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如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doctor,I need a very urgent help for my mom, she is 48 year old.Her left half part of body got paralyzed 3 months back. She belongs to India in a small town so we were not aware about the 48 to 72 hours paralyzed cure treatment. now we are very late.Presently my mom legs, speech, mouth recovery is going fine but in left arm there is no recovery but left arm pain a lot. She is taking 2 times physiotherapy and she also use to walk with stick support.Any good suggestion to get my mom left arm working..Kindly helo and suggest,	If not taken proper treatment from beginning, there is possibility of developing "spasticity" on paralyzed limb. Also, can be chances to develop "frozen shoulder". You should consult a neurologist to see our mom clinically. For spasticity, few medicines are available like (baclofen, tolperisone, Botox injection)Also she needs full assessment regarding risk factors of stroke and preventive treatment to be taken life long.
如果你是醫生，請根據患者的描述回答醫學問題。	My little girl is 6 weeks old, she acts like she can t catch her breathe sometimes after she eats and sometimes when she wakes up. Every now and then she will cough and act like something is stuck in her throat. It also sounds a little raspy when she cries. The last few days she will start crying and won t stop, even when we try to give her a bottle when its time for her to eat. She makes herself sick crying also. Will it be ok to wait a few weeks till her appoinment or do I need to go ahead and take her? She also is not eating like she normally does.	As you have mentioned that she starts coughing on giving feed, it may be due to faulty feeding technique as the feed may get into trachea, and she tries to cough it out. Pl check the consistency of milk, temp and the hole of nipple as large hole may thrust initial large amount in mouth. However, such a small child should be given breastfeed only if there is no absolute contraindication.Also, I presume that her upper air way is normal and there is no such issue as partial canal amnesia. Besides rule out gastroesophageal reflux most probably H type which can be the culprit.
如果你是醫生，請根據患者的描述回答醫學問題。	>I am a 42 yr old Male with height 6ft and weight 74 kg and serving in defence services. Keep medically fit by cycling. Have been experiencing continuous mild pain in center of chest little to the left last three weeks. No serious impact on my physical activity. What could be the reason.	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, possibility of musculoskeletal pain is more. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will mostly improve with all these in 1-2 weeks. If not improving then get done ECG to rule out heart related diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor, My mother has a liver infection problem, sometimes she fell sharp pain in stomach and also do vomit sometimes. Recently i got ultrasound report of her,there mention Liver Enlarged in size 16.2cm and shows homogenously increased echogenicity of its parenchyma. Intra hepatic bilary and portal radicals are nomal. Intrahepatic veins are normal. portal. Gall Bladder Well distended and shows few calculi in lumen. Will you please suggest me what i have to do. which treatment i have to give her.	Mr Son, Pain, Vomiting (liver infection details -not provided)ultrasound - gallstones, liver enlarged (no other reports)next steps: 1. Endoscopy on empty stomach to rule out ulcer as cause for pain. 2. Liver function tests-to look for jaundice 3. If all above tests are normal - may require removal of gallbladder & stones (laparoscopic surgery) 4. Use painkillers & antacids till you consult your G I surgeon - for further assessment & surgery.rods,
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 i have a lumb on top of my butt crack that has a red sore and it bleeds sometimes and it comes and goes. It hurts so bad now i can not even touch the sore. Any ideas what i can do now and later?	Welcome to Chat Doctor .1. Generally these kinds of symptoms are seen in the colonial sinus (infected hair) which can be treated easily in early stages with a course of antibiotics.2. If it gets complicated, it may cause sinus formation and fistulous opening and so all.3. You need a surgeon appointment.4.Don't ignore and leave for complications. Hope it helps you. Anything to ask ? Do not hesitate. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here... i have an 18 month old boy who is sick he came down with it bout 8 last night he has only vomited once but he gets real hot then goes back to normal i took his temp its round 38 is he ok or should i take him to see some 1?	Hi.... I understand your concern. By what you say your baby is having a viral illness. Non-specific vomiting is also quite common in this. But sometimes this can be a pro Chat Doctor. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. But, if any of these symptoms develop please take her to the nearest Emergency Room. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,My daughter is suffering from abdominal pain due to gallbladder problem. She is suffering from stomach pain for the past one year. It has aggravated recently. She gets pain when she eats green leafy vegetables or fatty foods. She had an antibiotic for a month. Doctors have told that water has formed around her gallbladder along with infection. CT scan, HIDA scan, color Doppler and endoscopy tests all are normal. Is there any dysfunction of gallbladder seen in HIDA test? Or cystic duct syndrome? Is gallbladder surgery compulsory? Please help me.	Hi. The report says that she has a component of decreased gallbladder motility associated with polycystic changes in ovaries (PCOD). Now, we need to get LFT (liver function tests) done. Did she had pain as well as fever or jaundice? At present, is she symptomatic? Or asymptomatic? Kindly provide details of her weight. Obesity is associated with cystic changes in ovaries. Surgery is not compulsory in this case. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	My boyfriend was itchy between his balls and his inner thigh. It has now turned into a raw rash. Red and a few bumps on the thigh. I think it s fungal. What can I get for him to make it go away. He has had athletes foot before. He plays rugby as well and is a little hairy down there.	Hi dear, itchy between thigh and testicles and also rash is may be due to fungal infection as it is the most common site where sweating accumulates and leads to secondary infection.is there itching associated with it?and also you told that he is athlete, so he has more perspiration, so chances of infection are high. First maintain hygiene of the part and keep it clear. And apply any antifungal cream and if associated any systematic infection took oral medication also. Consult skin specialist for detail
如果你是醫生，請根據患者的描述回答醫學問題。	I have these random bumps on body that itch very bad and I scratch them and when they break open a clean liquid comes out and they scab over but each day I am getting more and more. at first I thought they were mosquito bites but now I have a few on my fingers my nipple my back arms feet top groin etc just random.	Hi, The rash could most probably due to an insect bite hypersensitivity reaction. But other possible diagnosis is scabies. You could take an antihistamine tablet and apply an antibiotic ointment for a week. If you do not get any improvement in a week or your rash worsens during the course of treatment, I request you to consult your dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	I have had a bad cough with serious mucus drainage since before mid November off and on. i have been on 2 rounds of antibotics and steroids also cough syrup. I feel better for a week or so and then it comes back . i am not a smoker . I have also had severe pain on left side from shoulderblade to below ribs .	Hi, thanks for providing the brief history of you. Since you mentioned you had mucus Chat Doctor. Even you are not a smoker. Why don't you just get your sputum culture get examined once in lab. It is safer to get this done as this mucus is not going away on its own. Also check your pulmonary function test, which can help assess the functioning of the lungs and the capacity of it. Also, you can take one chest x-ray if any accumulation of fluid is there since you mentioned the posterior aspect of the lungs. Also in the meantime you can start doing breathing exercises and steam inhalation. Which help strengthening the lung tissue and muscles also steam will help keep the lungs humidified. Avoid taking any cold food and also keep your lungs area covered. Keep the cotton in the ears to avoid any cold air to pass in by. Breathing exercises - there are types of it, I will mention here which you can perform by your own or can take a guidance from a physical therapist, it might take a day or two to learn, and later you can follow at home every day till we do a reassessment of your lungs via pulmonary function test.1. Deep breathing2. Abdominal breathing3. Coastal breathing4. Pulsed lip 5. diaphragmaticAlso perform some slow and simple CR endurance training like shoulder girdle movements, core strengthening, cycling, etc DO NOT PERFORM TREADMILL TRAINING. For pain as you mentioned it is happening in your back from shoulder blade to ribs, you can use hot water fermentation for it. For more queries you can ask me a direct question. With the grace of God I wish you a speedy recovery. RegardsJay In
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, My son has just had knee surgery and returned from hospital yesterday afternoon. He slept well last night but woke up this morning with severe (7/10 pain rate) upper abdominal pain (about a hand span down from nipple line) The pain comes in spasms which last for 7 - 10 minutes and occur every 20 -30 minutes. Medication has been panadol (last dose 27 hours ago) and tramadol (last dose 22 hours ago). He ate normally last night and toileting is normal. Any suggestions/thoughts appreciated.	Hi. Thanks for your query. Your son has developed severe pain in the upper abdomen days after Knee Surgery, hand-span down the nipple line. Pain comes in spasms lasting for 7 to 10 minutes, and occur every 20 to 30 minutes. Taking Paradox and Tramadol. Ate normally yesterday and toileting is normal. The possible causes are:Acid peptic disease wherein you get gastric or duodenal ulcer or esophagitis. Pancreatitis. I would advise you the following:Start giving him PPI like pantoprazole. Antacid liquids at 3 hourly intervals. Get an Upper GI Endoscopy and CT scan of the abdomen. Clinical evaluation and physical examination by a Doctor, preferably a Gastroenterologist helps more.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I am 28 years old. From the past two weeks, there is a slight pain in my right ear. I tried Clear Wax ear drops and normal ear drops then there is a relief for a certain period then again mild pain is coming the next day. When I wake up in the morning there is a very slight headache kind on the right side and some sort of discomfort in my right ear. There is not severe pain but certainly, there is some sort of mild pain. I also noticed whenever I tried using earbuds in my left ear to clean then I am getting cough as if some sort of itchiness sensation in the ear is causing immediate cough in the throat and normal again after I take earbud out. I want to know whether I should consult ENT specialist immediately or if there are any ear drops in particular to use before I go to ENT doctor.	Hello, Welcome to Chat Doctor forum. The cough which occurs during ear cleaning is due to stimulus to your auricular branch of the vagus nerve, which is normal. Now coming to your problem, many times mild pain occurs due to impacted wax or ETD (eustachian tube dysfunction). Both cases it is advisable to consult an ENT surgeon for the proper examination of the ear. Till then, continue the ear ChatDoctor. Never try to clean the ear yourself as it can cause injury to your ear.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. I am a doctor and doing PG degree at an institute. I am married since 7 years.I live away from my wife and kids. I have been late in joining my PG course like by 10 years due to some issues. Finally I am doing it. But now due to seperation from my kids, I am feeling very sad, my sadness reflected in my work, making me lag behind other my peers who are far younger than me like 7 to 10 years.I have a very low confidence level. for that, I consulted a psychiatrist, who put me on paroxetine and propranolol. But it wasn t helping me any good except the propranolol. So, I started taking fluoxetine and later escitalopram on my own, which did help me to a certain extent, but that too was inconsistent. I was feeling confident at one point while anxious and helpless with poor confidence at other point. And, the major issue( which has compelled me to write a post here) is that I have become extremely extremely shy of women around! Well, I am an introvert, and have never been so comfortable around females, but that wasn t as serious an issue as this is! It has grown up TREMENDOUSLY! I am extremely timid in front of females, I can t talk looking them in the eyes. If I look, I stare. So I better avoid eye contact. This behavior gives them the impression that I am flirting with them! No matter how good or bad looking the person may be. No matter how old is she from teen to granny. I am terrified by the fact that few of my female teachers above 50 years are in the delusion that I am in love with them! Shit! What s this! It is totally out of my hands. These antidepressants are just making my life miserable in this regard. Otherwise I am fine. Can manage almost anything but not this female thing. I am helpless here. I even tried modafinil for some time. But this also couldn t do any wonders. Mostly my gynophobia peaks in early morning, evening hours. I use to take escitalopram in the night or morning time. Modafinil in the morning or evening. But when I am being helped by escitalopram or modafinil, that time I can confidently face females. But those are very few times. Mostly I am having a disadvantage at female interaction. What should I do? I being a doctor, am expected to be free with female colleagues like my all other male friends are, except me. And everybody knows that I am a married man. So they will be having bad image of me in their minds like he is a pervert..or so. I am not just being able to break this jail which is eating me out of female trouble! Help me plz..	Dear serve understand your concerns went through your exhaustive details. You are a doctor, and you know how your mind work. If you become worried, naturally your whole of the cognition pattern changes. Try to be happy against all those odds can naturally help you. I see there are many negatives, but everyone has negatives. You were initially worried because you were compelled to stay away from your family and kids and therefore were not able to concentrate on your PG studies. Then it went on to anxiety, introversion, lack of eye contact with girls etc. at last you are trying to come down heavily on yourself like calling yourself pervert etc. Can you see the pattern of worries hung around? Worries devastate you. You are not the only person in your PG institute staying away from family. There will be many. How they are able to cop ? Ask yourself or talk to them. Initial stages, it is natural that you will have disappointment, distress and nostalgia. Everyone come across. Then you should train yourself to overcome those feelings. Everybody does. I suggest, online counseling and Cognitive Behavior Therapy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	My father has end stage cancer. He has been suffering from severe constipation for a month. We did everything we could to alleviate it. Chang meds...cut down on narcotics...give high doses of meds to promote a m. The problem is is that he had two very small band in the last week and a half with NO m for 3 weeks. Finally after an enema yesterday Eureka! A m on his own last night and 3 today. In total a pretty good amount of bm. But now he feels real bad. No nausea or pain. No pinpointed symptoms. Just feels bad. Could the toxins leaving his body cause him to feel bad?	Hi, Thanks for writing in. It is good to know that the enema worked yesterday, and he had good bowel movement. It is possible that he is low on nutrition and probably feeling hungry. Constipation in itself is an unfavorable symptom and patient is in discomfort. The bad feeling he is having is not a serious concern and might be due to sudden evacuation of bowels. There is nothing like toxins leaving the body making a patient feel bad. However, is might mean that he needs to be given a healthy meal. Please include fibers in the diet and this will ease in digestion and bowel movements will be regular. Give him adequate fluids. Please do not worry.
