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如果你是醫生，請根據患者的描述回答醫學問題。	i have a large bubble like swelling in my left knee. located outside of left knee just below level of kneecap. it is like a hard ball of fluid.about one year ago it appeared after I was using a tiller in uneven ground.I am 67 years old and played soccer into my early 40 s. I am in pretty good shape.I can t get rid of this bubble and I think it has got a little bigger.	Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As read in your history about the large bubble like swelling just below the knee cap, I ask the first question - is the area painful? If it is painfuller than a thorough assessment is advised. Post which the proper measured will be taken according to the assessment. Also, if the area is non-painful than you do not have to worry, as it can be just a soft tissue of the skin to provide some sort of fluid accumulation as you were a soccer player. Also, you can try doing hot water fermentation and see, if the area where the swelling is present gets resolved. In case if it not, then the or tho may ask for an x-ray or MRI and then see if the fluid accumulation is high, he may plan to Chat Doctor. Regards Jay In
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, Im 18 and sexually acive and live with my boyfriend. last night i noticed that my uhum nipples where suddenly a lot harder than usual and very sensitive, it felt uncomfortable when i touched them. although i know that on some girls it gets like that before they are about to get their period. although i have had my period since i was 14 and never had such symptoms. ive been on the pill for a while and i know the rules although recently about 2 weeks ago i had my period but stopped my pill because i forgot to buy a new box, we stayed responsible and for the while that i wasnt on the pill we had seks but with condoms only.. eventually i went to get a new box but i think i have to wait until i get my next period and then start again. im not sure if im pregnant. but before freaking me and my boyfriend out i want to know what it might be. im planning on taking a pregnancy test when i am supossed to get my period again so iknow for sure. although i have a nother question, if im not pregnant and take my pill again, how long do we have to have seks with a condom untill i am safe to have seks without condoms? so there are my 2 questions. please help. Thanks in advance :)	Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. If the condom didn't break then the chances of you getting pregnant are close to nil. Yes, you can start taking the pills right after your next period. So naturally during that time, it is better to use a condom. I recommend that you don't have sex without a condom till you have at least taken the contraceptive pill for two days in a row without being late. I hope this answered your question.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello! About a year ago I had pannik attack and the doctor prescribe Zoloft and Tafil. I did the treatment for 6 months and felt good. Now I feel like sometimes I can not swallow, I am eating less and I tray tio eat only soft food. am I having panik attacks again?	Hello and welcome to Chat Doctor, In your query you have not mentioned whether you are still continuing medication or not. I hope you eye on medications which can be tapered slowly before stopping with regular follow up from a qualified psychiatrist. Experiencing mild difficulty in swallowing once in a while do not appear to be a part of panic attack. Maintain good food, adequate HY Chat Doctor. So as far as I can see, there is nothing in you that you should be worried of. Hope I have answered your queries. Feel free to write if you need further clarifications. Get well soon.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello i had a gap between my front two teeth and a normal bite but with a 2 mm overbite in the front witch was normal according to the dentist. I suffered from grinding in my sleep for long so as a result i had miss shaped 4 front teeth (uneven in height and shapes) but not so severe. The doctor then advised me to go for porcelain lumineers for my front 4 teeth since it was more resistant from grinding, and had normal lumineers for the rest of my front teeth. Lower teeth were the same (i whitened them to match the lumineers). But i kind of feel a slight push in my upper lip and it s harder to close my mouth and an overbite only in the front two. Should i remove them and go for braces or wear an inside device that pulls back only the front two or maybe put lumineers on my lower teeth to match the upper?	Hello thank you for your question at Chat Doctor. I need to know your age before giving you advice on braces. Second you feel push in lip and improper overbite after having laminates in upper teeth. That clearly takes doubt arrow towards improper laminates. And you don't need to go for laminates in lower teeth just to match them with upper. Instead go for perfect laminates in upper teeth which match with lower teeth. You can consult back for further quarries. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	ok so i had protected sex within the past couple weeks, however i got my period, a little early. For the first like 4 days it was very very light then about 2 or 3 days it was a little heavier but still light. Also, the past couple days, when I wake up in the morning, I have a complete food aversion and a middle ground between a stomach ache and nasea. Today, I also noticed some very liquidy discharge that was clear and had no smell. Is it likely Im pregnant?	Hello and thank you for your question. It is possible that you are pregnant so if you miss a period please check a pregnancy test. It is a little early to be feeling pregnancy symptoms however, so you may also consider getting checked for a sexually transmitted disease. If you have abdominal pain and a positive pregnancy test you should go immediately to the Emergency Department to make sure that you do not have an ectopic pregnancy (pregnancy in tubes) which can be an emergency.
如果你是醫生，請根據患者的描述回答醫學問題。	My husband has been diagnosed with a brain stem tumor. He has been taking gnu for 3 sessions and is receiving avastin treatment biweekly. He also has a shunt in his right side. He is experiencing pain in his ankle and muscle spasm when he walks. Any ideas if this related to the tumor or the medication	Hello ! I read your question and understand your concern. A brain stem tumor can cause different symptoms, like troubles with swallowing, breathing, spastic paralysis of four limbs, imbalance and problems with the gait, double vision, facial numbness, loss of hearing, raised intracranial pressure causing headaches and loss of vision etc. I think that the muscle spasms when he walks are related to the spastic paralysis from the brain stem involvement from the tumor of from the brain damage from high intracranial pressure (you refer that he has a shunt for this problem). This is a very common symptom in cases like this. I don't think that the muscle spasm are related to any medication. So I would recommend a lot of physiotherapy and stretching for the muscles. Baclofen would be very helpful if the pain is severe and the muscular contractions are interfering with his daily activity. Hope to have been of help! Best wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	Extreme lower back pain (by tail bone) shooting down legs especially hurts in my shin area. Sitting and laying don t seem to relieve the pain. It s waking me up at night, literally had no sleep this week. I ve been taking cataflam , mobic, advil , and alieve but get no relief. Fell down my parents stairs twice in the last year, once while pregnant. Any ideas on what could be causing this and how to get pain relief without burning a hole in my stomach from all the NSAIDS and steroids the doctor has been giving me.	Hello. Thanks for using this forum on Chat Doctor. The pain radiating from your spine towards your leg can be due to various reasons. This could include trauma to the spinal vertebrae or spinal column leading to disc herniation causing compression of the nerve. Other reason can be muscle strain involving the muscles supporting the spinal vertebrae. Firstly you should consider getting an MRI scan done for your spinal vertebrae after full assessment by your doctor to rule out the above conditions. Avoid too many movements such as excessive flexion or extension. Talk with a physiotherapist after a diagnosis is made for proper exercise regime. Feel free for further queries. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	I have suffered from dust allergy and dry cough from last 6 month.Its not continuosly but whenever i am in contact with dust and smokes as well as In AC area.....i have suffered panic dry cough and difficult in breathing....As i have shown to the known Dr. He had given me the Phensydil syp,Doxyfylin tabs as well as Azithromycin....but it,s effective for few days...and agin i have experinced the same problem.....As I have not any asthama or bronchities as per my Family Dr,s checkup but they hints me @ allergic things.Can i get permanant relief from above problem....Please guide me.	Dear Mil ind, Welcome to Chat Doctor. If You have not already got a blood TC and DC done, you should get it done, just to exclude Tropical eosinophilic. If dust allergy is the cause you may consult a specialist in asthma, who may be having a kit to test for allergies due to various causes. They inject small quantity of various allergens subcutaneously and watch for reaction. Once they identify the allergy causing allergens, they can treat you accordingly.
如果你是醫生，請根據患者的描述回答醫學問題。	My son seems to have lower back pain. Constant discomfort pain with shooting sharp pain ever so often. The last time he actually lost his hearing during the sharp pain with the dry heaves almost instantly. Could this be kidney stones, he does not have urine in his blood or stool..	Hi Welcome to ChatDoctorI have gone through your query regarding lower back pain of your son. It is matter of concern. The majority of back problems stem from muscles that have been exhausted or strained. You need not worry, Almost every one suffers from back pain at some point in his or her life. Your son does not seem, having symptoms of kidney related problem. By following some simple steps, you can be back in the swing of things in just a few days. Take balanced diet containing all essential nutrients and supplements like fiber, protein, vitamins, minerals in natural form and antioxidant coconut water, lemon juice , ginger, garlic aloe vera juice, Turmeric powder with a cup of hot milk at bedtime, All help gain strong immune system & give resistance from diseases and relieve you from all pains. Increase your activity level. Do yoga . Stretch your back to keep it loose and avoid injury. Avoid front bending stretches and exercises from left to right stretching, while standing & lying on your back, on the ground or on hard bed, or any posture which gives you relief. Front bending not allowed. Take Homeopathic Arica 30 dose in then morning & evening and Chamomile 30 / 1 dose at bedtime. Only back bending action will help alley pains. Massage with heated olive oil or an analgesic ointment and Keep good posture. I would like to suggest you to Avoid processed foods carbs, sugar, fried, fast foods, Tea, coffee, alcohol and smoking, stress and Constipation. All produce biochemical and metabolic conditions in your body that will decrease your immunity, so avoiding is definitely the first step in the right direction to detoxing the body, boosting the immune system.meditation also gives peace relieve pains A key factor is determining whether your lower back pain is accompanied by other symptoms of kidney infection, including fevers and high temperatures, an upset stomach, cloudy, bloody or malodorous urine, and more frequent urination. Best way is to Always remember, if pain is severe or incapacitating, please see your doctor / professional and ascertain the actual cause of the problem. Hope this helps solves your query. Take care. All the best. Get well London hesitate to come back in case of any further query.
如果你是醫生，請根據患者的描述回答醫學問題。	Ive been on methadone for cronic pain for seven years now I havent failed any drugs test or pill counts but my dr. said because he is not a pain dr. he will n longer prescribe the clinics will not see me for pain and I cant find the help I need from any other dr. Im in Asheville N.C. what can/should I do !?	His understand your concern. Chronic pain can be treated with different modalities. Management is depended upon site of pain. Minor surgical correction in nerve root supply will decrease pain if site is accessible to surgery. For that you have to consult pain specialist. Medicines like TCA can be beneficial. Amitriptyline or bothering is choice in chronic pain. Avoid methadone as it is opioid derivatives and highly addictive. Underlying psychological stress and its assessment also give good results. Consult psychiatrist and pain specialist for better assistance. I hope I have answered you query. Happy to help you further. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	hello Doc!My mom aged 56 years is getting fever at night and the Temp is around 100 degree she is taking Paracetamol whenever she gets fevershe has dizziness,fever,she is feeling tired and eyes are red. she gets the fever at night time from the last three days. Need your advice	Thanks for the query. From the history provided, your mother is 56 years old, suffering from a low grade fever (around 100 degree F), which occurs mainly at night, along with dizziness and weakness. I would like to ask about the duration of this fever, whether there is any history of weight loss (significant), excessive sweating during the febrile episodes, any history of cough/cold or shortness of breath. I would also like to know whether she has any comorbidities like Diabetes mellitus, any symptoms of urinary tract infection (burning during urination, flank pain, increased frequency of urination etc.) are present or not and whether she has any exposure to tuberculosis. If a patient is suffering from low grade fever which mainly occurs at night, 2 things need to be ruled out Tuberculosis and hematological disorder (specially if history of weight loss is also noted). In this context, I would advise you to get some blood investigations done like complete hologram, Blood sugar, Liver function test and Chest X-ray. You can consult your physician and plan out a course of further investigations and management. In the meantime, Paracetamol may be continued for symptomatic management. Hope this helps you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I had a complicated wisdom tooth removal one week ago. My gum was cut and I have stitches (dissolvable). I still have jaw pain, pain in what I believe are the glands in my neck, some ear pain and the extraction site is still sore. Is this normal?	Hi. I have gone through your query. Mild discomfort and reduced mouth opening along with swelling are normal for 3 to 5 days after extraction. Since you are telling about the glands (lymph nodes), you will need antibiotics too. Follow the instructions given by your dentist. Do lukewarm salt water gargling. If mouth opening is reduced, do the mouth opening exercises taught by your dentist. You may take Mox-CV (Amoxicillin and Clavulanic acid) for five days twice daily after food (if you have not taken any antibiotics prior). If you are allergic to this medicine, do not take it. You can mention it here or to your dentist and the medicine can be changed. If you have severe pain, bad taste or odor or fever too, then better go visit your dentist as it can be a ChatDoctor.
