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如果你是醫生，請根據患者的描述回答醫學問題。	I m having lower back pain on the left side I m fine during the day but the moment I get home and sit down my lower back feels heavy and after awhile the pain goes away when I fall asleep sometime in the early morning the pain is excruciating pulsing feeling wondering what it must be	Hello, Your pain may be muscular pain due to fatigue or spasm. Pain at the end of day is due to continuous use of back muscle during the day and due to this it gets fatigue at the end of day. As you take rest during night it goes away. Your need to strengthen back muscle by physiotherapy. Take rest in between work hours. Avoid prolonged standing hours. 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 just had a PET/CT scan. I got to see the PET scan and it showed lots of dark spots. Are the dark spots just areas that hold moisture and are active? Such as brain, kidneys, liver, etc.? Only the back portion of my brain was black, what does that mean?	Howell come to ChatDoctorThank for asking really appreciate your concern, beside the radiologist it is not possible to read the radio imaging, and the most important is clinical history of the patients, the dark area may be normal or abnormal it is all depends upon the anatomy of organ and related pathological changes, without studying the image it is not at all possible to comment or predict or say anything hope this information helps.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my mom has colo rectal cancer and she has undergone chemotherapy and radiation 9 weeks before. the date of surgery is on 12 th july. But now though we are waiting for the surgery date but my mom is facing gas formation issue , regarding stool passing : in aday she goes to the loo 5- 6 times but works only 2-3 times,...though she passes the gas / burps and all goes fine but still gas remains...might be the formation is high as compare to the passage....what you all suggest?	You mother probably has landed up in irritable bowel syn Chat Doctor. Radiation can also cause increased frequency of stools and irritation of gut but that doesn't last long. Her symptoms are not permanent, and she would get better as time passes by. All she needs to do is to take frequent small meals with good nutritious value, low fiber diet and not to get upset. You can seek the advice of your physician regarding supportive medications
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I am getting excruciating pains in my lower back when I lie down especially if I have been standing for a long time. I don t know what I have been doing to cause this or what I should do about it. The pain will subside after lying down for a while but the first 20 minutes is pure agony. Suggestions on what it may be or how to help it?	Hello and Welcome to Chat Doctor, Thanks for writing to us. Low backache looks like a positional anomaly. The low backache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time Hope this helps you. Wishing you good health... Regards. Chat Doctor. Orthopedic Surgeon.
如果你是醫生，請根據患者的描述回答醫學問題。	hello doctorhow are you ?please help meI have a question How can I reduce the semen liquifaction time ? this is my recent test Volume 2.2 ml (>=2) color gray (gray) appearance opaque (opaque) liquifaction >120 min ( viscosity adhesivy (normal) ph 8 (7-8) sperm count / ml 129 million (>20 million) abnormal forms 25 % ( Ideal normal form >80%) motility 80% (>60% ) rapid progression 45% slow progression 35% no progressive motility 20% W.B.C / hpf 2-3 (occasional) thank you very much	Hello, Sometimes liquefaction time may be long only in one occasion. But if it continues to be long, we need some tests to find out the cause. So, first, please repeat the test from another good laboratory after 3-5 days of abstinence. If still the problem is there, please do semen culture to find out some infection. Additional tests may be needed because sometimes there may be problem in the prostate gland. If no cause is found, you can consider doing GUI to bypass this problem. There are very few medicines which can help. Hope I have answered your queries. 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。	My sister had TB last to last year,she was treated as she took treatment for nine months.Now she is scared to go for any job.Earlier to this she was working for a call center.Now she refuses to talk to people,she doubts everyone and she doesnt even trust the family members.How can we help her ....I want this information to be confidential .She also does not agree that she needs help	Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through.Anti-tubercular Chat Doctor. Get a psychiatry consultation done. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/
如果你是醫生，請根據患者的描述回答醫學問題。	HI on my right side of my face I have aet lump with a mole on it the lump makes my mole poke out fauther on my face the lump hurts just a tiny bit its about the size of my thumb it appears and goes my mole is black and as round as my small pinky finger	Hello! Thank you for the query. This seems to be two separate things located in the same area. First is a mole which is a skin lesion. Second, located deeper can be a debacles cyst - benign lesion filled with whitish masses. As this cyst tends to get infected it can come and go appearing as a red and painful area. As it is close to the mole, I suggest you to consult dermatologist. Both things should be removed and tested. Hope this will help. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	I have upper abdominal swelling and have put on about 9 pounds in two months with no change in diet. I have tried calorie restricted but the pounds wont budge. I was recently diagnosed with high lipase. I believe the number was around 90 or 900 but was told for pancreatitis it would need to be in the 10,000s. What else could it be?	Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Elevation of lipase more than three times the normal limit level is considered to be significant. So level of 900 is significant and suggestive of pancreatitis or pseudocyst formation as you have swelling in upper abdomen. So I will advise you to get an ultrasound abdomen to see for the pancreas and manage accordingly hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
如果你是醫生，請根據患者的描述回答醫學問題。	DEAR SIR, I WOULD LIKE TO ASK FOR HELP REGAING MY LOWER BACK PAIN. I HAVE A PAIN AT MY BACK AND ITS FEELS VERY HOT INSIDE. IT HAS GOING FOR FEW YEARS NOW. I HAVE DONE LOTS OF MEDATICAN BUT DOEST HELP. WHE I SLEEP I FEEL LIKE I AM SLEEPING ON FIRE. I AM 30 YEARS OLD AND JOB IS VERY EASY I DONT CARRY HEVY STUFFS. I HEED YOUR HELP PLEASE THANKS	Welcome to Chat Doctor .1. Get a simple x-ray lumbar spine AP/LAT done to see if there is any gross abnormality, or where the problem lies.2. If necessary an MRI to see the condition of the disc, nerve, chord.3. For remedy, you try lying on a flat surface (avoid bumpy/pits mattress) and do the exercises recommended for back pain.4. If you try it on daily basis, you will be free of pain - keeping mind your age and job.5.Don't simply take medicine, first evaluate the cause. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	My 7 yr.old grandson refuses to eat. We offer him his choice of meals have tried to convinence him to try something but still refuses. He will eat ice cream and if he can get his hands on the sugar bowl will eat that. This has been going on a long time and no matter what any of us try he refuses to eat anything.	Thanks for posting your query at Chat Doctor. Feeding a child seems to be a problem that many parents and caregivers face. It first needs to be evaluated whether the child is simply fussy or whether there is some problem. If things seem fine, the only option that you have is to try and coax the child to eat. Trying to assess the taste of the child should help. You may apply calamine lotion over the area should help. Please revert with further information and I would try to help further.
如果你是醫生，請根據患者的描述回答醫學問題。	my 7 months daughter has been diagnosed positive for dengu (NS1) on wednesday. Her blood platellet count has been reducing from 186000 on wednesday to 131000 on friday. and we are getting blood platellet count tested everyday. Though the fever is under 101, but the platellet count is still reducing. What should i do.	Hi...in dengue fever, rather than platelet count...most important things are - 1. Swelling and water accumulation all over the body.2. Decreased urine output3. Respiratory distress4. Seizures5. Regarding lab tests - PCV or Hematocrit is more important than platelet count. If it is above 38 and the kid is not Chat Doctor. What you need to do is - watch for the above danger signs and if they develop rush to the nearest emergency room. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	Several months ago I would get a pain in my right leg and maybe a day after brusies would show up, this went on for about 3 months. The leg pain stopped for maybe a month and now my right are was paining me and I have 2 litte red bruises. What could be wrong?	Dear patient thank you for your question. Here are a few causes of spontaneous bruising and some tips to help you figure out what you might have1) Blood disorder:a. On Willy Brandt disease/ Hemophilia: A blood disorder due to lack of coagulation factors. It results in spontaneous bruising and is easy to rule by a simple blood test called COAGULATION PROFILE.b. Thrombocytopenia: Low platelet count can result in such symptoms. A coagulation profile will help to diagnose this condition as well. Leukemia: My intention is not to scare u but practically speaking it is a possibility especially if u feel fatigued and have bone pain or headaches. Please get a complete blood profile done2) Liver disorders of your coagulation factors come from your Liver hence a Liver disorder mostly cirrhosis can result in such symptoms. Get an LFT done. Yellowing of your eyes/jaundice may hint at a Liver disease however it is not a rule3) Vitamin deficiency: Vitamin C and b12 deficiency can result in bruising as well. The test is time-consuming and expensive so just take a multivitamin tablet every day and see how u feel after 2 weeks4)Graces disease: This is a thyroid disorder and may be accompanied by excessive sweating feeling hot increase appetite yet wt loss. A thyroid profile is warranted. More common in females5) Excessive medication/ Injury: If you are taking any medication please read the label to see if hematoma or bruising is a mentioned side effect.Also, if you go to the gym or run a lot this can happen strongly urge you to discuss this with your go and reach a diagnosis. In the meantime for your pain here is what you can do1) Ibuprofen 800 mg twice a day2) Cold compression over the bruising3) Elevation of the leg while sitting down Hope this helped.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, My aunt is having severe back pain at the bottom of the spinal cord. Doctors have given some physiotherapy treatment and advised an operation. But she refused, and the doctors have given her some antibiotics to reduce the pain. Now from past 2 weeks, she is suffering with chest pain. Also recently she has observed an enlargement in the liver area and hardening of the stomach. She says, she is not feeling hungry, and not able to breath properly. She has visited a doctor recently and he told, that there might be a wound inside the liver. Some other doctors told, due to high usage of antibiotics, it is common that it happens. Kindly tell me the problems related to liver and what could cause them and what are the treatments.	Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Usually liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases it doesn't require any specific treatment. If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are the most common causes and in this case medical evaluation is required. Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. You need to check your viral markers and do liver biopsy if necessary. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my son is two years and 5 months old. I live in Mumbai India. He has been complaining of tummy ache and he has been going potty three or more times a day since past three days.stools are formed but weird. Can I give him nor met or taximo?and what dosage.thank you..	Hello, It seems your kid having viral diarrhea. Once it starts, it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z and D Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 54 year old female. I had a closed fracture of my left tibia and fibula 10 months ago. I was non weight bearing for 4 months with an external fixator. My toes are still numb and it is quite painful still to walk on my left foot. My fracture is healed, but the bone is crooked, but within acceptable limits according to my orthopedic surgeon. He said there was probably damage to the peritoneal nerve. Will this numbness go away or will it affect my ability to walk from now on?	Welcome to Chat Doctor I have gone through your query and understand your concern. Probably you got injury to perineal (not peritoneal) nerve. You are likely to recover gradually as other nerves took function of this nerve. Mecobalamin can be helpful in recovery. This should not be doing any harm in walking, and I think you can walk normally. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I am Arun from UK.My MRI report shows that I have got L5-S1 disc right postero lateral prolapse with sequestration and inferior migration. Thecal sac ,right lateral recess and ispilateral exting nerve root are compressed by disc fragment.also L4-L-5 show mild annular bulge with indentation of thecal sacs. Is surgery required??	Hi, Welcome to the forum. You are suffering from PIED (Prolapsed Inter vertebral Disc) at L1-l2 and L4-L5 level. You don't need surgery but to be confirmed by clinical examination. To get rid of this problem you can go for medication with physiotherapy and some precautions. Precautions to be followed are: 1. Avoid jerky movements of spine. 2. Wear LS belt while traveling or Chat Doctor. 3. Take complete bed rest in worse conditions. 4. Do regular spine exercise as advised by your physiotherapy. 5. Use hard bed to sleep. 6. Take some analgesic and apply Diego gel locally in pain. 7. Don't lift weight. I hope this is helpful to you. Consult me again directly through my profile. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Dr. I am pregnant with 26 weeks and having server pain with one of my tooth and dentist suggested that root can has to be done but it is not advised during this stage. What should I do as no way pain is reducing, its unbearable. Please help Shubhangi	Thanks for your query, root canal treatment can be done, but you can't get exposed to radiation.you can consult an endodontist and get the access cavity preparation done and removal of the infected pulp.and take a course of antibiotics like amoxicillin and paracetamol...the infection will come down and after delivery you can get the rest of the treatment done...I hope my answer will help you.take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I am a 21-year-old female with 5\7 height and 168 lbs in weight. I have a yellow bruise on the top of my areola. And when I noticed it over two weeks ago, my whole breast started to itch, and it never stopped. There is no discharge or pain. I have not done anything to bruise it. I have no idea where it came from. But the itching is killing me it never stops.	Hello, Welcome to Chat Doctor forum. A bruise is due to tissue bleeding and is usually bluish or bluish-red. It is never yellow. Moreover, a bruise is never itchy. Therefore the condition that you have is not a bruise, and it is something else. I would keep a possibility of either eczematous dermatitis, tinea, or fungal infection. I require a picture for a confirmatory diagnosis. Both of these conditions are itchy. I would be able to help you better if you can upload a digital Image of the affected area.
