain. You can repeat the same for as many times you feel to do it in a day. With the grace of God I wish you a good health.regards.for any doubts you can contact me directly. 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 am 32 weeks pregnant and have had a normal bathroom routine if you want to call it that for the past few weeks up until two days ago, when i couldn t keep anything down and after two days of complaining to my doctor about literally EVERYTHING coming up they finally gave me something for nausea. well, now that i can keep things down, nothing is coming out. i feel awful, my body keeps trying to flush everything out but nothing is working. i cannot poop and am now peeing very little amounts every 30 minutes. i feel stuffed and i have eaten over six hours ago and it still feels like my stomach is completely full. now that nothing is coming up, i wish it would because i feel like i need to vomit but nothing is coming out either end and i am so uncomfortable i feel like im going to explode. PLEASE HELP!!!!!	Hi there, good day. Iam sorry for your condition. I understand your concern. In my opinion the excess vomiting which were there might have caused deny Chat Doctor. Urinating frequently in small amounts suggest UTI. I would like you to consider doing complete urine examination to rule out UTI. Take adequate fluids up to 3 liters, cranberry juice to prevent UTI. Adequate fluids and high fiber diet prevent constipation. The bloating of stomach might be due to gastritis. Take antacids and avoid spicy and oily diet. Nothing to worry as the UTI, constipation, gastritis are routinely seen in pregnancy. Kindly consult doctor to rule out UTI. They will subside. Hope this helps. Best regards...
如果你是醫生，請根據患者的描述回答醫學問題。	im having a problem with my armpit it has swollen up i have taken ibuprofern and it has seemed to help the soreness that was there but the swelling is still there what is this and do i need to go to the doctor	Hi, I have gone through your question and understand your concerns. Armpits are very prone to infections, it's likely that you are having infection, continue ibuprofen and take augmenting 1gm (1+0+1) for 3 days and if you will not get clearer than you should visit your physician because in some cases pus can collect there. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to ask. 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, my wife is 26 years of age, she has upper abdomen pain ( left side ) her spleen is swollen. ( 14 cm) blood work is all normal. she has the pain thats now rolling to her back. she has fluid in around her spleen and left lower lung. she is very tender to the touch. no one can seem to help.	Hi. Gone through the history you have provided. It is possible to get such a finding due to trauma to the left side inadvertently or knowingly. Another possible reason can be typhoid or malaria or anemia and so on. You need to undergo all the relevant blood tests for co-relation of the symptoms with the signs the Doctors must have found. A possibility of acute pancreatitis is also there. Serum amylase and lipase levels can be done to confirm. Rush Her to the ER and get her admitted.
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...hi my little boys 4 tomorrow and been complaining of tummy ache all day but been playing as normal just not eating then after his bath he had a temp of 38.3 and said he was tired so he was in bed and asleep by 7 what do you think it could be?	Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between two fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. 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 kid is just one and half month old after birth was having jaundice gone with phototherapy was ok and was on breastfeed now heapatospleenomegaly has been detected with fibroscan and mild coarse parenchymal ecotexture of liver what shud b treatment and diagnosis of kid	Hi and welcome to Chat Doctor. Thanks for the query. It depend on the right cause of hepatosplenomegaly. It can be certain liver or splenic disease but also certain hematologic diseases, so the right cause should be established. Also in such young patient any systemic infection can lead to hepatomegaly. As well as some congenital liver enzyme lafunctions such as Gilbert. It can also be just temporary jaundice and usually it dissolves spontaneously. Wish you good health. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	in my childhood i was allergic.. took homeopatChatDoctoredicines, it got cured after long interval. Now i am 22 and same problem has started again. suddenly it starts itching on my body, feel really heat and any area got swollen with red spots... when i take setride tablet, it become fine for 24 hours, then again the same problem continues. Plz advice	Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Were I treating you, I would prescribe you regular antihistamine like levocetirizine for at least 2-4 weeks.2. I would also suggest you to apply a lotion like calamine over the itchy areas and red areas.3. I would suggest you to avoid exercises causing excessive sweating, too hot/spicy foods and tight-fitting clothes. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	I had uterine sarcoma and had an emergency hysterectomy 2 years ago My immunoglobulinM,QN,Serum is slightly high, (293) I know this is a blood cancer rare I am looking into D3, IP6, b complex and calcium, magnesium with zinc Is there something I should stay away from or add	Hi, Thanks for writing in. If you had uterine sarcoma which was treated by an emergency hysterectomy and are doing well then there is no serious concern. It is important to get a follow-up ultrasound scan or CT scan of abdomen and pelvis to know if there is any abnormality persisting. If there is no discomfort or pain in the pelvis then probably the wound has healed properly after surgery. Please continue to take a daily 1800 kcal diet containing vitamins and minerals. If required vitamin B complex and mineral supplement might be added. Taking normal diet is suggested and there are no restrictions if you do not have any other medical condition. You might require adequate amount of vitamin D3 and calcium to make your bones stronger. Fortified foods rich in nutrients is suggested. Please do not worry.
如果你是醫生，請根據患者的描述回答醫學問題。	Today after I had a bowel movement, I became very weak, sweating everywhere on my body, shortness of breath. I went to the ER and blood pressure was 110/100. I was released after 5hrs. I was told to follow up with a GI. Bloodwork came back normal, no infection, xray showed I had little stool in my intestines. I am still weak and tried. I have been having issues with this for about 6wks, but never the shaking, etc. I had other tests done last month showing I have red and white bloodcells, protein, and other cells in my urine. I had a CT scan done last month as well and it showed I had moderate amount of residue in my intestines. I have been Gluten free for about 5yrs and I felt 10x s better but now I am hit and miss. I have a hard time eating, I am eating about 1 meal a day. I am never hungry and when I do eat I feel bloated and sick to my stomach. There are times I will have a headache that will last for days and nothing I take will take care of it. It can get so bad I am in tears. What are your thoughts on what I should do or ask the Dr. to test for?	For shortness of breath issue, you need to evaluate cardiovascular and lung function to relieve you from the tension of chest problems, this means:cardiac: ECG, echo, settings: chest x-ray, pulmonary function essence they're done, you should move on to other issues, as you stated you had kidney issue too, get that test repeated and see if its aggravated or reduced kidneys: Renal function testing coming to the nausea when trying to eat something, do you have epigastric burning too? (burning below the rib cage in the center), please let me know so that we can discuss further regarding your treatment plan and investigations required.