如果你是醫生，請根據患者的描述回答醫學問題。	hi sir/madam,This is sunitha an Indian from jimma (a place from Ethiopia,north africa).i got conceived & it is in 6th week. here ethiopian doctors confirmed the pregnancy but they didnt prescribe any tablets like folic acid etc...even though we enquired ,they said that your hemoglobin is normal and it is no need for you.But we are bit scared upon their reply.please kindly suggest me what are the tests (like sugar,thyroid etc..) i should undergo and the tablets to be used for my safe delivery in detail .Note: This is my first conceive and doesnt have any abortions earlier.My age is 25 years with O+ve blood group.Thanks a lot in advance for your concern...With regards,Sunitha. YYYY@YYYY	Hi Sunita I understand your concern. first I should tell you to be calm .the list of investigations we usually do here for our pregnant patients include blood., complete blood count, HIV,V Chat Doctor. Regarding medication, I usually irascible folic acid 5 mg once a day till 13 weeks I.e. about 3 months, after that iron and calcium once a day till 9 myths, nkw a days it d 3 is also being given once a week for 8 weeks. These are the Stan
如果你是醫生，請根據患者的描述回答醫學問題。	I have what I thought might be carpel tunnel. It started in the thumb of my right hand several months ago. It is very painful and now there are times when I move just right that I get the tingling asleep feeling in different places ranging from shoulder to foot. The base of my thumb is very sore to the touch and I am having problems buttoning my pants as well as taking care of personal hygiene when using the bathroom. Is this something I should be concerned about or will it go away?	Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and it seems you are suffering from both CTS and arthritis of the base of thumb call CMC arthritis, There are two investigations you need urgently1 X-Ray of your Hand2 NCV of median nerve at wrist the diagnosis can be cleared once these investigations are available.Meanwhile take analgesics as required, and do not let your wrist flex at night for which carpal tunnel splint can be used. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	my husband has had a cold for a few days...coughing, head and chest congestion, no fever. Saturday was his worst day. Now its Monday and his gums are sore and red, especially along three particular teeth. They are bleeding slightly and looks like a few small white spots at the gum line. He rinsed with salt water a couple hours ago but it hasnt helped. He has an appointment for a teeth cleaning tomorrow (a normal 6-month check up.) He doesnt usually have gum problems. Do you think its related to the cold/virus? Is there anything else he can do to relieve the irritation?	Hello, Yes, it is probably related to the cold only. As the infection will subside the gums will also get better. For now to relieve the symptoms he can start applying Lidocaine gel over the gums to relieve the pain and discomfort. Do cool compresses over the gums to reduce inflammation and bleeding. He can also do warm saline gargles and antiseptic mouthwash gargles. Take soft meals and avoid spicy and hard foods. He should brush with a soft toothbrush to avoid injury to the gums. Let him get the cleaning of teeth done to reduce the symptoms faster. 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 woke up about yesterday feeling dizzy but the night before i felt fine . I puked like 4 /75 times & it gasnt gotten better. everytimr i move the room start spinning but only with the light a bit on .. like tinted a bit or even if its comppetelty on. i havs Alot if pressure in my head & i cant even walk without throwing up or feeling really dizzy .. what do i do??	Hello! Thank you for asking on Chat Doctor! Your symptoms seem to be related to an inner ear disorder. What is your age? Do you have any cardio-vascular risk factors (diabetes, hypertension, etc.)? I would recommend consulting with an ENT specialist for a careful physical check up and performing labyrinthine tests. A brain MRI may be needed, especially if you have known cardio-vascular risk factors. Meanwhile, I would recommend having some rest and take plenty of fluids to remain well HY Chat Doctor. Linearizing or betahistine may be helpful. Hope you will find this answer helpful! Best wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	What diagnosis would you give if a patient came to you saying he had been having dizzy spells almost daily. One day while walking the treadmill the peron almost fell because of dizziness. The patients is a healthy 65 year old female in good health, as far as she knows.What are the possible concerns?	Hi, Thank you for posting your query. The commonest cause for dizziness in a 65-year-old would be BPPV- benign paroxysmal position vertigo. This is because of minor problems in the middle ear. Other causes to be looked for are cervical spondylosis, low hemoglobin, low blood pressure on standing, and lack of blood flow to brain (ischemia). A neurological examination and investigations would help confirm the diagnosis. As of now, he can take betahistine tablets to get relief from his symptoms. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/
如果你是醫生，請根據患者的描述回答醫學問題。	Hi after my hearth attack I had angioplasty on the 22nd of January, today march 5th the same leg is numb from the spot that was cut all the way down to my foot is it normal? Should I worry? I previously had some discomfort on the abdomen close to the incision and the cardiologist said the pulse sounded good.	Hello. Thank you for your question and welcome to Chat Doctor. I carefully read your query. Puncture site-related complications of the coronary angiogram/coronary angioplasty do not take one and a half months to be produced and become worrisome. Actually, they are seen immediately to six hours after the procedure. A pain or numbness or coldness on a certain limb indeed indicates problems with the blood flow to that limb, but I do not think that there is a connection between the femoral artery puncture and the leg numbness of your leg, in this case, at least. As an invasive cardiologist, I, too, check the pulses periodically, after the procedure, and good and filled pulses indicate that there is nothing wrong with the femoral artery and distally placed arteries. However, in my experience, there have been a few cases similar with yours, where, after all the tests have been done, was concluded that the psychological effect was to be found blaming. If this is a worrisome phenomenon to you, I would recommend you to do an echo-Doppler of the arteries of the limb, to conclude if there is any problem with the arteries of that limb, related or not with the procedural puncture site. I hope I have been of help. Kind regards,
如果你是醫生，請根據患者的描述回答醫學問題。	hi doctor, im 27 yrs old n taking krimson 35 for the last 2 months as prescribed by the doctor for the treatment of pcos.This month on the 12th day of my course i had unprotected sex n im still taking the pills. Is there any chance of getting pregnant?? Plz suggest me what to do.	Hi there, I have understood your concern and I will suggest you the best possible treatment options. Please do not panic. As you might be aware that Crimson 35 pill will also act to prevent pregnancy. It is rightly prescribed by your doctor for the treatment of PCs. Along with your treatment, please follow - Indulge in routine exercise and healthy diet regimen. Avoid fried foods, Salty foods, refined sugars Include more portions of fruits, vegetables and salads in diet. Start on Folic acid and vitamin B 12 supplements regularly. This helps to prevent various complications during conception, pregnancy and delivery. I hope this answer helps you. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doc, Im suffering from cough since a month. I feel some liquid filled in my chest and it doesnt let me breathe, talk or sleep. Im also throwing up almost everyday and unable to take any tablets as i get acidic and throw up every time I take a tablet. Ive, however, taken coldact tablet twice in the past two days. It is effcting my work too much as Ive no proper sleep for a month. I need an instant or quick relief remedy. Desprerately need your help. Please advise.	Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough, breathlessness and vomiting. So possibility of lung infection (pneumonia or tuberculosis) and bronchitis is more likely. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS) depending on reports. Better to first diagnose and then start appropriate treatment for quick relief. 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 >>> before 2months my fetus died i suffer from missed abortion when i made the test i found cmv and rubella virus the 2 viruses are igg.........the doctor gave me acyclovir and after month made the second test but the virus is still found........what i do.....continue in treatment?????the age 26	Hello, welcome to ChatDoctorAccording to your history In my opinion, don't worry your report suggestive of immunity against CMV and Rubella. Already you suffered from one miscarriage and your future pregnancies will most likely not be affected because your immune to those offending virus. It is the only first pregnancy which affected by these viruses. No role of acyclovir in CMV and rubella infection, so you can stop this medication. Please with your report do consult with your obstetrician and infectious disease specialist. All the best for your future pregnancy. Regards, E mail - [email protected]
如果你是醫生，請根據患者的描述回答醫學問題。	my frnd suggested to use h and h derm cream..for fairness.is it really works.can we use it.does it have any side affects..previously i use soundarya ayurvedic cream.is it ok.now to use h and h dream cream.can we use any where in the body	Hi...dear Lilith., Thanks for choosing Chat Doctor., H OH term should not use for fairness...BCO it is steroid., you will get side effects like atrophy, losses of texture., steroid acne., About Boundary, I don't know the composition..., without knowing ., how can I suggest ? Ok... For fairness use...1) Morning use SUNSCREEN LOTION.,2) Night times use... Good moisturizing cream.like... OSIsoft, LOVER, ALLOVER.,3) Take plenty of fresh fruits and vegetables., ok good luck.,
