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如果你是醫生，請根據患者的描述回答醫學問題。	Hi Dr.herrick , one dr has diagnosed me with hip labral tear and FAI. Whereas another dr says i just have osteitis pubis, and very weak core muscles...is there any way to differentiate where the pain is coming from..i have deep musculoskeletal pain radiating to legs and extrreme foot pain	Hi I am Chat Doctor. . That could be sciatica due to nerve compression, as it may cause radiating throbbing neuropathic pain as mentioned in your give history, numbness and tingling may also be felt. For my patients I recommend painkillers (NSAIDs) like Tylenol 400 mg tabs when needed, gentle massaging with topical anti-inflammatory gels, muscle relaxants, B12 vitamin supplements, in more severe or chronic cases steroid tabs (vi codeine) or injections and anti-epileptics like gabapentin are prescribed if required. You may try to avoid heavy lifting, over weighing, obesity, vigorous movements and bad sleeping or sitting postures will be helpful in most of the cases If medical and physical medications failed for 6 consecutive month I recommend you undergo further investigations like X-rays and MRI scans to exclude any spinal injuries or disc herniation and follow them up with your neurologist for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I had a microdiscectomy in Sept. 2013 at L5 S1 and am still having severe numbness down my right leg to foot. It has been about 7 months and it has not improved. I have had oral steroids and am now considering and injection to the nerve in my back--do you think this should by my next step? I have done PT and am still working but it is painful to sit more than 15min and walking too long becomes painfully numb too.	Hi, I am Chat Doctor. I believe that a part of disc has been removed, and some other part has now herniated, or an adjacent disc has herniated You need to undergo Radiological investigations once again (X-Ray, CT, MRI) and consult a Neurosurgeon. The further course of action can be decided based on clinical evaluation and radiological investigations you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. I feel like my heart is gonna come out Of my mouth. Its beating really hard and I can literally feel it thru my chest. Should I be concerned? I also feel like I cant breath and that Im lacking oxygen. I cant seem to get a deep breath and Im getting very impatient cause Im afraid of what can actually happen.	Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry. I will try to explain you something and give you my opinion. This had to do with a heart rhythm issue. You may have this sensation like your heart is going out of chest for different reasons. It might be a simple sinus tachycardia. This mean that your heart beats over 100 beats for minute. It might be another arrhythmia like atrial fibrillation. It means that your heart rhythm it's not normal but beats in a chaotic way. Or it might be an extra systolic beat, a premature heart contraction. All this rhythm issues makes you feel palpitation, feeling like your heart is racing or going out of chest, difficulty in breathing deeply like the air is not enough. There are different causes of this rhythm issue like simple stress, coffee and alcohol consumption. Also, pathologies like anemia, hyperthyroidism or ischemic heart disease might be other causes. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo, a full blood analyze, your thyroid hormones, a holder rhythm monitoring and a stress test. Only after this we can judge what we are dealing with and how to treat it. It might be just a stressed period, and it will pass. Hope I was helpful. Wish you good health. Best regards.
如果你是醫生，請根據患者的描述回答醫學問題。	I just dont feel good allover my left hip was out.. my left side under my lung hurts and i have the runs.. my blood pressure has been up and down 89/50 90/55 and just check and it is 100/50 I feel like i can do anyting I try but give out.. I have to sit and rest.. I am on 2 blood pressure pills	HI, thanks for using Chat Doctor Since your blood pressure is running low at the moment you may need to lay off your medication for a time, but this should be discussed with your doctor. The fatigue and joint pain may occur in different conditions including viral infections such the flu. If the symptoms continue and there is no clear cause then you may need to see your doctor for assessment. I hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	Dear doctor, Iam 47 yrs old. suffering from upper respiratory tract problem for past 4 months. but for past 10 yrs i had sinus. dr adviced me to go for sinus endoscopy. due to scare, i refused. now unable to breathe always. taking only allarcet dc 10mg during nights for past i wk.pls help me for remedy. thanks banu	Hi. I can understand your concern. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello-- 2 weeks ago I had endoscopic sugary for the removal of 2 kidney stones. I have noticed that when I mastubate, which has been 3 times since the surgery, that I get a slight pain in my anus (my prostate?) and immediately after ejaculating I get a deep body chill that stays with me for a quite a while. Is this normal, or cause for concern? Thank you!	Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No masturbation will never cause any problem. Pain will not be felt while doing masturbation. But you can feel some short of contraction feeling after masturbation. So in my advice you should be physically examined by nearby doctors. Once examined cause of the problem can be ascertained and can be managed accordingly. You can continue the masturbation right now but can show the problem to the nearby doctors once. Please avoid vigorous masturbation as it will injure the private part. Please do the practice with clean hand. Unhygienic hand can cause problem of infections. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hey , so my belly button gives off alot of discharge .. i dont know why . i know its spose to smell i think .. im only 16 & i am kind of worried .. i dont know if this maybe if if i am pregnant , i havent checked .. the last time i had inter cource was 2 weeks ago .. please help me . I just need to know if this belly button discharge is not normal . it comes alot . like ever hr and sometime its crusty ..	Hi, From history it seems that there might be having acute bacterial infection in belly button giving rise pain and pus discharge. Due to collection of dust and mixed with perspiration in belly button and due to its structure not cleaning properly gives rise to infection. There is another possibility of having Granuloma. Go for one course of antibiotic for 3-5 days. Clean the part properly and apply antibiotic cream locally. Do not worry about pregnancy., as it has no relation with pregnancy. Ok and 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 developed a small cut on my foreskin during an intercourse with my wife. Did not realise it initially but was feeling uncomfortable while passing urine. I washed it and left it unattended for a few days and abstained from having intercourse for some time. It had reduced. I did masturbate a few times and felt a little discomfort though there was not any pain. I recently had an intercourse with my wife and the cut seems to have become fresh again. I took a break from intercourse and masturbation for the past 10 days and started using Fusee B cream for the past one week on the cut before going to sleep. Sometimes during erection, the cut seems to become a little fresh.	Hi, Welcome to Chat Doctor forum. This appears to be a tear in or near the frenulum. This may continue to recur as healing will cause scarring and further contraction, while sexual activity will stretch and tear it again. You should see a surgeon or urologist if this does not heal. A minor surgery called frenuloplasty may be needed. Take care. For more information consult an urologist online