如果你是醫生，請根據患者的描述回答醫學問題。	I think my tongue is swollen and I accidently bite it. This happens once in awhile. I thought it might be some Vit. B deficiency? I remember an old book by Adele Davis mentioning the tongue.I also have gum pockets and often when I go they put arrestin in those.Thanks for any assistance you can provide. I did not realize there was a fee and I have an appt. next week and so Ill just report the symptoms then. Thanks.	Hello, Well, occasional swelling of tongue is commonly due to allergic reaction that can be at times due to allergy to any unknown foods or medicines or at times certain environmental allergens can be a cause. Less likely to be vitamin B deficiency as in that case there can be consistent swelling along with other symptoms. So, my suggestion is to consult an oral physician and get checked especially when there is swelling of tongue. You can take anti-allergic like Levocetrizine and see if swelling gets down. Also, an allergy test can be done for confirmation. But firstly a clinical checkup can be done to make a provisional diagnosis. 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 am a 70 years old male. I have fever of about 100 F for last 4 days along with mild shivering and general weakness, I have been taking rest and paracetamol 250 mg every 6 to 8 hours. Fever comes down within 2 to 3 hours of medication and goes up again within 6 to 8 hours of taking medicine. Is it viral fever and will be okay in 5 to 7 days without any other intervention ?	Unfortunately, there is no way to know for sure if it's a minor viral infection or a more significant bacterial infection (or something else) without getting seen. Since its already been 4 days, I wouldn't wait too much longer to get checked by a doctor. Especially if you are having specific symptoms such as a productive cough, burning when you urinate, chest pain, abdominal pain, or feeling really sick (e.g. severe body aches). If you are not having other symptoms, you could probably wait another day or 2, but certainly no longer than that. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	I don t know if I have any kind of diseases. I had un-protected sex back in11 month of 2010 but I am pore which means I don t bath a lot. I haven t had sex since then but, I did find someone to spend my life with in 2011. I kissed her for the first time in 03 of 2011 the next day she has big swollen lips and white spots on the tongue. so I get worried and I go get tested for STD s. they said I don t have any kind of diseases but they did say I might have herpes. now like I said I don t bath much and I get this white bump on my tongue and on my gums. before I did have rashes on my armpits but they are not swollen, and I am 310 pounds. but im a truck driver now. why do my feet hurt	Hello pt-Bumps are formed due to injury caused to the tongue accidentally. You may bite your tongue or your tongue may get infected while eating any sharp food stuffs causing swelling and pain on the tongue. Eating huge quantities of acidic foods can also cause bumps. It can appear on the upper layer of the tongue or on its side and sometimes at its back. Eating lot of sweets and sugary items can also give rise to bump formation. It can also be caused due to disturbance in gastrointestinal tract and due to heightened stress and emotions. Thus, there is every chance that underlying medical condition can cause bumps on your tongue. Bumps are not contagious, but it is good to leave them undisturbed. Sometimes, using hard toothbrush or rough brushing techniques of the mouth can also cause bumps and bleeding on the tongue. Bumps formed due to trauma are called lie bumps. They look like tiny balls white or red, and it will cause tenderness in the tongue for many days.
如果你是醫生，請根據患者的描述回答醫學問題。	my child is 11 months old, he caught cold, running nose(starting stage, not severe)... previously he got severe cold at that time doctor suggest to give levolin, azibact and some other syrup. can we give levolin & azibact now also without consulting doctor, whether any side effects...	Hello read your question and understand your concerns would like to ask that* is he running fever also* any cough along with cold* any vomiting along with coffin only cold is there I would suggest to give only symptomatic treatment like plenty of fluid try to give steam and keep him warm, and you can use antiallergic syrups as Welland if his symptoms gets worse take him to his pediatrician for proper checkup hope my answer will satisfy you Good luck & TC
如果你是醫生，請根據患者的描述回答醫學問題。	I m 19 and I had a kidney stone that blocked my kidney and caused pyelonephritis and then lead to sepsis, which almost killed me. Could the kidney stone that blocked one of my kidneys have caused the cortical thinning of both of my kidneys?	Welcome to Chat Doctor, one stone blocking a single kidney can cause pyelonephritis and sepsis so severe that it can kill you. However, it shall be not cortical thinning of other kidney. You shall have different etiology for kidney thinning such as vesicoureteric reflux. You should see a urologist and sort out your stone problem and also find out the cause of your bilateral cortical thinning. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	im married since two n half years now.I started planning my family since May2010.All my reports are normal and my husbands reports are all ok.I have gone through HSG test,which also came out normal.I have also conducted follical study twice and we tried doing intercourse on those particular days but still were nt successful.Is it bad if the sperms come out after intercourse?I also have stone in my Gall Bladder,Sowill it affect me after concieving?	Hi, No, gall bladder stones will not affect your fertility. But once pregnant, if you have pain due to gallstones, and they require removal or treatment the pregnancy could be affected. So, I would advise you to get treatment for the gall stones before embarking on a pregnancy. Also, since you have no factors for infertility but still unable to conceive and if you have been trying for more than 2 years, I would suggest you to consider IVF. Follicular studies and timed intercourse will not help unexplained infertility and delay your goals.Also, it is normal for some amount of sperm to come out. Hope this helps. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	dear doc, me & my(28years) wife had sex on December 24, 25, 26(protected).she had her period on January 16-22, a heavy one like regular(no sex in between as we work in different countries) . now in February, she is 13 days late. should we worry about her being pregnant or other health issues? we re not trying for a baby so early in our career.thanks in advance.	Hello, Thanks for letting us know your health concern. If you did not have any further intercourse after your wife had her natural period, there is no need to worry about pregnancy. This delay in menstrual cycle could be due to a transient hormone imbalance often caused by sudden weight changes, stress, infections etc. Please ask her to see her health care provider to detect the cause and plan further management. If the sonogram of the pelvis shows normal study, hormones can be given to induce the period. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	hi my name is Maggie, I am 19 years old and i live in manchester.my fiance and me are wiling for a baby but we cant see any resoults.i stopped taking my anticontraceptive pills about 4 months ago.my fiance is worried that there is something wrong with him, and i am scared that its me.my question is, how and where i can go to test my self if i can ever have baby in future?	Hi MaggieFrom your notes it is clear that you have been trying for baby only for 4 months. Please note that among young couples trying for conception about 80% conceive in the first year and another 10% in the second year. Do you have regular periods? If so then in all probability you are ovulating regularly and there is no need to go for check up. I suggest you wait at least for a year before you consult doctor. Take a tablet of folic acid daily. To increase your chances of conception maintain normal BMI, quit smoking if you are a smoker and have intercourse at least three times in a week. If it is still worrying you consult with your GP and get your Day 21 serum progesterone and your husbands' semen analysis done. I hope I have answered to your satisfaction.