如果你是醫生，請根據患者的描述回答醫學問題。	Hello. My son began having itchy hives on his shoulder two days ago. They increased surface area early last night to include his entire upper body (above waist). By morning the itchiness has decreased. Negative for other symptoms other than slightly swollen lymphnodes in neck. Do you think this might be viral and will just go away on its own. Negative for fever. Thank you	Hi, According to me, you might be suffering from Acute urticaria (hives). It resolves completely if you find and avoid the cause of urticaria and take antihistamine tablet for a week. Most common causes are food, Chat Doctor. You can take an antihistamine tablet for a week. If your symptoms do not improve in a week or if you have any other symptoms, you should consult your Dermatologist for further management. 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。	Can using a knee brace that is too tight on my left knee which I had a meniscus repair on two months ago cause swelling on my left ankle I put it on tight and bowled 5 games there is no pain but definitely edema of. The right side of the ankle and slight swelling above the ankle.	His there, Yes the knee brace that you are using might be too tight that is causing this pressure symptoms at ankle as swelling which is due to disturbance in circulation. Kindly get another brace with one size bigger. And you need to remove the brace at nighttime As you underwent meniscal repair i advice you to take rest and avoid sports and serious activity. Hope this will solve your problem. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a living donor kidney transplant in June 2012. The donor has genital herpes. Can this be transmitted through the transplanted kidney. I have noticed a small painful sore on my penis and have outbreaks of small, oozing rash that too are painful and then scab over and heal on various areas of my midsection. If this is possible I will mention it t o my nephrologist in my quarterly visit this coming week. Thanks	Hi, Thanks for writing in to us. Despite great advances in organ transplantation in the last four decades, herpesvirus infections remain a major cause of morbidity and mortality for a majority of transplant recipients. Central to all herpesvirus infections is the viruses ability to establish latent, nonproductive infections which can be reactivated at later times in the hosts' life, resulting in recurrent infections and associated diseases. While improvements in immunosuppressive Chat Doctor. 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 am deciding on using oral anticoagulants. My father has a HAsBLED score of 2 and a CHADS2 score of 2. He is 75 with AF. Not sure if adding OA, he is already on aspirin, overall adds benefit for stroke prevention, given the increased risk of bleeds. Any advice would be very much appreciated, also let me know if I should send add info- thanks!	Hello. In many guidelines for stroke prevention in atrial fibrillation, with a single point of chad is recommended to take anticoagulants better than AAS.Also, a score 2 of hassled indicates that the risk of bleeding is not high. In my opinion, oral anticoagulants can be taken for treating atrial fibrillation(fa)of your father(replacing to AAS)decreasing stroke risk. Please consult your cardiologist to prescription wish you good health. If the answer has helped you, please indicate this.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello , I have a question . Will jelqing during puberty let s say at the age of 13 A) stunt natural growth and not grow at all from jelqing aswell. B) stunt natural growth but grow from jelqing . C) add to natural growth . D) cause any harm to the penis even if properly warmed up? Or E)none of the above .	Degree understand your concerns went through your details. I suggest you not to worry much. You must be aware that masturbation is no sin. Masturbation is natural and even animals do it. For a youngster of age group 13 to 17 masturbation every day is normal. After that also it is normal, but people get engaged in some other activities like games, education, career etc. which are more engaging and energy consuming. There are people who masturbate daily even at middle adulthood. The trouble is lack of knowledge and the anxiety arising out of it. Feeling guilty will trigger anxiety. 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。	MY doctor percribed Sotalol 80 mg at home with out being monitored for 3 days in a facility with staff trained in advanced cardiac life support.. I had a defibrillator inplanted on 8-28-2013 and put on Carvedilol 12.5 mg, Lisinopril 2.5 mg and colpidgrel 75 mgThen on 12-8-2013 the defibrillator went off(shocked me 3 time in 10 minutes), went to emergency room and was totally checked out.Then on 12-12-2013 my doctor called and put me on the Sotalol with out being monitored.Is this practice ok ?	Hi thought it's started at indoor facility, because you had defibrillator already placed, it is safe to start you on stall at home, because in case of any rhythm disturbance, the defibrillator will help you out, at the same time the rhythm can be known through interrogation. So don't worry about the same. However, I would like to point out carvedilol and stall are same group, though started for you for different indication, do discuss with your doctor on follow up, as I will suggest titration of carvedilol so you don't have Chat Doctor. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hi....... do you know if there is a treatment or even a surgery that can be done, when one is told by a physician that she has one artery in the neck that is completely disappeared, (however formed other little veins in order to let blood flow up to the brain).....and the other artery is blocked at 98%! This is supposedly not curable.....	Hello, There is no treatment for the totally occluded artery. Regarding the other carotid artery, it is necessary to perform surgery (endarterectomy) or put a stent, in order to prevent possible stroke, which would be devastating with this situation. For this reason, I recommend consulting with a vascular surgeon as soon as possible. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have a bad breath problem. I really feel a bad breath in my mouth when I wake up early in the morning.	Hi, Welcome to Chat Doctor forum. I had gone through your question. I can understand your concern. There are two main general reasons for halitosis (bad breath) related to oral cavity or teeth and the second one is related to the stomach. For oral cavity related you need to check for any cavity, accumulation of plaque and any gum problem. If there is any such issue visit a dentist and get scaling done. If it does not help, you may need gastric consultation. Try to avoid smoking and do not keep your stomach empty for a longer period. Take plenty of fluids and you can use mouth freshener till the cause is eliminated.
如果你是醫生，請根據患者的描述回答醫學問題。	when i laugh even for a short period of time such as 10 seconds i cough so hard that my chest vibrates. my insides such as my lungs and backs feel itchy. i am really puzzled as i am a 16 year old in full health and i regularly undertake exercise 4-5 times a week. why is this happening?	Thanks for your question on Chat Doctor. I can understand your concern. No need to worry much for your symptoms because you are young, healthy and exercising normally. So possibility of lung related diseases is very low. Itching in lungs with coughing are seen in lung infection and bronchitis. So better to get done chest x-ray and PFT to rule out lung infection and bronchitis respectively. If both are normal then no need to worry about lung diseases. Some deny Chat Doctor. So
如果你是醫生，請根據患者的描述回答醫學問題。	hey doc. i already finish my 1st pack of althea pills last april 10 then april 17 i have my period. april 22 i had sex with my partner (unprotected sex) but i have a little bit menses that time. then april 23 i take althea (my 2nd pack) is it possible to become preggy? tnx. and godbless!	Hi, Welcome to Chat Doctor. I understand your concern. Althea pills are combined oral contraceptives also used for control of acne. So when you are regularly taking Althea pills. Without a break, (except for the pill free week after 21st (last)pill in a pack.) there is no possibility of conception. Even if you have unprotected sex....as the pills avoid ovulation which is essential for pregnancy But if you are irregular in pill taking...possibility of Spontaneous ovulation conception. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	My 55 year old mom had a burst appendix surgery 7 days back . Doc says she is doing fine. She is still in hospital . Has green stools . She has started drinking fluids little , but they keep coming out of her feeding tube through her nose. the feeding tube is for drainage . she drinks fluids via mouth only . is this normal ( to have green stools & food not staying in the stomach ).	Hi dear since your mom has undergone surgery for burst appendix, her bowel movements at this point may be irregular. And it's quite natural. Hence your doctor has put feeding tube(Rules tube-both for feeding and for Chat Doctor. Since she s not taking adequate food oral her stool will be green because it contains lots of BILE. Once she restores her bowel movements she will be fine. I hope this answer helps you. Take care of your mom
如果你是醫生，請根據患者的描述回答醫學問題。	nes my husband is passing small kidney stones everyday sometimes at a time, he is on Metoprolol 25 mg succinate, linsinopril 20mg, has some pains in his chest just like soreness all over can you give some advice are you really serious I have to pay for an answer	Hello! Can you be more elaborate about his complaints? Chest pain in his case can be due to something very common like HERD (Reflux disease) or it can indicate something to do with his heart or lungs. Since when is he having the pain ? Where exactly in the chest does he have the pain ? Is it continuous ? Is it mild or severe enough to disturb sleep ? Any particular thing that you have noted to aggravate or relieve his pain ? Any other chest complaints ? Does he smoke ? Looking forward for an elaborate history. Since you mention soreness all over, it seems more likely to be reflux disease in which case he will need medications to control that and needs to avoid spice n caffeine in food, head end elevation during sleep Do consult a physician in person too.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello these past 2-3 days I ve noticed that my tailbone very sore. It s been itchy for a week and I might have been itching to hard? I applied hydrocortisone but it seems to help for an hour or so. Now I hav somewhat a hard time walking down the stairs I have to old my butt in order for it not to hurt and I can t sleep on it	Hi, Thank you for posting your query. Based on your symptoms, it could be coccydynia, a painful condition related to the tail bone. As of now, you can take analgesics such as ibuprofen or diclofenac tablets. If the pain persists even after 5-7 days, you can consult an orthopedic surgeon. An MRI of lower back may be required for evaluation. As of now, there is no need to worry. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
如果你是醫生，請根據患者的描述回答醫學問題。	I had a tramatic brain injury in 2011. im so confused all the time. i forget things even right after or even during what ever im doing. i also seem to regress and talk like and act like a child and im not sure why it happens. i will know what an object is but cant seem to get it out it comes out wrong. i forget where i am. my question is dimentia runs in my family along with heart disease and cancer. how do i know which thing it is.	Hello thanks for asking from ChatDoctorIt is common to develop cognitive impairment after trauma to head and level of impairment depends upon severity of trauma. You have developed symptoms immediately after trauma and there is history of dementia and cardiac problems in your family, this increases the risk of cognitive impairment. This is also called as Post Traumatic Dementia. I would advise you to visit a psychiatrist for management of dementia. Cognitive enhancer Chat Doctor. These
如果你是醫生，請根據患者的描述回答醫學問題。	My Lumbosacral spine CT indicates greater generalised annular laxity and ligamentum flava thickening. Mild central and L5 exit canal stenosis... early disc changes @ L4/5 and L5/S1. No large focal disc protrusion . I am 24 and have constant (but mild) pain in lower back on the right side and down my right leg. I see a Physiotherapist twice weekly for this condition with little success. What are my best treatment options?	Low back pain and radiation up to leg is a common symptom of disc disease. If a person comes to me with these symptoms in my clinic I would ask them these details to zero-in on my opinion:When did the pain start? Where exactly over the back is the pain? Does the pain aggravate with bending forward, sitting for a long time or walking for some distanced you have decrease in sensations over foot?if yes where is the exact site ? Did you feel increase in pain at night or wake up due to pain?. If yes it could be an infection in your spine. I would like these details from you to help you further.