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,I suffer from lower back pain and since I am a software engineer so my sitting hours are quite long (around 7 -8 Hrs).I wish to do some excercise for staying healthy such as skipping.Please let me know if it is good to do skipping if suffering from back pain.Regards	HiT hank you for asking ChatDoctorI have gone through your query. Skipping is a good all body exercise and burn lots of calories in less time. But it puts too much pressure on discs. As you are already having back pain you should better avoid it now. A physical examination of your spine like palpation is needed preferably should be done by an orthopedic.X-ray might be needed to rule out any pathology. With short term NSAIDs muscle relaxants exercises and physiotherapy will clear up your problem. A proper posture in your working place is recommended and giving relaxation to your back intermittently. Hope this may help you. Let me know if you have any further query.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I had protected sex before two years. As I recall she was on the top and then later I was on top of her. During the act, my condom slipped, but there was no exposure to my bare penis. I could not achieve an erection, so she removed the condom and applied lotion on my penis. My question is,1. Can her vaginal fluids enter my exposed penis as she applied lotion, making me infective (unknown status)?2. I had two p24 tests done at four and nine weeks. Both came negative. Should I go to 12 weeks or is this conclusive? Is there any chance of turning negative to positive?3. I feel swollen lymph node in my neck which occurred close to 12 weeks now. Am I HIV infective? Please help with your reply, and I am getting stressed.	Hello. Answers to your queries are, 1)This is not a likely situation of entry of HIV through the vaginal fluid. Acquisition of HIV in this scenario is non-existent. Your fears are unwanted. 2) It is good that your p24 test is negative at four and nine weeks. Majority of the individuals (approximately 97 %) turned positive after an HIV exposure in two to eight weeks, and a very few take six months for the test to become positive. As per the recommendations and I also suggest you undertake a repeat HIV antibody test at three months and if negative then at six months. You need not repeat it in between. 3) Enlargements of lymph nodes can be in multiple conditions. Get it evaluated. Lymph node biopsy helps in establishing the diagnosis. I hope your queries are answered, but if you still have, feel free to ask.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor , I am suffering from non alcolic fatty lever & gone thru acute appenditics last month on 10th oct , during my test found that i have some juindice very low doctor advice me to take sorbinline,last two day i start taking it & feeling very low & tendencey of vamating with mild headache . Also feeling indigestion & dont even like to eat pl suggest what to do	Hello! Thank you for the query. Usually fatty liver do not cause jaundice. Your symptoms sound more like gallstones and bile ducts stones. Assuming that your fatty liver is caused by bad diet and obesity, gallstones are very probably as well. It would also explain your nausea, low appetite. It is advisable for you to have abdominal ultrasound, liver tests(AST, ALT,GTP, AP), amylase, CRP. If no findings in these tests, HBV and HCV antibodies levels in the blood should be performed. You should also have upper GI endoscopy performed. 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 am currently on warafin after being hospitalized for a blood clot in my leg that broke off and went to the lungs. But, it makes my body swell,I am seriously tired, have diarrhea, bad headaches and always hungry. The other problem is I alway feel constipated and have gained a lot of weight in the last 3 weeks. Can I take magnesium for my colon when on warafin?	Hello, Welcome and thanks for your query. You had blood clot in your lower limb. Part of it would have broken loose, and the blood carried the broken piece to the lung and blocked some blood vessels, pulmonary embolism. The swelling is from decreased pumping out of blood and the back pressure caused. The intestines also can be congested producing abdominal symptoms. You can take Magnesium with warfarin as there's no interaction
如果你是醫生，請根據患者的描述回答醫學問題。	my 4 year old daughter has a purple discolouration to her mouth (it looks like a bruise), but we have no idea how its occured and its appeared out of no where. there is no fat lip, no temp, no food substance and she seems fine and my daughter is adament she hasnt hurt herself in any way	Dear parent,first don't say she is adamant. Always trust your child. And let her know that you trust her and are concerned for her health and safety. If there is one bluish discoloration at one site, check her whole body for similar discoloration. If there is none, wait and watch if its increasing or reducing, if she has fever, any local inflammation and rash appears in other parts, then take medical advice.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. so I like to sing a lot but for a while now it feels like the muscles in my cheeks or maybe my tonsils? idk. feel tight and it feels hard to sing. This has been happening since I got my 3 wisdom teeth removed. My fourth wisdom tooth I use as my very back molar now. (had a root canal in the adult one) I was wondering if I needed to get my tonsils removed? Sometimes my jaw or muscle not sure how to explain it on my left where my wisdom tooth is still there becomes painful and feels like it locks my jaw into place, well it hurts to move. usually happens when I eat chewy food.	Hello and welcome. Thanks for sharing your concern. Can you please mention when did you get your wisdom teeth removed? Did the socket heal on its own or there was any infection? Does the tooth treated with root canal treatment hurts when you clench or close your mouth? According to the given history it appears it could be a case of Erasmus(lock jaw). It is best to get it clinically evaluated through your dentist once. If required you can also take an x-ray for the root canal treated tooth. Hope it helps. Thanks. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	i am 26yr old female. i had gastric bypass in 2007. i went from 320lbs to 180lbs. i am 59. since 2007 i started experiencing chronic back pain. i have seen countless doctors and nothing ever shows up on MRIs or CT Scans to explain the pain. i had lab work done and my sedimentaion rate is 46. could my pain be auto immune and a clue to that is the high sed. rate?.	Hi, thanks for posting your concern in the Chat Doctor. I think back pain after gastric bypass needs further investigation particularly when you have an elevated ESR. Depending upon the location, back pain can be considered due to numerous reasons. If the pain is in lower back, spinal abnormalities, mechanical back pain due to faulty posture, urogenital infection including PID, colonic pathology should be ruled out. As your doctors have already performed imaging I think any obvious spinal abnormality has been ruled out. If you have not yet done a routine urine examination, you should have it done at the earliest. Your should also have a stool test done for routine examination and OBT. These are important because you have a high ESR which suggests some infection or inflammation. Mechanical back pain may not display any obvious abnormalities in these test. It is due to faulty posture or prolonged sitting etc. It may be relieved by correction of posture and abdominal muscle strengthening exercise. I will particularly emphasize this because you have a history of abdominal surgery in past which might have caused lax abdominal muscles resulting in overload on para spinal muscles. In case of pain in mid or upper back, a serum amylase and lipase test and liver function test should be done to ruled out any liver or pancreas problem. Last but not the least, anxiety disorder and functional problems like regional pain syn Chat Doctor. You should also start daily relaxation session for at least 30 min just before going to bed. For any further information please write back.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello I have been having abdominal pain for 3 wks, I have nausea, had diarreah and distension in my belly. I had an us and the us revelead enlarged spleen and liver. my liver enzymes are a little high not much. my gums bleed, i get night sweats, head aches,pain all over my body, fatigue, headaches ringing in my ears and I am a diabetic insulin dep and resistant. Oh and within a wks time after the abd us I had a ct done and the spleen had enlarged and so did the liver. Never having fever.	Hi there, Thanks for your query. From the information provided by you, it is most likely Malaria or Tuberculosis. But the history of bleeding gums mandate additional investigations for dengue, bleeding abnormalities and some other hematological conditions, which I would not like to name here. Pending investigations, an empirical course of anti-malarial Chat Doctor. Kindly consult your treating doctor and discuss the entire matter with him. He knows what would be best for you.