如果你是醫生，請根據患者的描述回答醫學問題。	Yes I am a 32yr old male. I am having difficulty urinating and have been having difficulty for some time now. When I do go and think I am done I continue to have a small amount come out. I am also unable to get an erection. For the past couple of weeks I have been experiencing pain in my lower back and hips that seems worse at night. My father had prostate problems and I am concerned..... However I know it would be very rare at my age...... Is it possible? I see my doctor next week Monday	Hello misunderstand your concerns think you have enlarged prostate that cause difficulty in urinating and erection problem. Enlarge prostate compress the urethra and lead to difficulty in urine. And it causes sometime erection problem and delayed/retrograde ejaculation. I advise you to consult the urologist and get the done proper investigations to diagnose prostate problem. Blood PSA level, USG, rectal examination should be done. Doctor may give tamsulosin for treatment. If not responds to Chat Doctor. As prostate problems resolves, erection problem goes away. Other case of erection problem like psychiatric problem, diabetes, hypertension, alcohol and smoking, obesity should be rule out. Start regular exercise, take healthy diet with high protein, antioxidant items like almond, fresh fruits and Tablet Co Q. You can also take siledenafil tablet for erection after proper evaluation. Hope this may help you Best regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hi l m sadiq.my uncle having a brain problem.the CT brain(plain) observations........................................... CEREBELLUM: there is evidence of large hypodense areas seen in most of the left cerebellar hemisphere & small patchy area in the right inferior cerebellar region suggestive of subacute infarcts. .I don t no this pls tell me.& what s the treatment for this	Hi Mr Sadiq, Thank you for posting your query. I have also noted the CT scan report findings of your uncle. This report suggests a blood clot in cerebellum, located in the back of brain. This is due to blockage of blood supply there. The common risk factors for this brain stroke are high sugar, cholesterol and blood pressure. Treatment requires use of aspirin (blood thinners) and statins (cholesterol lowering Chat Doctor. In addition, any risk factor also needs to be controlled. In some patients, there could be severe swelling of the brain. In that case, a surgery may be needed to save the life. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health,
如果你是醫生，請根據患者的描述回答醫學問題。	my entire life, I m 51, whenever I get a cold and swallow nasal mucus , I get a very localized stomach ache that has intense pain. It feels like a small, condensed gas bubble. I m incapable of belching for some reason. The bubble is palpable and is located on the far right (my right) side of the front of my abdomen. HELP!	Hello and welcome to Chat Doctor. Thanks for your query. It is possible that whenever you have a cold or fever, you could be having hyperacidity, probably because of the poor intake and stress. This is the probable cause for having stomach pain during such times. During such times, I would advise you to take an adequate intake, eat a bland diet and Chat Doctor. You can also try an antacid for symptomatic relief. If the problem is persistent or severe, please see a doctor for further evaluation and investigations. Wish you all the best.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been bothered at night with a stiff neck...to the point it wakes me up (left side) and today I noticed that there is a lump on the back of my head, tender to the touch. If I put my palm on my left ear, I can cover the tender area with the middle to end of my fingers. It is quite tender and the more I touch it the more my neck aches.	Thanks for sharing your health concern with us!well, it is just an infected sebaceous cyst or an enlarged lymph node and not to worry much for this. You have to press ice-cubes or cold compress and take some broad-spectrum antibiotics like erythromycin; if not relieving within 7 days then consult some surgeon for aspiration /excision of the material inside; never poke it as this may invite infection! All the best!
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,For the past three days, I am having pain in backside of my neck. The pain actually is not in the complete neck it is in a part from neck to mid of the back. When I turn my head to the left it is a kind of electric shock feeling. This may be because of some sleeping angle, I do not know but I am feeling it very badly. The pain I feel is from goes from neck nerve at the back to the left arm and down to neck till the middle of back. From today morning I have a little headache. Also, I am diabetic. Please help.	Hello Are you using a thick pillow? Neck muscles seem to be in spasm. Muscular spasm. Give elaborate history on any medications you are allergic to or taking at present.
如果你是醫生，請根據患者的描述回答醫學問題。	having bleeding from Augest. on and off.paps negative.right side palvic and back pain.mornings more pain. reduce pain for advil and doing garduning or light works.some time the pain is stay long time.like pinching.some time have passing gas or bowel movement pain will go. is it kidney prblem?	Hello, In case of chronic kidney disease lead to platelet dysfunction lead to bleeding. Are suffering from bleeding per vagina or per rectum? It may be a dysentery or hemorrhoids or fissure in ANO. Until examination is done it is difficult to say what it is. Get it done stool examination and ultrasound abdomen. Avoid spicy food and alcohol. If symptoms not improved please consult with your physician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, I feel like I have an air bubble lodged underneath my knee cap. I bent my leg wrong during a game of Twister, and now I can t bend my leg more than 120 degrees, after which I feel like my knee cap is going to dislocate. This is excruciatingly painful, I get a very cramp-like feeling with a high amount of pressure on my knee. What could be the matter, and what should I do?	Hello, It looks from your details that most probably you may be having post-traumatic synovitis of knee. There is swelling of covering or associated soft injury at your knee. You should do following to have relief:- Take rest-Apply a knee support like knee cap-Take a good anti-inflammatory analgesic We used to prescribe diclofenac or other similar substances in such cases. If this does not improve your problem in next 3-5 days then you should consult to your doctor and should have an X-ray of affected knee. Hope I have answered your question. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	my 16 yr old son was hit by a oncoming vehicle last wednesday evening..... the car left the site. My son turned 2x around in circles fell to ground face down tried to get up couldnt fell again face down, then was able to get up as the car left, he ran away assuming he was in trouble. I just found out today. Last couple of days he stated to me his body was aching, i assumed he was getting ill as change of weather. This morning he woke up shaking nonstop, headache couldnt stand on his own and a bad headache, so i sent himn to bed and gave him dayquil, he just woke up states his face is numb, right arm numb, headache, small stomach pain, right side rib ache when breathes	Hello, It is the rule that head injury needs to be kept under observation or a couple of days because anything may happen during this time period like vomiting, giddiness, (Alter sensorial), if this happens, then CT imaging is must, but it is the trend nowadays that all the head injury cases being sent for CT imaging. Here in your case it is the case of head injury, so it is advisable to get done the CT imaging to rule out the cerebral injury (Brain Injury) present symptoms may not be due to head injury, but it can not be taken as granted for anything, once it is the history of head injury, then CT imaging is must, I am advisable not to treat the symptoms without consulting the doctor. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, I m a 30 yr old physically fit woman. I m experiencing a lack of appetite , nausea , frequent urination (getting up several times through night), and headaches. I started birthcontrol a little over a month ago. I wasn t great about taking the pill everyday, and I believe it threw off my period because it only lasted one day. I took a pregancy test 2 days later (I used protection), and it said negative, so I don t believe it s that. Is it possible the pill is creating these symptoms?	Hello thanks for your query. The symptoms described by you are attributable to birth control. They would have been better had you taken the pill sincerely. However, as you are not good with maintaining the schedule, it is better to substitute a different method of birth control. If you fail to have your period within a week, consult a gone to rule out other reasons such as thyroid hormone disturbance, polycystic ovaries etc. All the best.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor. I m 21 and my husband is 50. I think it s about satisfaction. I was never attracted to men before like that, but after marriage it s hard for me to control my emotions. And he is even so shy to sit with me or to talk with me when his sisters are around. That s is so insulting for me too. Need ur help.	Hello are 21, and he is 50 and there is significant age difference. You are not able to control your emotions, and you remain sad due to that. He is able to indulging in public display of emotions. See due to the age difference he might be showing a little hesitation. Second reason that is possible is his introvert nature. A lot of individuals remain introvert in their life and this doesn't mean that he is not a good man. If you feel insulted due to this I would advise you to talk with him directly about your concerns and most likely he will understand your problem and will reassure you. If problem persists then consult a Psychiatrist for marriage counseling. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	I was wondering if there s any doctors out there that s able to give me some insight on being a Beta Thalassemia Carrier. My local GP told me I shouldn t feel anything however, I do get dizzy and faint quite frequently, and was wondering if this was a symptom.	HelloWelcome to ChatDoctorBeta thalassemia carrier is very minor disease because it has only single gene. Person has only mild anemia with or without iron deficiency. Hemoglobin level just slightly decrease. No treatment required for Beta thalassemia carrier. For iron deficiency, no any iron therapy needed because of minor disease. Dizziness and fainting may be due to minor hemoglobin deficiency and minor iron deficiency. Just take healthy diet with lemon juice or buttermilk will help you in increasing your iron level, but it will take time. Hope you are happy with these. Take care...