如果你是醫生，請根據患者的描述回答醫學問題。	My husband s left shoulder has been paralyzed for about 1 year and a half. He has been experiencing breathing difficulties caused by the left diaphragm and arthritis in the neck is now causing him to be almost totaling staring at the ground with neck pain and weakness. In total are these symptoms related? No diagnosis as of yet.	Hi, Phonic nerve palsy can cause both these, shoulder paralysis and diaphragm pathologies. Phoenix nerve originates from cervical vertebra in neck. And it supplies shoulder joint and diaphragm. So any pathology of a cervical vertebra which is causing Phoenix nerve damage can cause neck pain, shoulder paralysis and diaphragm pathologies. So in my opinion, you should definitely get done MRI of cervical spine to identify Phoenix nerve injury. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi there, I have a uti and am on my second coarse of antibiotics which seems to be relieving the pain in my urethra but I a still uncomfortable and my back is still very very sore. I have been using diclofenac, paracode & tramadol for pain relief and I know that these could be doing more harm but it has been the only thing that would alleviate my pain and discomfort. What would you recommend for pain relief?	Hi, thank-you for providing the brief history of you.UTI occurs due to weakness of the pelvic floor muscles. Also, you are on antibiotics and painkillers I will advise you to undergo physical therapy for back pain. Treatment:Physical therapy includes - therapeutic ultrasound therapy, TENS therapy and muscle Strengthening exercises. In my clinical practice such cases respond well to physical therapy. Regards Jay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Dear Sir From last 3 years I am facing too much problems in my daily routine.I forgot small things like i take lunch twice or sometimes eat nothing from morning to evening, i went to market and forgot what stuff i have to buy and came back. When I read something I have to read it 3-4 times to understand and then also I understand a bit of it. When somebody talks to me I became blank and dont know what to respond and sit like a dumb person.When somebody turn on TV or music my head starts banging and I starts getting irritated.I have a small 2.5 year old kid sometimes I feel like running from him dont want to take his responsibilty. I am losing all my confidence. I have never been like this before when I was in school, CBSE has awarded me a one year scholarship for getting highest marks in mathematics(98%) in all over India. During my engineering college i was a gold medalist in mathematics for getting 100% marks. I was working with Cognizant and they awarded me as a best resource of the year among 5000 employees. When i looked back I never believe that I can get any such achievement again in my life. Please help me that atleast I can lead a simple and normal life.I am too much frustrated with my memory and under confident nature. I dont know what happen to me, Do I need a medication help or something else. Please Help!!!	Hi, thanks for posting your concern in the Chat Doctor. I think you should consult a psychiatrist to rule out anxiety disorder, depression, sleep disorder, any form of dementia, or any other neuropsychiatric illness. Both anxiety and depression may present with memory problem, intellectual impairment, lack of concentration etc. Sleep disorders may also produce similar symptoms. A session of daily exercise and another relaxation session in a day may help to relax you and improve your performance. However, psychometric assessment and if required neuroimaging may be done to come to a specific diagnosis. For any further information, please write back to us. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	My fathers blood test shows reduced RBC and hemoglobin slightly below normal range, and elevated MPV. He had a heart attack 6 months prior. He is a non smoker, non drinker, average weight, and actively exercises. What could this blood test indicate and what should he do?	Hello. Thanks for asking on Chat Doctor. The blood report indicates mild anemia. Kindly look up the MTV MCH indices in the report. In case of iron deficiency these are low. In case if folate or b12 deficiency these might be high. You might have anemia of chronic disease in which these indices are normal. You can get serum iron folate and b12 tested. Increased MPV implies that the average size of your platelets is slightly high. It is no concern to worry and indicates an active bone marrow producing platelets. So I think nothing very serious with the report. Can take haematinics to improve he though. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I got my period on the first day of my honeymoon 7/22. It was normal for the first five days, but I had it for an extra five days. I already got my period again on 8/13, but it was not due for at least another week. I had no pms symptoms this time, like sore breasts. I don t usually have cramps , but today I had pain in my left stomach a few times. I do not have a tampon stuck in me. More back ground on me: I went to an orthopedic two months ago for a reocurring pain in my hip. 6/28 they found out I have follicles on my left ovary and a cyst 4.8x2.6x3.5 cm between my uterus and ovary on my right side. After my vaginal ultrasound the gyne said I was probably ovulating during the test and we ll just watch the cyst in case it grows. A year ago I found out I have a large benign lump in my breast which I will be getting removed. The day my honeymoon began, my eyesight worsened so I had to start wearing my glasses all the time. I m 35, had lasik in 2001, and was diagnosed with cataracts at 21. Four year ago, I had to start wearing glasses to drive at night. Two years ago, I needed them to drive all the time. I ve always been very active and have a healthy diet. I used to smoke but switched to Snus two years ago because now I don t smell. I m on antidepressants, but started weaning myself off them 7/22 with guidance from my doctor. My goal is to try getting pregnant in a year. Is there something wrong with me?	Ovarian cyst / follicles etc. can be symptoms of polycystic ovarian disease, where inability to conceive can be a problem. But, there is effective hormonal treatment available for such conditions Depression, too, sometimes cause delay in conception again causing some hormonal imbalance The cause of cataract at 21 yrs of age need to be evaluated, if any systemic cause, they need to be treated I think treating the three conditions should be possible easily and getting pregnant should not be a major issue
如果你是醫生，請根據患者的描述回答醫學問題。	what foods can reduces the sgpt and sgot level? i am a hepa b carrier. i stopped taking sevibo and baraclude as my oral medications since august 2010 and not to mentioned that for seven months i injected interferon. i decided to stopped taking medicine since my creatinine level was started rising. thank you very much.	Welcome to Chat Doctor. I am Chat Doctor. Raised SGPT and GOT in Hepatitis carrier indicate that virus is active. So your doctor started medicine including interferon. I advised you to follow your doctor advise regarding interferon and other medicines. It is very essential for you. Avoid fatty food, fruits(because creatinine is high as you told) and alcohol. Do not take it lightly and approach your doctor for further investigation like viral marker, viral load and further management of your hepatitis. Thanx for query.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a fifteen year old female. For about a week, I have been experiencing a sharp, kind of stabbing pain in my lower left abdomen (directly next to my hipbone) when I walk or do anything that involves moving my torso. I feel it when I extend my leg when taking a step and I end up walking differently to compensate for it. It becomes much more prominent immediately after I eat and if I don t eat for a few hours it s much less noticeable. The pain is very localized and in the exact same spot every time I feel it. I mentioned it to my dad when it started and I didn t talked about it to anyone again until today because I thought that it was going to go away. If anything, it feels worse now than before and I m scared to move or eat (I haven t stopped doing either); It s very uncomfortable and it feels very wrong. It sounds strange, but the best way for me to describe it is that it feels like one of my organs is out of place. I noticed a bit of swelling when I got home today, but there s none now and I don t know if it was real or if my nerves were getting to me (I did check a few times to confirm it, so it was probably legitimate). I only checked for it for the first time today, so I don t know if there has been any for in past week. I tried to ignore it, but I m scared now. I almost contacted my parents at work today so that I could ask them to take me to the hospital because I didn t know what to do. What do I do? What could it be?	Thank you for using Chat Doctor. It could be neurological or abdominal condition which needs clinical examination and if needed further tests like an ultrasound. If its neurological likely to be sciatica but do you've radiating pain in lower limb? If its abdominal could be an abscess for which fever would be present or is there a swelling in the groin which could be hernia. Please visit the hospital ER at the earliest so that it can be ascertained and treated.
如果你是醫生，請根據患者的描述回答醫學問題。	My 5 years old boy has been feeling itchy in his penis for over a week now. He feels it day and night. We went to see the doctor and was instructed to use Aveeno anti-itch cream, but it doesn t seem to help. He goes to potty more often after using the cream. Does anyone know what might be the cause?	Hi, Where exactly is the itching-at the tip only or throughout? Is there any color change, pain or discharge? Itching elsewhere in the body, or in other family members? Common causes of itching there include skin Chat Doctor. If no other symptoms as mentioned above, try applying an emollient or moisturizing cream there twice daily for 5 days. You can give antihistamine like Levocetirizine (2.5 mg at night) to relieve itching. If not getting down by then, or any extra features present as above, kindly see a dermatologist for further evaluation. Take care. Hope I have answered your question. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	we are trying for a baby for the past 3 years, my wife last hormone test results are:LH=8.7FSH=8.2These were taken on the 3rd day of her period which was 5/7/2010 my semen results are:count=70M15% is normalcan you please advice and help?Rgds,Ali ZayedLibya	HelloYour wives report are normal. FSH and LH values are within normal limit. But, your semen analysis report shows borderline low normal morphology sperms. Sperm count is normal. Normally it should be at least 20 millions/ml. Normal morphology sperms are mildly decreased. Only 16 % sperms with normal morphology is required for natural fertilization. Your findings suggest 15 % normal morphology sperms. You should take healthy and nutritious diet. Take anti-oxidants also. Avoid wearing tight underpants. If findings persists then you may need assisted fertilization technique. Take Care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Dear sirWe are done MRI scan that result as below 1disc desiccatiin is seen at L3-4 to L5-S1 levels2 Diffuse disc bulge at L3-4level causing thecal indentation.3 Diffuse disc bulge with annualr tear and facetal arthosis at L4-5level causing thecal.	Hi,1disc desiccation is seen at L3-4 to L5-S1 levels this signifies that disk of your lumbar spine degenerated due to aging process which is irreversible and responsible for back pain.2 Diffuse disc bulge at L3-4level causing thecal indentation means mild rural /cord compression result in numbness and tingling in legs.3 Diffuse disc bulge with annual tear and facial arthrosis at L4-5level causing thecal denoted arthritis of small joints of spine which again a degenerative condition. But your MRI not look terrible from surgical point of view. Just do physiotherapy.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a lump on the side of my right butt cheek and is painless but it is noticeable threw my clothing it is about the size of a quarter. it just recently got big about a couple months ago. it used to be very small and unnoticeable I would have to feel around for it, should I be concerned	Hi! Good afternoon. I am Chat Doctor answering your query. Any lump in the body needs a cytological/histological diagnosis specially if it starts growing suddenly. Therefore, I would advise you to take an appointment with a general surgeon who after a clinical assessment of the lump might advise you for an FNAC(fine needle aspiration cytology)/excision biopsy after other routine blood and urine tests. Further management would depend on the report of the investigations. 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 was told yesterday i have schramsberg disease, i suffer from hive breakouts several times a month. this past saturday i had hives, heat stroke (i believe) and fainted. As a result i got this breakout on legs that sat. evening. My question is do these two things have any thing in common. and how can i manage them...?	Hi & Welcome to Chat Doctor. I appreciate your concern for the Chamber disease & hives. As such they are not related. Schambergs disease is a chronic discoloration of the skin which usually affects the legs and often spreads slowly. It is caused by leaky blood vessels near the surface of the skin, capillaries, which allow red blood cells to slip through into the skin. The red blood cells in the skin then fall apart and release their iron which causes a rust color, this accounts for the orange tint of the rash. Hives (urticaria) are raised, often itchy, red bumps on the surface of the skin. They are usually due to an allergic reaction to food or medicine. When you have an allergic reaction to a substance, your body releases histamine and other chemicals into the blood. This causes itching, swelling, and other symptoms. There is no cure for Chambers disease; the itching can be controlled by a cortisone cream on the affected area. For hives treatment may not be needed if they are mild. They may disappear on their own. Avoid the triggers for the allergic reaction. To reduce itching and swelling:Do not take hot baths or showers. Do not wear tight-fitting clothing, which can irritate the area. An antihistamine like Defense Chat Doctor.