如果你是醫生，請根據患者的描述回答醫學問題。	hai ! my cousin brothers dad is suffering from kidney stone of 19 mm and chronic infract of brain.sme doctor told its a huge sized stone its need surgery but also they told bcz of infract we cant operate it nw ! so i m askng you can it possible to remove the kidney stone of 19 mm naturally by ayurvedic medicine !!!	, large stones in the kidney can be removed by extracarporal shock wave lithography. Using laser the stones can be fragmented, and the fragmented stones will pass through the urinary tract. There are ayurvedic medicines such as stone and cyst one it is proclaimed that they will prevent further formation of stones. Use of banana trees water is also useful for preventing further formation of stones but the best thing I recommend is to do an extracarporal shock wave lithtripsy for him. Hope this explains with regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I am facing problem with sexual intercourse. I am 47 years old,Height- 5 ft 7 inch. Weight- 155 lbs.While I go for intercourse my penis erect but it does not become strong enough like earlier, ejaculation time is very less. I like to satisfy my partner.Please help me out. My name is Reza and I am a male.	HelloThanks for query. Based on the facts that you have posted you are facing problem of secondary Erectile Dysfunction. It is very common problem that many people in their 40-50 suffer this issue of secondary ED and is mostly due to psychological stress and normally gets resolved spontaneously. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Taking Sildenafil (Viagra) or Calls as on demand will help to get good hard sustainable erection and to have enjoyable sex. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Are there early symptoms of a brain aneurysm? Sine 5/2, I have had little stabbing pains in the left side of my head; for the past few days, in addition to the stabbing pains, I have had aches in that area w/ occasional aching in my upper left palate. This occurs off & on during the day. No ache or pain is severe but I shouldn t be having them at all. Brain tumor symptom, mayb3e How long should I go w/out getting my head examined/ LOL! I am a 71 yr old woman in good health except for my afib, which is being controlled by meds. I do have high BP but the diltiazem I take to slow down my heart controls the BP. G	Hi, I am Chat Doctor. The symptoms you describe are more likely due to irritation of Trigeminal Nerve by a loop of blood vessel. Chances of aneurysm are quite low based on what you have written It is better to consult a neurosurgeon at once and get proper evaluation If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been taking Prozac 10 mg x 3 yrs, I wanted to stop taking it. When I told my physician about it he strongly advised me against doing this. He then increased the dosage 1o 15 mg. I do not feel any better, in fact, I feel worse. I still cannot sleep at night without chemically inducing my sleep. My doctor then advised me to take Melatonin po qhs. This puts me to sleep but I still do not feel less depressed at all. Could the increase in dosage agitate my sleeping even moreso, and supress my appetite, make me feel nauseated and off balance. I have only been taking the increase dosage x 1 week. Please advise. thank you...	You haven't mentioned which part of the day you take tablet Prozac. In case you have been taking it in evenings/nighttime, you may consider it switching to morning time after breakfast as this medicine can cause sleep disturbances in few patients if taken during nighttime. In case you are already taking morning dose then wait ND watch for improvement. However, if you have persistent side effect or feel no improvement with higher doses then consult your psychiatrist. A further escalation in doses or change in molecule may help. Meanwhile, a normal routine with physical exercise, and an optimistic thinking in any aspect of life is surely advisable. Wishing you a speedy recovery.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi dr,i went for follicular tracking on the 13th day of my cycle and was told that I had 2 matured eggs, one was 26mm while the other was 15mm. On the 15th day of my cycle, I went back for follow up and was told that the egg that was 26mm stopped growing while the one of 15mm grew to 32mm. my question is, is there a guarantee that both eggs will rupture or could it be that the eggs were more than two ?. I was on my 1st cycle of clomid.	Hi Dear, The size of your follicle is somewhat more when compared to the day of cycle especially the 32 mm one. In a non stimulated cycle i.e. without any Chat Doctor. However, in the stimulated cycle this can be helped by giving In when the eggs are mature enough. In your case the 26 mm egg has stopped growing, but the other is still growing and there is no guarantee that they will ruptures if the repeated scans have shown only 2 follicles than it must be correct Good luck
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My 84-year old stepfather had, apparently, two radical left-ear wall-up mastoidectomies in the late 50s and 60s. The second was done to fix the poor job done by the first at a county hospital for the indigent. Recently, caregivers said they were planing on using hydrogen peroxide in his left ear to clear much wax buildup. I learned of these surgeries from my step dad and from reviewing some ancient medical records. As his POA, I need to know of any dangers possible if hydrogen peroxide is administered in such an ear canal that, I understand, is permeable, and leads into his mastoid chamber.	Hello, Welcome to Chat Doctor forum. As I understand, your father had undergone two ear surgeries when he was in his 30s or so. He would have either undergone canal wall up or canal wall down mastoidectomies. Radical and modified radical come under CWD, and cortical comes under CWU mastoidectomies. Anyways, hy ChatDoctor. The ear has been disease-free for many months now, implying, there has been no ear discharge of pus or liquid. 2. No ear perforation, which would have presented with discharge and pain. 3. No raw area in the ear canal. The posterior canal is not permeable. In a wall down surgery after removing the wall, we close the defect with autologous cartilage or some material. Probably in his days, they may have left the cavity open. In either case, it gets lined by the skin, and that will be the case in your father also unless he has any disease or perforation. It is okay to use hy
如果你是醫生，請根據患者的描述回答醫學問題。	My son (11 y/o) fell in the shower and hit his forehead. He has a knot about the size of a small orange. Hes able to follow my finger with his eyes, speak, walk and answer any question such as dates, names, addresses, etc. Ive been icing the knot and gave him one alive and some Tylenol. Is he fine to go to sleep? And, how else can I determine if hes got a concussion?	A size of a small orange is actually quite big for even an 11-year-old. In any case, the signs of concussion or head injury would be:1. Torrential vomiting2. Unconsciousness or altered sensorium3. Convulsions4. Severe headache (having some headache would not be unusual). You need to rush to the doctor and get a CT scan done if any of these are present. If the child is otherwise fine, he can definitely go to sleep. Applying ice would provide some relief.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, My wifes periods got delayed by 10 days and unfortunately we did a pregnancy test today morning, which turned out to be positive and we are not planing to have a child so earlier, please suggest something by which she can get her periods immediately. Awaiting for your reply asap.	Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns today. Since your wife is pregnant now, if you do not wish to continue the pregnancy, the only option to start her periods, is by terminating the pregnancy. There are medications available to initiate the abortion process at this age of pregnancy. Before taking these medicines, it is extremely important to confirm that the pregnancy is within the uterus and your wife does not have contraindications for these medicines. Therefore, you need to consult doctor for the same. If your wife is scared of the pain, she can have a small surgical procedure under anesthesia to abort the pregnancy. I hope this is helpful. If you have further concerns, I will be happy to answer. 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 am 80 years old male with type II diabetes. i took blood-sugar reading -- 2 hours after meals- It is 168. in the morning after 7Hrs sleep it was 134. Pl. let me have your experts opinion. I am taking glymepride 2mg plus 1000 metformin 1-01,, Teneligliptin 20mg 1-0-0 daily v.krishnamoorthy	Hello, Type 2 diabetes mellitus is due to insulin resistance, you can control it by diet changes, decrease carboy Chat Doctor. Fasting sugar levels depend on the previous night at what time you had dinner and what food you had sir, you should change your diet and exercise that is enough sir, your medications are sufficient. Hope I have answered your query. Let me know if I can assist you further. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,my husband is 59 years old and has 86 systolic,74 diastolic, and 75 pulse.He is 183 cm. tall and have a weight of 56 kilos.He has felt a numbness in his left hand and shoulder. He has suffered from short breath in the last two-four years.Can you tell me if this values and the lack of breath is normal for his age. He dont smoke.Best from Cheryll.	DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN BUT YOUR HUSBANDS SYSTOLIC BP IS VERY LOW... SUCH A LOW SYSTOLIC BP CAN BE SEEN IN DILATED CARDIOMYOPATHY OR SOME STENOTIC VALVULAR DISEASE AND THESE CAN CAUSE SHORTNESS OF BREATHHENCE I ADVISE YOU TO URGENTLY CONSULT A CARDIOLOGIST AND GET HIS CHECK-UP DONAHOE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