如果你是醫生，請根據患者的描述回答醫學問題。	I had the cancer Rhabdomysarcoma and underwent treatment when I was 21. I am no 26 and cancer free. I recently got married and am curious if the chemo or radiation I had could have made me sterile. The tumor was in my sinus and so the radiation was focused on the head and neck regions. The chemos I took were, Etoposide, Ifosfamide and Vincristine and Doxorubicin. Thanks.	Hi, Thanks for writing in. Etoposide can cause reduced ovarian reserve in females and infertility in males. Males appear more susceptible than females to ifosfamide genotoxicity. There may be a dose in males below which the risk of subfertility is low. In females there is preliminary evidence of reduction in ovarian reserve, which may potentially lead to an early menopause and a reduction in the window of fertility. Vincristine is typically less likely to harm fertility. Some of these Chat Doctor. In females of reproductive potential, Doxorubicin may cause infertility and result in amenorrhea. Premature menopause can occur. Recovery of menses and ovulation is related to age at treatment. Doxorubicin may result in oligospermia, azoospermia, and permanent loss of fertility. Sperm counts have been reported to return to normal levels in some men. This may occur several years after the end of therapy
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 4 year old has a fever, cough and now we have found two lumps on each side of his throught towards his ears they seem a little small for the swallon glands I have had in the past.	Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, your 4 yr old seems to have Mumps with parotitis. This is viral parotitis. Treatment is supportive ONLY-by antipyretic / anti-inflammatory Chat Doctor. Don't guess more. I would advise ER Pediatric Consultation to avoid further complications with it. Hope this would resolve your issues. Act fast. So keep cool and Consult your ER Pediatrician, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day.
如果你是醫生，請根據患者的描述回答醫學問題。	I just observed blood strains in the stool...Is it due to over heat , I have taken spicy food and usually I drink less water. Usually I take lot of curds e last one month not taking much curds. Is it due to indigestion and over heat in the body that caused suddenly blood strains in the stool?.	HAI, There is no modern science concept of overheat causes blood in stool. Indigestion and heavy spicy food(spice which irritate the intestine) or some ulceration in the wall of intestine lead to blood in stool. Taking curd will help you in emulsify and protect your intestinal tract. Constipation and hard stool (because of less fiber and inadequate HY Chat Doctor. Hope I answered your query. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, I am Kunal from India. My Phimosis operation has done last friday. evrythng is ok but my penis top is hyper sensitive and i cant even touch it. Can you please tell me how can the sensitivity of my dick can be reduced as i am unable to wear pents and jeans due to its sensitivity.	Hi, Within a weeks time after surgery the sensitivity will get reduced. As you had the surgery recently sexual relationship is usually advised after 3 weeks, by which the sensitivity will get settled to an extent. If it is extremely difficult for you to wear pants, you can have the Chat Doctor. It will help you to avoid the friction of the skin of your penis. After sometimes you can apply some local anesthetic creams on the advice of your surgeon. With these measures you can reduce the sensitivity. Wish you speedy recovery.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a history of left breast lobular cancer in 2003. I have a hard red pimple size growth under my left arm about 2 inches from hte armpit. It is sore to touch and has been there for a while. I have not noticed pain until the past week or so. I have an appt with my oncologist in July. What should I do?	Hi, Thanks for query to My Chat Doctor virtual Clinic. I studied all details of your query. I understood your health concerns about causes of sore lump under left armpit. Cause of sore lump under left armpit-From the data of the query it seems that you lately had a lump, which is mostly a Boil, as It's painful on touching since 1 week. But the location which your query gives, indicates this painful lump is near to axillary tail of the breast. In this situation I would suggest you to Take Second opinion from your Doctor, as it could be metastatic nodule tethering overlying skin and so has become painful lately since last week. These explanations need to be confirmed by physical check from your GP or Surgeon/and or OncoSurgeon. As your next apt with your Oncologist is there, I would suggest for a Second opinion from your ER Surgeon who would be right doctor who would help in planning treatment with your Oncologist. Hope this reply would help you in resolving this complex query and anxiety with it. I would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at Chat Doctor. Welcome for any further query in this regard. Good Day!! Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist.
如果你是醫生，請根據患者的描述回答醫學問題。	My initial symptoms were night sweats and extreme fatigue. My quantum test was negative. Night sweats appeared to go away in the warmer months but returned heavy in the colder months. I was given a sputum test about a year and a half later. On sample was positive and I went through 12 months of treatment. 3 of those initial months was with INH which resulted in liver toxicity. We start d a new regiment of meds a couple of weeks later after my liver was showing it was going back to normal. I have been off meds now for over a year. My question is, is it possible that the TB survived in anothr part of my body? My symptoms are irregular but heavy nightseats. My last chest x-ray showed no scaring. I feel energenic. My second question is, does the scaring go away after the TB is defeated? I thought scaring was perminent. I feel fine, but am not sure if I should be worried about the nightsweats. This is my second time being treated.	Hi, If there is scarring it means there is fibrotic tissue formation in the lung in place of normal parenchymal. It is a part of the healing process. It may not go with time. Night sweats may be possible with tuberculosis or lymphoma or anemia or chronic granulators disease like acidosis or leprosy etc. Have you completed the total course of medication? The recurrence or relapse of tuberculosis infection is possible. It may not survive in other parts of the body if you're not dealing with multi- Chat Doctor. If it is
如果你是醫生，請根據患者的描述回答醫學問題。	I am having lower right abdominal pain. It is a shooting pain when I get up and the first few steps I take then it just goes to a dull ache. I have been having constipation and hip pain for the last few weeks. I am not sure if it is all related but it became worse today with the lower abdomen pain.	Hi. Thanks for your query. The combined symptoms of right lower abdominal pain, hip pain and the character of increasing on getting up, taking few steps and then going to dull ache along with constipation is suggestive of some sinister problem. I would advise you the following:CT scan of the abdomen and the hip joints. Colonoscopy. This will help to decide whether there is a primary hip[joint inflammation or a cancer or inflammatory process in the appendix colon area.
如果你是醫生，請根據患者的描述回答醫學問題。	Hey Dr. Still years ago. Was hit by car and damaged my nerves in my left arm. The doctor. Says its an left bracular plexis. They did a nerve replacement, by taking nerved out of my left and right leg. But i didnt see any imrovement. Is there another alternative that i can check out	Hi, thanks for asking from Chat Doctor. I can understand your concern. You had nerve grafting for brachial plexus years ago. As you mentioned there was no improvement. I will first tell you about nerve recovery and then mention other options. The best recovery and regeneration of damaged nerve occurs in first 6 months. After it slows down, and it almost stops after 12 months. The last cut-off is 18 months. The ideal time for nerve graft surgery is 3 to 6 months post-brachial plexus injury (blunt injury) and immediate exploration if cut injury. Now as many years have passed, nerve graft is not an option here. It is because muscles atrophy after years. Even if nerve regenerates, muscle will not respond. So nerve reconstructing surgeons have developed other alternatives- Free muscle and tendon transfer - Here muscle is rotated from its original site and re-implanted in upper limb to provide shoulder abduction. e.g. Gracilis muscle.- Vascular pedicle muscle graft - Here muscle is completely transferred to upper limb. Its vascular supply is anastomoses to limb artery and nerve to healthy nerve. - Joint fusion - Shoulder is fused in slight abduction and elbow in 90 degree flexions. Wrist and fingers are fused in mid-pronation, slight flexion. The problem is that the results are not that much good. Fine movements can not occur. Only gross movements can occur. You can discuss above options with surgeon. Hope it will help. If any doubts, do let me know. Thanks. Take care. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I keep getting pains in my feet, I don t know if its dropped arches or I have gout....... I was off work a few days and it subsided. As soon as I started work it came back and gets worse as the day goes on. I have tried some insoles but always seem to make it worse. Any Ideas ?	Hi, thank you for providing the brief history of you. As you mentioned you have pain in feet there can be a possibility of calcaneal spur or gout or may be a nerve entrapment in the spine which leads to abnormal sensation. To understand this the first thing to understand the nature of the pain. Second, an x-ray of feet and also the Urine test to check the calcaneal spur and gout. Once this is ruled out an MRI of the lumbar spine will be of help. Due to many things coming into similar symptoms, one needs a thorough assessment of the feet. Chances of having a flat feet may also be the reason. So once the diagnosis is made then the treatment plan is initiated.to solve the simple problem a broad based vision is needed by differential diagnosis and better rehabilitation.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。	Hi doctor,I am a 29 year old female, and I have started taking Femilon from last month, from the fourth day of my period. I forgot to take the 18th-day pill at night, but I took it the next day early morning as soon as I remembered. At that time, I did not have sex with my husband. After this on the first pill-free day, I had unprotected sex. Except for that one pill, I took all the pills on the correct time without any mistake. I am worried about pregnancy. Today is my fifth pill-free day, but I have not got my period and yesterday I checked pregnancy test, which was negative. Please help. Can I be pregnant?	Hello. You are unduly worried. A single pill miss is so common, and you have managed it effectively. Wait for your periods for next two days and if not, do not bother, start a new pack. For more information consult an obstetrician and gynaecologist online
如果你是醫生，請根據患者的描述回答醫學問題。	Please write your question here Hi doc i have misscarried twice before now am pregnant again n my guns has prescribed susten 200 mg. sent my hubby to buy from a pharmacy they changed it to Duphastone. should I take it or return it n insist on susten? pliz help	Hello,First, do not panic. Sorry to hear about your previous pregnancy losses. The hormone progesterone is a pregnancy-supporting hormone. Austen contains natural micronized progesterone hormone. Your treating doctor has rightly suggested you to use it to support the early pregnancy. Tablet Duphastone contains Dy Chat Doctor. It is also effective in supporting early pregnancy. You can use any of the preparation. Both are safe and effective in supporting the early pregnancy. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been experiencing the following symptoms for over a month. I have had a spinal tap, MRI, MRA, CT, as well as numerous blood tests. FatigueOccasional tremors included but not limited to hands, head and bodyDaily headaches (sometimes excruciating)Lower back pain Heart palpitationsVaried BP (sometimes low, sometimes high)AnxietyUnable to find words Foggy feeling constantlyUnable to sleep without medicationsLack of focus, loss of concentrationMemory loss	Hello! Welcome on Chat Doctor! I read carefully your question and would explain that your symptoms could be related to different possible causes: - thyroid dysfunction- anxiety-depression. As all your performed tests have resulted normal, many other serious medical conditions have been excluded. Coming to this point, I would recommend checking first your thyroid hormone levels. If they result normal, I would recommend consulting with a psychiatrist. In my opinion an antidepressant can help improve all your symptoms. I would also advise you to avoid caffeine intake and perform a lot of physical activity (aerobics, Yoga, recreational sports), which can act like an antidepressant in your brain. Hope to have been helpful to you! You can ask me directly at any time if you have any other questions! Best wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	My last period was in July of 2015. My cycle has never been very regular. I had my tubes tied years ago. I have noticed that of late my urine has a very strong odor. I have no other symptoms. No sign of a UTI. I have taken a pregnancy test, over the counter, and it came back negative. Is there a chance I could have an ectopic pregnancy that wouldn t show on this kind of pregnancy test? What might cause my urine to have such a strong odor the last 4 or 5 days?	His have gone through your complaints.It's very rare to become pregnant after your tubes blocked. Regarding ectopic, urine pregnancy test may be weakly positive with positive pregnancy symptoms, abdominal pain and bleeding .the strong odor of your urine might be something else. Go for complete urine examination. If you are still in tension thinking ectopic go for ultrasonogram which helps to role out pregnancy or ectopic pregnancy. Thank youRegardsVasundhara