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 for 3 Months. The first three weeks were very traumatic and I saw a doctor and was given antibiotics which didn t help. I waited 3 weeks and saw another doctor who said my sinuses were inflamed and gave me a nasal spray and also an inhaler for my chest to stop the coughing. No help. I keep having mucus running down my throat and cough mostly in the morning. Two days ago a large red blotch developed on the bridge of my nose. Crazy. Why?	Hi. I can understand your concern. Chronic cough is commonly seen in bronchitis and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Also try steam inhalation and saline nasal douches.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, My dad (69 yrs old) was recently diagnosed with Prostate cancer -- stage 4. His PSA level is 110 but bone scan came back negative. His biopsy reflected a Gleason score of 3+4=7. Hes always been very healthy and also has no other urinary tract problems commonly associated with prostate cancer. However he has had a severe lower back pain these past three months - this was also aggravated by a recent fall. Hes now on complete bed rest because hes unable to walk. Is this indeed stage 4 of the disease? But his bone scan shows up negative. What are his chances of survival? Please advise. Thanks.	Hi, dairy have gone through your question. I can understand your concern. He may have metastatic carcinoma in spine. It causes back pain. He has Gleason score 7, so it suggests good prognosis. But he has stage 4 disease do difficult to treat. Chemotherapy and radiotherapy is the treatment of choice. Despite treatment life expectancy is not good. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter is 4 months pregnant. Baby due Feb 15. She just called me and she is having some sharp pains uncomfortable pains more on the left side. She is uncomfortable. Is it possible this is her gallbladder and is there really anything they can do. She told me that she called her drs. office Thursday or Friday and they said it was possibly a stomach virus. She is crying and when she tries to lay down she gets nauseated. Should she go to emergency room or wait until morning to call dr. office. She has a 2 year old at home and her husband is a fireman and he is on his 24 hrs. at the station.	Hello, and I hope I can help you today. It is doubtful that your daughters symptoms are due to a gallbladder problem, since the gallbladder is on the right side of the upper abdomen, and usually the gallbladder only feels pain after eating.However, there are many other causes of left abdominal pain, such as gastritis, a stomach flu, kidney stones... And if it is lower abdominal pain, it can be related to the uterus or ovaries. Her anxiety about the situation probably is also contributing to the problem. So if your daughter is in so much distress she should call her doctor. There is someone on duty for emergencies even at night for most OB practices. Her doctor can make a recommendation of whether to go to the emergency room or come in for a doctor's appointment. Either way, as this problem has been going on for a few days, she absolutely should be seen by a doctor soon to make a diagnosis. I hope this answer and my advice was helpful. Best wishes to your daughter for the rest of her pregnancy,
如果你是醫生，請根據患者的描述回答醫學問題。	all of my past tragedies are catching up with me finally. I was raped when I was 12, my family was already in the midst of my brother being institutionalized at a State Mental Hospital after slicing a man;s throat and being diagnosed with schizophrenia . I have three siblings he is the oldest almost 10 years older. My parents were always visiting him so nobody was around to talk to. Also I was afraid to tell anyone for fear of how much more turmoil it would cause. When I was 19 my father was killed in a skydiving accident. I became involved in an physically abusive relationship and than became pregnant. I have severe asthma and was hospitalized for two weeks when I was seven and a half months pregnant and had an abruption and went into DIC. We lost Nicole and I couldn t even go to her funeral. I became more entrenched with drugs and drinking and left my husband. Even though emotionally I didn t detach. Finally I helped my sister get out of KC the town we grew up in when her husband had been diagnosed with AIDS from using dirty needles and was caught robbing a store.My mother a friend and I brought her and her 2 children who were 3 and one and a half to michigan were my mom was living . Eventually she went back to her husband and I decided to stay. I met a man and had two children and married him. When my son was five and my daughter Liz was 3 we were in a car accident while I was driving and my mother was killed. I always rationalized in my own mind that there are so many people who have been through so much worse. My father taught me that you have to be strong. Don t show your weaknesses. You can get through anything, but you know what I can t anymore. I don t sleep. I hurt all the time both physically and emotionally. My asthma hasn t been under control for years. I m always angry not just mad like on the edge. I ve tried to commit suicide twice, obviously not successfully, but it is always in the back of my mind. My family thinks that if you need to see a counselor you re crazy. In fact they actually say that when they are trying to hurt me. My husband has a problem with drinking but won t do anything about it. I ve been on SSI for five years and only make $398 a month because I ve never been able to stay a a job for very long because I become ill. So according to them I really don t do anything to help the family, even though I do all of the housework, cooking etc... My asthma has gotten so bad that I have had to have a port put in because my veins are shot from all of the steroids. I don t know how many times I have heard things are so much better when you re not here. Please help. I don t know how much longer I can hold on!	Hello....... Thanks for your query. I understand the multiple stressors you have faced and the devastating effect it has had on you. I would suggest that you seek professional help from a psychiatrist/ clinical psychologist to assess for depression/anxiety disorders/ adjustment / other stress related disorders as well as assess your range of coping skills. This can be followed by appropriate antidepressant/ anxiolytic medication and psychotherapy as appropriate. Hope you find my suggestions useful. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,Im pregnat and in 2nd trimester (14 weeks completed) now. Im severely having tooth ache pain for the past 2 week, went to dental doctor and they told me to undergo root canal treatment. First day he started the root canal procedure and he cleaned the infected teeth. Next day morning I got fever and consulted gynecologist, doctor told me not to do root canal treatment now and it may affect baby. He told me to take imol and novomox for pain relief. Immediately I went to anoth dental doctor and closed the opened teeth without completing the root canal treatment. Im taking imol plus and novomox for pain relief. Everyday Im getting severe teeth pain. Is it advisable to do root canal root treatment now? Bcoz the pain is untolerable and not able to sleep properly. Kindly advice.	During pregnancy also considerable attention should be paid to the hygiene of the oral cavity, because hormonal changes can contribute to swollen and bleeding gums, increased sensitivity of the gums to the emergence of plaque and tartar. The daily care of the teeth during pregnancy include:- the need to brush your teeth at least two times a day and after each meal is obligatory to rinse the mouth of boiled water;- to clean the teeth only use a soft toothbrush to prevent possible damage and bleeding gums;- to stimulate the circulation of the blood after each brushing your teeth need to massage the gums pads of his fingers;- after reception of the food will be necessary dental floss, the careful use of which will help to remove trapped food residues;- the use of chewing gum without sugar after meals will help to avoid the emergence of dental plaque.
如果你是醫生，請根據患者的描述回答醫學問題。	My 85 year old grandfather recently went into hospital with stomach pains and was diagnosed with an appendix rupture. But prior to the diagnosis, a CT scan was done and a mass on his lung was visible. A biopsy was given, but they couldnt get to the spot, so now the doctors want to do another biopsy and go through his back. Should we get the biopsy given that my 85 year old grandfather probably wouldnt be able to handle any chemo or radiation if diagnosed?	Hello rearward welcome to Chat Doctor.come have evaluated your query in depth.* The decision to perform some procedure or decide for treatment aspects in this regard depends upon many factors as - symptoms of the patient - associated co morbid conditions - concern of the patient to get willingness of the needed medications - reports indicating the severity, site, extent of the lesion - calculations or advantages and disadvantages of both treating and not treating the current condition.* Now you can understand with how many details one can comment precisely on such critical query.* But in a nutshell, if not much large, not giving many annoying symptoms ; can keep a watch on the progress of the size. Hope this clears your query. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Is there any problem doing exercise in gym after mastrrbation. After my job I come home and masterbate daily and I am not able to control masterbation.and after that I will go to gym...I am a well built 25 yr old man. Once my friend told me that doing exercise after masterbation is not good for my health. Nowadays I started feeling that I am loosing my body power. Automatically before bathing I will masterbate and I am not able to control that .I masterbate 2 times a day..morning and evening...any problem .....???	Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, there is no problem in masturbation. There are false belief in people regarding masturbation. It will never cause any harm to you. Whether you do it single or twice a day. It has no effect on energy level or your performance level. It is very common in today's life of doing masturbation. If you don't do than you will get sweet Chat Doctor. Please do wash your hand before you masturbation and avoid injury for masturbation. I will be happy to answer your further concern on bit.ly/
如果你是醫生，請根據患者的描述回答醫學問題。	Hello im am 32 yrs old and have had multiple abdominal surgeries recently resulting in a total colectomy and internal pouch formed. Following my surgery I had a pretty serious spinal infection which was treated with iv antibiotics. Since this trestment the infection was cleared however for the past 6 months I had been really suffering with back and pelvis pain. I have attended physio but have not found it very beneficial. I have been refered to an osteopath and am taking many pain killers and anti inflammatory drigs. Do you have any thoughts as to treatment to help as I am going out of my mind now with this pain and restrictions with movement. Could the infection have come bsck after 6 months? Thsnk you	Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You had multiple surgeries on abdomen. Now you are getting Pelvic pain and back pain. Not getting relief with any medicines. It may be of lumbar spondylosis, or arthritis of the hip. I advise you to consult an orthopedic surgeon for diagnosis and treatment. You may need to take M.R.I.besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards.
如果你是醫生，請根據患者的描述回答醫學問題。	hello i am a 21 year old female, 55 185lbs. About two hours ago I started getting chest pain under my left breast near the ribs and along my left shoulder.My breathing and pulse are fine and the pain is worse if im lying down. It comes in waves with the peak being a sharp pressure and otherwise its kind of dull. My dad had a heart attack 12 years ago at age 47 and heart disease runs through bot sides of my family. Whats wrong wit me?	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should definitely rule out heart diseases for your symptoms because of the strongest family history of heart diseases. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these but first rule out heart 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。	So today I squeezed my breast and a clear fluid came out. I have no idea why. I just got my period yesterday AND I took a pregnancy test that came up negative. Im also taking birth control pills and I am wondering if it is just a strange side effect from the hormones in the pills. The birth control brand is called Myzilra. Any help you can offer is much appreciated.	Hi, Welcome to Chat Doctor forum. It appears that you had common side effect of the pills Mozilla. It has swollen, inflamed and tender breasts as a side effect. That might be the cause of the clear discharge. You had the period a day before, and pregnancy test is negative. So don't worry about the pregnancy. If the problem is continuing you consult your doctor for a change of the pill. Or you can opt for intrauterine devise. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health resistance against the infections. Wishing for a quick and complete recovery. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	HiI am a national gold medalist in athletics, but due to masterbation i have started suffering from weakness.Although i have gradually reduced masterbating in a span of 5 yrs. In my teens I used to masterbate 15-20 times a day and couldnt even sleep without it although now i have completely stopped masterbating in coarse of 5 yrs of time span but now i suffer from nightfalls. I dont watch porn or anything dirty, infact I always study before going to bed yet I suffer from nighfalls.How can I cure my nightfalls without having sex or masterbatioI suffer from nightfall sometimes in 10 days or sometimes in 30-40 days after previous nightfall. I dont masterbate nor do i do sex and want to quite this nightfall too.I was 16 yrs old when i used to masterbate 15-20 times a day and now i am 22 yrs oldplease help.thank you	Dear user, Thank you for writing to Chat Doctor. I understand your concern regarding masturbation and night emission. This is not a disease. No need to feel guilty about masturbation. Semen is being manufactured by genital organs continuously; it has to be expelled by some means. This situation is just akin to a glass of full water to which you add more water, with the logical result that it overflows! This happens to semen too. If one neither has sex nor masturbation for long time, semen gets expelled in the form of night emissions, which is normal. Semen loss does not cause any weakness. It is anxiety of perceived loss. You can read That syn Chat Doctor. Visit psychiatrist near your area for counseling. Good health ahead.
如果你是醫生，請根據患者的描述回答醫學問題。	My 8 month old son has a low grade fever (99-100 degrees). However, last night we noticed that his feet were cold (not ice cold but cold) even with pajamas to cover his feet. He slept a lot today. All the online forums bring up meningitus. I dont think that is it but want to be sure.	In an 8-month patient there is no such thing as "classical" signs or symptoms of meningitis. It is true that many cases of meningitis have higher fevers, are accompanied by stiff neck, nausea, vomiting, etc. However, at that young age many of these symptoms may be absent. If I were in your position I would default to take the baby for a checkup with the pediatrician. They may be able to get some blood work and the pediatrician can do some examination maneuvers to see whether meningitis is likely or not. It may turn out to just be a viral syn Chat Doctor. Please rate this a 5-STAR RESPONSE & write me at: www.bit.ly/
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I had a ganglion cyst removed by a needle yesterday at the hospital but instead of a clear fluid it was blood and quite alot, now I cannot move my hand or wrist due to the pain and the lump is still there and even more painful what should I do and what will the next form of treatment be? And is blood normal instead of clear fluid?	Hi, The pain and swelling in your wrist in the area of surgery is likely to be bruising from the procedure at this early stage. The procedure you had will not have removed the ganglion, it will have aspirated the contents of the cyst. I am surprised it was blood as ganglia do not usually contain blood. In order to more reliably treat a ganglion I would suggest surgical removal. Therefore, if your symptoms do not improve in two days, a visit to your doctor would be appropriate for further assessment. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Sir, I had my kidney transplant a month ago. Kidney funtion is doing good but after 1 week there was a oozing from one of stich. on investigation it seemed to be lymphosite but there was a doubt of urine leakage for which nephrotosmy is advised by doctor. i would like to know that is it the only solution to confirm the leakage in my case and secondly is it safe for grafted kidney	Hi and welcome to Chat Doctor. As a Urologist and kidney transplant surgeon, i understand your concern. Lymphoceles do form around the graft and need to be Chat Doctor. If there's urine leak, it can be treated by a nephrology and stenting. At the same time, the origin of leak can be confirmed, with a contrast study. This is a standard procedure and will save the graft. Once the origin of leak is localized, it can be corrected accordingly. Wish you well.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My son is of 20 years old. He has gained 18 kg in last two years. Now he weighs 91 kg and height 5\10". We had a blood test, and T3 and T4 are normal. TSH is 0.692. Is there a problem with his thyroid function?	Hello. TSH (thyroid-stimulating hormone) levels should be 0.5 to 5 depending on which international unit is used. Kindly check with your lab, whether that is normal for the age. Usually, they will give you a printed report only if it falls within the range, then no need to worry. His BMI (body mass index) is more compared to his height and weight. He needs to reduce his weight to minimum 80 only for his height. Kindly ask him to join a gym or any training programs or yoga. Do some dieting and breathing exercise. Ask him to walk for 30 minutes a day, especially brisk walk. The diet should be strict with no fat, more fruits, and vegetables. I hope this info helps you sort out your problems.