如果你是醫生，請根據患者的描述回答醫學問題。	hello , i am mohammed 32 years old last 3 years before i married that time i am only 3 month sex with my wife after that i go foreign after 2 YEAR I came from foreign. my wife got 1st month result possitive (preganancy test) after 3 month my wife baby misscarriage and also doctor advice to clean the utrus bag that we done. after that doctor advice to take ar wonder tablet for me this is the right one can you please give me your good suggestion i hope for your rely	HelloThanks for query. Your wife had miscarriage after 3 months of conception is itself suggestive that you are not infertile.Hence, you do not need any medication being commonly used in treatment of infertility. The cause of miscarriage is due to failure in growth of Zygote (Product of conception) due to many hormonal factors and chromosomal abnormality and are never due to any direct in sperm.Hence, a male partner does not have to take any medication. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,There is about a quarter inch long strand of skin going away from the anus and I think it is a hemorrhoid. Also, that is dark purple in color. I am in need of your help.	Hi. I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. I have seen the attached picture and it looks as hemorrhoid (attachment removed to protect patient identity). I am unsure about the position of the lesion that is, whether 6, 9 or 11 o\clock. It usually is due to portal hypertension. Proctoscopy or colonoscopy by a general surgeon. Hemorrhoids. Avoid constipation. I suggest Lactulose syrup if you have constipation. Consult your doctor, discuss with him or her and take the medicine with consent. Take plenty of water and high fiber diet. Ask your primary care physician to refer you to a general surgeon for proper evaluation and treatment plan. Do not let it go untreated as it may complicate and will have serious consequences.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 43 yrs old lady & mother of 2 children. I have severe Back pain. In April, 2012, I have done MRI and reports says - Posterior and bilateral posterolateral disc at L3-L4 and L4-L5 levels along with ligamentum flavum thickening and facet joint hypertrophy narrowing spinal canal and completely obliterating the neural foraminae - Posterior and bilateral posterolateral disc prolapse at L5-S1 level along with facet joint hypertrophy is narrowing bilateral foraminae Taking medicine 1. Macelvit 500mg 2. Fludac 10 3, Mecanerve 4.Gabantin 100 for six months and got relief for some days and after that whenever get symptoms I use to take tab Gabantin. Now from last few days again the pain becomes severe. Is it necessary to go for surgery? Pls Give advice how to get relieve from it?	Hi, Thanks for using ChatDoctorIn my opinion you should not play with your health like this. Looking at the history all I can say is that you need a surgery and kindly do not delay it as the more you delay the difficult it will be to heal after surgery. With this medication you can treat the symptoms, but the problem will be there. I'll give a small example. Consider a rubber pipe with a brick place on it. The water will run through it but will very less pressure. We will not get the full pressure till we remove the brick. Similar is with our nerves. So please do not delay and get the surgery done.
如果你是醫生，請根據患者的描述回答醫學問題。	I was recently diagnosed with herpes complex 2, I have severe vaginal irritation that will not go away its like an open wound. I have been taking Valacyclovir for 2 and a half months. Is an outbreak known to last this long? I m beginning to think this is something else. What are the symptons for uterus cancer?	Hi and welcome to Chat Doctor. Thanks for the query. Cancer is the last thing to think of and these are not sign of any female cancer. This is probably herpes and herpes infections are usually refracted and bothering and easily treatable in some people. You should continue with val acyclovir. Outbreaks can last even longer, and it is hard to predict how long. Uterine cancer is usually seen in postmenopausal women, it goes with pelvic pain, prolonged and excessive vaginal bleeding. You should do testing for other STDs. 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。	Hello. I was in a motorcycle accident 3 months ago. I had a swollen and bruised lump below my right knee cap. It actually looked like I had a third knee. 3 months later the lump is pretty much gone, but the area is tender with a patch of grey/black bruising and I have numbness in that area. I was checked out by a paramedic, but never had an x-ray. Do you think I m healing okay? Seems like it s taking a long time to heal totally.	Hi.it is best if you consult with a doctor, preferably an orthopedic surgeon in regard to your knee. A medical and physical examination will be of great help. It might be the inflammatory or fibrotic reaction which brought the lump on your knee. But is best evaluated clinically. Further diagnostics, such as imaging (x-ray or MRI) and management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I feel like i ve got anxiety disorder ,i feel shaky and weak all the time & a feel stressed worried and tearful all the timd,i try to avoid people,its like somethings stopping me to socialise with others,my palms start sweating and i think negatively and think about stuff from the past and if someone says something to me i keep thinking. about if keep on,i feel lyk no one understands me and i reallydont know how to tell my gp and will she understand? What help can i get if i do go to her? This is really affecting my life,,what shall i doo : ( can u please help me out?thankyou	Hello Farah.x. Welcome to the forum. There are many people who have similar problems like you. There is nothing to panic or get stressed up. Lifestyle today is very fast. Tension, anxiety and stress are a part of life. Yes, you are suffering from personality disorder, but it is nice that you can understand it and trying to get out of it. There are many who suffer and are not even aware of their problem, finally they get depressed and have complicated problems. Take care of your diet, eat what makes you feel happy. Exercise regularly and start visiting friends. Peer pressure is always there, take it casually. Think positively and encourage yourself to socialize as much as you can. Perform meditation and yoga. Keep yourself well HY Chat Doctor. Recognize your skills and talents and feel proud about it. Do not bother what others say about you. You can also speak out. Have a good day, take care. If you find yourself still in a difficult situation please visit a doctor you require some anti-depressants and mood elevators. (never take over dose of the medicine)