如果你是醫生，請根據患者的描述回答醫學問題。	Something strange happened this evening. I was walking through my house and felt a shock like feeling start in my heals and go all the way to my neck and felt dizzy. Ever sine Ill get a shock like tingle just about anywhere and feel a little dizzy. What could that possible be?	Hi, dairy have gone through your question. I can understand your concern. You may have diabetes or vitamin B12 deficiency or some other cause. It can lead to tingling sensation. You should check your fasting and post postprandial blood sugar level and vitamin B12 level. Then you should 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。	Hello doctor,It has been seven days since I have smoked a cigarette (quit cold turkey). How long will it take after quitting smoking, for the blood to be free from nicotine? Is blood viscosity reversible by simply cutting down nicotine?	Hi, Welcome to Chat Doctor forum. Looking at the query, my opinion is as follows: The effect of nicotine is dependent upon the amount and years of cigarettes smoked and can vary from two days to two months. On an average, usually within a month of with ChatDoctor. Yes, it is reversible as nicotine affects the platelets, red blood cells, the endothelium, and the clotting factors to increase blood viscosity. Once with
如果你是醫生，請根據患者的描述回答醫學問題。	SIr, I m facing lever enlarge problem 16.5 according to altrasound report. And my doctor suggest me Ursodeoxycholic Acid (Ursodeoxycholic acid 300mg tablets) medicine. I m facing headache problem and negitive thinking comes in my mind. Please suggest me the Precautions.	HelloEnlarged liver may be due to many causes like hepatitis, obesity,alcoholism, metabolic disorder, tumour etc. I suspect you had elevated liver enzymes like SGPT, SGOT etc. and this may be the reason for prescribing ursodeoxycholic acid. Ursodeoxycholic acid tablet helps in regeneration of liver cells. Enlarged liver may reverse with treatment of underlying disease. Your current problem of headache is most likely not related to enlarged liver or ursodeoxycholic acid tablet. Headache is commonly due to tension, and you may take NSAIDs like paracetamol. 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 have been experiancing continuous vomiting (bringing up alot of bile mostly) i cannot keep water or food down. i have no stomach pains but i do feel hot and then shivery. i am 14 weeks pregnant and have no experianced vomiting during my morning sickness/nausea	Hello, I have gone through your query and understood the concern. If you are experiencing this vomiting only now and not earlier in your pregnancy, you should see a physician to evaluate the cause. Gastric causes, hepatic and renal causes also should be excluded, blood pressure checked regularly, urinalysis should be done apart from routine fetal monitoring. Any infection should be appropriately controlled and fluid and electrolyte balance well maintained. Chat Doctor. Please take adequate rest, avoid stress, oily foods, take plenty of fresh fruits and vegetables or as suggested by your consultant. Hope you find this information useful. Wish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi there! I am experiencing very sharp pains in my lower abdomen. When sitting or lying down, I feel nothing. When walking I can barely stand erect. It is more concentrated on the right side but I am also now feeling it on the left. It started last night and felt similar to the light aching you experience after urinating when youve held it too long. The pain has more than doubled throughout the day, and I am concerned if this could be something serious. No fever is present. I do have a mirena IUD that was inserted 7 months ago.	Hi, Welcome to Chat Doctor, It seems that you might be having some infection in your Genitourinary tract giving rise to this problem. Go for routine urine check up for bacteria, blood to rule out urinary tract infection or calculus in kidney. There might be some problem with IUD as well in relation with infection, changed IUD position etc. Go for ultrasound abdomen. Consult GAEC, and she may go for above-mentioned investigations. Ok and bye.
如果你是醫生，請根據患者的描述回答醫學問題。	i am 42 year male and having blood pressure of 150/95 today morning at 10.30ama)should i start any medicine or cardio/brisk walks would be good?b)can bp medicine once started be stopped in future?c)is it true that morning bps r higher than evening ones?	Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion related to your questions. You should know that we talk about hypertension if we have mean values above 140/90 mmHg. We can not judge if we have hypertension with one only value. A person might have high blood pressures after a physical or emotional stress, so it is mandatory to judge on mean values, during all day. Hypertension is divided in two groups: The fist one is Essential hypertension, without an identifiable cause, usually in older ages. It is a chronic disease that does not have a cure, but it should be treated all live. Once it is diagnosed, it should be treated always with medicine. The other group is secondary hypertension meaning that it is a second disease causing it, that might be renal, endocrinological or cardiovascular anomaly. Resolving the causing pathology might resolve the hypertension. So, the first thing to do in your case is to know if we really are dealing with hypertension or not. The second one is to know what kind of hypertension is it and then we can judge how to treat it. If I was your treating doctor I will recommend a blood pressure holder monitoring to have a full view of your values, during day and night. During mornings people have bigger activity and for this might have higher blood pressure values. I will recommend a cardiac echo to evaluate heart anatomy. After this a fool blood check up, your urinary catecholamine and an abdominal echo to see the renal situation. Only after this we can know how to treat your hypertension. If you have high values they should be treated with medications. Physical activity is not good if you have uncontrolled high blood pressure values, because during activity the values rises even more. It is necessary to start treating it and then start physical activity. If it is essential hypertension you will treat it all live. Hope I was helpful. Wish you good health. Best regards.
如果你是醫生，請根據患者的描述回答醫學問題。	About three times in my life, about 5 to 10 years ago, while driving and thinking about facets of my life that made me angry, I got a sharp pain near but just under the skin along a line, front to back, near the top of my head, but to the right, about where the right stripe on a U of Mich football helmet is. I realized that I needed to concentrate on becoming calm, and it went away after a minute or so. I now know thatI must overtly know not to get angry, but, over the past three years I realize that I cannot think as well as I used to. Fortunately or unfortunately, I do not now nor have I ever held a work position that demanded much deep thinking, but being unable to think. or even want to try to think, like I did when I was younger is discomforting. This really struck me about November 2011. I was writing a blog about 3 times a week, and I just didn t feel like thinking deep enough to make sense anymore.	Degree understand your concerns went through your details. I suggest you not to worry much. I suggest, instead of assuming and worrying about a physical problem, you should consult a physician. Furthermore, I do not see any cognitive problem you may have. But you should get answer to your question from experts so that your current anxiety is clear. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	i have a 6months old baby and i gave him promil gold as his milk but after 2 days he is now having a hard time to vowel. he is always crying, i don t know what to do, im afraid to give him some home remedies because im a first time mom.please help me.	it's very common for infants to have digestion and constipation or diarrhea after changing the formula Milk. it's related to the change in lining of the intestines and its flora (the beneficial bacteria inside) .so, switching the infant to breast milk is very helpful, if not available, other formulas like rebel EC (extra care) can help, if that didn't solve the problem then switching to hypoallergic formula can be effective (like Nan HA) .
如果你是醫生，請根據患者的描述回答醫學問題。	I have had a stiff neck for about 2 weeks now. Just neck. No shoulders. Recently been fighting a respiratory infection and sinus issues about 1 month No other real symptoms. No fever, headache, eye pain. No change in pillows or mattress. Primarily pain when I attempt to look left or right. Minimal pain when head moved downward. No pain when head moved back	Thanks for asking your question completely understand your issue it seems like you have spasm in neck muscles. You need to take some muscle relaxants and painkiller like etoricoxib after consulting your physician. For cough and sinusitis u need to take some antibiotics like lifetime and some antihistamines like montelukast and fexofenadine after consulting a pulmonologist .he can give you the prescription for the above-mentioned medicines thanks / regards feel free to ask more questions may god bless you with good health
如果你是醫生，請根據患者的描述回答醫學問題。	Okay. I am 68, Type 2 diabetes, overweight. Have been having a lot of phlegm in my throat in the mornings for a couple of years. Over the last couple of months, I have also developed a productive caugh with upper left chest pain that is noticeable, but not severe and usually is relieved whenever I cough up sufficient phlegm. What gives?	Hi welcome to the Chat Doctor Your main problem is excess cough... I need to know following details... 1. Do you have fever? 2.are you having chest pain and dyspnea complaint?? 3.smoking history?? It might be allergic cough, chronic infection induce cough, bronchitis, bronchiectasis etc... As far as approach is considered work up done as follows... -Above history asked first -Auscultation -Chest x-ray -CBC -if needed spirometry and sputum cytology examination According to cause I can give further comment on treatment Take care Hope your concern solved Consult pulmonologist for examination and discuss all these with him
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I m 14 and my testicles have been hurting for about a month now. Sometimes it s when I move, sometimes im just sitting still. Sometimes the are between my belly button and pubic area hurts. My lower back also hurts some. Do I have testicular cancer?	Hi, You need not worry too much about testicular cancer. Testicular cancer usually presents as a swelling or hard mass in testis. This can usually be found by gently palpating the testis. There are some other conditions which cause pain in testis. These include intermittent testicular torsion (rotation of testis) and infection. Do you have any pain while passing urine? If so, this can be suggestive of an infection. Is there any swelling in testis? You need to get yourself examined by a Urologist and if needed, you will have to get urine microscopy and scrotal ultrasonogram. I am available to guide you further if you need any clarification. Wish you a speedy recovery and good health,
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doc,I wanted to postpone my period due to my wedding...my date last month was on 2nd and i generally get periods 1/2 days before..so the gyane had put me on Primolut Nor 10mg...and she prescribed 2tab for 3 days and then 1 tab for 7 days...and she said after you stop taking it you will have your period within a week....and she also suggested that 3 days after my period starts i shouldtake a contraceptive Pill ( Yasmine) for 21 days...but how ever i was not sure if i should be on medcines for so long so she said taking this contraceptive pill is your call...However can you tell me if i should take this contraceptive pill?..also its been a day since it started taking Primolut Nor 10mg...everything seems fine but i have read online that there could be slight bleeding initially....is that true and is the bleeding after i stop taking this medicine irregulat & heavy with prolonged days?? im worried cz i have always had regular periods with heavy bleeding on 2 days out of 5 days.Please help	Hi, I think if you want to delay your periods, you can continue primal N. There is no need to take contraceptive pill if you don't want contraception now. You may get some heavy bleeding for 2 to 3 days. If it persists or is very heavy, you can take some medicines like Tranexamic acid to stop the bleeding. You can discuss with your doctor regarding this. Hope I have answered your question. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Thanks... a bit confused about treatment options and correct sequencing of frozen shoulder Orthopedic Surgeon 1st - Radiographs (?) - Steroid injection into the joint area - Physical therapy sessions (?) for How long ? or exercise/flexibility/yoga/pranayama at home. OR O.D. 1st - Trigger point injections into 1/2muscle with lidocaine, no epi - multiple appts.(unknown amounts of time and money), some manual adjustments , some exercises to open up hips (connection of pain in shoulder to posture etc), some arm exercises but unable to do because of pain My questions are 1. What is the most effective procedure? 2. What is the best sequencing of treatment? 3. Are alternative treatment modalities necessary always after steroid injections and exercise if relief is present? 4. To prevent this issue from reoccurring are there certain exercises/life management and/or dietary adjustments that have proven to be helpful? Thanks	Hi, thank-you for providing the brief history of you. A thorough clinical assistant is advised. As per your query you need to first meet an or tho for the clinical assessment. Post than may be an MRI will be guided to see the soft tissue Injury. Later, with physical therapy the use of ultrasound therapy and TENS therapy will help reduce pain and inflammation. Later stages, exercises and mobilization will be performed to get the strength and ROM of the shoulder girdle. In my clinical practice, it takes about 3-4 weeks of time for recovery to attain. 99% of patients recover faster if the blood glucose level are under control. RegardsJay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,Yesterday, I had a colonoscopy and today I had a bowel movement that was bright green. Should I contact the doctor who performed the procedure or is this normal? I am a 32-year-old female.	Hi. Bright green color stool could be due to the presence of bile in stool. During a colonoscopy, you were given laxatives that might have disturbed your intestinal flora that is responsible for the yellowcolor of the stool. Also, stool must have passed rapidly through the gut. Other causes could be: 1. Fat rich diet will increase the release of bile pigments and if it moves rapidly, your stool will be green. It occurs during a period of stress or infections. 2. Rarely diet rich in green leafy vegetables can cause green color stools, if malabsorption ensues or due to not chewing properly. 3. If you have any other symptoms like abdominal pain, bloating, nausea, vomiting or green stools, do not stop within the next 12 to 14 hours. Then I would suggest you consult your doctor. You can take probiotics to build up your intestinal flora.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I am a 32 year old male having a normal health condition. My height is 5 feet 6 inches, and weight is 58 Kg. Recently (yesterday), I noticed chest pain in the left side which feels like pinpointed pain (electric shock kind) and lasted for a few seconds. Please let me know what I need to do as it is the first time I have faced such a symptom.Previously, I had once felt once the same pain (before 30 days), but it was very mild. I read on the internet that, it is due to the gas problem, but I am not sure. Please advise on the same.	Hello, Welcome to Chat Doctor forum. I understand your concern. Most common causes of such chest pain are:1. Muscular pain Costochon ChatDoctor. 2. Chest pain due to heart issues.3. Acid peptic disease. We cannot afford to miss cardiac reason for chest pain, so we always advise to get an ECG and chest x-ray done. This will give an idea if the pain is cardiac in nature or not.If you have recurrent episodes of acidity, get upper GI endoscopy and ultrasound abdomen done. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day.For muscular chest pain , do hot fomentation of the affected area and apply Diclofenac ointment locally. Avoid smoking and alcohol.Avoid hot and spicy food.