如果你是醫生，請根據患者的描述回答醫學問題。	I was prescribed Ginet-84 for my acne and I understand that it is also effective as a contraceptive. Is the efficacy of Ginet-84 as a contraceptive lower than other oral contraceptives? And can you still be pregnant, on the pill and still get the monthly withdrawal bleeds and what are the chances? Thanks.	Hello, All combined oral contraceptive pills have similar protection rate against pregnancy. Unfortunately, there is a 5% risk of pregnancy in a year in women that use it as it is with other oral contraceptives. So, yes, it may happen to become pregnant even if you use it regularly, even though this is very rare the case. Sometimes, there is bleeding in the early pregnancy and the women may interpret this as the next period. If you are concerned you may be pregnant, please take a urinary pregnancy test. I hope this is helpful and answers your query. I remain at your disposal in case further assistance is needed.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a feeling of being underwater. Im not experiencing any pain, however, I do suffer with allergeries and sinus problems. I have been experiencing lots of sinus headaches and allergy symptoms due to the change in season. Are there any home remedies you can recommend that would provide some relief. It is very irritating.	Yes. But as you are experiencing allergic rhinitis and sinusitis. You should take some proper medication. You are vulnerable to all type dusts, pollen,and strong fragrance. Kindly take Tomato fresh juice that contain high level of lycopene. It is useful in rhinitis. Improve your immunity. Fermentation with video Segundo or eucalyptus oil will give temporary relief. For permanent cure you should take proper medication that will improve your cellular immunity. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	I m a 32year male, generally healthy. Literally over a night or two, I have developed a red, raised rash on the skin between my butt cheeks. I originally thought it was haemorrhoids and so tried zinc oxide and lidocaine cream, after bathing them in salt water, but felt it started to spread further onto the cheek and up towards my scrotum. I therefore thought it could be fungal nappy rash (due to sweating and hot weather) and so bought clotrimazole 2%, which I have ude for 2 days now, but to little improvement. Any thoughts please? Thank you!	Hi, It does seem that it could be a fungal infection. Fungal infection involves body folds like the groin, butt cheeks, maxilla, etc. I suggest you to continue using Clotrimazole cream, twice daily for 2-4 weeks. In addition, I suggest you to take an oral antifungal e.g., tablet Fluconazole or Terminating for 2-4 weeks for a faster and complete cure. Fungal infection is usually itchy therefore I suggest you to take an oral antihistamine e.g. Tab Cetirizine once a day for symptomatic relief from itching. 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。	am carol last month was given clomiphene 50gm and no +ve results then this time i have been given clomiphene 100gm.unfortunately yesterday i took overdose and the dosage is supposed to end today.what should i do coz i do will it affect me?should i buy an extra dose?	Hi, Overdose of camphene can cause nausea, vomiting, flushes, visual blurring, bloating, ovarian enlargement with pelvic or abdominal pain. Based on the history you have taken an extra dose of 100 mg of camphene in the second course of your treatment on the 4th day of treatment. You need to take an extra dose of 100 mg on the 5th (the last day) day of your treatment after consulting your treating doctor. 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 recent started using a powder called Gold Bond, Medicated it was suppose to help control the uneasy smell that occurred sometimes. But within weeks I noticed it feeling painful on my thighs, right next to me gentials (I m a male by the way) and the skin is very raw and sometimes painful to touch. Also the skin is like...peeling off..like I can pintch it off and roll it in a ball, sorry if that sounds disgusting. It is.	Greetings. I think you are allergic to that powder. Scrotal skin is very sensitive and some disinfectants or powder might cause this problem. Now having had this peeling it is better to use some moisturizing cream along with some antibiotic ointment if you feel infected. About the bad odor ...are you having any skin infections espy fungal ? That can cause this sort of odor. If so then you will need to take antifungal treatment and your bad odor will disappear. Hope you are convinced. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	I am currently in my second trimester. My lab results are: Normal total Iron, normal TIBC, normal transferrin saturation, normal WBC.Abnormal are: Low RBC, low Hemoglobin, low Hematocrit.Am I iron anemic then, or should I consider upping my B vitamins and folic acid?Thanks.	Hi, I have gone through your reports. From that it does not seem to be due iron deficiency. Still you have low RBC and he, so we should search for other causes. You should investigate further. You may have vitamin b12 deficiency or may be some other causes like bleeding etc. So go for PS examination and if needed go for it b12 level as per your doctors' advice. First search the cause and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Good afternoon doctor My age :20 Height :5.8 Weight :54 Please tell me the disadvantages of hand job and its effects My body is very weak what I have to do to improve my body ? Now my penis is very small too I m not happy with that . Please sir it s humble request give me valuable suggestions Thank u sir	Degree understand your concerns went through your details. There are no side effects for masturbation. Masturbation is natural, normal and is not unhealthy. But, as masturbation is tiresome, consumes energy, frequent masturbation can deteriorate your health. Inadequate knowledge (like you have now) about masturbation can manifest anxiety disorder and obsession with the person. You are 20. You can masturbate three times in a week. Regarding your penis, don't unnecessarily worry about its length. It is not because of masturbation. Also understand, even a 2-inch erect penis can satisfy any woman across the world. Be happy. 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. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	All I have had today was a juice I normally prepare to replace my priming breakfast but today I am not sure if I had an allergic reaction or what. But my chest got tight and throat as well. I started producing excess saliva and had to keep spitting which was causing me to gag and dry heave. After reading others analysis on similar symptoms, people are saying it s an anxiety attack or something like that. But I know I am slightly allergic to eggs and almonds which I put in my juice. Normally I don t have this reaction. What s wrong and what should I do?	HelloThanks for the Quertle symptoms you are having right now it is quite atypical and does not really indicate a particular diagnosis right away. I strongly recommend that you approach the ER and get the following tests done1. ECG2. Trout T and CKMB3. Absolute eosinophil count4. Complete blood count5. Chest x ray also advice you not to have food items which you are allergic to. It is sometimes life-threatening I hope I was of helpRegards
如果你是醫生，請根據患者的描述回答醫學問題。	I am taking Paxidep cr 25 from the past 2.5 months as I was suffering from Anxiety neurosis. Initially it was for 2 months and then after 1 tablet a day alternatively. On 2nd sept 2011 i finished with my 2 months regular schedule of taking the tablet after that I was taking it alternatively till today however I think I am developing withdrawal symptoms of this tablet. May I know what are the withdrawal symptoms of this medicine ?	HiT hanks for using Chat Doctor Elimination half life of paroxetine is 21 to 26 hours and in that case, if you stop it immediately, it would take 4 to 5 days to come out of body. You have anxiety disorder and current symptoms, could be due to relapse rather than with Chat Doctor. In that case, you should consult your psychiatrist and restarting it. In case, you need further help, you can ask. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	I am 13 weeks pregnant. And every morning I vomit bike with lots of bubbles. I also have constant burping and nausea(with no vomiting) whole day. Why is this so? From what I read and from what people tell me I am suppose to feel better by 14 weeks. Is this normal? And how can I feel better?	Hi there, I have understood your concern and I will suggest you the best possible treatment options. Please understand that early pregnancy symptoms can last till 14 to 16 weeks of pregnancy. I will suggest you to use Dopamine containing preparation twice a day for a couple of weeks. Also, preparation containing Pantoprazole will be of help. Please seek prescription support from your treating doctor for the same. I will suggest you to opt for a healthy diet and regular exercise regimen. Please avoid refined sugars, deep-fried foods and bakery products. Include more portions of fruits, vegetables and salads in daily diet. Have small frequent feeds. The things will be fine in the due course of time. I hope this answer helps you. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Respected doctor,my name is kennady david,I am a type2 diabetic patient from 1998.now I am taking human mixture 30/40 insulin morning23,@14at night,tablet,k.pio gm2 two times a day.past 4years.I am suffering from dilated cardiomyopathy,lvef25%,.my Hba1c level8.7,now I am using h m insulin30/70.---28/in morning,19_----in night, Tablet iveabread,lasix,betaloc12.5in the mmorning, k.glim M2 --3 Times a day.night cardace,iveabread2,betaloc12.ecosprin AV75,larpose2.now I have left side neck@backshoulder pain,heaviness in chest,sleeplessness,giddiness,headace,fatigue,lose of appetite.doctor please EECP Treatment can improve the lvef25%levels?	Hi, Thank you for your query. I can understand your concerns.EEC(Enhanced External Counter Pulsation) is a non-surgical, mechanical procedure that can reduce the symptoms of angina sectors, by increasing coronary blood flow in areas of the heart that lack blood flow. Typical benefits for patients might include:Decrease in chest painReduction in the use of medicationAbility to enjoy a more independently mobile and active lifestyleHowever EEC is NOT recommended for patients with:Decompensated heart failure (LVEF 25 %) as in your case. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	hello, I am 15 years old and an weird rash has came up on my arms and legs about 2 days agoit went down a bit but I went out today and the rash has came up worse on my arms and moved onto my hands I have recently came back from Italy on a school trip and im not sure what the rash is I am having some Piriton for it but its not doing much good, would mean so much if you could help,thank you amellia	Hitwo common things we have to think of are purity and sun allergy. How was the sunexpopsure during the trip?currently do the eruptions itch on sun exposure?the answers to above will help us guide you further.in the meantime topical application of mid potent steroids and oral anti histamines can help. Why don't u visit a dermal so that you can b guided about appropriate medicines for the desired period. Hope it helps. Feel free to ask further. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Just wondering your thoughts on prescribing adderall for a child with Down s syndrome. No hyperactivity present but she is severely impulsive with safety concerns such as bolting. She is almost 7 years old. Developmental pediatrician recommends trial of adderall.	DearWelcome to ChatDoctorWe understand your concerns went through your details. Down syn Chat Doctor. Adderall is usually prescribed for ADHD related attention deficit problems. Your doctor could be suspecting the attention deficit part in your child. There is nothing wrong in doing so. But needs to be cautious. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	hi, my gums are very tickley and bleeding under my bottom left canines when ever i brush them, what does this mean? And do i keep brushing even though its eye-wateringly sensitive? Also is there any products i can try which may prevent the sensitivity and bleeding?	The tingling sensation in the lower canine can be because of the attrition secondary to bruise or malocclusion like deep bite. The other possible cause can be because of the cervical abrasion due to abnormal forces while brushing, or it can be secondary to gingival recession because of gum infection. Nothing to be panic, Consult an oral physician and get it ruled out. If it is an attrition secondary to malocclusion, it has to be treated with braces. If it is secondary to the cervical abrasion then it can be restored with glass monomer cement. If it is a gum infection, then the teeth has to be cleaned.Meanwhile till you consult your dentist you can use desensitizing toothpaste like strontium chloride(sensor or lanolin), apply on the teeth and leave it for two minutes and brush it with normal brush. Instead of normal toothpaste you can use this. The bleeding can be secondary to gum infection, get the teeth cleaned and use gum astringents like stolen gum paint. 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。	I am a 64-yo female with longstanding PMH of hypertension (28 years), well controlled on meds for the most part. I was diagnosed with diabetes in 11/2010, having been intermittently symptomatic for at least 3 years prior. Since DX, A1c levels have trended down from 7.0 to current level of 5.8, taking metformin and with dietary changes. Chronic depression/anxiety/stress of 20+ years is also adequately controlled with meds, but has been subject to ongoing unemployment woes since 11/2009 and consequential financial problems. Over the past 2 years I have noticed initially subtle, now gradually progressive mental status changes such as loss of focus and concentration, cognitive deficits affecting thinking, reasoning, decision-making and memory , plus mild expressive and receptive dysphasia signs. I asked my FP/PCP to order a brain scan w/wo contrast. The results I received last week are as follows: 1. Scattered nonspecific punctate bilateral frontal, bilateral parietal and left subinsular white matter T2/FLAIR hyperintensities may represent chronic microvascular ischemic changes, described in the impression as supratentorial and age-appropriate. 2. Bilateral old lentiform nuclei lacunar infarcts, the extent of which was not described. Having been a medical transcriptionist for 30+ years, I ve read a bit about both findings, and am vaguely familiar with the functions of these cerebral regions and the described processes, but I have two questions. I am assuming that either or both conditions are contributing to the mental status changes....particularly the bilateral lacunar infarcts. I originally thought these symptoms were attributable to chronic depression/anxiety/stress and the unemployment/financial problems. In your opinion, am I over-reacting to this news by making that assumption? Also, in view of these newly diagnosed deficits, would it be beneficial for me to consult with a neuropsychiatrist? I am asking because I am planning to seek counseling/ therapy for these problems since I need to re-enter the workforce. I am wondering if and how these conditions change the therapeutic approach. Specifically, I believe tests to evaluate the degree of cognitive deficits is in order, as it would stand to reason they would impact the modalities used in a therapeutic treatment plan. Any insight you can offer would be greatly appreciated.	Hello, I have noted all your complaints, imaging data. The imaging findings that you have can be seen in patients with high blood pressure and diabetes. The infarcts that you have described is also seen in patients with these problems. The most important thing to note is that whether you had any stroke in the past or not. People with high BP and diabetes can have these MRI changes without much problem also. So it is unwise to interpret this data without any clinical correlation. Regarding the cognitive problems as well as anxiety etc., this may represent a type of executive dysfunction which may/may not have relation with the current MRI findings. Interestingly some people can have both depression/anxiety and cognitive problem due to organic disease. Please undergo a joint evaluation by a neuropsychiatric, clinical neurologist as well as by a psychiatrist. Their clinical evaluation will tell us if you have any organic cognitive problem or not so that we can plan our treatment accordingly. Hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	hi i think i have an infection in one of my wisdom teeth, i think its called pericoronitis? my tooth has been impacted for quite some time but this is the worst it has ever felt as far as pain goes. i do not have insurance at this time to get it pulled or get antibiotics. what i need to know is what antibiotics are used for infections like this,and is there somewhere i can get them without the expensive trip to the doc and an outrageous bill for the help i need?	Hello and Welcome to Chat Doctor, Thanks for writing to us. The most common cause of pain from impacted tooth is the inflammation in the soft tissue covering over the offending tooth(Peritonitis), mostly caused by food impaction in the soft tissue space over the tooth and/or bite injury over the soft tissue covering the impacted tooth, by upper molar tooth. As your third molar has remote possibility to be erupted in the mouth(as cover by bone and no space to be erupted) the symptom like pain may frequently appear. The Third molar has no function for mastication(chewing) or maintaining occlusion, so it is always better to extract the tooth when it starts causing problem. In an experienced surgeons hand your impacted tooth can easily be extracted without causing much problem. Hope this helps you. Wishing you good health... Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I am 38 yrs old male, since last year in every blood count report my WBC count is found lower than the normal limit. It is in the range of 2500 to 3500. Last year in Jan 2010 I had severe viral fever for which I was hospitalized for 3 days and since than my WBC counts are found low. Although I am healthy at present not suffereing from any disease and not on any medication. In recent health check up my blood report is as under.WBC - 2610, Platlet counts - 135, Hemoglobin - 15.5 g/dl, RBC - 4.93. What could be the reason for persistent low WBC count and low platlet and what should I do further. Is this a matter of concern? Pl. advise.	Hi, dear. I have gone through your question. I can understand your concern. There are many causes for low WBC count and platelet count. Most common is viral infection, which you had. But generally it's not persistent. Your platelets count is almost normal at present but WBC count is low. However, many people have such count with no any disease. So as long as your health is ok and no symptoms no need to worry. Just repeated CBC should be done. If count will go down further than consult hematologist and investigate further. At present just monitoring is required. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, my 5 1/2 yr old son has been complaining for the last 2 months that his rt leg hurts. He d wake up in the middle of the night crying. Thought it might just be growing pains . But last few weeks it has gotten progressively worse. I have to give him ibupropron 2-3 times/day. Tylenol just doesn t work. His pediatrician did x-ray and blood work, nothing looked abnormal. Then, 2 1/2 wks ago, he got this bad rash all over his legs and eventually on his elbows. Almost looked like blisters, big & puffy. Took him to dermatologist, thought it might be a viral infection. This rash is almost cleared up with steroids (both oral & cream). Then took him in to a pediatric orthopedic who also did x-rays, still nothing showed up. He does have an appt for a bone scan next week. But, now he has developed another rash all over his body. This rash looks different than the one before, little, tiny pumps (what I normally see rashes look like, compared to the other rash he had). Now today, he has been complaining his stomach hurts. He s not running a fever, just doesn t feel good. The pediatric orthopedic thought possibly these 2 symptoms were related (he doesn t know he now has another rash or stomach ache). Should I be overly concerned right now? Or is o.k. to wait till his appt next week?	Hi.... all your kids symptoms fit into a common problem which is most probably vasculitis. This could also be a connective tissue disorder like Juvenile rheumatoid arthritis or SHE. I suggest that you work up the kid in the line of Juvenile rheumatoid arthritis as the pain abdomen along with rash and joint pains are definitely fitting into this diagnosis. This requires further evaluation and long-term follow-up. I suggest you consult a pediatric rheumatologist. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	Doctor, I just started my new cycle of birth control medicine. I have taken every pill correctly for almost ten days now. My boyfriend and I had unprotected sex the night before I was about to take the seventh pill to stop my ovulation. he did not ejaculate inside me, or at all throughout the whole encounter, but he did pull out because he thought he was about to. What are my chances of being pregnant?	Hello, Welcome to Chat Doctor. You are currently started birth control pill (more than 99% protection is achieved after 1-month used) and did unprotected sex with pulled out method, which has HIGH failure rate (15-27%). It was quite risky sexual intercourse. In this case, you have LOW to MINIMUM chance of pregnancy as it was close to your fertile days. You should continue those pill regularly on scheduled time. Do home pregnancy test if you miss next period. Practice safe sex in the future. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	what can cause red pimple spots like little scaly soar no pus and come in your inside of your jaw and on tip of tongue. I was told I had rheumatoid arthritis/ lupus with psoriasis. The only thing I was given at the time is some methotrexate, it did no good.	Hi. Thanks for the query. Your symptoms are appearing like those of mouth sores or mouth ulcers. It can be due to a number of causes like vitamin B 12 and iron deficiency, eating plenty of sour or spicy foods, tobacco chewing habits, any sharp cusps of teeth causing mucosal injury etc. So my suggestion is to start gargling with warm saline solution. Avoid spicy and acidic foods. Take vitamin B complex supplement daily. Do soda bicarb rinses. If there are any sharp cusps of teeth get them.smoothed. Chat Doctor. . Hope this helps. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Im a 39 yo male, within the last hour I have had what seemed likea crushing cgest pain on my left side, which went to the left upper part of my shouder and midway of my neck. No other symptoms other then I had passed some gas about five minutes after the second time the pain occured.	Hi thanks for contacting Chat Doctor.... As You have mentioned gas as adjoining symptom, so chronic constipation also can be there leading chest pain.... But dear first according to this history, ischemic heart disease like angina or MI ruled out by ......1. Blood pressure checking 2.EKG 3.ECHO 4. Cardiac enzymes' estimation if needed Than is MI there, angiography can be done and if needed angioplasty or thrombolytic therapy done .... For angina arbitrate like Chat Doctor. . If no cardiac cause present than treatment for constipation done by stool laxative ex.Dulcolax tablets .... More water taken ... Take care ... Consult physician for this . Hope I have solved your concern.....
如果你是醫生，請根據患者的描述回答醫學問題。	I have been having abdominal pain for going on 10 monthes now. I have a poop smell on my breath and on my body that will not go away. I am straining each day to go to the bathroom, which is only once a day and I am at my wits end. When I look in the mirror, there is an extra piece of skin hanging out of the rectum and it does not look normal. Do you think you can help me identify what is going on and how I can finally get rid of it.	Hi ! Good afternoon. I am Chat Doctor answering your query. Your symptoms of abdominal pain and straining for passing stool points to a chronic inflammation/infection of your intestines. Most of the intestinal infections do come from food eaten from outside under unhygienic conditions. Therefore, you have to avoid taking food from outside if you do. Also avoid spicy, oily food, and include enough roughage and liquids in your diet. I would rather go for a stool test for ova and cyst and treat it if positive. The extra skin what you have felt could be an external skin tag, which occurs if anytime you had fissure in ANO due to chronic constipation and straining. This could be known only by a physical examination, and so I would advise you to take appointment with a general surgeon who could do that to diagnose the condition and then manage it appropriately. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a nurse and have a patient who is unsteady on his feet and having miniblackouts. He has ESKD and has been on dialysis for 10 years. The medications I am concerned about are Lyrica 75 mg nocte, oxycontin 30mg nocte and cialis 5mg. I think the issue may be the lyrica as he sometimes takes double the dose at night. Any suggestions on how to manage this? He has quite severe peripheral neuropathy and chronic pain. tks	HIT hank for asking to ChatDoctorI have gone through the history given here, I think your patients main concern is blackout and unsteady on feet, If I would be doctored of your patient then I would reassess the case right from the beginning, I would stop all the medicine none of it would help the patient instead it may worsen the clinical condition, serum electrolyte has to be done in this case, so we can manage the HY Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	dr. i amaged 51 years and suffering with hypothyroid problem for the last 8 years and taking english medicine THYROXINE SODIUM TAB- ONE every morning before taking coffee/ starts with that tab only; but still im sleeping morning and aftrer noon so the entire day is being wasted. Note im not diabitic patitent nor B.p patitent- give ur valuable clinical advice in homeopathic treatement -give ur free advise	Hi there, thanks for posting your query on this forum. Suffering with Hypothyroidism and dealing with the symptoms can be annoying as I have had experience treating many cases of Hypothyroidism. First thing I would advise you is to get your T3, T4, TSH levels checked and once you are done with that probably you should go and visit an MD Medicine Doctor for reviewing your medicine dosage. From the symptoms that you are having its looks like the TSH levels have probably gone up. Once that is done you can consult a Homeopathic doctor for consultation as with Homeopathy we cannot stop your Thyroxine tab immediately, but we can do the same gradually as and how your body starts adapting to the medicines.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My family and I have gone vegan three months ago. We did blood tests this week to check if we are healthy and my three children show a low level of hematocrit count, although their RBC is within limits. My youngest (2 and a half years) has also a high TSH level (5.2 mIU/L). They are suggesting to repeat a blood test in six months. Is this linked to diet?	Hello, Welcome to Chat Doctor forum. I have gone through their reports (attachment removed to protect patient identity). Take care. Hope this will help you. For more information consult a hematologist online