如果你是醫生，請根據患者的描述回答醫學問題。	I have been suffering from anxiety attacks and suicidal thoughts. However, these attacks only really seem to arise when I conversate with my boyfriend, who quickly reminds me that I am an annoyance and an irritation. Those and other negative comments always make my anxiety attacks worse and I don t know how to stop them. This partner makes me feel like it s my fault and that I am making his life more stressful and unbearable and that I shouldn t be sharing these anxiety type thoughts with him especially when I talk about numbing myself with medication. I think I do this to get his attention but it is only backfiring and making me feel extremely guilty and thus increasing my anxiety. I have tried to get out and talk with other friends but I end up feeling guilty and ashamed again because it may be construed as dating or gossiping. I am not sure if I have provided enough information or if this is more a psychological rather than medical issue but I need to talk to someone who will not call me crazy.	In my opinion you are undergoing a stressful relationship. As you rightly said you attires do things to attract the attention of your husband, but it goes otherwise, and he gets more irritated with you. You are trapped in a vicious cycle where you are unable to find a way out. I would recommend you to go to a therapist who can do analysis of your situation more objectively and help you to overcome the situation.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter has had a very high fever its been running around 103, 104. We just found out that she has a UTI but also has alarmingly high nitrates in her urine. She is 3 1/2. She had an issue in September with extreme back pain and high fevers. At that time we were told she has a bladder and kidney infection.... Im worried this is not a normal UTI	I have studied your case. In child an UTI can cause all these symptoms. But UTI is not very common in this age, I would recommend you to get ultrasound to find out if her kidney and ureter are normal. In a disease called vesicouretral reflux, backflow of urine can cause such infection. You can consult with a pediatric surgeon in your area. Till that time you should increase her water and fruit juice intake, avoid painkillers.
如果你是醫生，請根據患者的描述回答醫學問題。	I have Hep C and liver problems> I need to know what my options are. I had a blood transfussion in 1970 when I had my son and it didnnt show up till now. I am seening Dr. Lake in Hillsboro for my liver issues. Please let me know if there is anything you can help with. Pam owen 503-848-8283Thankyou	Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. You should know that chronicity is the hallmark of Hepatitis C Virus. So you need to get treatment in any case. I would advise you're following:1. Liver Function Test2. HCV Genotypic.3. CV RNA quantitative.4. Ultrasound Abdomen.5. Upper GI Endoscopy. Get these investigations and without giving a second thought start yourself on treatment under guidance of an expert. You may write to us again if you have any other query. Stay healthy.
如果你是醫生，請根據患者的描述回答醫學問題。	I occasionally get a fluttering feeling in my lower abdomen. It mimics the feeling of early fetal movement, even the location is similar. However, I am not pregnant. I am not having any other digestive issues. Just wondering what this might be? thank you	Hi. Thanks for your query. Since you have mentioned this as a typical fetal movement and in the same position, that you are so much certain of, and since you do not have any digestive issues as you have specifically mentioned, this can be taken as a case of Pseudocyesis. In Pseudocyesis the re is no actual pregnancy, but the patient gets all the signs and symptoms of being pregnant. I would advise you the following:Get an ultrasonography and standing X-ray of the abdomen and a urinary pregnancy test. Consult the Gynecologist. And be assured if all the tests are normal. Nothing specific treatment is needed as this is self-limiting and passes off most of the time the moment you have next periods. Assurance is the biggest treatment at the moment. If something is found during the course of investigations or the tests, the treatment can be guided as per the cause.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, My brother-in-law has stones in pancreas. His age is about 35yrs. I want to know where he can get better treatment in India. He lives in Kolkata, India. So, if theres any good hospital or doctor where he can go for treatment please let me know.	Hi, He might be having stones in the main pancreatic duct or its secondary branches. In the past, treatment for painful obstructing main pancreatic duct stones was a surgical lateral pancreaticojejunostomy and open duct stone removal. In recent times and over the last 25 years, endoscopic techniques to remove main pancreatic duct stones have been developed using methods similar to ones applied in bile duct stone removal. Simple stones can be extracted using various endoscopic techniques such as balloon or basket techniques. Larger and impacted stones typically require lithography or surgery. Medications do not help much in the treatment of pancreatic duct stones. Oral pancreatic enzyme supplements, a low fat diet, and analgesics are standard management for patients with chronic pancreatitis with or without duct stones. These therapies do not affect stone size or stone formation. There are many good hospitals in India offering treatment and this is treated by gastroenterology surgeons. Doctors at Post graduate medical institute SSKM in Kolkata might be consulted for treatment.