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 dropped bladder that could be causing a lot of pain in my left leg but then I have sciatica as well. The lower parts of my legs have a stinging and pain feeling quite often. I have been to the gynecologist and was told that there is no connection to the two according to them. What exercise can I do immediately to relieve these feelings in the lower legs? I am 79 years old. Besides that, I am in excellent health.	Hello, Welcome to Chat Doctor forum. I understand your concerns. I agree with your physician that your bladder issue has no relation to your pain in legs. Most likely it is due to sciatica. Management of sciatica includes weight reduction, local painkiller creams, vitamin b12, pregabalin tablets, and surgery if the pain is severe and there is motor function abnormality. Physiotherapy could be helpful. For more information consult an internal medicine physician online
如果你是醫生，請根據患者的描述回答醫學問題。	hi im a medical marijuana smoker and ive been smoking marijuana everyday for about a year and ive recently found a small dime size lump maybe smaller under the right side of my jaw. ive had it for maybe a month and a half it hasnt gotten any bigger and i can move it around a little bit and it doesnt hurt. what could this be?one side of my family has a history of lung and mouth cancer	Welcome to Chat Doctor .1. Most possible cause could be submandibular gland cyst - due to ductal blockage.2. It can be asymptomatic, mobile, gradual increase in size, blockage due to calculus or stricture to the ducts after any infection.3. Second possible cause could be lymph nodal enlargement after any systemic infection / inflammation.4. Suggest an ultrasound to confirm the nature of lesion, its source and its extensions.5. It doesn't seems like a cancer in any way. Recommend stopping marijuana it may affect in long term. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My head has been spinning for several days and I used to hear some claps in my ears. The day before yesterday, some pimples appeared in my body and my stomach was very hot and I was vomiting yellow. Is it related to vertigo or to something I ate? I took Cotrim for pimples.	Hi, Welcome to Chat Doctor forum. The spinning sensation is due to vertigo which could be due to either vestibular neuritis or Meniere\s disease in both conditions cause vertigo. In order to identify the cause, please provide me with more details: There is no relation between vertigo and the skin lesions. Vomiting could be associated with vertigo. I recommend Meclizine 25 mg tablets once daily before bedtime. Metoclopramide tablets one tablet before meals. For more information consult an internal medicine physician online
如果你是醫生，請根據患者的描述回答醫學問題。	my husband has bile duct cancer that has spread to bone, liver and stomach. He is no longer being treated with chemo due to its spread. Within the last month he has been having a great deal of difficulty eating as he gags on the food as he tries to swallow it and is having alot of pain in his stomach. Can you tell me what may be causing this.	Hi, your husband has bile duct cancer, that has spread to the bone, liver and stomach. You, too, know the prognosis but I can suggest you some medicines for maintenance. I to my patients with such symptoms prescribe a combination of omeprazole and risperidone combination, twice daily, as it is an extreme case. Anaesthetic antacid gel twice daily and whenever required. Give him any food he wants in a semi-solid state. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 67 year old male. I have stage 4 cancer. I went to the dr 2 weeks ago when I had a loud and painful pop in my shoulder. Xrays were negative and I go to see about an MRI on wed. I am currently taking Morphine for the pain in my shoulder but it is not working well. I also cant sleep at all due to the pain. Is there a sleeping aid I can take while on morphine to help me sleep	Greetings. It seems your pain is not well controlled, and it is the cause of you not getting sleep. The dose of morphine can be increased as per your requirement. If it does not work then other narcotic Chat Doctor. There are multiple option for pain control, and you can discuss these options with your pain physician. I will advise you to increase the dose of morphine or try these patch formulations rather than adding a sleep inducer
如果你是醫生，請根據患者的描述回答醫學問題。	I am receiving Lupron injections every 3 months for prostate cancer. I had radiation therapy 8 weeks in Sept-Nov 2013. Just recently, my AST and ALT levels doubled in one month. I am going to be retested, but I wondered if Lupron could be a cause of liver problems. I also have renal insufficiency.	Hello, I read your question carefully and understand your concern very well. I would like to tell you that Lu pron injections are commonly given in prostate cancer, and it has its own side effects, but no documentary evidence of liver injury till date, so chances of connection between your elevated liver enzymes and upon injections are very unlikely. I would recommend you to go for ultrasound of abdomen and find out the cause of elevated liver enzymes. You can consult a hepatologist or gastroenterologist for further evaluation and act accordingly. Hope this will help you and feel free to ask any of your further relevant queries.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi there, So last night my girl was saying that she was pregnant and has been 4-5 weeks now. Here is what I don t understand though. We had sex 3 weeks ago and that s the only time we ve had sex in the last two months. She was supposibly on birth control and I was wearing a condom so I just don t understand how she could be pregnant 1st of all and how it could be mine 2nd of all. Please help! Thanks, Ryan	Hello dairy understand your concerned you had sex during fertile phase of period then only chance of pregnancy. But if your girlfriend on birth control pill, and you used condom then there is no chance of pregnancy. Both will protect against pregnancy. You convince your girlfriend to undergo urine pregnancy test and or blood Chat Doctor test to confirm pregnancy. But I think it will come negative. In absence of pregnancy if period will delay then it could be due to hormonal imbalance, stress, change in lifestyle and dietary habit. Hope this may help noncontact further if follow up needed Best regards
如果你是醫生，請根據患者的描述回答醫學問題。	i had afilling bac kin october last year the original filling came out but since having the filling done the tooth hurts more now than before i can t even eat on it without it feeling uncomfortable i ve put oil of clove on it relieves the pain for so long then it comes back i know i should go back to the dentist but i m really scared of the dentists what can i do to relieve the pain other than that	Hi, Thank you for the query. It could be due to over filling or presence of any high point on the filling done. Another possibility could be formation of secondary caries which is leading to pain. Get an x-ray done if there is no high points present to rule out the exact cause. Just using any medicine for getting relief from pain would not be sufficient so better visit your dentist to know the exact cause for the pain. You can take analgesics- diclofenac sodium for the pain. Hope this information helps you.
如果你是醫生，請根據患者的描述回答醫學問題。	My son has had patches of raised hives on his hands, arms, and legs for 9 days now and they are not going away. We went to the doctor monday and she said to give him benadryl and clariton and apply cortizone cream. We have done all this and nothing seems to be working. the only thing we can think of that may have irritated him is that we moved recently to a place that just had new carpet put in and there may be something on the carpet that isn t agreeing with him and there isn t much I can do about that. What else can I do?	Hi, thanks for using Chat Doctor Allergies can be provoked by dust mites, environmental allergens like pollen or animal fur, foods, medications, chemicals, mold. If you have not altered his diet, detergent, soaps or creams then it is likely that if there is something new in his environment that it is the reason for the rash. If it is the carpet it would be the dust in the carpet or its fibers. If it is the dust and the landlord is unwilling to remove it then it would have to be regularly cleaned each day. IF it is the fiber that would be difficult.You can consider allergy testing to determine what specifically is causing his reaction. This can be done as a blood test or skin testing. 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 been geting pains the stumic and shakes and a week ago i got a haert pain but it got so bad it went to the doctor he told me haert pain was just stress and i told him about the other things i am geting as well for sometime now but i am not stressed i am a Epileptic i take tegretol but i have not had a sesher for a very long time what do use think if you can help it would be good becouse the shakes and the other thing are still happening dont think thay will go away with out help!!!!	Hello! Welcome on Chat Doctor! I passed carefully through your question and would explain that yours symptoms could be related to anxiety or seizures. Complex partial seizures (or temporal lobe epilepsy seizures) can mimic all this clinical scenario. Gastritis or gastroesophageal reflux can not be excluded either. But, I would exclude the heart as a possible cause. Coming to this point, I would recommend consulting with your attending physician for some tests: - a chest X-ray study- an EEG- a resting ECG- carbamazepine (regret) plasma levels-complete blood count- PCR, ESR for inflammation. If all these tests result normal, I would recommend trying an antacid. If it helps relieve your symptoms, a fibrogastroscopy would be necessary. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Wishing good health,
如果你是醫生，請根據患者的描述回答醫學問題。	does tums increase the glucose in blood..currently i am pregnant and i forgot to took glucose tasteafter 1 hour..i took it within 1 hour and reading came 122 and after 1 hour when i took taste i had tums and reading came 147..is it because of tums or 10 minute difference?	Tums for Tummy, is that the one you are referring! If so, TUMS is high in Calcium and little of Sugar, however, the marginal rise of sugar u observe could be due to Pregnancy itself. Pregnancy is a diabetogenic state, so these values suggest getting a Glucose Tolerance Test. TUMS is safe, in pregnancy. If the OUT is positive then u can get a sugar-free TUMS, but that contains Glutamate, only take it if u have no history of allergies.
如果你是醫生，請根據患者的描述回答醫學問題。	my sister has been having right sided pain for 1 week, went to ED and they did cat scan with negative results,they checked ovaries by manual and I believe blood work and urine sample. Lortab she has been taking & morphine given in hospital not touching pain,we are stumped.	Hi! Good evening. I am Chat Doctor answering your query. I would insist on an ultrasound of abdomen to rule out a renal calculus, which a CT might not be able to pick up, causing this kind of pain. If inconclusive, and the pain increases or is not relieved, I would refer you to a general surgeon for a clinical assessment and related investigation like a diagnostic laparoscopy for further management of the problem. 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 FEELING LIKE A BURNING SENSATION IN MY CHEST... HAVE HAD GERD PROBLEMS BEFORE BUT I ALSO HAVE NASAL DRAINAGE IN MY THROAT THAT HAS BEEN GOING ON FOR THE PAST MONTH... GOTTEN SOMEWHAT BETTER WHEN I WAS TAKING MUCINEX BUT NOT ALL THE WAY GONE... CHEST PAIN REALLY IS ITS WORST TODAY AND I COMPLETED A 14 DAY REGIMEN OF PEPCID THIS MORNING... STILL NO RELIEF FROM THE PAIN....	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having uncontrolled HERD (gastroesophageal reflux disease) related pain. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central chest pain. Along with Chat Doctor. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Go for walking after meals. 5. Quit smoking and alcohol if you have these habits. 6. Keep 2 - 3 pillows under head in the bed to prevent reflux. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I developed fever and chills with some body aches three days ago. I have been taking Cipro 500 mgs. twice daily since Thursday evening. I continue to have episodes for sweating and developed a dry hacking cough two days ago. Heaviness in the chest and basically fever fatigued and letharagic with a runny nose. I have also been taking Flu and Cold. One year ago I received a pacemaker, have Tyoe 2 Diabetes. I did receive a Pneumonia and Flu injection at that time. I was wondering if I might have Pneumonia. I feeling like I am having trouble moving in air.	Thanks for your question on Chat Doctor. In my opinion you should get done blood report (CBC) and chest x-ray to rule OIT infection in the lungs. Possibility of lung infection is more because1. Fever with chills and Chat Doctor. 2. You are diabetic, so chances of infection are more.3. Your flu vaccine is a year ago, so coverage is over. So you are quite prone to lung infection, so we have to rule out this first. If chest x-ray is normal than malaria should be rule out as fever with chills is there. So better to consult doctor and discuss all these.