如果你是醫生，請根據患者的描述回答醫學問題。	hi, i m a feamle 37 yo...i think i have bartholin s infection... i had the lump on thursday (labia minora), on saturday the lump moved to my clitoris then sunday til now (monday) it moved to my urethra. i did not consult any doctor since i am so shy.. i took inoflox 400 at 3pm as initial dose monday and took again at 10pm... do i still have it drained as what i have read in the internet?	Hi, Thanks for query to My Chat Doctor virtual Clinic And welcome to Chat Doctor services. I studied all details of your query. I understood your health concerns about causes of moving lump from clitoris to Urethra. Based on facts of your query, it seems that-you seem to suffer from Acute Volvo vaginitis, with Bartholdi cystitis. If the lump responds to Anti-inflammatory/Antibiotic Treatment/Good hygiene, no need to Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	hi i am unmarried, my penis is very small like 3.5 inch, what i can do to improve my penis size. i know i cant satisify a women with such a small penis. is there any tablets or syrup to improve the size of penis. atleast any exercises. i have a good ht and wt also, but only my penis is small.	Hello can very well satisfy a womanhood love and affection matters more than the size of the permissive of penis depends on number of genetics or other factors and it doesn't increase in size after a certain age per se 25 years would advise you for various exercises which are readily available on Internet with videos so try such stretching exercises to do it very gently after using adequate lubrication Avoid injury to the penis Have testosterone boosting foods like egg yolk Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	hi, I had an inpacted wisdom tooth extracted june 30th I was on a course of antibiotics drurning /after extraction - a few days after the amoxicillon ran out i started swelling aging - so after a few days of more swelling and ear ache on same side doc recomended another course of amox - all was well for a week then the swelling started again - now it is August 4th and dock just gave me a scrip for clindamycin - could anything be causing swelling besides infection? i have no bad taste in my mouth or no liquid coming from socet	As it is veining off due to Antibiotics it is only because of the infection. As your doc prescribed you another antibiotics you must go with it because most of the time people are resistant to some antibiotics may be in your case too. As you have undergone Impaction treatment and perhaps post treatment infection, the swelling is only because of it. You don't need to worry. Hope you will be healthy soon. Regards ...........
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I have been having uper thigh/lowser abdomen pain for about 24 hours now. It is getting slightly worse over time. I really would like to know what this aching in this area could be. I have read about it and it looks like it could be a possible groin strain. can u please help me?	Bellflower abdominal pain may be due to many reasons like pelvic pathology, genitourinary pathology, colitis,musculoskeletal reasons like sprain etc. You need clinical correlation and investigations like routine hologram, random blood sugar, liver function test, renal function test, urine RE/ME and ultrasound of abdomen. Ultrasound is important in your case. Proper treatment depend upon findings. Get well soon. 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 currently have a water infection again I had it a few weeks back and was in hospital 6 days as was serious and went to kidneys but Im going really hot where Im clammy or really cold as well, today ive noticed palms of hands are like bruises and veins showing bad is this anything worry about	Hi and thank you so much for this query. I am so sorry to hear about the urinary infection that you suffered. I am happy to know you were able to overcome the infection and feeling better now. These palm symptoms are in no way related to this kidney infection. I will suggest that you monitor these symptoms and should they fail to regress, seek medical attention for evaluation and management. I hope this helps. Furthermore, I wish you well and thank you so much for using our services. Feel free to ask for clarifications and more information if need be.
如果你是醫生，請根據患者的描述回答醫學問題。	sir i am 18 yrs old & my name is juhi.I m suffering from dry khansi from past 3 months...and i have been medicated(homeopathic & allopethic) along this period but there is no good result.....sir i dont know what to do,i am getting frustrated...pleas help me..	Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough (cough for more than 2 weeks). Common causes for chronic cough are lung infection (tuberculosis) and cough variant asthma. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of asthma. It will also tell you about severity of the disease and treatment is based on severity only. You may need anti-tubercular Chat Doctor. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	My name is Aswathy. Am 23 yrs old. Now a days am suffering from hair damage mainly on my central part of head. Some white dots occuring on my hair and that part breaks the hair. when i touch in that hair it will break.In that breaking hair when i notice a lot of white dots in the hair.so my hair in central part is short due to this breakage. its not hair fall. i had no hair fall. All other hair parts are healthy. Only the central part is damage. when new hairs are coming and those small hairs are also affecting this damage. Am so angry. pls tell me a solution doctor. I WANT DAMAGE FREE HAIR	Hello, I think you are having alopecia errata, and it can be caused by autoimmune disease and possibly lupus. You may need to do a total blood count and also anti ANA antibodies to check for lupus. Also, you can use minoxidil solution to put on hair to improve it. If you have immunity disease taking immunosuppressive medications such methotrexate can also improve the hair loss. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doctor, I have rashes on my groin area and on my back(bumps/ass). It has turned red, and has a irresistible burning sensation. I have used zimig, lobate & dermatoid but it coms back now and then. Please suggest a permanent solution. Burning sensation doesn t allow to sleep and its getting worse with time!!	Hi, The rash on back and buttock may be sunburn most probably. You have reddish patches with burning sensation. The cause would be sun exposure. You avoid sun exposure and avoid contact with hot surfaces. Do cold water compresses. Take antihistamines like levocetirizine. If needed, steroids in tampering dose may be taken. Apply mild steroid with antibiotic cream twice a day. Avoid soap bath. You may use detail liquid during bath. I think, you may be alright in few weeks. However, you consult dermatologist. I hope you got my answer. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	In July I injured my neck, i am waiting for a physio appointment i have been having dizzy spells when I get up, it gots dark for a split second but i am still aware of what is going on around me, plus I have had a pain on my right side it feels like it is my lungs when I take a deep breathe a get a twinge is this all linked to the neck?	Hi, Your symptoms following the injury to your neck have a good chance of being related to stress and anxiety as opposed to a specific organic cause. Your symptoms are not consistent with either a brain, heart or lung pathology. You will find relief if you can engage in relaxation therapy and rhythmic breathing which can be performed much the same as when people perform yoga or meditation. The neck injury is not anatomically or physiologically connected in any way to losses of vision or chest twinges occurring during breathing maneuvers. 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 husband had an open appendectomy in May of 2012. His incision was ultimately reopened approximately 2 weeks after due to an infection right in the surgeons office. The opened wound measured 10 cm X 5 cm. Are wounds that large typically reopened in the surgeons office like that? We were completely surprised that he wasnt readmitted to the hospital and the wound opened and cleaned out in an operating suite, he just did it in the office without sedation or any sort of pain killer. His wound was left open for a few weeks and then he was put on a wound vac. The wound closed and the surgeon had to reopen it due to the fact that he now had a MRSA infection that developed in it. The wound did not close until October, so it took a total of 5 months to heal. He was prescribed an antibiotic 8 times from when he was discharged from the hospital until the wound closed. Is this a standard of care for this type of incision?	Hi ! It is not surprising to see a post appendectomy wound getting infected. Any infected wound is left open to heal by secondary intention after gradual cleaning of the floor of the wound with regular Chat Doctor. During this long course of healing, the patient is not necessarily admitted in the hospital unless there is any particular indication for admission which has to be decided by the treating doctor. Usually these wounds contain a lot of sloughs which is not much painful, and in that case no sedation is required. Hope I have answered your quarry.