如果你是醫生，請根據患者的描述回答醫學問題。	For a few days, I have experienced intermittent tingling along the right side of my face. It usually starts in the neck, then goes up to my jaw and beyond, even to my ear lobe. No pain, just a tingling. At first I thought a spider was crawling all over the lower right side of my face, or that hair was swiping that part of my face (but my hair is very short, so that s not it!). I also have severe scoliosis (lumbar) with a compensatory hump on my right shoulder. Could this be related, maybe with nerves being pinched a little?	The compensatory hump COULD be part of the problem....COULD be....but the lumbar curvature.....no relationship to what's going on in the face. And it's not NERVES that are being pinched that's causing the face thing...it would specifically be the sensory portion of the trigeminal nerve (CN V) in which a small portion of it dips down into the upper cervical cord before making kind of a U-turn and coming back up to innervate structures in the neck and face. So that tingling in the face COULD be related to the hump in the right shoulder which could be twisting the upper spinal cord where that cranial nerve travels every day to work and as a result causing your symptoms. If you'd like to write specific questions to my attention for personal answers please look me up at:bit.ly/ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, Im 52 years old, Im 53 Kgs, I stand 1.78 tall. Ive been suffering from Bronchial Asthma for the past 7 years, bouncing between different medications ending up with mainly Spiriva, 2x daily, Symbicort turbuhaler at 2 puffs x daily, different soothing syrups for mucus. Problem is the shortness of breaths and speeding breaths whenever I do any minor effort and I mean MINOR. My doctor prescribed Diprofos for me last month, and I was doing good. Now that the effect is gone, Im back at searching for breaths after any minor effort. I read over the internet that this drug has many side serious effects, thats why my doctor told me that he cant prescribe it again for me. My question is, is there any other drug I can suggest to my doctor to do the same effect as Diprofos without beingn subject to those serious side effects. Thank You Doctor.	Hello, You are quite right is saying that (1) the effect of Disproofs is now no longer it used to be; and (2) it has side effect, and you want another Chat Doctor. There are several choices now available if Trivia is not working well. You also need to know if there are allergic triggers that are preventing good control.Also, flu vaccines are required in autumn every year, to optimize control. Montelukast is a good
如果你是醫生，請根據患者的描述回答醫學問題。	we are planning for pregnancy since 3 yrs now. my report tell i have polycystic ovaries. And my husbands semen analysis shows: Azoospermia. please suggest our next course of action. thnk u. my husbands reports are as below: volume(ml) : 1mlApperance: Crema-whiteSelf liquefaction: Completed at 10 minsViscosity: GelatinousReaction(pH): 9.0Fructose: PositiveSperm count: nilMotility: nilsperm morphology: nilEpithelial cells/hpf : 0-1Leukocytes (pus cells)/hpf: occasionalred blood cells / hpf : 0-1 thank once againAAG	HelloWelcome here. I can understand you concerns. You are suffering from POD. I have also seen your husbands report. His sperm count is nil. I would suggest you to go for artificial insemination or IVF. Nil sperms in IOUs husband would not allow for natural conception.PCs in your case can cause problems after conception. However, the decision of your gynecologist would be final. But you have to keep a regular follow-up with your doctor. You should go for hormonal assays (LH, FSH, and progesterone). This will help to decide further course of action as well. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	HiI think I have the flue , for two days I hav been in bed and although my body does not ache anymore, I have a block nose,my ears hurt a little and I have a sore throat which does not allow me to sleep well at night. What should I do so I can feel better	Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of upper respiratory tract infection (URI) is more. And viral infection is the most common cause for this. Influenza is the most common virus causing this. So better to follow these steps for better symptomatic relief. 1. Avoid oily and spicy food. 2. Avoid hard to chew food. 3. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Received pelvic/transvaginal us, results are in however, Ive only been able to view because of employment through the hospital. I am concerned with the findings, i am 38 yo., 3 live births(2 by c-sec), and one ectopic preg. My uterus was found to be heterogeneous and enlarged measuring 12cmx6mx5cm. endometrum is not well delineated and is 7mm in thickness. 22x20 mm hypo echoic anterior uterus mass, endometrium versus mild fluid. Ovaries each with blood flow and small follicles?? I dont have follow up till Tuesday? And I am so worried thus could be cancer?	Hi, dairy have gone through your question. I can understand your concern. Symptoms of ovarian cancer are abdominal pain, abdominal mass etc. You may have simple cyst or chocolate cyst or some other pathology. You should go for CA 125 level and follow-up ultrasound abdomen. It will help you find exact cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	I have the sensation that I have pieces of glass in my skin. Nothing comes out and the sensation is there for a while (weeks) and then it goes away. It use to be on the bottom of my feet and at the top of my head. Now it is on the top of my foot, along the underneath side of my left arm between my wrist and elbow, and all over my head. When I lay down to sleep or rest my head against a piece of furniture it really hurts. The same is true when I put on socks or clothing over the affected areas. I have been checked for MS in the past but the doctors didn t see enough symptoms. These symptoms have developed since that time. When I was checked, they did not do a spinal tap, we just answered questions and I had an MRI, which showed a non-specific lesion in the brain. Other symptoms were pain on the right side of my body, memory issues, speech issues, overall pain, fatigue, etc.	Quite a lot of possibilities. First, there is the possibility of having glass in there. But generally something would be visible. Sick nerves in localized areas can occur from nerve poisons. It is more typically at the ends of nerves and on both sides evenly, BUT B12 deficiency, thyroid level low, or Lyme disease or syphilis or some metal poisonings can do this. Cannot say which is in your case and sometimes a biopsy is needed. MS typically goes for years prior to diagnosis.
如果你是醫生，請根據患者的描述回答醫學問題。	I ve had a constant pain near my colar bone area of my left shoulder for the past couple of months. It started when I took a 12 hour road trip in July. The seats were not very comfortable and I thought it was from slumping over while driving but it has not gone away. The pain gets worse if I lay on my left side when I sleep and when I try to push or pull with my left arm. Do you have any idea what this symtom means?	Hello, It looks from your details that you may be suffering from adhesive capsulitis of your shoulder. I shall advise you to consult to your doctor for this. Till then, you may do following to have relief:-Take a mild analgesic like Advil or Alive for relief-Do warm fomentation with help of water bag for three times a day-Take help from your physiotherapist, who can teach you some exercises for this Take care. Hope I have answered your question. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,I am a 29 year old male. I am suffering from food allergy. I consulted a dermatologist doctor two months back and he prescribed Fexofenadine and Levocetirizine plus Montelukast Sodium tablets. He advised me not to take tomatoes, onions, potatoes, and lemon. The medications are over. Still, I find some hives in my body. How long should I take the medicines? Is it curable? Can I recover fully even if I take tomatoes, onions, and potatoes? Can you suggest me?	Hi. If you have an allergy to certain foods, you must be getting hives when you consume them. You might get hives within an hour of consuming those above-mentioned foods. Are you getting hives when you take these foods? If yes, then you have to completely avoid them in the future. Once your body develops an allergy to something, it remembers it forever. Whenever you take those foods, you will have hives. This is like, if you have an allergy to a wristwatch, you should stop using it. That is the only remedy for that. Similarly, if you have found out that you are getting hives after having these foods, then you should stop eating them. I am afraid that allergy is not curable, but it can be controlled with medications. Your dermatologist has given you the right anti-allergic pills. Are you on any other oral medications? Have you done any blood test? How often do you get hives? Do you get swelling of lips, eyes, breathing difficulty or any joint pain? Revert with more information to a dermatologist online
如果你是醫生，請根據患者的描述回答醫學問題。	churchill i have a striking pain at the lower part of the back. it is not consistent. some times it will not allow me to even pick something from the grown. it is very aching. sometimes i don t feel that pain at all. what could it be. could it be a symptom of an std.	Hi, If you are elderly then it seems due to some pinched nerve pressure due to degenerative changes in your lower spines. This might be due to stiffness in back muscles as well. When nerves get pressure or irritation you may get pain and when it is released then you might not feel pain. Go for x-ray lower spines. Go for back extension exercises daily. Take calcium, vitamin A and D supplements. Ok and take care.