如果你是醫生，請根據患者的描述回答醫學問題。	Our daughter has had an infection in her nail. (looks like paronychia) The swelling has gone down, but her nail is separating from the nail bed. It looks like it is going to likely fall off. Does she need antibiotics at this point, or what should we do to ensure a healthy nail grows back when her nail falls off?	She requires antibiotics to control the infection. The nail is probably already dead and separated and hence falling off. She may also require surgical intervention and I strongly insist that you visit a doctor and get her evaluated. In any case, a nail will start growing in the same place after this one falls off. After assessing the present scenario the doctor would be better able to comment on how to ensure a healthy nail.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,i had 2 recent repeated blood tests because i was bleeding alot from the slightest cut and unexplained bruising. My results came back with elevated fibrinogen level,I also have ischemic heart disease with right coronary stent implanted,Is there treatment for this elevated fibrinogen.	Hi, dairy have gone through your question. I can understand your concern. You should go for complete coagulation profile. You should also check INR. If you are taking warfarin for your ischemic heart disease then it also causes increased in INR and ultimately high chance of bleeding. You should regularly check your INR level. 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。	Yes, I had a kidney transplant last year and things went well. I had one sexual experience in 7 years without a condom and found out I had herpes (through tests) prior to getting the transplant. Now my kidney has been hurting after I dealt with the outbreak about a month ago. Now I am having just pain where my transplant was. I thought it was the exercise program that I started (mostly yoga). Is the kidney reacting to the herpes? My gyn said that I didnt need to tell the nephrologist because it was already in my system. I had blood tests yesterday but dont have the results back yet. I am so scared Ill lose the kidney I cant sleep!	Hi, Thanks for your question. I think the best course of action for you is to report this issue of kidney pain to the Nephrologist who conducted the transplant or who is attending your follow-up visits. After transplant, you must not decide on your own about the nature or cause of your symptoms, and an expert opinion is mandatory. This pain may represent a sign of graft rejection & need urgent attention. Wish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I am a 62-year-old male. I went for a routine X-ray, and the radiologist found some streakiness in the lower left lung. He said it appeared small and not significant, but it was adviced that I should come back in six months for a comparative X-ray and that it could just be a scar from an earlier infection.I have read that a small scar area is probably non-progressive but I have also read about IPF, and that fills me with fear. Spirometry test was normal as it was a physical exam. I am so scared that it might be a progressive disease, but I hope that it is just an old scar as it is really small. Otherwise mostly healthy with no cough or difficulty breathing at all. Are all lung scars progressive?	Hello, Welcome to Chat Doctor forum. Does not look worrisome (attachment removed to protect patient identity). Small streaks or fibrosis is usually due to old infection or collapses etc., The usual cause for such fibrosis is typically an infection and commonly found at such age groups. The probability of IPF (idiopathic pulmonary fibrosis) is extremely low as the fibrosis is not diffuse or bilateral, no symptoms and spirometry are normal. So, I think it is not worrisome at present and should follow up as advised to be sure. Should consult your doctor earlier if developed any symptoms. Majority of the scar is non-progressive and extremely common to find such scars on routine X-ray and the majority are benign. I hope this helps you and get back if you have any doubts.
如果你是醫生，請根據患者的描述回答醫學問題。	HI..I M 17 YEARS OLD..I M A GIRL...AND I WEIGH 80 KGS.....PLEASE SUGGEST ME HOME REMEDIES OTHER THAN EXCERCISE TO GET RID OF MY BAD PHYSIQUE.....REP ASAP..	Welcome to Chat Doctor forumWeight gaining has 2 major causative factors1) from any medical conditions of any endocrine disorders like bushings syn Chat Doctor. The simple solution is to take low caloric diet like no fried foods, fatty foods, junk and fast foods, more fruits and vegetables, low-carb diet too. Eat moderate amount and in time. Homeopathy treatment will be helpful also. For further query contact at [email protected] thank you
如果你是醫生，請根據患者的描述回答醫學問題。	My Liver is enlarged in size (span 16cm) Outline is normal.There is diffuse increase in echotexture suggestive of fatty change grade-3.No focal lesion is seen.Intrahepatic biliary radicals are not dilatedGall bladder is distended with anechoic lumen.Wall thickness is normal.CBD caliber is normal	Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Fatty liver has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly.Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you Chat Doctor. I hope I have answered your query and this will help you. 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。	I am 55 have been diagnosed with aortic stenosis years ago. Recently my legs and ankles have started to swell by the end of the day, predominately my left. I have recently started having to take a deep breath when walking to my car or any long distance. Advice? My last echo showed my valve as 1.0.	you need an evaluation by a cardiologist. In congestive heart disease there is swelling of legs, ankles due to poor venous return/ordure to low cardiac output. Serum sodium, pottassium levels, serum creatinine, sgpt got are few tests done for screening. Also doctor has to see if lungs are clear and no over enlargement is there. Orthopedic causes of ankle swelling may need to be ruled out also-usually arthritis gives some element of pain so, as in your case, there is no history of pain in ankle, so it is unlikelyRegards
如果你是醫生，請根據患者的描述回答醫學問題。	I was involved in a domestic violence assault. I injured my right side but did not go to the hospital as I have no insurance. This was 10 days ago. I do not think I broke anything but I have severe pain with coughing and a very tender right side, that hurts to touch in areas. In your opinion would an xray or mri be worth the $? Or does it sound like bruised ribs? I would have to go to the emergency room, so it will cost a lot of money for me. I would avoid it if I could but the pain worries me.	Rather than doing an MRI, it is feasible to do a Chest X-ray so that we can visualize the bones and ribs easily. You can start a stronger painkiller like indomethacin 20 mg daily twice or Naproxen 500 mg daily twice to control the pain. I was quite unaware that an emergency room visit can cost you more than an MRI, that u prefer doing the latter and not going to the ER. In India both are cheaper alternatives than procuring and insurance claim.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 73 woman diagnosed with high bp; doctor prescribed lisinophil (water) 12.5 and 50 mg er metopholol. Have taken for about 2 months; about 3 weeks ago started having palpitaions during the night with irregular heart beats; some nites kept me awake; the palpitations happening sometimes during daytimes. Last few nights the palpitations and irregular heartbeats have come not as bad but I want to get off this metropolol for tiredness and low bp readings 90/60 110/70 106/66, etc. Have to take this pill for two more nights before I can see the doctor and am feeling very scared for the palpitations and irregular beats at night about 20-30 min after I take the pill... help.	Hello, This can be a cardiac arrhythmia like atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one can have dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Is there any stress or anxiety associated, as it can lead to palpitations. Also, Rather than stopping, metoprolol dose can be decreased to 25 mg or better option, you can ask to decrease the dose of lisinopril. Stopping metoprolol can cause increase in palpitations. The decision will be taken after seeing the ECG, as what the cause of palpitations and all. If BP goes down, you can have salt and sugar water whenever needed basis.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi - Twice in the past week, I had severe cramping after dinner on left abdomen side. It s a painful tightness that comes and goes for about an hour until I hear a gurgling and feel movement followed by diarhea. At the onset my mouth starts to salivate like I m about to vomit too. I m thinking IBS, but not sure. I m a 55 year old male, no blood in stool. I take 50 mg Losartan for 1 year with no problem. I didn t eat anything unusual and I ve been taking Metamucil every night before bed for past 30 years. Not sure what to do.	Hi. Thanks for your query and an elucidated history. You have a typical problem. The mouth starting to salivate like feeling of vomiting, pain after food and need to go for passing a motion - diarrhea, gurgling all indicate that you have an inflammatory problem in the intestines. This is a classical problem always forgotten. I would advise you the following:-Initially a 5-day course of an antibiotic, metronidazole, probiotic to see the results. If no complete relief, then you have to undergo CT scan of the abdomen and upper GI and lower GI Endoscopies . The further treatment will depend upon the diagnosis. Please continue the medicines as you already have been taking as these medicines have no sucChatDoctorplications.
如果你是醫生，請根據患者的描述回答醫學問題。	ear Sir,I am 26 years old and have not done sex with any girl. I will be married this year and i am too much worried about sex life with my wife. I have a problem of masturbation & ejaculation. I use to masturbate daily and always i like to rub my penis on the mattress of my bed, thinking like a girl is down and you are on top of girl and doing sex with her. If anyday i will stop to masturbate, the next day it disturbs my mind. It is like my penis is forcing me to do the erection and masturabte and once i have ejaculate my mind will be ok. Doing masturbation every day my penis has a hard erection but sometimes i feel my penis is very soft even in a erection also. I got a habit of doing masturabtion once daily. Please help me to stop this daily.Secondly, from the age of 18 i am doing masturbation daily but my semen was always comes in white color and it was thick but nowadays my semen is coming out very thin and it is like a water and it is less, i mean if the normal semen is about 5ml then maybe i am getting near 3ml. What should i do now? Please help me to stop daily masturbation and to get my semen thicker with a 5ml also. And with these problems if i will have a sex with my wife, is this semen like water is ok for my wife to be pregnant and to make a baby? And is my penis with softer erection is enough to satisfy my wife while doing sex?	Hello, Masturbation does not cause any health issues. Yes semen becomes thinner after every act. You can avoid this action by keeping yourself busy with others and some productive stuff. Do not let yourself alone at home. During alone time keep yourself busy in some hobbies you like. Eat healthily and do regular exercise to build up some stamina. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had mastectomy done in May 2010 for a stage 1 invasive carcinoma. I did not have any chemo done except for tamoxiphen now I was told it returned in the same site of mastectomy sitting on the chest wall muscle grade III was are my options for treatment chemotherapy or radiation	Mastectomy scar recurrences involving underlying muscle are difficult to treat. You need to have complete staging workup to be sure there is no evidence of metastasis elsewhere in the body, and it is a localized disease. For a localized disease I would suggest neoadjuvant chemotherapy to shrink (downsize) the tumor followed by surgical resection and radiation therapy. Have the estrogen receptor, progesterone receptor and Her2 new receptor status checked on the biopsy sample. It will help in guiding further treatment. I hope it helps. Please discuss it with your treating oncologist.