如果你是醫生，請根據患者的描述回答醫學問題。	I had my first meeting of root canal on 16 march...and now I feel lot of pain....My dentist called me on 18 for next meeting of root canal but did not perform it and said that it will take more time to heal...she has now asked me to come on 21...But I am constantly having this pulsating pain...Should I consult another dentist in between the treatment?	Hi, Many a time in the first meeting or first sitting of root canal if the canals are not completely extirpated or cleaned, then in that case due to infectious tissue present there is pain and pressure. So the root canals need to be re-cleaned and a course of antibiotics should be advised. For now, take 3 days course of antibiotics and painkillers as it will help in reducing both infection and pain and help in easing the treatment also and better outcomes of root canal treatment. In case if there is no improvement or after the re-cleaning also there is nothing better than consult an Endodontist and get rechecked. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doctor,My current doctor has found anovulatory cycle in me.As I want to have baby , she wants me to keep on Clomid.I have following questions :1) Which is the best drug between Letrozole and Clomid?2) Is there ank risk of birth defect in babies born though clomid? If yes, is there any advance detection method of birth defect while baby is in womb?	Hallow Dear, Clomid and Petamole are both good medicines for induction of ovulation. However, I would first try with camphene citrate. Success in ovulation is better to camphene than pregnancy rate. For this reason, some doctors prefer Petamole to camphene citrate. Both these medicines do not have ill effects on the fetus. They are safe. During pregnancy, ultrasonography will guide to detect the defects in the baby. If risk for some defects is suggested by nuclei thickness in ultrasonography, then further diagnostic tests like amniocentesis / horizon villus biopsy may be performed. Hope this satisfies you. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	hi pls i want to know if its is normal or abnormal to have smear semen from my penis when i am aroused but without intercourse. it happens to me most of the times that when i think of having sex and could not, after shrinking in of my penis, semen is smeared. pls advice me if it is normal or not	HelloThanks for your query, based on the facts that you have posted it appears that you are getting watery discharge from penis on arousal. Watery discharge that you get on arousal is a secretion of the Bulbourethral glans located in urethra which get stimulated on arousal and secrete a mucus secretion which acts as a lubricant to help in passage of a thick semen during ejaculation. Do not worry this is a normal phenomenon Chat Doctor.
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 doc yesterday to have a lump behind my neck and shoulder are checked out...she told me it was nothing to be worried about that its was a lymphoma and if it doesnt hurt or bother it will go away on its own...my question is is there any exercise that can relieve the tightness around it?	Hi, Welcome to Chat Doctor. Based on the facts of your query, the lump is declared by your doctor, as non lymphomas. So don't bother for them, as they would go on their own. Check if you have scalp opinion or pharyngeal recent infections, as these may be causing such post-infection lumps in neck and shoulder. You should not worry as it is not Cancerous and is treatable bruise with bump. AS it's a bodies response of the immune system to infective or foreign ailment, no exercise would reduce it. So don't be worried about it. A Second Opinion from your Physician/ and or Surgeon would fix your worry. This reply would resolve your current issues and would reduce your anxiety with it. Hope this reply would help you to plan treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS
如果你是醫生，請根據患者的描述回答醫學問題。	My friend is 38 years old and has no history of cancer in her family She was diagnosed with stage four colon cancer The tumor was removed from the colon and there are twp spots on the liver After surgery to remove the spots on the liver she will do chemotherapy What is the typical life expectancy for this situation	Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. It is hard to predict, but generally prognosis is 6-12 months. It all depends on chemotherapy efficiency and general health of the patient. If this was removed with surgery than prognosis is favorable and may reach 1 or even more than 1 year. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I ate a very hot (as in temperature) food on the weekend & i feel as though it has burnt me inside. The pain is in the middle of my chest. It sometimes hurts to swallow, drink & eat. Do you have any ideas of what I could do, or should I visit my GP?	Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should meet your GP and get prescription for antacids because possibility of HERD (gastroesophageal reflux disease) is more in your case. HERD is due laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain, burning etc. So better to avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid stress and tension. Start proton pump inhibitors and prokinetic Chat Doctor. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these lifestyle modifications. 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。	sir,i m 32/m/india.i m obase.wt 95 kg ht 175cms.having a male baby aged 6 months.i m suffering from dermatitis herpitoformis last 2.5 yrs & having no reliefe with different treatments.recently i m having multiple boils in my scalp.with antibiotics i got reliefe.gone through routin test...total count is higher which is 12.6 serum alkaline phosphate is higher,i.e.164.s.triglicerides,cholestrole all r bit higher then normal.urine is clear.in ct head having frontal maxillary spenoid sinusitis bilat.the biggest worry is cardiomegally in x-ray chest.s.alkaline is increased due to cardiomegally?or dermatitis?or early arthritis?or some amylodisis?please give me direction to follow.i hate to excercise.i love gambling.i daily play i.e.gamble.love to get excited.but last few weeks i noticed i get very nervous & feel palpitation while gambling.i m heavy smoker.i drink casually.	Hi, Your raised alkaline phosphatase is most likely because of your recent pregnancy. This enzyme grossly raises during pregnancy and may remain elevated for a year or more after delivery. So your level is high most probably for this reason. Other causes of elevated ALP are liver diseases or bone disease which is unlikely in your case. It's not related to cardiomegaly, or arthritis, or amyloses. 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,My wife is feeling pain inside her right ear. According to her, she feels the pain more when she lies on the bed or recline her head for any purpose. The intensity of the pain is also showing up around her ear too. It is her feeling that there is something inside the ear, which may be water or something like that. All these have started the day before yesterday. Please help. She used Paracetamol for the same.	Hello. Your problem could be due to an infection inside the ear or secondary to nose and throat problem. I would like to know if she has any nose block, excessive sneezing, or throat irritation? Any ringing sensation in the ear or giddiness? Any discharge from the ear, if yes, for how long? Any relief after taking Paracetamol? Please get back to me with the reply.
如果你是醫生，請根據患者的描述回答醫學問題。	My husband is 32 and for the past four days he has had stomach pain and went too his back when it gets bad he says it feels like a lot of has built up but it goes and comes is there anything too be worried about ? And what shall he do he has been going to the bathroom just not like he used to.	Hello, Welcome to Chat Doctor. I am Chat Doctor answering your query. Your husband seems to be suffering from acid peptic disease.Orin he is going bathroom for urination then it may be urine infection and/or renal stone. OrYou have not mentioned his bowel movement, if he is constipated give him mild laxative. In all cases he needs to Chat Doctor. Give him hot water bag for time being. See a doctor as soon as possible. Good luck
如果你是醫生，請根據患者的描述回答醫學問題。	My 38-yo daughter just called me. C/O about 30 fingertip-sized bruises on torso--goes from her side around to the back . They are flat, bluish and feel tender. She also has a bruise, the size of an orange on her calf. That bruise is swollen and tender. She says that these appeared today; has had no obvious trauma. I am concerned about DVT. With her 2 pregnancies she had a couple of blood clotting disorders and had to have lovenox every day for the duration of her pregnancies.	Hi, Welcome to Chat Doctor. Bruise like patches are seen in bleeding disorders which are called as petechial rashes. Those disorders can be confirmed by bleeding time and clotting time. But such patches are usually not tender. I am suspecting allergic reaction in your daughter most probably to food, or any contact allergy. I suggest you get those bruises examined by a doctor nearby you. Deep vein thrombosis usually presents with severe pain and numbness of the limb rather than bruises. If they are itchy, Tab Atari 25 mg twice daily for three days will help. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Sir, Having BP for the last 6 yrs. nebistar 2.5mg for 2 years, nebistar 5 mg for 4 yrs now changed to amtech-AT 5/50 for the last 1 month. But still BP is higher side like 160/90 today then complete cardio check on 10.2.14 Today Dr.advised for 2.5mg nebistar with morning tea then Benitec-20 after breakfast and 2.5mg bebistar after dinner. Is it too much medicine for me for BP. Pl guide me today only. I am taking atchor-10 not on regular basis. height 5.0, wt 57 no diabetic but hypertension(family history)	There are several Chat Doctor. Sometimes it is necessary to take 2 or more medicines to control your blood pressure. But important fact is blood pressure should be in control. Your doc has prescribed you a good combination of medicine and I think this time it will control your BP. If not you van increase the dose of Benitez to 40 and take Medicare 5 at evening. Try to avoid excess salt in diet. Daily salt preferred to be 5-6 gm. Use regular moderate exercise approximately 25 min a day. You can take on fruit rich in potassium like lemon. This will help to reduce your BP. Hope I could answer your queries. Wish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	My son had some form of bug bite on the back of his neck. The doctor gave him a prescription cortisone. Now, approximately two weeks later, he has two lumps approximately 1 - 2 1/2 inches away from the original bite. I assume they are enlarged lymph nodes. How concerned should I be?	Hi, thanks for writing to Chat Doctor and sharing your sons' health concerns! Yes, you are correct; this neck lump is nothing but an enlarged lymph node due to recent inflammation in the surrounding area! This is normal reactive/preventive action of our bodies immunity system towards any infection, agents or insult...! Therefore, this one does not need any treatment as this is expected to disappear within 6-10 weeks but should be monitored! I would further suggest you, if still not convinced, to go for an FNAC /biopsy and ultrasound of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son good health.