如果你是醫生，請根據患者的描述回答醫學問題。	My husband is recovering from a abominable surgery which required a jp drain . The drain has been removed D however the insertion site , after forming some granulated tissue in the insertion point is leaking a profuse greenish fluid. There is no odour and no fever. Is this infection?	Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that therein chance of biliary tract formation. This fluid is most probably a bile solution. Kindly check it with operating surgeon and if tract is there, it should be operated upon soon. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my 8 yr old son is suffring from astma. When he gets attach we give him levoline and seroflow pump as per dr suggestion. Now dr suggests us to give him half telekast l tablet every day. I am affraid about the side effects. Generally he gets cold and cough in 2,3 months. He has suffred with astma attach for 3 -5 times in last 2 years. Pl suggest	Hellos you have mentioned your son is suffering from Intermittent asthma. Management of this condition is inhalation bronchodilator (leveling or Aeroflot) as and when required. Montelukast is actually used in treatment of persistent asthma (attack more than one time a wk), sometimes physicians prescribe it in intermittent attack also because it reduces bronchial reactivity. Side effects of montelukast are very few like restlessness, irritability etc. I hope this answers your query effectively. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Please accept my answer in case you do not have further queries. Wishing you good health. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Respected Sir, i was 25 when i had a varicocele surgery done on me way back in 2007, eventually my sperm count increased from 10000 to 20 million then. Later I dint follow up the sperm count i used to masturbate regularly and also had the habit of holding the cum when reaching climax,then again masturbate. In 2010 i was diagnosed with epididymitis then i had antibiotics and i was fine. Offlate i was again experiencing that dragging pain in the scrotum and pain in back if i was standing for long, I am too worried if i could impregnate my future wife as i am about to be married.i consulted the doctor and there is a slight varicocele and i am placing the result of scan below. My doc says i could go ahead marry and if am unable to impregnate in a year i could go for a varicocele surgery. I am too worried scared and stressed.. before two weeks i had a wet dream and the semen was very watery (its been more than a month i quit smoking and alcohol) and am not havin morning woods and even if i have its not that hard. i masturbated today after a 40 days period there was no proper erection and i got ejaculated immediately and the semen was watery although am having proper food habits. kindly advice. my scan reports below. my blood & urine tests showed normal as said by my doc. please help. Right testis -4.0x1.8 cms Left Testis- 4.0x1.6 cms Both Testes are normal in size and shape The echopattern is uniform bilaterally. No evidence of cysts, mass or calcification is seen. The epididymis appears normal bilaterally. THERE IS MINIMAL RIGHT HYDROCELE RIGHT SCROTUM SHOWS MILD DILATION OF VEINS OF 2.2- 2.5 MM AT REST AND 3-3.5MM ON VALSALVA. LEFT SCROTUM SHOWS THROMBOSED DILATED VEINS REVASCULARISED BY COLLATERALS WITH REFLUX MEASURING 3MM AT REST AND 3.5MM ON VASALVA Impression: EVIDENCE OF GRADE I - II VARICOCELE IN RIGHT AND LEFT SCROTUM AS DESCRIBED ABOVE. SONOGRAPHICALLY, TESTES AND EPIDIDYMIS APPEAR NORMAL BILATERALLY,BOTH TESTES SHOW GOOD VASCULARITY.	HelloThanks for query. Your Scan report reveals bilateral grade one Varicocele with apparently normal testicular function . It would have been better if you could have done semen analysis and posted the report to make precise comments about your fertility. At the outset I would like to emphasize that Varicocele surgery may or may not improve sperm count. You need to consult qualified Urologist for problem of Erectile Dysfunction and get investigated to find out the cause of ED. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Boyfriend, age 58...has minor prostate problems, little overweight , drinks daily, smoking with asthma . While in anxiety and fear, not having total control or the feeling he s in control and he constantly repeats himself ( started 2yrs ago ) and then when he s sleeping- he jerks, mumbles with angst and screams oh my god, sighs . It s unsettling and i worry about him. Oh and he s taken Dexometaphetamin (sp) speed for 8 yrs. 10 mg? Brown & white/clear capsules ( 2-5 daily). For ADHD . JG	Hi there ~ Thank you for bringing up the situation of your boyfriend within a forum like this. I think your boyfriend needs expert help of a psychiatrist and a substance abuse counselor. His prostate problems, being overweight and having asthma apart (which need to be seen by a family medicine doctor), he needs to see a psychiatrist for his sleep disorder which might be secondary to a substance abuse condition. I also feel like he may have a primary mental health problem. Please consult these specialists as soon as possible along with your boyfriend. I hope this helped. Take care and have a nice day !
如果你是醫生，請根據患者的描述回答醫學問題。	please wil you telme if my husban have postate cancer in the first stage? Sorry for my mistaques buth my lenguaje is Espanol , hi start with the problem both hi dosent want me to tock his Doctor. Hi is very stoborn, Can he star Radietion or medication? Tanks. Jenny. P.S. His taking terazosin cap 5.MG	Hi, Thanks for writing in. Prostate cancer is confirmed by doing certain tests specific to the prostate gland. At first the serum PSA level is important and if this is high then the patient is recommended for a transrectal ultrasound of prostate. This will show any suspicious lesions. Any lesion in the peripheral zone of prostate is to be biopsied and this biopsy is done under ultrasound guidance. A bit of tissue from the suspicious region is taken out with a needle and sent to the lab to study the cells. Only if there are cancer cells then a diagnosis of cancer is established. Once a patient is confirmed with caner of prostate, it is better to do a bone scan and ultrasound abdomen and chest X-ray to know the spread of disease. If there is no spread and the tumor is smaller than 3 cm in size then it is in first stage. Teratogen is a Chat Doctor. Please do not worry.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. I had a tiny bump on hard palate for one month. I got it checked by oral surgeon, who removed it by surgery and sent for biopsy. Histopathological report was as hyperplastic squamous and no evidence of malignancy. However, the spot has not healed yet even after more than one month of removing and there is reddish swelling.	Hi. Thanks for the query. I have gone through your query and can understand your concern. As per your complaint a small bump on the palate that is present since one month and in case if their us no signs of malignancy then you need not get worried about it. If the lump is still present then it can be due to infection and inflammation in that area while can be due to mucosal hyperplasia. I would suggest you to consult your Oral Surgeon and get evaluated and a thorough clinical evaluation and investigation like a biopsy again can help in diagnosis and treatment can be done accordingly. In case if needed a surgical excision can again be done for complete removal of the same. Hope your query is resolved. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have acute pain on the right side of my right knee. I am not able to walk as usual. The local doctor diagnosed it as a ligament tear. He suggested to take rest and wear a knee pad. One month is over, and there is no improvement seen yet. There is also little swelling and pain. I am not able to balance while walking. It pains when I walk. I have attached my x-ray.	Hi, Welcome to Chat Doctor forum. You have not mentioned your age, profession, and how you developed the pain (like after a slip or after a fall or just by itself). When you have a limp that has not settled over one month and you do not have balance when you walk then it is not normal. You have to be personally examined, and if necessary, an MRI scan of the knee has to be done. You could have a problem in the meniscus (a washer-like structure between the bones) or the ACL, PCL, PLC, etc. (ligaments or cords that connect the two bones). These are best seen only on an MRI. Meanwhile, please continue rest, splinting, and analgesics.