如果你是醫生，請根據患者的描述回答醫學問題。	halo , am lakshmanan, 36 yrs old. 80 kg, 175 cm. i had treatment for ulcer in 1998, and subsequently it stopped within 3 months after taking hp kit. In 1994 , i had sinus. took medication for the same and the problem stopped. I am not a frequent smoker. i smoke only two cigarretes daily. Now recently three years back, i had achalasia cardia, for which i had dlation, three times. but then and there am getting chest pain that starts from the right ear and ends near chest. related to a.cardia. why? and what is the future course of action . ,	DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorACHALASIA CARDIAC IS IMMOBILITY OF YOUR LOWER ESOPHAGEAL SPHINCTER THAT CAN BE CAUSED BY SMOKING AND MAY BE ASSOCIATED WITH FUTURE RISK OF CANCER MOST IMPORTANT PART IS YOU QUIT SMOKING THAT WILL SURELY HELP SOLVE YOUR PROBLEM SUGGEST YOU THE FOLLOWING1) AVOID SPICY FOOD AND HOT PREPARATIONS LIKE TEA AND COFFEE.2) USE LEAST 2 CUSHIONS AT BED TIME THAT WILL HELP YOU TO REDUCE THE REFLUX3) AVOID SLEEPING WITHIN 2 HRS OF FOODS REFLUX CAN ADDITIONAL EXACERBATE YOUR CONDITIONHOPE 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 have a friend. And he has been having horrible symptoms for about a month. His first problem was in his school, his heart was racing really fast, felt light-headed, and said he just felt weak. He went to the doctor and they calmed him down. But then, he went to school the next day and it happened again. It kept happening over and over again the week, so he decided to stop going to school. So, he stayed home...but then he started getting headaches. The headaches were migraines actually. With the headaches, also came along with his heart racing still. He went to the doctor and the doctor prescribed him with a medicine(I m not sure of the medicine). Then the next week, he still had the headaches but he started to get feeling of not I can t tell where I am I can t remember everything and u get the same feeling except its 24 every day...My mind skips I blank out and come back and I feel like I can t come back anymore. He mentions how he doesn t feel like he s himself anymore. Also, lately he s been having these twitches in his shoulder and seizures. And he is having droopiness in his face...And it s just getting worse and worse...I really want to know wants wrong with him...can you PLEASE help me...just give me an idea of what it may possibly be...he was suppose to go to a neurologist, but I don t know what the hold up is....but please give me some answers...I care about this boy so much... And the boy is 17 years old, 5 11 or 6 , 135-145 Ib	Hi, Most likely he is having anxiety and panic attacks with dissociative symptoms of depersonalization and conversion. He needs an evaluation from a neurological point of view. But after excluding neurological conditions, he needs treatment for psychiatric symptoms. Not very difficult to treat. Just relax and take him to the hospital (psychiatrist). 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, I had a thick head cold. running nose, mucus dripping down behind nose and lots of phlegm then became shivery, the head cold is better, I have controlled the shivering with paracetomol, it goes away after about twenty minutes but then comes back??? Thanks - Anne	HI, thanks for using Chat Doctor The return of the chills indicates that the fever is not completely resolving. You need to use the paracetamol at repeated intervals throughout the day. In addition, other temperature reducing methods should be employed such as: tepid sponging, use of cool clothing, avoiding hot fluids and meals, using cool liquids, fan therapyThere are over the counter medications that you can use for your cold such as: cough suppressants, bucolic to help break up mucus, decongestants (oral or topical)I hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	Hello. I found a lump on the left side of my lower back about 2.5 months ago. It is the size of a dime and is not visible and can only be felt when pressure is applied to the skin. It hasnt grown or changed and is painless to the touch. However, I do have back and leg pain. I am a 22 yr old female. I dont smoke or drink and am relatively healthy. No history of cancer in my family.	Respected user, hi I evaluated your query thoroughly.* According to the narration, it is most likely to be Lipoma (accumulation of subcutaneous fat) which can give rise to local discomfort but not leg pain which seems to be separate entity than this. Hope this clears your query. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving me an opportunity to assistWishing you happy healthy life ahead. Regards dear take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My daughter has a cavity and was told by the dentist that she needs a root canal on her 6 years molars. Is there any option we could fill the cavity vs having a root canal? She is in a lot of pain.	Hello, Welcome to Chat Doctor forum. Well, the condition of the tooth decides its treatment. If the dentist has suggested her root canal that means there is nothing that can save her tooth but only root canal. I suggest you go for that. Filling the tooth is only done when there is a small cavity and has not damaged the pulp of that tooth. For stopping pain temporarily, you can consult your dentist for medications. I can suggest Paracetamol or Ketorol-DT (Ketorolac) tablet in low concentration. For more information consult a dentist online
如果你是醫生，請根據患者的描述回答醫學問題。	i am a 45 year old female. healthy or at least i would like to think i am. and what has been happening is that whenever i start exercising or get on the threadmil, i start getting lighthead and feel like i am going to faint. after it happened a few times, i went to do a stress test and they put me on the threadmile, and it was happening again and they told me that my blood pressure was shooting down.... except they werent sure what was causing it... but it only happens as i work out...	Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that you should do s warm IP before you go on treadmill test. If you do a good warm up it will make your body adapted to the run on treadmill. 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。	i am suffering from occasional nervousness and tension. i cannot figure out why this is happening..i am happily married and the mother of a 2 year old son.....i am 31 year old..my height is 5 feet 9 inches....weight is 50 kgs.......my baby was born through IVF.	Hi, I can understand the feeling when on feels tensed and can't point out the reason behind it. It makes us even more tensed. Many a time, some unresolved issues deep within which we unknowingly suppress can lead to such symptoms. There are two ways of moving forward. First, is by trying to help yourself. You can start exercising daily and try some meditation. In addition, start writing a diary daily letting out your feelings and emotions. You can also start sharing thing with someone close. The other way out is by seeking a psychiatric consultation. Medications like sertraline would help. You can also opt for supportive therapy sessions where the therapist will help you with your emotions and feelings. Hope you 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。	Two months before unfortunately my baby was miscarriaged.I had an d and c.after that two periods came for me.in second period blood clots are came I taken ultra sound scan. Scan is normal. Doctor suggest novex tablet and folinz tablet. This one is correct or I have to take any other treatment. Please give me a suggestion Q	Hello and welcome to Chat Doctor. I am very sorry to hear about your baby. Sometimes after a pregnancy is over, the bodies reproductive hormones can get into an imbalance and that can cause the Dysfunctional uterine bleeding (DUB) or clots passed from the uterus. The medicines that you are taking are basically given to regularize your menstrual cycle(Novel tablet) and the other Folio tablet ISA vitamin supplement given to improve general health and fertility. Generally it is the practice to give Novel for 3 to 6 myths continuously and then stop and wait for normal menses to resume. Novex is also a birth control pill so if you are planning to conceive shortly, you will need to stop it at least 2 months before planning for your baby. Chat Doctor. Chat Doctor .com/doctors/
如果你是醫生，請根據患者的描述回答醫學問題。	every now and then i get a stinging pain in the inside of my lower left leg, it feels like its being electocuted. as soon as i move it the pain will go away but when i stop moving it starts again. short intense painful shocks. the only way it stops is if i rub it for a few mins. im 22	Hello, Such type of pain can be due to following reasons:- Injury to skin-Excess exercises-Diabetes- Thyroid disorder-Deficiency of vitamin B complex If you are facing this problem frequently then you should consult to your doctor & get yourself investigated. Till then, you may have a multivitamin preparation with a mild analgesic like Advil or aspirin. 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。	Hi doctor my 3.5 yrs daughter has complaint of striking high fever since she is born ..she gets fever around 102 degrees or more thrice in a month..doctor always gives antibiotics and ibugesic pls and mefkind p .from which she gets free from fever within four days.but again after 10 to 15 days she is feverish with cough and cold.please help as fever is affecting her health and studies too.	Hi...by what you quote I feel that your kid is landing up in recurrent viral illness. I would like to know more about her growth and development and if she had any major hospitalizations or serious bacterial infections till now. If these are not there, you need not worry, and it could be a viral illness. At this juncture, I would brief you on what a viral illness is, and I suggest you stop using Mankind P. Its is more harmful than useful. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Mefkind-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Mefkind-P. I have published a letter in a renowned Pediatric medical journal, and I am herewith providing you a link to go through it.medind.nic.in/ibv/t10/i5/ibvt10i5p453.pdfRegards -
如果你是醫生，請根據患者的描述回答醫學問題。	Hi My name is Jenny, I had bloods CA125, swabs, and urine sample results today, One came back bone and also liver problem. I can t see my doctor unto; next Tuesday. I have borderline cancer and had surgery to remove my ovaries in may this year. Can you give me an idea what this could mean. kind regards	Hello Jenny. I would like to know your age and histopathological report of surgical specimen of your ovaries, and CA125 level. Cancers are known to spread to bones and liver. After having said that I would like to know the type of problem indicated in your backbone and liver. We may need some further tests in the light of your reports which may include bone scan and CT scan of liver. Wishing you very best of luck
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,I got a complete medical checkup done today. My lipid profile reads total cholesterol 145 mg/dL, HDL 27.5 mg/dL, LDL 93.3 mg/dL, triglyceride 195 mg/dL and VLDL 39 mg/dL. Is this very concerning? Especially, I am concerned regarding the TG/HDL ratio. Please advice. My echo, ECG, and stress test were all normal.	Hi, Welcome to Chat Doctor forum. Most of the population has low HDL (high density lipoprotein). More than 50 is a good thing which rarely people have. Triglyceride range is up to 150. Can be more if no fasting done prior test or seen in diabetics. Overall your test is good. You do not need cholesterol medicine. Exercise can increase your HDL. So, please check your FBS (fasting blood sugar) and post prandial blood sugar too.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter has been feeling weak and tired alot. She also has 2 cysts on her left kidney. I is 1.8 cm and the other is 1.5 cm. She has also been throwing up every day small amounts. She also has had chest pain, pain in her stomach pain. She also has pain that has traveled from her left side , sometimes right side, sometimes her back, . Is it something really serious?	Hi, I am sorry to know about your daughters condition. I need to know a little more about your daughter before I can guide you properly. How old is your daughter? What is her kidney function like (serum creatinine level)? Has a urine infection been ruled out (by checking urine microscopy)? Small kidney cysts are common after the age of 40 years. If they are simple, (meaning clear contents, no solid mass or septa within the cyst), they can be observed with regular ultrasonogram. If they have any internal contents, then a Contrast enhanced computed tomography (CT) of abdomen is necessary to further characterize these cysts. If your daughters kidney cysts are simple, her urine microscopy and kidney function are normal, the need not worry much about the cysts. If she is young, then she needs to be evaluated for one of the inheritable causes of kidney cysts. Reduced kidney function can cause vomiting and weakness. This needs the attention of a Nephrologist. If her kidney function is normal, she needs to be evaluated by a Gastroenterologist. I hope I have answered your query. Please feel free to get back to me if you need any further clarification or assistance. Wish your daughter a speedy recovery, Warm regards,