如果你是醫生，請根據患者的描述回答醫學問題。	I ve had kidney stones three times in six years. All stones were 2mm or smaller and caused severe pain . I use the va and had the surgery two of the three times. The last surgery was jul 2011. Starting march I started getting severe pain again. I am told its probably not the stones that hurt cause 2 mm stones don t hurt. What else could it be? Every time I have had pain I ve had small stones. Surgery relieves the pain for awhile but i still have never passed a stone. They stay in my kindness. Any suggestions as to what is causing this?	Hi, kidney stones are a recurrent problem. If you have a kidney stone, chances of your having another stone in next 8-10 years is around 50%. So cause of your repeated pain attacks may be that you are forming new stones which while passing down the kidney tubes cause you pain. Surgery does not prevent new stone formation. Each episode has to be treated as a separate disease, some will require medicines only, some will require surgery. Go see your urologist for further evaluation and treatment.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, my husband was told by an infertility speacialist who did a semen analysis that they found white blood cells so he took Cipro for 2 weeks and restested. He still had white blood cells so she ordered a culture. They found moderate skin flora in his semen along with the white blood cells she said since its moderate no further treatment is needed. We are unsure what skin flora is and why further treatment wouldnt be needed?	Hi, Welcome to Chat Doctor . Normally many organisms live on our skin. These won't cause any harm to us. They protect from outside organism. The group of organisms is different at different places like skin, mouth, intestine. Those residing skin are called skin flora. Presence of skin flora in semen is not harmful. It indicates while collecting semen skin flora have come. This needs no treatment. Hope I have been helpful. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my daughter is 2and half year old.she is suffering from very severe cold &cough since 3months.we have met children specialist and he gave her cefidinir and cough syrup.but there is no change,and now bad smell comes out from her nose &mouth.what could we do now?please suggest any medicine for her.	Thanks for your question on Chat Doctor. I can understand your concern. Better not to start any Chat Doctor. She is having chronic cough and cold not improving with routine antibiotics. So we should definitely find out cause for this. So consult pediatrician and get done clinical examination of respiratory system and chest x-ray. Possibility of lung infection or allergic asthma is more likely in her case. She may need higher antibiotics and anti-allergic (montelukast)
如果你是醫生，請根據患者的描述回答醫學問題。	Good Morning - my 87 y/o father has been spitting mucous (sometimes it is as severe as vomiting mucous) - clear or whitish. one month ago, he spent the night in Emergency Dept of the local hospital whilst tests were run and MMR scan of his brain - apparently to rule out stroke, clotting, bleeds and brain tumour . He had a severe headache which was reduced with strong painkillers but took all night to recede. He has now been prescribed an anti-acid producing medication, but still has daily spitting episodes - not so much heaving or vomiting as he did when he experienced the severe episode that had him admitted. He is in OK health for his age !! and takes blood pressure meds daily, exalon patch daily, gout med (when required) and warfarin (just recently prescribed in the last few months - since the mucous problem started, so not related). Do you have any clues as to this excess mucous production Dr? (it is never greenish or yellow to indicate infection, but rather clear - like thickish saliva - and sometimes a little frothy. Thanks so much	Hi as per the information provided by you the source of mucus is the stomach not the chest. As per the history of gout where the patient suffers from gastritis also. The acidic pH of the stomach is irritating the gastric mucosa and making him feel nauseated, causing emptying of the stomach sometimes. Antacids along with regular intake of water will help keeping the gastric pH to near neutral .it will take a weeks time for the gastric irritation to go away, take care and keep the follow-ups with your gastroenterologist.
如果你是醫生，請根據患者的描述回答醫學問題。	I hungout with this guy on thursday & it is now sunday. He told me he has a cold sore on his bottom lip in the middle. I didnt kiss him directly on the lips but when we kissed eachother on the cheek goodbye, the corner of his mouth touched the corner of mine. We also shared a ciggarette. Is it possible he could have been viral shedding and gave me the virus?	Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Yes, Viral infection can spread through kissing specially Epstein bar Virus. I would advise you to avoid kissing if your partner is suspected to have any infection. This is my best advice for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. I had intercourse with my boyfriend around 2 weeks ago and we didnt use protection. He didnt put his --- in my vagina, but in the back, but it went in for around 2 seconds. I dont think he came in my vagina, though, but I am really nervous that I may be pregnant. I really cant tell anybody. How do I get rid of any chances of being pregnant!? PLEASE HELP.	Hello and welcome to Chat Doctor. Thank you for your query. I would first like to state that if you and your partner practiced anal intercourse, there is no chance of pregnancy. This is not possible. But if you think during your sexual contact, there was a chance that your partners penis ejaculated inside your vagina, then the first thing you would have to do is to rule out/confirm pregnancy. This can be done with the help of a urine pregnancy kit, which can be done at home. This will have to be conducted either 20 days after your sexual contact or on the first or second day of a missed period. The most accurate result can be achieved with an early morning urine sample. Repeat this test 2-3 times to confirm a result. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes
如果你是醫生，請根據患者的描述回答醫學問題。	My son is 4 year old .... yesterday he passed his stool after 2 days .... and did not eat anything after yesterday s lunch as he was very tired as we where travelling so he dossed off & woke up straight away at 7 in the morning & since then he s complaining abt stomach ache	Hi, There are many causes of abdominal pain in child Chat Doctor. These include: Pneumonia, dietary indiscretion or intussusception of the appendix (when one part of the intestine folds into an adjacent part) or blocked kidney. To narrow down the possibilities additional information is needed. Does he have fever, vomiting, cough, runny nose, sore throat, skin rash, pain in other parts of his body? Has he been exposed to others who are ill? Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	My 6 month old has been waking up with a barking cough for 6 weeks. The cough sounds just like croup, but not upon breathing- just coughing. It does not keep him up, he just "barks" when he wakes up to feed or for the day. Ocassionally, he will cough at naptime or during the day.No other symptoms.	