如果你是醫生，請根據患者的描述回答醫學問題。	chickungunya? moderate to high fever with heavy sweating, joint and muscle aching, feel weak and fatigued, get light headed, some diarrhea and vomiting - but only day one. Just definitely not myself because I am active and eat decently. This is day 2	Hello, Welcome to Chat Doctor. Yes, it can be a chikungunya fever. Clinical diagnoses can be confirmed by several blood tests like detection of antibodies to virus and detection of virus itself in patient serum sample. You may contact any nearby state hospital to get these tests done. Unfortunately, there is no definitive treatment for chikungunya and there is high incidence of long term morbidity like persistent joint pains and chronic fatigue. You may take painkillers for joint pains (except Aspirin) but ensure not to take them in high doses for long time. You should consult a doctor for supportive treatment. Hope this will be helpful. Do ask if any further question is there. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I ve had sick family members. Sprayed a large amount of Lysol all around my home/cabinets, door knobs, large area rug, toilets, other surfaces. It s bedtime in my home. Is there enough fresh air to avoid any hazards of breathing in the chemicals? Our home is a little over 2000 square feet, with 9 foot high ceilings.	Thanks for your query at Chat Doctor! First and foremost the best technique to avoid infections is "HAND-WASHING" with soap(Either medicated or non-medicated). You can learn seven steps of hand-washing from internet or other sources. Try to keep the sick member isolated in separate room. Do not let too much crowding in the room. Limit the movement. Whoever enter the room before and after must strictly wash hand or use sanitizers. Masks on nose can also be used by everyone including patient. Do not spread large volumes of Lysol all around. You can use 2% chlorhexidine for mopping the surfaces which is more user-friendly. Laundary the patients clothes after properly submerging in antiseptic solution. Remember these basic practices and stay healthy. All the best!!
如果你是醫生，請根據患者的描述回答醫學問題。	Injured my wrist playing tennis during the winter and made it worse by shoveling wet snow a week later. I have very weak right wrist and swelling at wrist at styloid ulnar. Its been 9 weeks and with icing, wrist splint, some physio and 500mg of naproxin twice a day, very little appears to change. My doctor won t refer me to a specialist until a few months pass doing conservative treatment. Not the pain it s the frustration (very active at 68) of not being able to play golf tournaments and not knowing what it is. The swelling at the top of ulnar has become firm, a week after it started to swell. It doesn t look like a bad injury but feels very unstable. Can t lift myself off floor. Is this a ruptured tendon tear or a cartilaged out of whack. What would keep it from normal healing? Read that corticosteroid injection is effective but does that depend on type of injury? Thanks John	Hi John, thanks for writing to Chat Doctor .you seem to have injured a major ligament around your wrist. Its called TFCC(Triangular Fibrocartilage Complex). Its one of the major stabilizers of wrist joint. This ligament is put to use especially when wrist joint is loaded, like lifting any kind of weight or stretching wrist joint to its extreme. Please remember, ligaments have a poor blood supply, so their healing potential is also very limited. They do take quite some time to recover. Your doctor is doing the right thing as initial treatment is conservative like....icing wrist splintphysioantiinflammatory like naproxen in the meantime you should also try and give rest to your wrist by avoiding heavy activities. If things don't improve, next step is definitely a corticosteroid injection, and it has good results. Wishing you a speedy recovery thank you
如果你是醫生，請根據患者的描述回答醫學問題。	i am having a low grade fever and body aches, more on back and legs every evening.. i am also observing Insomnia and eye burning. and along with this i have strong headache, which is located at temporo-occipetal region on both side of my brain. i am already sufffering from Haemorrhoids and Irritable bowel syndrome. please help me	Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of persistent low fever, body ache and insomnia which seems to be due to viral infection due to compromised immunity of your body and susceptibility of getting infected. Sometimes initially the infection is viral but with times secondary bacterial infection occur, which cause further complication. Need not worry. I would suggest you to consult ENT specialist without any delay. Doctor may prescribe anti-viral acyclovir/ antibacterial penicillin along with anti-inflammatory medications. Doctor may order blood test to confirm diagnosis. You should take proper rest. You should take muscle relaxants if fever is of high grade. Hope your concern has been resolved. Get Well Soon. Best Wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	have pain aver right side of stomach extending around the right side of bidy to the back almost to the spine. During an IVP I felt something give way in right side of stomach. Cannot tolerate being touched in these areas. Thankyou for your help.	Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Your pain is most likely due to a stone in right kidney or ureter or a POJO. A POJO is a pelvi-ureteric junction obstruction. After an MVP, both can cause pain on the flank, where its present. So without seeing the MVP, its difficult to comment. With a block in the kidney, due to either condition, therell be pain on touching. You may send all the reports to me, as a direct question, for an expert opinion. Chat Doctor. Manga.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Ive just been told by my neurosurgeon that I need a Lumbar Laminectomy to remove a badly bulging disc. I have had a year of leg and back pain. But, on top of this I have diastasis recti.... Im now worried about whether I should be focusing on getting the problem with my abdomen fixed before having the back surgery or, would having my abdomen repaired alleviate the problem with my disc? Im confused as to where I should turn first.	HiT hank you for asking ChatDoctorI have gone through your query. The treatment options for Lumbar bulging disc depend upon degree of bulge and associated complications. In mild to moderate cases' muscle relaxants, NSAIDs and physiotherapy will benefit. But that is not giving improvement then you can consider minimal invasive surgeries like Microdiscectomy or laminectomy. If you send your MRI and further details then I can comment on it more. Hope this may help you. Let me know if anything is not clear. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,God blessed me with a baby boy before three months. This is my second child. I faced many problems such as diabetes, before two years back. I had low platelet counts before six months when I took a test for CBC. Three days before delivery, my platelet count was 44000 per microliter of blood. My doctor suggests me to go for a blood transfusion for delivery. Before delivery, I took three units. After delivery, I took one unit of blood, my platelet count was 172000 per microliter of blood. After a month when I took a test for CBC, my platelet count was 72000 per microliter of blood. I experienced a headache and fever for a few days. I take one Paracetamol tablet in the night. What can I do? Please suggest.	Hello. Fever with a headache can occur in viral infection. Viral infection can affect the platelet count and can lead to low platelet count. Symptomatic management is done with Paracetamol and maintain your hy ChatDoctor. Your peripheral smear examination, a liver profile is also needed to be done for the primary work up. Peripheral smear examination will detect any parasite and abnormal cells if present. Repeat CBC (complete blood count) after few days and if still, it is elevated then, think of other investigations. For more information consult a hematologist online
如果你是醫生，請根據患者的描述回答醫學問題。	I am having severe abdominal pain, flank pain, pelvic pain, nausea, vomiting, diarrhea, constipation, lower back pain, pain in middle of the back, pain in upper-center area under the breastbone, pain when urinating, feeling of needing to urinate frequently, feeling of full bladder, intense pain in pelvic and bladder area, left side lower back left side. Medical history is surgeries: Hysterectomy, Appendectomy, Tonsillectomy, Gallbladder removal. Do you have any idea what this could be? The Dr. s where I live do not seem to care to figure this out.	Hi ! Good morning. I am Chat Doctor answering your query. From your history and symptoms, it seems that you might be having a pelvic infection (PID) associated with a urinary tract infection (UTI). If I were your doctor, I would advise you for a urine test (routine, microscopic, and culture/sensitivity test), a complete blood count (CBC), a blood sugar test, gram-staining and culture sensitivity of vaginal discharge if any and a review ultrasound of abdomen to rule out any other intra-abdominal pathology. Till the reports are ready, I would advise you for a brand spectrum antibiotic along with a probiotic, a proton pump inhibitor, and an anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.

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