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter has been sick for 5 days started with her throwing up once and then her fever spiking to 100.4 the fever stopped but she is still sick from her tummy doesnt want to eat and her stool is now a light grey colo and smells awful I took her the the pediatrician today and they didnt do much just told me to keep her hydrated and keep her on a BRAT diet Im still worried shes been having a lot of gas and shes complaining about pain in her back not sure exactly what side. Any help? Could it mbe liver problems? E-coli? Salmonella? The dr said if shes not better in two days take her back he also did mention that she had mucus in her stool. Im worried sick	Thank you for following up. You understand she is still having infection E.cold, Salmonella, Klebsiela or other, we don't know, because we didn't do stool culture and stool analysis. Pain in tummy will disappear only when we will kill infection, that's why you start antibiotic definite according to weight 8 mg/kg 1 time 5 days after meal, similar 1 caps 1 time 14 days for prophylaxis of disbakteriosis. Give spy.Cyclops (dicyclomine)-plasmolytic. Check urinalysis, because she can have renal complication. For absorption of gases and intoxication give charcoal 1 tab for every 10 kg of child in bedtime 5 days. Continue rely Chat Doctor. Best regards
如果你是醫生，請根據患者的描述回答醫學問題。	I had my LMP on 25 Jul4 2014. I had Intercouse on 28 July n took I pill on next day. After 7 days of I pill I had bleeding per vaginally for 3-4 days. But till today means about 2 months completed & I haveno menstral periods. . Please guide me...	Hello misunderstand your concerned in some case around 5 %, there may be chance of pregnancy as it has some failure rate. Bleeding after 7 days after taking pill is breakthrough bleeding due to high progesterone as a side effects of I pillbox I think chance of pregnancy is less as you had sex just after complete the period, and it is safe period. Since 2 months you did not get period, you have to consult the gynecologist to find the cause of delayed period. First do home pregnancy test and or blood Chat Doctor and USG to rule out the pregnancy. In absence of pregnancy other causes are hormonal imbalance, ovarian cyst/PCs, adenomyosis and thyroid disorder should be rule out. In absence of pregnancy, period can be induced by progesterone injections in case of hormonal imbalance. Take healthy diet and fresh fruits, avoid stress and do regular exercise. Hope this may help noncontact Chat Doctor for additional query Best regards
如果你是醫生，請根據患者的描述回答醫學問題。	I m having left shoulder pain on the top of the shoulder. When I inhale, the pain radiates down my left rib cage and I feel a sharp stabbing pain beneath the last rib. The shoulder and rib pain increase in the sitting position and unbearable in the supine or left lateral recumbent position. My vitals were R-22 and regular, Pulse 64 and regular, BP 112/64 SPO2 98% on room air. No shortness of breath or respiratory distress. I do have a history of DVT s in my calves. Last one was last month.	Hi, Thank you for providing the brief history of you. As you mentioned you have a stabbing pain in the shoulder which radiates to the rib cage and also your heart checkup was done which is all fine. You need a thorough neuromuscular assessment which will help us if the pathology is in the Cervical region, Shoulder region, Rib cage or abdomen? Also, with the orthopedic and Neurological special test we can come closer to the root cause. Besides, pain in the shoulder which is stabbing is related to either a shoulder joint pathology or cervical spine pathology. The pain in the rib cage for which chest examination is required. May be pathology of the lungs which is very uncommon to predict also, since pain cannot be because of it as well. The pain in the lower part of the rib cage for which an ultrasound scan of the abdomen will help assist further. The pain in the shoulder and rib cage can be not connected as the nerve supply, blood supply and the muscle innervation are totally different. So both pathologies are different. For stabbing pain in shoulder the pathology will be related to either the cervical spine or the shoulder. And for pain in the rib cage, the pathology can be related to chest or abdomen. Both needs a different assessment and different approach to diagnosis. I will recommend undergoing a Neuromuscular assessment by which we can differentiate both the pathologies and help you better. For shoulder pain, with proper rest, medication and physical therapy things fall into place. RegardsJay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 57 years old female, I fell and hit my lip. The cut was in the top inner lip, doctor prescribed to only gargle with antispetic, now there is a big swollen lump (knot) in the place of contact. What kind of doctor should I go to and what kind of treatment should I expect?	No need to worry about much, this is just a hematoma formation due to the injury you sustained. You can apply glycerine over your inured lip so that swelling reduces to some extent. Your lip swelling will reduce on its own gradually, give some cold fomentation followed by hot fomention for hematoma to resolve down. Just I want to make sure if the cut was not too deep to requiring stitches, so consult an oral surgeon for same..........TC care.
如果你是醫生，請根據患者的描述回答醫學問題。	I had some lab work done my clinic called and said that most everything was good however they said my kidney functions were a little low nothing to worry about. They said they would do another lab in june to keep an eye on it. My tryclrides were a little high the doctor told me to go on a low dose asprin daily.also was told to go on a low fat diet. I do drink a light beer every now and then.should I stop drinking a beer every now and then.I am on snytroid and my numbers were fine.what foods should I eat for my kidneys .	Hello, Low kidney function (also called CKD or chronic kidney disease) means that, the filtering capability of your kidneys might have become low. You must definitely be surprised about it, since you don't have symptoms, and that's why it is called as silent disease. Your doctor must have checked up your creatine levels in blood and albumin levels in your urine. They must be some borderline high and that is the reason, your doctor is wanting to repeat the test in another few months so that kidney functions can be monitored and seen whether they have decorated any further or not. Any deterioration in kidney function would have to be taken seriously as CKD is a progressive disease which means that it can get worse over time. People with family history of kidney diseases and having high blood pressure and diabetes are called as high risk people. A prompt and early detection can help prevent the progression of kidney disease to kidney failure. Since your triglycerides are high, your doctor has rightly advised you to take aspirin. You must also start doing exercises and avoid consuming beer. Reduce your weight also. As far as food for kidney is concerned, nothing specific is to be done at the moment. Keep your thyroid status in check. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doctor We went for a follicle test today and Doctor told us that she can see rupture and to continue keep relation, we have been trying for baby from past 17 months with no success, could you please suggest the best way , we have done with allmost all tests required with turned out good as well	Hi, Thanks for writing to Chat Doctor. You will conceive soon. Be stress free. Its good you are ovulating normally. I hope your husband semen analysis is normal. I would suggest you to start taking ovulation inducing Chat Doctor. This will help multiple follicle to mature and rupture thus increasing chances of conception. I hope your tubal patency is normal. So you can go for GUI in the same cycle with Josephine when follicle rupture. GUI is intrauterine ingestion of sperms. In these sperms are processed and placed in uterus thus bypassing any problem in ascend of sperms. It will increase chances of conception. Hope I have been helpful. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	hi there, i am a 46 y/o male just diagnosed with t3 n+ m0 rectal adenocarcinoma . The polyp is about 4.3cm long and 2.3cm wide, on the rear wall of my rectum at between 6 to 10 cm from the anus. It bleeds easily and has infiltrated, but seemingly not beyond the wall of the rectum into the fatty tissue - yet - although local lymph nodes are swollen. what can i do whilst awaiting treatment in terms of what can i eat to help fight off this cancer, and how debilitating is the prescribed chemo and radiation therapy?	Hi and welcome to Chat Doctor. Thanks for the query. In such cases it is recommended to do preoperative radio or behemoth to reduce tumor size. Then it may be operable. You should now do frequent red blood count check, eat easier food and use stool softeners. If there is low hub you need blood transfusion. Also take iron supplements. For pain relief you may need some stronger opiate painkillers and site baths may be helpful too. 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。	hi, i am 25 year old married from 2.5 year from last 8 months i m trying to concieve but not getting the result.i have pcod and very irregular periods.i had an ovalution checking ultrasound done which was normal size of growth of my eggs were normal.my periods are always 8 to 10 days late and during that late period phase i have urine burning and constipation.ive done urine test which was also normal no infection	Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 months. Discuss with your doctor regarding this. If it doesn't work then you can go for HSG to see for tubal patency and if it is normal you can try for GUI. Do a semen analysis of your husband. Hope I have answered your question. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My 5 year old was trying to reach something on the top of her bookshelf and fell backward hitting her lower thoracic or upper lumbar vertebrae on her bed frame. It looks like most of the impact was to her spine. She is able to move fine but I am wondering If I should take her to a doctor or do anything more than ice. Thank you.	Hi! How hard and how high was the fall? Is she still in pain? If you say she is moving fine then you can just observe her for now. You can apply ice on the area and give her medicine for the pain such as Paracetamol. Try to look at the area to check for bruises or cuts. You can touch it gently to see if there's a bump or something that can make you suspect of a fracture. If you are still worried, and you see something unusual then it is still best to have her examined by a doctor. Hope this has helped you. Have a good day! Sincerely, Handle Dulay-See, M.D. Pediatrician
如果你是醫生，請根據患者的描述回答醫學問題。	Greetings sir,I am 32 years. Last 5-6 days I affected by Viral fever and my blood report shows my Alanine Aminotransferase (ALT) is 92, ESR is 38 and Monocytes is 18.8. Is there any problem in my health.. Right now i am taking Levofloxacin Sandoz 500mg, Paracetamol 500mg, Xyzal (Levocetirizine 2 HCL) 5mg. Please advice how to reduce this high counting and the problems of this high counting?Thanks in advance.	HiT hanks for askingLooking at your reports and complaints, my opinion is 1. Raised monocyte counts is indicative of viral infection. It will settle to normal levels once your fever comes down.2. ESR increase occurs with infection/ inflammation. So it takes some time to settle.3. Increase in enzymes are also related to infective process.4. Do not bother much about the counts as they are not significant. Hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	My husband has noticed dark blood spots in his underwear for the past week a few months ago he was having pain in his testicles. Now there is no pain but there is blood and what looks like a bunch of veins very close to the skin on his testicles. Please help.	Hello, Your husband need to rule out epididymorchitis like infective condition. I suggest you investigate with semen culture to check for an infection inside seminal vesicle or prostate. You should also get investigated with ultrasonography of testis to rule out testis inflammation. Your husband needs to be given an antibiotic course and anti-inflammatory Chat Doctor. 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。	the liver is mildly echogenic with no hepatic mases are identified the right kidney measures 11.9 x 5.9 x 5.9 the left measures 11.7 x5.3 x5.8 cm there is no hydronephrosis 6 mm possible nonobstructiing stone identified in the left mid kidney what does this mean	Hello USG findings indicate fatty changes in liver. Hepatomegaly may be due to deposition of fat in the liver cells. Increased echo texture suggests fatty liver. Most commonly it is due to obesity and sedentary life. It is also related to alcohol intake etc. I suggest investigations like routine hologram, Random blood sugar(RBS), Liver function test(LFT), Lipid profile, Renal function test(RFT) to my patients. Fatty liver is a reversible condition, and it can be reversed by diet and lifestyle changes. You may need some medicines after full investigations. Your findings also suggests 6 mm calculus in mid-pole of left kidney. Since it is non obstructing, you may only need to follow up. You should Chat Doctor. Take Care