Hello, thanks for posting on Chat Doctor. If you could make out that cough was barking type it could be possible he has croup. It will be confirmed on chest x-ray where we see narrowing in trachea. It will be advisable to consult a pediatrician for the same and treatment to be started as soon as possible. If it stays for long, it may result in breathing difficulty as airway gets narrowed. So I would like to advise to consult as early as possible before difficulty in breathing occurs. I hope I have given satisfactory answer to your query, if you still have any more query kindly write back to me and I will be happy to help. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	I have two painless, slightly visible, small swellings (one bigger than other) inside the tissue of my right cheek; GP looked and said it is most likely a fat tissue; It s been like this for about 18 months; It s not very much protruded, still noticeable, look like two bumps , one in the middle of the cheek, and smaller one on below, on a jaw line. I am concerned; Thank you	Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query small painless swellings inside right cheek is because of tissue overgrowth, and it happens mostly due to trauma to the oral mucosa due to cheek bite when the mucosa comes in between the teeth while chewing, it could be because of traumatic bite, chronic traumatic irritation to mucosa. It could be due to sharp edges of tooth causing trauma to the cheek leading to tissue fibrous. I would suggest you to see a dentist once and get it examined. Visit oral surgeon as well. Go for its complete examination and excision. A biopsy may be required if a cause is not determined. Visit oral pathologist in that case. Hope your concern has been resolved. Get well soon. Best Wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have a tingling sensation without pain in the inner aspect of the arm on and off. Also, I have a tingling in the gluteal and lower back sometimes going to the feet. I have no other issues. I am awaiting a neurologist appointment. It is only on the left side. Is it serious?	Hello, Welcome to Chat Doctor forum. I went through your post. It is nothing major. So, there is no need to be anxious about it. Regards. For more information consult an internal medicine physician online
如果你是醫生，請根據患者的描述回答醫學問題。	I have naturally low plaelete count and just reciently it has been going down more...last blood test was at 69,000...no other abnormalities with blood, went to visit hemotologist he thinks itp, I weight train...pretty intensely, can I continue that without worry? or do I need to let up?	HiT hanks for posting your query. There are many causes for low platelet count. But since you have consulted hematologist, and he thinks as ITP even I agree with that diagnosis. Now coming to your query, low platelet poses risk of bleeding. In such a situation heavy exercise where the chances of external or internal injuries are high is not advisable. I advise you to do light aerobic exercise but not heavy exercise. Any further clarification feels free to ask. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, I am writing in regards to more information about pregnancy. I am worried about an incident that occurred last month. My girlfriend is on the birth control pill and has been for the past 3-4 years, never missed a pill. My issue is that I am allergic to different substances and creams of any type; therefore we do not take any other protection rather than the pills. My girlfriend ended up having a urinary tract infection and had to take Cipro pills for 7 days. We read that it takes 3-4 days until the antibiotic is completely out of the system; therefore we waited for a month and a half before we continued in our intimacy. It has been 3-4 weeks now that she has been sick in the morning, twice that she threw up. She may think that she is stressed with all upcoming exams, but we are concerned for I have read online that the pills do not take affect until a month to three months. Can you please provide more info as to what may happen and if she is pregnant, our alternatives?	Hi, I have read your query & understand your concern. - Provided your girlfriend did not have a break in taking contraceptive pills-she can not conceive. . - oral pills offer very good protection when taken regularly & there is no need of taking additional precaution for contraception Her vomiting, in that case might be due to psychological stress/ hyper acidity due to over stress of studies. Thus missing normal sleep & rest. Still to clear the doubt, she can go for Pregnancy test of urine (HPT)after 8 days delay in her periods. & in case it turns +ve she has to consult a gynecologist for MTP. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	both kidneys are normal in shape size and position. Renal parenchyma is more echo genic and normal. loss of corticomedullary differentiation noted in both kindeys . in blood report creatinine is 2.0 mg/dl.i am 35 years old . can you please tell me what does this mean?	HelloThanks for query. Kidney has two parts cortex and Medulla Cortex deals with the filtration of blood through kidney and production of urine along with excretion of waste products of protein metabolism (Urea and Creatinine)whereas medulla deals with blood flow to kidneys. In normal kidney during ultrasound scanning signal intensity of renal cortex is higher than that of medulla. This differentiation between signal intensity is reflected and well-defined in ultrasound very clearly. This differentiation is reduced in any renal parenchymal disease making it more echogenic than normal resulting into loss of differentiation between cortex and medulla. Since your Ultrasound report mentions cortex to be more echogenic and raised creatinine suggest that you have early Renal Parenchymal disease. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi im saral from India.some time s I feel difficulty in breathing and my heart beat become fast.this was started when I was loosing weight.but two years back I got some allergy on my fingers.then next year I got allergy in my nose itching and all and this year aim having breathing problem.I become nervous so fast and my heart start racing like hell.so please guide me.	Hello and thank you for using Chat Doctor. I carefully read you question, and I understand your concern. I will try to explain you something. There are different reasons that might cause increased heart beats. Simple physical or emotional stress, caffeine products might cause increased heart frequency so It's mandatory to avoid them. All sow, there are different pathologies like anemia, thyroid gland problems like hyperthyroidism that might be the cause of fast heart beats. An active allergy, as you explain might be another cause. When you experience a high frequency, it might be normal to experience palpitation, chest discomfort or difficulties in breathing deeply. This breathing problems might be related to high heart frequency or may be related to allergy that irritate the respiratory system. If these high frequencies are interfering in your normal daily live, If I was your treating doctor I will recommend some simple examinations. I will recommend an electrocardiogram, a cardiac echocardiography and of course a rhythm holder monitoring for 24 h. This is necessary to have a full view of your mean frequencies during day and night. After these, a full blood check up to exclude anemia or thyroid problems and of course consultation with an allergo-logyst to help you pass the allergy problems. Doing these examinations helps us understand if it is necessary to treat this high frequencies or not. Sometimes, finding the allergy trigger and treating it resolves everything. Hope I was helpful. Wish you good health. Best regards.