如果你是醫生，請根據患者的描述回答醫學問題。	hi sir i have cough from last 1 jan 2014 and it creates conjetion in LUn i think i have took trat for this but,after some time it apears again sneezing sound is coming while when breath going out please suggest what to do thanks and regards sakharam khalse	Hello Sakha ram. Thank you for asking at Chat Doctor. From your history I conclude that you have recurrent cough & wheezing in chest for last 6 months. I would like to know your age, but I guess you are a young adult or a middle-aged adult. The most common cause of above symptoms in this age-group is asthma. Of course, your environmental conditions, dusts, smoke, air-pollution, allergens, etc. does contribute to it. I would suggest you to consult a physician, if possible a pulmonary physician, who will examine you and may suggest some investigations like spirometry after examining you. Please don't worry. Modern science has very safe and effective Chat Doctor. I would suggest you to protect yourself from dust, smoke & air-pollution as much as possible. I would also suggest you regular breathing exercise. Please quit smoking if you smoke. Wish you best of the health. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	What kind of bugs can live on you and they have lIke this weird smell I thought it was a heat rash at first but now what .ever it is is spleading throughout my body.and at night is when I get this intense itch on my inner thighs and ballsack...I have been to the e.r . And have been treated for scabbies and head lice...thesebugs are flat and somewhat clear..oVal shaped...it s gotten to the point where I canthink even walk or be in public due to something feeling like claws on my nutssack...very painful and I can t wear short-sleeved cause of the Wellps and scars on my arms due to scratching and picking at them...I hate it and wish this was all a dream... and how did I get them or what caused them to have contact with them or better yet help me get rid of them....I m itching really bad right now but my skin is so scard up I bleed easy from scratching all the time	Hello, Thank you for writing to Chat Doctor.I've read through your concerns thoroughly, and I could understand how uncomfortable you might feel right now. Given your symptoms I would think of Scabies as well. It is one among the common parasitic infection in the body. The bug generally spreads through contact with a person or a place that is infested by it. These bugs generally burrow through your skins top layer and lays egg in the epidermis of your skin. The egg hatch and gives rise to even more bugs. The intense rash that your experience is due to the antigenic property of the eggs and the bugs crawling through your skin. Scabies is generally curable; however, you must remember to stay away from others and vacuum clean your home thoroughly especially your beds and pillows as they can till have eggs or bugs. The treatment of choice would be Permethrin lotion. You must apply it from your neck and work it down your body. Allow it to Chat Doctor. Sometimes oral
如果你是醫生，請根據患者的描述回答醫學問題。	good morning Dr. i am a 36 yrs old woman, i did ceramic lamination on my front two teeth , actually my teeth were very strong but slight yellow in colour ... dr. said that u have to lamination on ur teeth she suggest for six teeth but i did the treatment for front two teeth but i am regrating now because i feel that i took the hasty decision . my real teeth were really very strong but now i feel dr misguide me for few amount....i am very depressed because i have spent all my life with the duplicate teeth.....	Dear friend. Thanks for sharing your concern. Please do not get depressed. The treatment done for you, that is, lamination is one of the treatment modalities followed in cosmetic dentistry. But, definitely, the dentist should explain the patient about its advantages and disadvantages. Based upon that the patient should decide the best option for themselves. Anyways, can you please write to me the present problems that you are facing with your teeth so that treatment can be suggested accordingly. Hope it helps. Thanks.`Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	hii have chest pain right in the middle of by breast that comes and goes, i have also had a cough for the last two weeks im bring up green flem. i must add that i quit smoking four days ago because im worried about what im feeling and what it could be.thanks in adavance	Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer: chest infection can cause chest pain and tenderness, nothing serious.Explanation: My opinion is that chest pain has quite a differential diagnosis. first we should exclude serious causes such as cardiac conditions. One of the most common causes of chest pain and tenderness is musculoskeletal pain accompanying chest infection and chronic cough. As you are a chronic smoker that is a high probability. I suggest my patients the following : chest examination, chest x-ray would be helpful, colorful sputum is an indicator of chest infection. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other risk factors and comorbidities like diabetes, etc.Conclusion: I suggest you check up with your general physician. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. 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 doctor,I have been having burning sensations in my chest, arms, and back, numbness in both sides of face, and shortness of breath. I have also been having weakness of the legs. I went to the ER on sunday and they did not know what is going on.	Hello, Welcome to Chat Doctor forum. I understand your concern and would explain that your symptoms are suggestive of possible anxiety. From the other hand vyvanse can lead to such symptoms as a common adverse effect. Coming to this point I would recommend taking Alprazolam at a low dose for anxiety. If this does not improve your situation I would also recommend performing further tests: Thyroid hormone levels for possible thyroid gland dysfunction, blood electrolytes, vitamin B12 and vitamin D plasma levels for possible deficiency, an exercise cardiac stress test. You should discuss with your doctor on the above tests. If all the above tests result normal I would recommend gradually reducing the dose of vyvanse and see if your situation improves. Stopping this ChatDoctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a tube of the fluocinonide 5% and I dont remember what it was prescribed for. I think I have a urinary or bladder infection and I am irritated in that area, I wanted to know if I could use it for that , MY email is bettymill @ bellsouth.net Thanks Betty Miller	Hi Betty, The irritation in your outside opening of urethra could be due to urinary infection. Fluocinonide 5% is a potent corticosteroid. Don't use on external opening of the urethra. Instead:- get a home urine test to see if infection-increase fluids intake-take cranberry supplements to ease irritation infection is detected, consult further with your doctor as might need to run urine culture and sensitivity testing. If confirmed, should start antibiotics but for this need prescription. Wish fast recovery.
如果你是醫生，請根據患者的描述回答醫學問題。	I have had a hard lump by the crease between my leg and my vagina and the area around it is blue and red, no hair has grown back in over a month, the lump has been there for a month too. I dont have health insurance so trying to figure out what it could be and what i need to do for it.	Hi! Good evening. I am Chat Doctor answering your query. Irrespective of your insurance status, with the history and clinical state of the lump what you have stated, I am afraid you might have to get it clinically examined with related investigations as advised to get into the nearest diagnosis so that proper management could be done. Without a clinical assessment, it might not be possible to comment on this lump. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here...I need to know about Dr.Raja Sri of EV kalyani medical center chennai some say that she is rude. but what about the quality of treatment given in EV Kalyani. I was pregnant but during 12th week scan it was said tat foetus is not having cardiac activity and movements and had to undergo induced abortion. Im 24 yrs old, weighing 64 kgs and height 154 cms. My husband is 27 yrs old.Will there be trouble in next pregnancy, cause doctor said its because of chromosomal problem during formation of foetus.	Hi, I understand your concern. The mishap you had can be due to chromosomal namely or viral infection in early pregnancy. Pregnancy consists of union of chromosomes from sperm and ovum. During this process abnormal combination may occur by chance/ by viral infection. This need not happen in every pregnancy, you do have all the chances of having a normal baby in next pregnancy. So stay relaxed. Though, mostly it's usually confirmed to be normal by chromosomal analysis after one bad experience, Thanks. .
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I was hoping you would be able to help me.Since Wednesday, 4th Aug, i have been feeling off. After eating, I feel nauseous, and have been getting sporadic, painful stomach cramps. This became worse yesterday, at about 1pm, as I felt nauseous after eating, and this has now been a consistent thing. I have felt nauseous constantly since then... Today, I have had quite an acidic taste in the bottom of my throat, with the need to vomit, only to find that all I do is belch. However, I have been quite close to vomiting on a number of occasions today. I am becoming quite worried, Can you give me a little idea of what it could be, just to put my mind at rest, until I see my doctor.	Hi. Thanks for your query. The symptoms of nausea, after taking food, and cramps, acidic taste in the bottom of throat and belching is all suggestive of an Acid Peptic Disease with may be ulcer in the stomach and esophagitis due to HERD. I would suggest the following: Santa 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Risperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ Chat Doctor. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor)Lying in a reclining positional around after dinner. Think of the factors which increased the present problem, HERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems.
如果你是醫生，請根據患者的描述回答醫學問題。	I am really confused. I am a woman, 28, live in Iran. I want to choose a birth control pill but unfortunately I can not find true information to compare the pills. My doctor recommended Yasmin but I find out tha it is not good. Now I am thinking about Belara. would you please help me?	Hallow Dear, Bear pills are had different types: 1. Monophasic pills are the most frequently prescribed preparations. They contain the two hormones estrogen and progestin, but in a much lower dosage. However, this does not reduce the reliability of contraception.2. Aphasic pills alter the progestin/estrogen ratio in 2 phases. 3. Traffic pills alter the progestin/estrogen ratio in three multi-day phases by varying the amounts of progestin, estrogen, or both. Aphasic and traffic OCS are thought to approximate a women natural hormonal fluctuations more closely by varying the progestin/estrogen ratios. The aim of these formulations is to minimize the occurrence of breakthrough bleeding and amenorrhea while maintaining efficacy. However, some physicians and patients prefer monophasic pills because they are less confusing. You have to consider the pros and cons of these three types and choose one of them whichever suits you. Considering the simplicity of consumption and management, I feel, monophasic pills would suit you better. Yasmin also is a good and reliable birth control pill. I do not understand why you feel that Yasmin is not good product. You may choose anyone from Yasmin and Bear; you will not repent; both are reliable products. Consult your Gynecologist before choosing the type.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello... Recently while outside one of the local foxes came by to check out what we were doing. I work outside most days and today the temperature was -10 and we were all bundled up. This particular fox which is one of the normal ones we see on almost a weekly basis found my glasses which I had dropped out of my pocket and took them in his mouth and walked a few yards before dropping them after we yelled at him. I went over to pick up my glasses with a gloved hand to bring them inside to wash them. I washed the glasses without a gloved hand and sanitized afterwards. Under the advice of my coworker I threw the glasses out. Fox exhibited no signs of infection other then its usual curiosity Is there a risk for rabies here? If I need a vaccine I could not get it for 3 - 4 days without an emergency flight home due to my location. Could this be determental to my health. Thanks!	Hi, Welcome to Chat Doctor. I understand your concern regarding necessity for vaccination. Based on the details mentioned in your query, you do not require vaccination for this episode as there was no direct exposure to the animal. However, as you mention that there is a chance of getting exposed to wild animals due to your location, pre exposure prophylaxis can be recommended. You have to take three doses of the rabies vaccine on 0,3,7 days with 0 being the first dose, followed by vaccination on 3rd day and then the seventh day. Avoid direct confrontations with wild animals for your own safety. I hope I have answered your query satisfactorily. Please get back if any more queries.thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	This past June had some wisdom teeth pulled. The right lower wisdom gave the dentist fits, week later they start deep cleaning of teeth. The dental hygienist gave the injections instead of the dentist. Since then the right side of my tongue is numb. I called the dentist back next day, they said it would past, to date hasnt. I have no since of taste, tongue has burning sensation, shooting pain, speech has changed. The thought of having this the rest of my life is becoming overwhelming. Do I have a case, since my lingual nerve has been damaged.	Hi. Thanks for the query. It looks like nerve injury leading to numbness and episodes of burning and pain. It can be probably due to nerve damage caused either during injection or extraction. So first consult an Oral Surgeon and get evaluated. Anxiety ray should be done for confirmation. For now, you can take vitamin B complex supplement as it helps in nerve repair and regeneration. If injury is temporary then it will recover in a few months but if the nerve is completely severed then unfortunately it can be irreversible. Hope this helps. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	There use to be a stick that was made of hard plastic that you would squeeze to break another tube inside. It would then produce a product that you would put on a bee sting. Sorta looks like the thing they use to wake someone up that passed out.	Hello, Welcome to Chat Doctor, The sting can result in an allergic reaction due to the secretion of venom. Allergic reactions can be immediate or delayed, though immediate reactions are more common. The treatment varies slightly according to the severity of the reaction. In severe reactions (decreased blood pressure, increased pulse, hives, difficulty breathing) hospitalization is required for treatment. Where there is only swelling and rash, you can treat at home by the use of oral antihistamines such as Ben Chat Doctor. In addition, if the area is painful, you can use paracetamol. If the severity of the reaction worsens, then you would need to seek medical attention. If you haven't had a tetanus shot in the last 5 yrs, you also need to take a booster dose. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a chemical pregnancy the week of Nov 9th-13th. Beta ChatDoctor at the dr was an 8 on the 12th. I then started bleeding and having mild on the 14th. I now have yet to start my period, have ALOT of preg symptoms(boobs hurt, BAD heartburn, nauseated, stretching of abdomin) but getting negative HPT. HELP PLEASE!!!!!!!	Hi dear, I have gone through your question and understand your concerns. Engorgement of breast and nausea can also be present in the premenstrual period or in other hormonal imbalance. If your urine pregnancy test is negative, then the pregnancy is ruled out. I will suggest you to wait for a week for the periods to come, if still they are absent, then you should get your hormonal profile done to confirm the diagnosis and get treated accordingly. Hope you found the answer helpful. Wishing you good health. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi i have been taking alendranate 70 mg 1 a week,biut notticed a slight ache in my left jaw,i wear dentures so no natural teeth,is this ok or should i see my gp,istarerted it 2 months ago due to 2 fractures in my vertrabral,i was on it for 3 months in 20 13 but stoped taking it ,as sore gum but went to see maxi facial dr and had xray it was normal,just would like your appinion,as dont want this happening again as its still very painful after 4 months kind regards philomena cassidy	Thanks for your query, I have gone through your query. The pain in the jaws can be because of the trauma or laceration or ulcers caused by the denture. The other possible cause can be because of the temporomandibular joint, which can be secondary to any causal problems in the denture. So consult an oral physician and get it evaluated. If it is a laceration or ulcer, you can use topical analgesics like choline salicylate. If it is problem with the denture it has to be corrected. I hope my answer will help you, take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, my name is Veronica I have had this symptom of a feeling of being chocked or a lump in my throat and it also feels like my chest is tight I do not have any difficulty in breathing but when I Bend I feel a rush of pressure to my head now I am most worried about this tightness of a feel on my chest and throat, might you know what can be a cause and how I can alleviate the symptom as I wait for my appointment?	Hi. Thanks for your query. Noted the history and understood your concerns. The commonest causes of feeling something in throat, feeling something or heaviness in chest and heaviness in head on bending are:Globes is a psychological condition wherein one feels something in throat. Chest pain can be due to Costco Chat Doctor. Headache on bending can be due to sinusitis or hypertension. All these in turn can be due to stress and anxiety.Hence, get a clinical evaluation by your Doctor, examination and investigations to prove clinical diagnosis or rule out. May need medications for the psychological problems and symptomatic treatment too.