如果你是醫生，請根據患者的描述回答醫學問題。	My 6 year old daughter for the last 5 to 7 days has been extremely tired and exhausted by 1:00pm or so, even after a good nights rest, in the mornings she seems fine and rested but by afternoon time she is so sleepy and tired she is getting to the point where it makes her cry. She has no fever, she eats breakfest, lunch good, some dinner, but not like she normally does. Any Ideas of what might be wrong with her??	Dear user first I would like you not to get worried of that and just we can take this simply and seriously at same time....tiredness and exhaustion may refer to psychological cause sir anemic causes and sometimes other pathogenic causes.....so first try to see how is she and is there is any anxiety or psychological problems with her or emotional troubles with her family as the child Chat Doctor. ......second if she looks pale or have multiple urination that called polyuria you should see your doctor to do blood tests and measure her hemoglobin because there is sudden anemia occur to infants called acute anemia may cause this exhaustion and tiredness and the doctor may check if there is pathogenic cause....follow this simple steps, and she will be fine.....I wish you and her healthy life
如果你是醫生，請根據患者的描述回答醫學問題。	I am pregnant and since I have become pregnant I have been experiencing numbness in my hands and arms while I am sleeping. This wakes me up several times nightly. I am concerned I am not getting enough blood flow to the baby.What can I do and what could be the cause?	Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Furthermore, I will suggest you to do all kind of movements of shoulder joint, each with 10 repetitions. Also, Tab Erosion Forte twice a day for ten days will be of help. Please have plenty of water intake per day. Also adopt a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. 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。	I am 58 years old and am presently suffering from Calcium oxalate kidney stone (which is in the lower ureter ) for which I am taking medicines, however I often suffer from severe pain in the leg which goes after I take a calcium tablet. I was taking Shelcal 500, however I understand that taking calcium tablets can increase the risk of forming more stones. Would like to know what needs to be done since I need to have calcium supplements for my leg paim as well. Please help, I live in Mumbai (India), am 58 years, Female and have suffered from kidney stones (calcium oxalate) once in 1986 and after that now.	Hi, Thanks for writing in. I would like to tell you that in people with calcium oxalate stones, calcium restriction is NOT NECESSARY. To prevent further stones, I would recommend the following steps:a. Chat Doctor. You should be consuming at least 3-4 liters of water in a day.b. Limit the amount of protein you are consuming: You should be having a total 2 servings of milk and milk products + fish/poultry/meat/legumes to 140 g per day. [Approximately, 1 deck of cards = 84 g] c. Limit Foods High in Oxalate like nuts, soda, carrots, beets, cauliflower, carrots.d. Limit your sodium and vitamin C intake. Avoid adding salt, pickles, papas, chutneys, I do not think that the pain in your leg is related to the deficiency of calcium. It needs an independent evaluation. You can continue taking Shell 500 as a calcium supplement would be recommended in post menopausal women. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my mother has been in hospice care for 1 year, she has COPD, CHF stage 4 and has had some kidney failure. In the past few days she has begun itching at times. Her fluid build up is a problem and she is still mobile. I was wondering if there is a "time line" since the itching has begun because everything I have read is this is the "dying process" has begun. In the past year she has rallied back 6 times but for the past several months they have told us there is nothing else they can do except to keep her comfortable, which they are doing a great job of doing. Thank you	Dear patient, what matter in your case is HCV RNA, since if it is positive is a mathematical proof of HCV infection. People who are healed by HCV virus still have antibodies (thus a positive ELISA) but negative RNA. Thus, I would recommend doing HAVANA test. Moreover, remember that in many countries public health system is providing for free the treatment for HCV to renal transplant recipients. The final treatment depends on various variables, included viral genotype and degree of renal failure. Thus, make sure you are infected or not, and then we will talk about treatment. Meanwhile, if this is a new finding, a full hepatic screening is recommended. Take care,
如果你是醫生，請根據患者的描述回答醫學問題。	I thought I passed a kidney stone. My lower back and kidneys hurt very badly and later in the day the pain went away. Now everytime I eat or dring, my kidneys get sore and I get cramping in my lower abdomin. Am I just slowly passing a stone or could it be something else?	Hello need proper clinical examination and investigations. Investigations include routine hologram, random blood sugar, urine RE/ME, renal function test, X-ray PUB and ultrasound of abdomen. CT scan of abdomen can be done if needed. Ultrasound of abdomen is most important in your case. It can diagnose many conditions, and it is very helpful in diagnosing renal calculus. Proper treatment depend upon findings. You should Chat Doctor. Get well soon. Take Care
如果你是醫生，請根據患者的描述回答醫學問題。	Hi i have had a swollen armpit for a couple of weeks and it seems to go up and down in size and is soft to touch, I have also noticed that just to the side of the breast looks more puffy than the other and i can feel slight discomfort, small ache. I am a male of 34 years and have no other symptoms, Like fever, I have been to the doctors and have a blood test booked next monday	It appears that you probably have a soft tissue infection in or around the areola with subsequent swelling of the lymph nodes Chat Doctor. Your physician/PCP who has examined you would order a Mammogram to look for increase in the poly morphs and elevated ESR to confirm the infective process. You would need antibiotics and NSAIDs like Broken for the inflammation. The other possibility would be Benign Gynecomastia or swelling of the breast tissue. Malignancy in male gynecomastia is extremely rare but has been known to occur.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doctor I am mohd shuja from lucknow of uttar pradesh(INDIA). I am a patient of bronchitis( Asthma ) at the age of 13 and right now my age is 27 .I have taken lots of medicine and consulted the best doctors but doctors have said that it is incurable disease only I can maintain by taking medicine . right now I am taking foracast400 two time a day and levoline 2 times a day. In my throat something Crystal type is stick and then start problem in taking breath. please help me.	Hi, Thanks for using the Chat Doctor. You are on steroid which may cause oral thrush (oral fungal infection). Shula you can stop Levine as it should not be taken continuously for long time and can start on plain montelukast 5 mg tab (since you are 13 year) once daily in evening and can reduce dose of forecourt gradually. This will help you to reduce side effects and also improvement in your health status. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks get well soon....
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my name is Tami! I had my gall bladder removed Aug. of last year and the reason cause I was having cramps underneath my ribs and back and my lining of my gall bladder was very hard and my liver enmzes were high! Well this morning at 1am I woke up to the same cramping under my rib cage and cramps in my back and same problem as before my removal if my gall bladder! My question is how is this suppose if my gall bladder is gone? Can I still develop gall stones?	Hi.what you're probably experiencing is post-operative pain or discomfort. This usually occurs on the first few days after your surgery and will eventually subside. The pain/discomfort after gallbladder surgery occurs not only the post-operative site area, but also over your flanks and sometimes back region. Complete your antibiotics as prescribed and take your pain medications as needed. A follow-up with your surgeon is also best for clinical evaluation. Hope this helps. Good day!!~ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I am a 28 year old female, I would like to know if multiple sclerosis is hereditary? My dad has it, and I am very nervous to inherit this disease. I have had two brain MRI\s that have been normal, except for an incidental finding of a pineal gland cyst. I continue to worry about inheriting multiple sclerosis. I am a medical coder. So, I spend a great deal of time in front of the computer. This affects my vision, and I experience back and thigh pain. I am hoping this is due to sitting down all day. I also have a slight hand tremor. However, I am a very anxious person, and I type fast all day long. I wonder if typing all day could cause a hand tremor?I am very active and energetic. I exercise 5 days a week for an hour doing treadmill and stair climbing. I spent a great deal of time this weekend hunched over painting. I am wondering if this is what is causing my current thigh and back pain? I am also due to start my periods anytime. I am still worrying about inheriting multiple sclerosis. What are your thoughts on the possibility of still having multiple sclerosis with two negative brain MRI\s?	Hi, Welcome to Chat Doctor forum. I understand your concern. It is clear that you are not having MS (Multiple sclerosis) as of date. None of your symptoms are typical of multiple sclerosis. Back and thigh pain is posture related and tremors are anxiety related. Repeated MRI\s being normal further rules out this disease. Agreed that multiple sclerosis can be hereditary. If one of the parents is having multiple sclerosis, chances of the offspring having multiple sclerosis are 1 in 50. Since you are having no symptoms and your brain MRI is normal, you need not worry about it. Please be assured that you are fine.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my mom is a 68 yo diagnosed w signet gastric adenocarcinoma, more thn 2 inches and bleedingwith cavity lymph nodes affected. Contrast mri shows enhancement on the brain. She has lost brain functioning in. the past 3 dzys, aphasia and cannot communicate but seems to understand and recognize.Dizzy and Sleeps all the time for past 2 weeks. What are the possible treatment s and how long would she have with them?	Hi, derive gone through your question. I can understand your concern. Your mother is suffering from stomach carcinoma. She has metastasis in the brain. So it is already stage 4 carcinoma. Treatment of choice is chemotherapy and radiotherapy. Prognosis is very poor despite treatment. Life expectancy is very low. She has not much time. Sorry to say but it is fact. 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。	Have NMO. Currently taking chemo. Had lost sight in left eye than in right. Right eye had improved for a while but just 2 days ago both eyes seemed to have some activity and now the right eye has gone to black. Have you heard of the vision getting worse before better?	Hi, Thanks for writing in. Chemotherapy for Neuromyelitis optical can have different responses in different patients and variable responses in the same patient under different circumstances. It looks like the chemotherapy is showing variable response in your case. The improvement and worsening of vision depends on the recovery of the optic nerves and the surrounding swelling. When chemotherapy is given then there can be some initial swelling of optic nerve sheath and this can cause temporary worsening of vision. This can then improve slowly with time as the chemotherapy response gets better. Therefore, the initial worsening can be due to the swelling of the nerves and with continued treatment this will improve. However, since vision is an important area therefore please discuss in detail with your 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。	Hello DoctorI have been diagnosed with Rhinites , i have sinus for past 15 years and got operated in year 2001. I had allergy in past with Pollens etc. Doctor has written me Injection (Kenacort 40 mg+ Penidore 24) plus T Febrex plus and spray Avamys. Medicines are ok but I am not able to understand shall i take this injection as i read on net that its effect is not long lasting and is very painful as well. Hence confused shall i take medicines only? I am having watery eyes also for past 20 days.	Apparently you are having severe allergic rhinitis. The Endure 24 is a long acting penicillin which is effective for up to 3 weeks, the Escort will also be effective for about 4-5 days. The endure injection is painful, your doctor may be trying to treat a bacterial infection like strep, a single doe of this injection will be effective in such cases. The addition of Montelukast, a leukotriene inhibitor will help deal with your allergy. The decision of whether to take the injection or not lies with you and your doctor, it would be unfair for me to comment on this issue without examining you.

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