如果你是醫生，請根據患者的描述回答醫學問題。	HI ,i am from Greece/Hellas .I have this problem with my testicals for about a year now...STRONG PAIN in my left testical nad sometimes rapidly changed to my right testical,also pelvic pain.I was diagnosed with 3rd degree varicocele in the left and 1st varicocele in the right testical...I made the surgery 1,5 month ago ,but the pain specially in the left testical just doesn t go away.I feel the pain all day and its extremely painful sometimes..I made alla the basic tests about bacteria or something else ,and i am clean .I took 3-4 months ago prixina for a month and vibramicyn for 14 days because the doctor told me that i have epididymitys ,but the pain didn t go...I don t know what i have and the doctors can t find a problem ..I am really psycologically below 0 ,sexual problems etc...i started today a naprosyn 4-day cycle (advice rom a friend) because i can t find a solution in my problem.can you help me please.i went to 7 urologists ,1 pathologist	Hi and. As a Urologist, i can understand your anxiety. You should write your age and present treatment. If you've not done a scrotal Doppler ultrasound, get it done and send report. The scan will give information about the two testis. If at all there's any pathology involving them, itll be well seen in the scan. Accordingly, proper treatment can be advised. Keep the scrotum supported. If scans done, send all the reports to me, as a direct question. Chat Doctor. Manga.
如果你是醫生，請根據患者的描述回答醫學問題。	hi my husband has on going back problems. he fractured his back last year. hes had another fall and is in pain. what pain killers will be best for him to take? hes stubborn and wont go back to the doctor as hes scared he will lose his job as he will be a liability.	Thanks for your query, I have gone through your query. As far as the pain in the back is concerned, it can be secondary to the inflammatory response to the trauma or a fractured bone. You need to consult an orthopedic and get it evaluated. Meanwhile you can take a course of analgesic like ibuprofen or diclofenac(if you are not allergic). You need to get a radiograph done to confirm the diagnosis. Later once the diagnosis is confirmed, we can manage accordingly. Do not neglect. I hope I have answered your query, take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I have has just had two kidney function tests the first was 1.1 the second was 1.06 I have been told that any resualt above 1.0 means that the kidney fuction is reduced My doctor does not seem concerned though I do have a 2.5mm kidney stone in my kidney that is not blocking any thing at the moment.	Hi, I think you are asking about serum creatinine tests. A serum creatinine test measures the level of creatinine in your blood and gives you an estimate of how well your kidneys. The normal range for creatinine in the blood may be 0.6 to 1.3 milligrams per deciliter mg/ DL and various laboratories may slightly differ on their reference values. If your values at 1.1 and 1.06 then there is no need to worry. A 2.5 mm stone will not do any harm to your kidney or cause obstruction severe enough to raise serum creatinine levels. Since there is no reason to worry about a creatinine of 1.1 mg/ DL therefore your doctor is not concerned about it. For peace of mind you can get serum creatinine test done after 3 months from a different place and then discuss the results if it is different. You must continue to Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter 31 years old....diagnosed with Chrons...from year 2002 her hb levels suddenly start falling and when it falls to 5 or so she is given packed units...now this has come to infusion once a month...she is consulting hematologists in Bangalore...she has been given iron infusion...but when the iron levels are checked after a month the levels are almost gone....her colonoscopy is perfectly normal...her occult blood test has come positive this time....she is under the care of good doctors but somehow there seems to be no diagnosis for the sudden fall of hb...please help us	Hello and welcome to Chat Doctor, A diagnosis of Crohn's disease and positive occult blood suggest is that the cause of low hemoglobin is chronic blood loss from gastrointestinal tract. The cause of blood loss is Crohn's disease. Blood transfusion can be given for the sudden fall in hemoglobin. Iron supplements can also be given for iron loss. However, the definite treatment of the condition is treatment of Crohn's disease.Crohn's disease is a chronic disease with relapsing and remitting course. Treatment will lead to achievement of remitting state. Consult your gastroenterologist for further management. Thanks and take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	can the antidepressent fluoxetine be bad for your teeth? I am 20 yrs old i weigh 130 pounds and was diagnosed with bipolar disorder	Hello and Welcome to Chat Doctor, Thanks for writing to us. No it is not bad for teeth. Do not stop taking fluoxetine, even when you feel better. Only your healthcare provider can determine the length of treatment that is right for you. Missing doses of fluoxetine may increase your risk for relapse in your symptoms. Please visit your dentist for regular check-up. Hope this helps you. Wishing you good health... Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been suffering with fibromyalgia and cfs for about eight years now. It started when I got Legionnaires disease which lasted six months instead of ten days. Over the course of time I have been using hydrocodone and Savella to control the pain. Unfortunately the pain continues to increase steadily and I find that what really relieved my pain several years ago is now inadequate to control it. I currently take 5-6 hydrocodone daily (which has been one of the few drugs to actually bring me relief) and 2 Savella, 1 in the morning and one in the evening. I do not want to go back up on the hydro [I used to take eight a day, but got down to three at one point.] Is there another drug that would have more of an impact on the pain, but wouldn t be as harmful as 8 hydro a day?	Hi, Medications that seem to have a good track record of success in patients with FM are Lyrics (pregabalin), Broken (Long acting Gabapentin), and Cymbal ta (duloxetine), Novella is also indicated for FM and you are already on this medication. Therefore, if you are to be tried on any other medication make certain you your doctor is aware since taking MULTIPLE medications at the same time as the Novella could get you toxic side effects. 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, Im diagnosed for an ovarian cyst in my left ovary in the ultrascan report. it was found to be 8cm*8cm with calciferous lining. my right ovary was normal. PCOS was not mentioned in the report & the CA-125 test came out to be 41 which was slightly more. the doctor has given 1 month tablets & asked to wait for 1 month before going to next step. i had regular periods & no sharp pain. can i get my cysts cured by taking natural therapy of beets, aloe & molasses? is laparoscopy the only way to treat my cysts? pls help me out	Welcome to Chat Doctor .1.In my opinion, I would suggest getting operated.2. As the cyst size is quite big, the natural remedies will take quite a long time to take action.3. And suggest to follow up with CA -125.4. To mention PCs there are criteria (Both ovaries should be bulky with multiple follicles -more than 8 and so...)5. In your case its cyst. So please act accordingly. Anything to ask ? Do not hesitate. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	I fell a week ago backward on a concrete ground I never got sick or passed out but I have a huge lump still about the size of an egg and it still hurts really bad and just today a week later I m super dizzy and my face is super red and feels sunburnt I have no idea if it s all related or not but I don t know if I have anything to worry about or not, I went to the dr Wednesday and he checked my ears for blood and said I should be fine, should I be worried?	Hi, dairy have gone through your question. I can understand your concern. Your lump in the back has no relation with your symptoms. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact idea regarding 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。	Hi My mrs has this heart murmur, which is causing the blackouts, and she has panic attacks. Yesterday the doctor was quite concerned at how her blood pressure was so high, and then a couple of weeks go when she had her smear, it was too low. She has now got this bruising appearing around her lower back too, and i don t know how its been caused. I m really worried about her. Is this seriouse?	Hello, I would explain that a heart murmur could be related a structural heart abnormality. For this reason, I would recommend performing a cardiac ultrasound and a resting ECG in order to examine her heart function and structure. Considering her blackout attacks, I would recommend performing some tests too:- complete blood count for anemia,- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance. An ambulatory 24-48 hours ECG monitoring would help examine her heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	I am joseph.Two weeks ago i tested for typhoid and the results were as follows.Salmonella typhiO 1:160,H 1:80.I was given amoxicillin whit took 7 days to complete.I DID NOT IMPROVE AND AM FEELING SO ILL AND FATIGUED.Sometimes even nose bleeding and memory loss.What do i do coz this typhoid has been recuurring for years now even after medication?	HelloSign you are diagnosed as a patient of typhoid fever. When such patient visit my clinic I prescribe them to take CIPROFLOXACIN 500 mg one tablet two times in day for 14 days. If orally not adjusted take injection ceftriaxone 1 gm I/V twice in day for 10 days. Usually all patient respond this treatment very well. Since this is a prescription medicine so consult your physician and get a prescription. If patient is very weak then he may need some intravenous fluid as per requirement. Hope this will help. Since this is an intestinal disease, so even after treatment patient remain a carrier of salmonella for 6 month time without any fever or symptoms.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter is suffering from cough. She will be normal and once she starts to cough it continuesfor half an hour. I have consulted many Doctors and they advice cough medicines and this is contined from past 1 year. I am looking for a permanent solution . I require expert guidance regarding this .Please advice and do the needful.	Thanks for your question on Chat Doctor. I can understand your concern. Your daughter is having chronic cough. So we should definitely rule out chronic lung infections (tuberculosis or fungal infection), asthma and bronchitis. So 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 asthma and bronchitis. She may need antibiotics, inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) depending on the reports.Don't worry, she will be alright. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, Im 13 and 2 months to 14, 33.5kg This is about human intestine worms, more spesifically pinworms, 1. Can they be as small as 1mm? 2. If you see a doctor and got the medicine for it, how to you keep any more unhatched eggs around the house or on your clothes from infecting you again? 3. Is it a bad thing to have worms inside you? 4. Is there a way to kill these worms by eating something not a medicine(somehting like orange or lettece)? 5. how do you keep other people from getting infected in your family when you have them?	Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Pin worm or entertains vernaculars is the very tiny worm which lives in the area around anal canal. They won't reside in the intestine itself. Yes they are highly infectious it can infect the other members if the one member is infected. It can also spread through respiratory tract. Yes it is a bad thing to have worms inside you, it may cause severe itching around the anal canal. Clothing should be washed separately of infected person. Bedsheet should be changed daily until the infected person cured. Albendazole can be given to the infected person. If the infected person is more in numbers than all the members requires a treatment simultaneously. There are no other treatment methods other than Chat Doctor. 