如果你是醫生，請根據患者的描述回答醫學問題。	I undergone chest pa xray and its shows suspicious infiltrate on both upper lobes. They recommend a apicolordotic xray and it shows no significant findings. I have no acute or active infiltrates. I just wonder why the first xray shows that I have one. What does it implies?	HelloYour chest X-ray findings may suggest suspicious infiltrate in both upper lobes. It may be due to infective etiology. You are rightly advised for apicolordotic chest X-ray. It is a special view to visualize apical area because apical area is overlapped by bony ribs and clavicle. Normal chest X-ray(PA view) may miss the findings. Apicolordotic view overcome this problem and its helps in better evaluation of apical areas. Empirically you may be prescribed antibiotics. You may need to follow up chest X-ray. If findings and symptoms doesn't improve then tuberculosis etc. should be excluded. Get well soon. Take Care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I recently had a biopsy And been about 4 months to heal ,not done yeat . . its concave from skin surface and was before the surgery.Sorry to take up your time as Im on social security dissibility and didnt know at the start it cost money,which Im financially challenged.again my apologies.	There are a number of reasons for a biopsy site to heal slowly. It also depends on which part of the body the biopsy was taken. If it is an area that is rubbing or receives a lot of pressure it will be slow to heal. There are medicines (ex:prednisone, cancer meds etc.), systemic disease(Ex:Diabetes), poor circulation, as well as smokers that are slower to heal. The wound should also be evaluated for a possible infection. I would definitely recommend going back to the physician who performed the biopsy for further evaluation and possible treatment
如果你是醫生，請根據患者的描述回答醫學問題。	In 1985, I developed a glomerulonephritis that was treated with corticosteroids. However, I was told that I should not be taking ASA. Yesterday, a report on ASA and cancer highlighted the advantages of aspirine in the prevention of cancer. Last year I was diagnosed with breast cancer , had a mastectomy of the right breast and took chemo and am now on targeted therapy. My question is can I be sure that my glomerulonephritis was due to aspirine intake? Also how true is it that Asprine prevents cancer and should I be taking it?	HI, thanks for using Chat Doctor The advice regarding not using aspirin was given because aspirin and medications similar to it can damage the kidneys. Glomerulonephritis was not caused by the aspirin, but aspirin can cause further damage. This would also go for medications such as ibuprofen, Catalan, Celebrex, naproxen and the other members of the NSAID family. Aspirin certainly is a useful Chat Doctor. It has been linked to reducing cancer risks, but further studies are needed to confirm this. It would be best to continue avoiding it based on your history of kidney disease. I hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, i have been having terrible bloating were my tummy will push out up to 3 times its normal size, tummy cramps, back ache and feeling very sick. It does happen everyday but its starting to happen most days now. This week i have been getting a little breathless. I changed my diet over a week ago to gluten and wheat free as my sister has celiak disease. I had an awful attack last night and got really scared as i could not control the pain. The tummy cramps were tight for a few minutes then release but my back felt like it was going to cave in. The pain went away after nearly 2 hours and this morning i just feel really tender??Please helpMany ThanksZoe	Hello. Thanks for writing to us. The bloating of the abdomen with cramps in the abdomen are likely to be related to an intestinal infection. If the symptoms are persistent then celiac disease, gluten sensitivity, etc. also need to be ruled out after proper tests. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Ive recently been for two full blood counts, both of which show raised ESR (55) and slightly low Folic Acid. Ive also had a chest x-ray (results not back until next Friday) and have been prescribed Amoxicillin Capsules and Folic Acid Tablets. Im always racked with aches and pains, but this is the first time my ESRs been raised. Needless to say Im extremely frightened, as when you search the internet all the horrors appear (cancer, etc). How likely is it to be something really serious?	Welcome to Chat Doctor. I am Chat Doctor. There are a lot of causes associated with Raised E.S.R like-Infection, Anemia, Pregnancy, Thyroid disease. Immune disorders like Rheumatoid arthritis etc. Your doctor started Amoxicillin, so it suggests you have infection (a common cause of Increased E.SR.). I advise you to complete the course of Amoxicillin and repeat E.S.R witChatDoctorplete blood count. This will completely resolve your query and help in further follow up. Thanx for query.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I am a 27 year old female. I have been diagnosed with Eagle syndrome last year. I do not know which type it is, whether it is affecting nerves or arteries but I can feel the pain which is so tough to bear and my face is getting dull day by day. Please reply soon.	Hello, Welcome to Chat Doctor forum. Eagle syn ChatDoctor. There are some medications that can help decrease the dullness sensation such as Neuroton ampoule (nerve multivitamins). I suggest taking just one injection every three days. Anti-inflammatory medicine such as Brufen tablets can be taken twice daily. The second option is nonsteroidal anti-inflammatory injection around the stylohyoid ligament. The third choice is a surgical shortening of the elongated styloid process. For more information consult an ENT otolaryngologist online
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor! Iam trying to get pregnant from quite sometime. This time, my periods are due from tomorrow but I have not been getting the usual sharp symptoms. Also I can. Feel. Some dripping sensation, though what is flowing out is a small amount of white discharge. Can it be that Iam pregnant? How soon can. I take a home pregnancy test?	Dear user, welcome to Chat Doctor. We cannot suggest pregnancy by the symptoms you mention because they are non-specific. You can have a blood test now or a home urine test after one week. If the test is positive, start taking Folic acid supplements and have a visit to your doctor to do an ultrasound to confirm a healthy intrauterine pregnancy and exclude ectopic. I wish you get pregnant soon. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	Hey, My name is Tayyab. I am male 22. I have been experiencing pain in my left breast area. Sometimes its like a sharp tightness and squeezing feeling. Its been going on for three weeks now. I am under a bit of stress these days. Should I be worried about it?	Hi how are you? I have read your concern. Stress is among the major factors responsible for the majority of health hazards these days. Anxiety and depression usually result when one takes undue stress in their busy lives. I suggest you to get relax as soon as possible to combat these symptoms. More than 50% of pain and discomfort goes away when we do relaxation exercises. You are young and exercise can make you stronger and calmer reducing stress. Join gym and increase work out slowly. Furthermore, an evaluation of chest pain by your medical specialist is essential in case your heart is undergoing any changes due to stressful life episodes. I will not recommend any medication at this stage. Just change your lifestyle, eat healthy diet and make exercise your routine.