如果你是醫生，請根據患者的描述回答醫學問題。	I got me a new place in Lanark...Amphibious Army village in the 40 s and now a retirement community. I was drinking the water there until told not too but still get this cough every time I go down there (on weekends) and my neck itches under my chin . could it be radon, radiation ...night air from the beach? I also catch crabs and clean and eat them a lot. I ve never been allergic but could it be I m acquiring an allergic reaction? thanks you....	Hello, If the coughing and itching under chin happens more after eating crabs, then you must check if you have not developed seafood allergy. Skin prick tests or blood tests (Specific IGE) against shrimp, crab, lobster are required. Mold allergy can also be checked at the same time, given the community you are currently in. Antihistamines such as Fexofenadine or levocetirizine can be used as required in most occurrences, but if they start happening every day, you need the tests and start on regular dose for 3-4 months. Best Wishes.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here... My wisdom tooth is poking through my gums pain is on and off, but now there is green puss coming out from under my gum line do i need antibiotics? Or will it heal on its own? Thanks	Hello thanks for your question at Chat Doctor. Wisdom tooth need to be examined by x-ray. If there is enough space then we can let it erupt in mouth. If there isn't enough space, then it needs to be removed. In your case its poking, paining and discharging green pus. So yes you need antibiotics. You can go for amoxicillin if you are not having penicillin allergy. You should also take painkiller medicine if pain is severe. And get one x-ray of that tooth by nearby dentist. You can ask for further queries if you find any confusion. Wish you happy health.
如果你是醫生，請根據患者的描述回答醫學問題。	Just recently I have noticed that my tongue was bleeding...for no obvious reason...the only thing I have done differently in the past couple of weeks has been using 3% peroxide to rinse my month after brushing...too whiten my teeth and improve gum ???	Hi. Welcome to Chat Doctor . As per your query bleeding from tongue can be most commonly due to traumatic injury to the tongue while can also be bleeding from gums if they are infection. If you have sores on tongue, then it can be due to bleed from sores. I would suggest you to consult an Oral Physician and get evaluated, and a thorough clinical evaluation will help in diagnosis. As far as peroxide rinse is concerned you should avoid using it without proper advise as it can cause teeth sensitivity. As of now take soft diet and do warm saline gargles. Hope this helps. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Can a pulled chest muscle cause heart damage? My father was shoveling snow and felt chest pain. He went to the doctor and they said it was just a chest pull. When he tried to shovel the following day, my mother told him not too because he could hurt his chest muscle and have heart damage. Is that true or is she just being a worry wart.	Hello Welcome to Chat Doctor. Shoveling or any physical exercises can cause chest muscle pull but not damage to the heart muscles. The heart muscles are smooth muscle fibers which do not directly take part in any voluntary body activity. Moreover, the heart is located safely inside the rib cage and damage to heart muscle while shoveling is not possible. However since shoveling is a physical exercise (like running or swimming), it increases the workload on the heart. The heart requires more blood supply during physical exertion and people with blockages in the heart can sustain chest pain due to lack of blood supply to the heart. So indirectly it can lead to chest pain if he has blockages in the heart. Do if he gets pain every time he shovels or runs or jogs, then he must get evaluated from the cardiac point of view. Also since he has just sustained a chest wall muscle pull, its advice to rest and what your mother is asking is just out of concern. Wishing all of you good health. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My 13 year old daughter has been suffering from vomitings and loose motions since two days. She had a fever of about 101.3 the day before yesterday. Our doctor advised her to take Oflox OZ and Sporolac DS. She has had five doses of Oflox OZ till now.The fever has gone and the number of motions has also reduced, though still watery but she is not eating anything. Her appetite is lost and even if she eats a little she complains of nausea though she is not throwing up. I am giving her Emeset for nausea. Is this a normal stomach infection?	Hello, Welcome to Chat Doctor forum. It looks like she had a bad gastroenteritis. She is recovering. Continue both these medicines for at least five days. Can add tablet Pantocid 40 mg (Pantoprazole) daily once for five days. Emeset (Ondansetron) can be taken as needed for nausea. Consult her specialist doctor, discuss with him or her and start taking the medicines with their consent. Her appetite will slowly improve over few days. Hy ChatDoctor. For more information consult a medical gastroenterologist online
如果你是醫生，請根據患者的描述回答醫學問題。	My husband has empChatDoctora, adencarsimona lung cancer which is being treated with chemotherapy which is beginning to shrink the tumours, his problem is shortness of breath and now he can only walk 12 paces before he needs oxygen what can be done to help him	Hi, dairy have gone through your question. I can understand your concern. Her breathlessness is due to emphysema and lung cancer. He should take chemotherapy or receptor specific therapy. Once his cancer shrink his breathlessness will improve. Symptomatic treatment like bronchodilator can be used at present. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	hi i have a 16 month old baby girl who seems to suffer from dry coughs and runny nose and lately hear infection, im wondering if its best to have a babys window slitely open and door open for ventilation or keep them losed like my wife saysthanksmark	Hello Mark! I can understand your concern. You should avoid cold weather or wind during winters especially when your child is allergic to cold or if he/she is running cough and cold but not during summers or warm and humid seasons. Babies also need adequate ventilation to breath. You should maintain normal temperature of room and normal level of humidity like the adults can tolerate. No extra care needed for temperature maintenance for babies can open a slit of window to avoid suffocation. Hope it will help. Wishing your child good health. Stay blessed :-)
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, i went to the doctor today because i am in a lot of pain. He diagnosed me with Folliculitis but took blood to make sure it s not herpes. I have an open sore/ blister and it is SO painful, to the point where i am crying trying to urinate. I just sat in a tub for twenty minutes and still cannot because of the pain. The pharmacy is already closed and i don t know what to do. It is unbearable. What do i do?	HI, thanks for using Chat Doctor If you have petroleum or a zinc based cream you can use these as barrier protection on the lesion. This would reduce any irritation that you feel as the urine passes over the area. The zinc based creams can be found in many baby diaper barrier creams. If neither of these an option at this time of the day then you can try using a gauze or clean tissue over the area to reduce contact during urination. Oral anti-inflammatory painkillers such as ibuprofen, naproxen, Catalan can be used to help relieve the pain. 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, Im 15 years old and I ve just started going on the pill, this is the second time as the first one made me feel very bloated and caused my constant tummy pain, but now I ve started this pill I am experiencing, constant bloating, feeling sick, back pain, I ve been on my period for about two weeks now since I started it, I constantly feel as if I need to poo and some times I will have a very sore stinging wee, please can you let me know if this is related to the pill or is something complete different, thankyou	Hello, and I hope I can help you today.First, in the first month of use, all birth control pills will cause some degree of side effects of bloating, breast tenderness, nausea, mood changes and irregular bleeding. This is because when you first are taking the pill, your body is still making its own hormones, so essentially the hormones on the pill are sort of tricking your system to make it think that you are pregnant. This is why many women get symptoms that are sort of like pregnancy in the beginning when they start the pill. However, burning with urination and back pain are not usually due to side effects of the birth control. These are actually symptoms of urinary tract infection, which can happen to any young woman when they are deny Chat Doctor. Urinary tract infections require a urine test that needs to be performed in a doctor's office to determine if you need treatment. So in your case, I would recommend continue to take your pill and trying to take it as close to the same time every day as possible will hopefully make your breakthrough bleeding stop. However, I do recommend you see a doctor or other healthcare provider to get your urine tested to make sure you do not have an infection, as if he is urinary tract infection is not treated it can spread your kidneys and make you very sick. I hope that I was able to adequately answer your question today, and that this information was helpful to you. Best wishes, and I hope you feel better,
如果你是醫生，請根據患者的描述回答醫學問題。	Hi i had a cold/flu a couple of days ago which made me cough quite a bit. I was coughing up a lot of phlegm how at the 3rd day which is today my sickness has basically gone away however i was left with a pain in my lowerback (lung area) and some pain in my abdomen. The pain was very big in the morning where it would hurt to cough laugh or lean however the pain is decreasing but still somewhat hurts when i laugh and rarely cough. Is this something bad or is this just because i was previously coughing a lot? I was taking mucinex and have no trouble breathing. Thanks for the help	Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer from-Bronchitis with Pleuritic of the Post. Lower Lobe With ?recovering Pneumonitis patch , which is giving you hurts when you laugh or cough lately. This sign of pain on laugh is bad sign, as it suggests the Pneumonitis Patch in recent times of your progress of this illness, which is recovering, but could become worst if not treated in time with experts hands.treatment -Suggested would be-X-ray chest x every week's time for 2 weeks by which time things would come under control, clinically totally.-Add Amoxicillin with Cavulanic Acid(Augmenting) 1 x 2-3 times per day 10 days time-Sputum AFB -testing-Plenty of fluids.-Tab Mucinex-D 1 x 2 times per day x 5 days time.-Tab Omeprazole 40 mg 1 x 2 times per day x 5-10 days time -Liq Gaviscon-2 SF x 3 times -post intake-x 5-10 days time for the reduction of reflex Lung secretions in the lower lobe-Tab Voltaren 1 x 2 times per day, till the pain is controlled x 5 days time. With this cough / cold -Bland diet / more of liquid veggies x 2 times per day. Hope this would help you to reduce worry with your problem. Take care and wish you to recover fast and Live healthy. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 2 yr breast cancer survivor and have started following the Metabolic typing diet and lifestyle. The coach I m working with is advising me to start taking Pregnenolone drops to help lower testosterone levels and to help raise my estradiol , estriol and progesterone levels and licorice root drops to lower high cortisol levels. I have read some contraindications regarding breast cancer history and these 2 supplements. My breast cancer was not hormone positive. He says it is a bunch of garbage. I plan to ask my oncologist when I see her next but wondering what your take on this is?	First, in breast cancer, we want to keep the estradiol levels low as they cause the growth of any remaining cancer cells in the body. Secondly, this is applicable only to hormone positive cancer. So whatever effect your diet is going to have on your hormones, it is not going to affect your cancer control since you have a hormone negative cancer. I assure you it is not garbage but the result of years of research by dedicated scientists the world over. As far as a healthy diet plan is concerned, you just need to avoid obesity as it is the only proven factor for breast cancer occurrence. Also, take adequate amount of fresh fruits in your diet.

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