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。	This is going to sound really stupid, but I want to know how I can get myself admitted to hospital as I self harm and need help but can t ask for it, but if I get admitted to hospital for something then they will find the scars and I will have to tell them then I can get help. Please, I m not mad or insane, I just need help.	Hello and thanks for your query. I appreciate the fact that you have been able to realize that you have a problem and that you need professional help. Now, regarding getting admitted and treated as an inpatient, you need to first consult a psychiatrist for a detailed evaluation. If your self harming behavior is severe or if you are feeling suicidal, then usually inpatient treatment would be advised.It's not appropriate for you to try getting admitted for some other reason and then hope that the doctors will notice your scars and refer you for professional help. Rather, the best option would be to directly seek professional help from the mental health services. You would need psychological therapy such as dialectical behavior therapy (DBT) and sometimes medication to help you control your self harming behavior. Best wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I am 23 years old and I have been diagnosed to have PCO in last september, I took femilon tablets for 2 months which made my periods regular. But again I dint get my periods this month. My date was 27th of march. Can you tell me whether PCOs has got reduced or i should again start tablets. Also can you suggest me some diets and excersize to control PCOs naturally without any tablets	Hi, You need to get an ultrasonogram of the pelvis regularly to monitor the size of your cysts. Felon makes your cycle regular as long as it is consumed. So, if you stop it and your periods do not appear, it means that the PCs has not been cured. PCs is a medical condition stemming out of hormonal imbalance. The cause is unknown, but it has been observed that stress is known to be a triggering factor. Stress causes the sex hormones in your body to go in for a toss, and that can manifest as polycystic ovaries. I would advise you to go in for homeopathy as it will take care of the stress, hormonal imbalance and in turn the cysts. Also keep a regular check on your weight because, in PCs, you tend to gain weight, and develop excess hair on your body (called Hirsutism). Go for regular walks, eat small meals frequently (5-6 in a day), avoid oily food and eat more of fresh fruits and veggies, and make sure you sleep for a minimum of 7 hours (11 pm-6 am), because this is the time when the hormone melatonin is maximally released in the body, and it helps to keep your weight in check. All the best! Chat Doctor. Com
如果你是醫生，請根據患者的描述回答醫學問題。	im gaining weight continiously since 8-10 yrs,im non diabetic,mildly hypertensive ,taking tab telmasartan 40mg,lopresor 50 mg daily,i wiegh 120kg,and has become dyspnoic on moderate exertion,my stress test is normal done 2 mths back,pl advise,what to do,i ocassionally smoke also.	Hello! Welcome on Chat Doctor! Your symptoms seem to be related to fluid retention. From the other hand the difficulty in breathing could be related to fluid retention or heart failure. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a cardiac ultrasound and a resting ECG to examine your heart- NT-proBNP levels for heart failure-kidney and liver function tests-blood electrolytes- a urinalysis. A diuretic (like furosemide) may be needed. You should discuss with your doctor on the above issues. Hope to have been helpful! Wishing good health,
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, I am writing a book and my main character has Meningioma. Im trying to find out as much as I can about this type of cancer bus it is very difficult because my character is a teenager and that is very rare. I have a few specific questions but any general information would be helpful. How long would a teen diagnosed with Meningioma live? What types of treatments would be recommended? What side effects would those treatments cause? What symptoms would a teen with Meningioma experience? Thank you for your time and any information you can offer.	HIT hank for choosing ChatDoctorThe meningioma, is asymptomatic kind of disease, some persons remains asymptomatic through out the life, and it is most of the time, the lesion is benign, sometimes it accidentally found out during the CT imaging, in symptomatic case surgical resection carried out sometime (Partial resection of tumor) Chemotherapy has got very little or no role third option is radiotherapy can be taken into hand as single line of treatment or with the surgical procedure , if the lesion is benign then the side of treatment are negligible but if the lesion is malignant then the usual many of side effect of treatment is likely, benign tumor hardly turned in to malignant, according to some study female are more suitable to this than male, genetic mutation having 5% cause of this disease, hope this information may help you, good luck
如果你是醫生，請根據患者的描述回答醫學問題。	i was riding a bike and met with an accident, my left leg toes except the big toe got fractured and there is a swelling on my feet around this location. Initially i was bandaged with casting and later i was suggested with a aircast shoe. Iam wearing this shoe but over a period of time my swelling turns to black colour. what is the reason?	Rest assured your swelling turning to black color is just part of the entire inflammatory response to your injury. What you have my friend is ecchymosishere is how it happened to you :) for your question what is the reason:after you injured your left foot, structures underneath your skin gets damaged (bone ligament fat small blood vessels)they bleed temporarily, but since you don't have a break in your skin (external cuts, open wound) the blood is trapped underneath your skin. Even if you did not ask I would like to tell you this as well, because you probably would like to know this and save u some time of asking another question:overtime this blood would slowly be reabsorbed by your body but some of them will find their way to your skin hence giving the appearance of black or darkening of the injured body part. They temporarily "stain" your skin. But through time they will also get reabsorbed by your body.till go away on its own so relax. Merry Christmas in advance Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,I have a sudden loss of erection. I got weakness in erection due to aggressive masturbation. I cannot maintain it, and my skin also became red. Is the problem due to a venous leak?	Hi. Masturbation is fine and will not cause any physical problems or sexual problems. Sudden loss of erection is due to some stress in your life. Sometimes, stress can cause temporary sexual weakness. Reduce your stress, be relaxed and do exercises. Venous leak is very rare condition. Your skin may be red due to friction with tight clothes or due to allergy or infection.
如果你是醫生，請根據患者的描述回答醫學問題。	I was bitten by a dog last Saturday the 18th. Seen in the ER where they stithe the wound and gave me oral antibiotics. The next day I went in with heat increased area of redness and was admitted for four days on IV antibiotics. Xray showed some gas pockets, surgeon had MRI done and said he would wait, he didnt see anything pressing. Upon discharge I was given Augmentin 875 and clindamycin taken twice a day and 3 times a day respectively. Now there is hardness, slight swelling and numbness as well as pain around the wound.	Thanks for contacting ChatDoctorYou are concerned about having a lump with tenderness at the site of a dog bite. This bite was complicated by infection, and you are currently taking Augmenting and Clindamycin. The lump is the local infection and will go away with time. There is nothing here to worry about. I recommend you finish the antibiotics. Hope this answers your question. Please contact us again for your medical questions and concerns
如果你是醫生，請根據患者的描述回答醫學問題。	I keep getting reoccuring yeast infections. I get at least two or three a year. I go to the doctor every time and I get prescribed Diflucan. Is there an oral pill I can take that is over the counter so I dont have to visit the doctor each time? Also, what can I do to prevent the yeast infections?	Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yeast infection recurs only when you have some condition favoring its growth. I advise you should test for the HIV and diabetes. These is the two most common cause of the recurring yeast infections. Diflucan also available as an oral pills over the counter. But in my advice you should take it under your doctors' guidance. Please maintain good local hygiene by frequent cleaning and Chat Doctor. You can also apply local ointment of clotrimazole while doing the
如果你是醫生，請根據患者的描述回答醫學問題。	My son is 6 years old and he poops on him self he says he cant feel when it comes out and at first I thought he was doing it on purpose or just being lazy I told him he wasnt allowed to play and I placed him on time out. It doesnt seem anything I do helps I bought him flushable wipes and go clean him. What can I do?	IIN my opinion your child is suffering from a condition medically known as encopresis. Don't worries its not so uncommon in child Chat Doctor. Giving time out and punishments can only aggravate the problem and leave your son more frustrated, angry, depressed and a child with low self-esteem. This problem usually arises due to lazy colons and poor sensations towards rectum fullness. This occurs when a child is chronically constipated and doesn't poop regularly. So I would suggest you to rule out painful bowel movement or constipation. And get it treated with the help of laxatives followed by stool softness along with a gastroenterologist advice.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a lung infection eight months ago, had been on antibiotics a sinus infection at the same time and had taken an antibiotic for that also . I am still coughing up green flem hugely . could this be a type of cancer ? I have been back to my doctor but have been told there is no infection .	Hi and welcome to Chat Doctor. Thanks for the query. Cancer is the last thing to think of. It sounds to me more like COPD or emphysema especially if you smoke. Also, it can be some other lung disease, but cancer is not usually manifested with these symptoms. You can also have some chronic bacterial inflammation. So I suggest doing lung ventilation test and more detailed microbiologic testing. Wish you good health. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hi , My brother was suffering from panic attacks for 8-9 months. while reducing the course of medicine he feels the same issue is coming back again. He is now prescribed lonazep .25 half tablet in morning and 1/2 in evening along with rexipra 5mg. Dr. asked to leave the tablet when he feel ok. what can be effect once he discontinues the lonazep ? is there any chance he can get addicted to lonazep if same issue back again?	Hi, I do appreciate your concern for your brother. Panic disorder responds well to treatment if provided adequately. Extra (Escitalopram) is a safe and effective treatment option for panic disorder. However, the current dose of 5 mg/day is suboptimal. The dose range for Escitalopram is between 10-20 mg/day. Located is clonazepam which helps in reducing the anxiety on symptomatic basis. The anxiety remains controlled as long as it is taken, but will re-emerge when it is stopped. The problem is, with time, there is a high chance for developing dependence on it. So, it is usually recommended only for a short period of time. In your brothers case, I would recommend that you discuss with his psychiatrist regarding increasing Escitalopram further up (to 20 mg as required). It will help control his panic attacks and he won't need clonazepam. Moreover, the treatment with Escitalopram should be continued even after the panic attacks has stopped completely (around 1-2 years), to prevent relapse. I do hope I was able to answer your query. Best wishes.
如果你是醫生，請根據患者的描述回答醫學問題。	Diagnosed last week with asthmatic/bronchitis and sinus infection. Prednisone pack completed as of yesterday morning. Azithromycin finished past Sunday. X-ray showed no pneumonia. Now my neck, upper arms, and entire back are sore. Sort of like a t-shirt area of soreness? Influenza???	Thanks for your question on Chat Doctor. I can understand your concern. Yes, viral infection with Influenza can cause muscle weakness and soreness. Another possibility is steroid induced myositis (inflammation of muscles). Prednisone is oral steroid and can cause muscular pain and soreness. Viral infection is mostly self-limiting. And you have also finished prednisone course. So better to wait for 1-2 more week. You will mostly improve. But if your symptoms persist than consult doctor and get done clinical examination. 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。	My menstruation ended around Monday and I donated 450ml blood on Wednesday (yesterday). It was my first time donating blood and I slept for more than 10 hours last night but I am still feeling dizzy and headache. I am allergy to Bactrim, may I know which of these two are safe for me: Ferrous Fumarate and Folic Acid.	Hi, dairy have gone through your question. I can understand your concern. Dizziness and headache is common. No need to worry about that. You will become normal within short time. No need of ferrous fumarate or folic acid. Your hemoglobin is normal. Because you can donate blood with normal hemoglobin only. So no any treatment is required. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello so I have had quiete a few problems with my lower area like swelling of the testis, which hasnt happened for a awhile but does come and go periodically. i have very small bumps under the skin in the lower area, and also i have discharge after i urinate. Its a gooey like substance. What may this be and how might I fix it??	HelloYour findings may indicate urinary tract infection(UTI). You need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, renal function test, ultrasound of abdomen and scrotum, urine culture/sensitivity. You may need to take antibiotics based on reports. Chat Doctor. Ultrasound of scrotum is important due to swollen feeling of testis. It can assess many conditions in testis. Proper treatment depend upon findings. Get well soon. Take Care
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have recently done a glucose tolerance test, where insulin levels were measured on 0 minutes, 60 minutes, and 120 minutes. The results are:0 Minute: Glucose 4.74 mmol/l, Insulin 11.2 uIU/ml.60 Minure: Glucose 8.71 mmol/l, Insulin 104.3 uIU/ml.120 Minute: Glucose 5.07 mmol/l, Insulin 13.16 uIU/ml.I can see that the glucose is within normal reference numbers, but on 60th minute the insulin seems too high. Is it? What are the reference numbers for insulin on the 60th minute? Is this a sign of insulin resistance? What would you recommend as a treatment?	Hello, Welcome to Chat Doctor forum. I would like to see the image of your reports and would also like to know, have you undergone the HbA1c test. How long you have been diabetic, have you been on oral antidiabetics. Revert with more information to a diabetologist online
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,weight gain,bloating on noreithrasone Tds without a break to attempt to address severe anaemia - still bleed on this regime and had an adverse reaction to iron infusion so unable to have depot regime,waiting date for investigative surgery,my query is why am I still bleeding on noreithrasone regime.	Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Bleeding could be due to local or systemic cause.2. Local causes include fibroid, endometrial hyperplasia, or even tumors. Norethisterone could have prevented endometrial cause, so other causes needs to be investigated.3. Iron needs to be given through other routes, including diet to improve hemoglobin. If It's severe, packed cell transfusions might be necessary. Hope it helps. Any further queries, happy to help again.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 13 and my weight is 33.5kg This is about human intestine worms, more specifically pinworms, 1. Can they be as small as 1mm?(because i keep itching everywhere on my body) 2. If you see a doctor and got the medicine for it, how to you keep any more unhatched eggs around the house or on your clothes from infecting you again?( cause i went to the doctor before and ate the medicine but somehow my itching got back after a month) 3. Is it a bad thing to have worms inside you? 4. Is there a way to kill these worms by eating something not a medicine(something like orange or lettece)?(cause I really don t want to bother my mum again to take me to the doctor after only just a month) 5. how do you keep other people from getting infected in your family when you have them?(I don t want my mum to get the same thing) 6.does doing sports such as swimming kill them off gradrually?	Hi Dear, Intestinal worms such as pin worm and thread worm are small but visible to naked eye. It is their eggs which are too small to be seen by naked human eye. These worms lay their eggs at the anal opening at nighttime and cause irritation, leading to itching. When you scratch the anal opening due to itching, these tiny eggs get collected under your nails and when you eat something these eggs get transferred orally to the stomach where they grow into adult worms and the cycle is repeated. To avoid reinfection, keep your nails closely cropped, wash your hands with soap and water regularly, especially after toilet. Do not insert your finger in Chat Doctor. Don't worry your mom will not get the infection. I have no idea of any natural edible substance capable of killing these pests.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi! I m pregnant. My last period was October 7th 2009. My doc says my due dates July 13th-15th. I had an ultra sound at 14wks an 18wks. They both gave me the same due date of July 13th-15th too.. My cycles are 31 days not average 28. (which is important when determining) I had sex with my husband everyday in October until we split. Then i slept with a friend on October 27th..One time. Based on this info whos most likely my babies father?	Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. In a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. In your case it falls between 16 and 25 October. Even if your November periods WE expected on 7 November, ovulation day, will be around 23 October. I hope this information clears your doubt. Still you can get DNA paternity test, in case of any doubt after the birth of your baby. I hope this answer helps you. Thanks Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I recently was diagnosed with Multifocal Artrial Trachcardia. I was put on Diltiazem 240mg er and Lisinipril 10 mg and Lipitor 10 mg. On 8-14-2013. I in the last month have had serious nausea and burning from my liver up to my chest. I was found to have 2 liver leisons on Catscan and MRI. Every time I eat even the smallest item it burns like fire. Its not heartburn , its right to middle just below my ribs. My gallbladder was fine and so was everything else. I am feeling its one of my medications. I have to get a liver biopsy nest. I am tired of the burning. Any answers?	HIT hank for asking to ChatDoctorBurning sensation near right coastal area indicates many pathologies, but you said that the MRI and CT has detected some lesions, the exact nature of these lesions not stated here, your symptoms and the suspicious pathologies does not correlate, other serology test are require to confirm the diagnosis, the problem must lies in stomach or in your stress area, functional condition,,, Multifocal Tachycardia needs further studies, it is not given anything here that on basis it is Multifocal Arterial tachycardia, have nice day.
如果你是醫生，請根據患者的描述回答醫學問題。	My wife pregnant (gestational age 39 weeks 1 day) with our first child. Normal pregnancy. She just had an involuntary discharge of about a half cup of clear liquid. She is not having regular contractions. We wonder if her water has broke. How much liquid can one expect when the water breaks?	Hello dear, I understand your concern. In my opinion there is no definite or specific amount to ascertain leaking fluid. But in case if the membranes rupture there will be gush of leaking fluid. The water just flows by the side of leg and thereafter continuous leaking might be there. But in case of vaginal discharge the above things will not be seen. As you are in term pregnancy I suggest you to consult doctor for physical examination and further management. Observer the fetal movements. Nothing to worry even if the water is leaking as you are already term. Best regards...
如果你是醫生，請根據患者的描述回答醫學問題。	13year old male - my son - just returned from GP surgery following an appointment for - swollen, black testicles - three prominent viens protruding - bleeding from back passage - nausea and sickness. No injury to account for any symptoms - referal to hospital -can you tell me what this could be?	Hi, If along with testis color of genitalia also changed to black and if foul smelling & fever also present than Fournier gangrene should be suspected. If all these not present than swollen testis could be due to Orchids. He needs to be given antibiotic course and anti-inflammatory Chat Doctor. I suggest you consult him to urologist for detailed evaluation. 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 I think I may be allergic to Harissa, I am definitely allergic to horseradish. However I am concerned that Prozac may have been causing me to have frequent stomach upsets. I hope not because I was hoping to be rid of a recent depressive phase. Can you advise.	Hi, You should understand that virtually any medicine can cause stomach upset. Depending upon the type of stomach upset, we can attribute it to whether that specific medication causes that particular side effect. In your case, you have not mentioned what type of upset you have. Prozac is an anti-depressant medication. It can cause a wide variety of side effects including stomach problems. Most common are vomiting, indigestion, loose motion and nausea. So if you can't tolerate the medicine, consult the doctor who have started the medication. He may change the dosage or change the medication. Hope I have answered your question. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	my stomach hurts a lot more frequently, i have had acid reflex since I was a baby. Sometimes days it bad others not so much. I have a family history of stomach problems that runs in my family. Never been diagnosed. I frequently use the bathroom and often have wet farts and discharge when I use the restroom. It also seems like I have to pass gas a lot more.	Hello dear... The symptoms as mentioned by you suggest that you might be having Castro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Medical management consist of taking Proton pump inhibitors like Omeprazole, Pantoprazole, etc. (which prevent acid formation in stomach) Metoclopramide can also be used, but it has some side effects on long term usage. Surgical treatment includes Fundoplication, in which the upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and prevent acid reflux Also avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. Try to sleep on the left side, or with your upper body raised. If symptoms still persist, it will be better to consult a Gastroenterologist. There is no need to worry...you will be fine. Wish you a good health & speedy recovery. Thanks & Take care
如果你是醫生，請根據患者的描述回答醫學問題。	I have been taking tri sprintec for about 9 months. this is the first month that i have been sexually active on it. Im supposed to start my period in six days. this morning after i had sex with my boyfriend i noticed that there was a time about of brown discharge. I always take the pills on time and have only taken one late during the first week of this pack. He also always pulls out. what is the likelihood that im pregnant	Hello, and I hope I can help you today. Even if you had some spotting when you are not supposed to have your period, the birth control pill is effective in preventing pregnancy as long as you are taking it daily. Breakthrough bleeding, which is bleeding while you are taking the active pills, can happen once in a while as a common side effect of any birth control pills. In your case, because you took one late pill during this pack, that may have been the cause of the breakthrough bleeding you experience. In addition, having slight bleeding after sex can also because by chafing in the vagina or on the cervix and also has no connection to effectiveness of the birth control pill. Furthermore, because your boyfriend does not ejaculate inside you, your chance of pregnancy is still quite low from that alone. Therefore, I do not think you need to be concerned about pregnancy in this situation. I hope I was able to adequately answer your question today, and that this information was reassuring. Best wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 49 year old 6 165 pound white male in good physical condition with hypertension due to family genetics.For the last few weeks I have been having bloating of my stomach with no excess gas and know for the last 2 days I am getting low grade fevers in excess but not above 102.I am having regular bowel movements and I am not sure whats going on.Should I be concerned?	Hi I did review your concern. I believe your condition can be due to nonulcer dyspepsia or bloating, and it can cause such problems. The cause is many times obscure and treatment is nonspecific in form of risperidone or metoclopramide as prokinetic agents and omeprazole to decrease gastric acidity. However, at the same time I would advise you to consult a gastroenterologist and get evaluated. A routine screening endoscopy and a stool test may also be done to rule out any pathology inside the upper bowel area. I hope this helps. Wish you all the best. Thank your for using Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	i just noticed what appears to be a small skin flap on my penis shaft, I am needles to say concerned i m a 58 year old Hispanic male,i am a little embaressed to ask my female doctor whom I have been seeing for type 2 diabeties,,I am 5 9 and 170 lbs,and have worked out most of my life ,	Hello and. As a Urologist, I can fully understand your concern. A small flap over shaft penis, at 58 years age, shouldnt cause any worry. If you're able to have sex or masturbate normally, it shouldn't be bothersome. If it was in an exposed area, then there's a cosmetic problem. Flaps over shaft penis, can be easily corrected with minor surgery. This need be done in your case, only if you're worried about the cosmetic purpose. Its usually done, under local anesthesia, as a day case. You can contact me for any doubt, sending it as a direct question. Chat Doctor. Manga.
如果你是醫生，請根據患者的描述回答醫學問題。	hi doctor i m 26 year girl and facing a problem of hair loos since 7-8 years i have tried alot to control this but not successeded due 2 this my hair became so thin and front portion looks like bald when my hair falls from root a white like substance remain attached to it plz help me the combing pattern of this photo is in such a way that is difficult 2 dignose	Hello and welcome to Chat Doctor, You seem to be suffering from halogen effluvium or excessive hair fall. In your case, the hair fall, maybe prolonged due to other factors as well, such as poor nutrition, stress, lack of rest, low iron and hemoglobin levels, hormonal changes, also any history of thyroid disorders etc. Dan Chat Doctor. If you have a family history of hair loss and thinning, you will be more prone to similar problems. So as I mentioned, try to find any possible cause for your hair fall. Any change in residence. Any illnesses like fever, typhoid etc. These causes need to be considered and treated as they affect hair growth. You can consult a dermatologist regarding any tests that may be required to diagnose the causes. They can assess your hair in person and advise accordingly. For now, you may start a Recite solution or Tress go to scalp, along with hair supplements daily like VB7 Forte. This needs to be continued at least for 2-3 months to see results. Use mild shampoo and conditioner. Like Anaphase shampoo or Relocate white tip is just the part of the hair when it comes out from the root. Don't worry. Do start with the treatment as advised and see a doctor. If your hair is very thin and scanty on the scalp, and medical methods do not work well for you, after a few months of observation, certain new surgical procedures can be considered such as PRP, as will be advised by your consulting doctor after observation, if they feel that it will be a good option for you. Also get a good nutritious diet, avoid stress, pollution, get good rest. Hope this guides you
如果你是醫生，請根據患者的描述回答醫學問題。	I fell while on crutches - my fall was broken by my hand - specifically the thenar area of my hand. I can move my thumb, but it is extremely painfull. I just had bone fusion surgery on my foot and the pain wasn t as bad as this hand injury. If I can move all my fingers am I ok?	Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a thumb sprain. I suggest to rest. Try not use your hand for at least 48 hours. Apply ice immediately after the injury to keep the swelling down. Wear an elastic compression bandage to reduce swelling. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My father is 78. He is taking clopidagril as he had a stent put in last year. He also inhales albuterol sulfate and ipratropium bromide. He has COPD. His trouble is thick mucus and expectorating. Can he take a 400-800 mg. Mucinex DM OR guaifenesin only several times per day? I haven t seen any drug interactions on line at Dr. websites. He is in above average health considering the COPD and has no other conditions which require medication.	Thanks for your question on Chat Doctor. COPD (Chronic Obstructive Pulmonary Disease) needs simultaneous implement of following treatment methods for better symptomatic control. 1. Quit smoking if he is smoker. 2. Continue his inhaler according to the advice given by his doctor.3. Enroll in pulmonary rehabilitation center where Chest physiotherapy and deep breathing exercise Are done. 4. Take adult respiratory vaccines like pneumococcal and influenza vaccines for prevention of future lung infection. And yes you can definitely give him Mackinac or gunaphesin as both are expectorant and bucolic. But better to start pulmonary rehabilitation. This will help him more.
如果你是醫生，請根據患者的描述回答醫學問題。	I am taking oxaprozin 600mg twice a day for back pain. I have some Meloxiaam tabs 7.5mg my previous Dr prescribed for back pain . I take the oxapeozin morning and night my question is could I take 1 meloxicam at noon also to speed the recovery of back pain?? Larry @ YYYY@YYYY	Cellophane you for trusting ChatDoctorDear both are NSAIDs may can cause peptic ulcers, kidney damage, elevation of blood pressure etc. There is no relation like if you take more Chat Doctor. It will take its own time to recover so. Better to avoid it why because usually twice a day dose is sufficient. If symptoms not improved please consult your treating doctor he will examine and treat you accordingly. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	im a lactating mother to a 6month old child. i have been diagnosed w/ amoebiasis and was prescribed with Metronidazole. My child wont accept bottled milk so i am forced to let her still feed through me. Is it risky for my child? what other medicine can replaced Metronidazole that can be good for my child?	Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child. Metronidazole doesn't pass through breast milk and will have no effect on baby. You can continue taking metronidazole, and also you should continue breastfeeding the baby. There is no need to replace metronidazole. I hope this will help you. Wishing your child good health. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello,Ive suffered with severe depression for many years. I take a heady cocktail of Venlafaxine, Mirtazipine,Diazepam and a beta blocker to treat the depression. I also suffer with anxiety and post traumatic stress disorder. I have requested a medication review from a psychiatrist as I have been taking these medications for several years and I still feel extremely depressed. Prior to seeing the Psychiatrist; I was wondering if there is anything else I should be mentioning to him/her? Also; are there alternative medications you could suggest I discuss with the Psychiatrist?Many thanks,Tracy Arnold.	Dear, We understand your concerns went through your details. Clinical depressive disorder is a neurochemical disorder. The Main Causes of Depression ranges from genetics, loss of loved one, grief, obsession to serious illness and substance abuse. There are many researchers who believe that an imbalance in serotonin levels may influence mood in a way that leads to depression. Anxiety and PTSD could be clubbed with your depressive disorder. Clinical depression is usually treated with a combination of psychiatric medicines, psychotherapy, lifestyle changes, meditation and exercise. These therapy methods are highly personalized methods and therefore only an expert will be able to help. Once you make the necessary amendments in your life with the help of the above said therapies and lifestyle changes, learn how to manage the depressive episodes without medicines and learn to relax, the medicines can be weaned off over a period of one year. Please consult a psychologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	i am 47 years old and i am normally very healthy for the last two weeks i have had a odd pain in my lungs that comes on fast when exposed to cold air, / aircondition room when leaving the outdoors. The pain is directly related to breathing and goes away when i get to warm air. I utilized a warm air humidifier in my room to sleep or i would wake up from this pain/ shortness of breath. i have no cold symptons other than the chest pain but no cough, could this be asthma?	Thanks for your question on Chat Doctor. I can understand your concern. Yes, this can be due to asthma. Asthma is allergic Airway disease. You might be allergic to cold air and on exposure it causes bronchospasm and all the symptoms of cough, breathlessness, chest tightness etc. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose asthma, but it will also tell you about severity of the disease. And treatment of asthma is based on severity only. You may need inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	This was on my CT..I am very worried about cancer. I had this ct scan back on 4/9/14 in the Er and no one mentioned the pancreas. I found it while gong through my records last weeek. i have an appt on tues with my GI Doc. is this normal? I also have GERD .. I do have pain directly on my ribs..but this has been on and off for years .feels like squishy fatty lumps LIMITED ABDOMEN: Small to moderate hiatal hernia. There is an unusual contour to the body of the pancreas with the posterior aspect bulging but approximately 16 x 20 mm in size. A pancreatic MRI would be useful to confirm that this is truly just a normal anatomic variation of the pancreas and to exclude a pancreatic lesion or peripancreatic lymph node. BONES: Normal. CONCLUSION: 1. No evidence of pulmonary embolus. 2. Small to moderate hiatal hernia. 3. Unusual contour to the posterior body of the pancreas which is likely a normal variation of pancreatic anatomy. In order to exclude a peripancreatic lymph node or exophytic pancreatic mass, further evaluation would be recommended with either CT or MRI of the abdomen, non-emergently.	Hi, Thanks for writing in. The first CT might have been done for the chest, and you probably had discomfort and breathing problems. There is no pulmonary embolus shows no blood clot in the lungs. Hiatal hernia is a condition where there is upwards movement of the stomach and this is mild and therefore not a serious problem, and you might be aware about it. This can cause acid reflux symptoms. The pancreas is a soft organ and is tadpole in shape. Some people can have a bulky head region of pancreas, and probably it is there in your scan. If you are doing well without any problems in digestion and if there is no abdominal pain then your pancreas is a sort of normal variation. This is common and found in many patients. The pancreas is slightly prominent for this reason, and it is not a problem. Please do not worry.

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