如果你是醫生，請根據患者的描述回答醫學問題。	hello i have a friend who hurt her back last night working in a nursing she took avild for the pain she ate find but she fainting but she was not breathing until i put a cold wet rag on her and started to talk to her and put a fan on her too is that the avild did that to her	Hello, Your friend suffered from vasovagal attack due to injury or had an allergic reaction to the medicine that she took. In either case, make the patient lie down. Lose the necktie & belt around the waist. Turn the face on one side so that breathing is possible. Lift the legs. Be ready for artificial respiration. Get the ambulance service informed. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I found 2-3 small yellow-orangish crystals or specs of something in my sperm. Ive had unprotected sex as of late, just entered college and have been having a fun time. I am now very wary of my decisions and I am scared. Am I overacting or is this just maybe something normal	HelloThanks for query. Orange colored specs in Semen are due to clumping and agglutination of sperms suggestive of infection acquired through unprotected sex. You need to do Semen examination and semen culture to trace out the organisms causing this infection and antibiotics to which they are sensitive to Take appropriate antibiotics as per culture report for two weeks. It should get resolved within two weeks. Ensure to have safe and protected sex. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doc,I am 33yrs old and trying to conceive since last 1yr.my tubes were block than I had Laproscopy,after that I conceived but unfortunately it ended up with an abortion,now I had 4 cycles with iui but no result,now my doc has prescribed Dronis 30 for a month.now I want to know how helpful it will be for my next cycle?	HelloThanks for your query. Firstly, please let me know if laparoscopy managed to open your tubes. IF yes, then after 4 cycles of GUI, the next step logically is to go for maximum another 2 - 3 cycles of GUI, and then go for IVF. Also, let me know if the GUI was successful in terms of response to ovarian stimulation, and insemination of good quality semen sample. Chat Doctor. You can write directly with more details at the following link - http://doctor.ChatDoctor .com/doctors/
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my daughter is 4 months old. Since last 10days she is having loose motions. Weve done stool test 5days back & prescribed by a doctor for Zifi100 Dry Syrup. Since last 4days weve fed her with milk food and medicine (Zifi100) as advised by doctor howevr no improvement is observed. Today when i checked Zifi100 on web i realised that it is best remedies for few other disease but not for gastrointestinal infections. Doctor has advised Norflox100 DT as an alternative now, but when i searched this on internet i found that it is not recommended safe for infants. ..the comments on stool test report says shes NUMEROUS INCLUMPS IN MUCUS....Please advise best medicines....QUERY FROM INDIA..	WiFi works well for gastroenteritis when caused by bacterial infection. If the infection is viral which is the most common cause then WiFi itself can cause loose stools. In addition, this baby is most likely having transient lactose intolerance due to viral diarrhea. Please stop the antibiotic and keep the baby on strict breastfeeding. Get stool check done for reducing substances, and if strongly positive, can change milk to a lactose free formula temporarily.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have pain in the right knee for two months. While using a staircase, it used to pain initially whenever I starting walking or running. The pain is exactly on the front side of the knee and just below the left side of the kneecap. I started jogging a year back and continued for six months, during jogging or walking I was feeling a cracking sound but I thought it was normal. Recently, my weight started increasing so again I started jogging and gym workouts. In the gym, I was doing leg workouts like squats, leg extension, leg press, and deadlift. Knee pain started and I realized I was doing squats and deadlift in the wrong form. Later, I corrected and started doing workouts in proper form and pain is slightly reduced. I have consulted a doctor regarding this and he gave me some medicine and said it as early osteoarthritis. Kindly advise me whether I can continue my workouts, is this issue curable, how to manage this. Medicines which I am taking now is Fixit 300 (Nizatidine 300 mg), Loflam (Aceclofenac 100 mg), Joint free triple action (Glucosamine, Chondroitin, and MSM).	Hello, Welcome to Chat Doctor forum. Your X-rays are normal for age (attachment removed to protect patient identity). What you describe is patellofemoral compression syn ChatDoctor. Physiotherapy to do like closed chain exercises, leg presses with knee not bending more than 30 degrees, patellar taping, core strengthening exercises, gluteal clam shells, hamstring stretches, VMO (vastus medialis) exercise, etc. Take NSAID like Aceclofenac but I see no role of Glucosamine combination tablets. The process of relief takes a long time so do not get frustrated and believe me this is a curable condition but effort has to be yours.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, my three year old daughter has been a bit out of sorts and appears to be uncomfortable in her mouth. It seems she has all her teeth so cant be teething but I noticed a small white raised dry area on the inside of her cheek. The outside of her cheek is often red and hot too. What could it be?	It seems like a case of cheek biting. Start your child on warm saline mouth rinses 3-4 times a day. Also, she could apply McCoppin gel on the area before eating. Make sure she spits it out and doesn't ingest the gel. Start on her a multivitamin syrup once daily. If this doesn't resolve in a week to ten days or any new symptoms show up, It's advisable to see a pediatric dentist/ maxillofacial surgeon.
如果你是醫生，請根據患者的描述回答醫學問題。	My 5 and half months baby is having redness around her mouth. She is drooling moderately and puts everything in her mouth. Also there are very small dry patches on her back and sometimes area under eye gets red. This problem in since 15 days. Pediatrician suggested Dermadew aloe cream but I feel its only worsening the issue.	Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
如果你是醫生，請根據患者的描述回答醫學問題。	6 days ago i had a fever & flu symptoms of headaches , mild aches, bad cough, sore throat & runny/blocked nose. 4 days ago a rash appeared on my ankles and also the top inside of my feet . The next day it slowly spread up my leg to the very tops of my thighs. It s not itchy, oozing or scaly. Kind of looks like flea bites. Today is day 4 of my spreading rash & the rash has now appeared on my upper arms. I saw my GP yesterday who has put me on oral corticosteroids & believes it is most likely linked to the virus & that rashes commonly occur in toddlers. I just find it strange it s spreading. It s been nearly a day since I started on the steroids & the rash is still spreading. Please note that I am 26 & have never had an allergy before.	HELLO thanks for choosing Chat Doctor. There are quite a few possibilities in your case. It could be because of the virus itself it could be because of some medication that you took during your illness it could be unrelated to either of the 2. You also need to get a few basic laboratory tests done such as a complete hologram Of utmost importance here is your platelet counts since a fall in the platelet count could suggest a more serious condition. And also your rashes are not subsiding with the present medication hence you need to follow up with your doctor to find out the exact cause for the same
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 3-year-old son. He has mild puffy upper eyes often. It seems to show variations in both the eyes, occurring in one or other day. On one day, it is not puffy. I can see his eyelids looking good. On the other day, it seems puffy involving one or both eyelids which are covered by the skin above them.He usually wakes up with puffy eyes, and it remains throughout the day. Then the next morning, when he wakes up, they will look good. It happens like this, again and again, a couple of times in a week. He does not have itching in his eyes. What could be the cause for it?	Hi, Welcome to Chat Doctor forum. I have gone through your query (attachment removed to protect patient identity). I feel that your son is suffering from blepharochalasis. It is a recurrent swelling of the lids which subsides on its own. But in some cases, it may cause ChatDoctor. However, there are no trusted tests to confirm the diagnosis or any other effective treatment for the disease. Consult an Ophthalmologist to be on the safer side. It can be done at your convenience, and it is not an emergency. My advice is to see an Ophthalmologist in case of
如果你是醫生，請根據患者的描述回答醫學問題。	I have lost my job on December 31, 2013, because I was not able to preform my job as well as needed. I have just found out that I have what is called Chemo Brain and I am having trouble concentrating on things I cant remember a tak after it is given to me. I have been doing this kind of work all my working life. I am6yrs out from my cancer treatments. I went to my onocologist about this matter she said she did not beleive it was chemo brain it had been to long. But she is sending me to a Neurologist. What do you think about my situation.	Hi, Thank you for posting your query. Yes, I agree with your doctor that your current symptoms may not be related to chemo brain. This is because such a long time has elapsed after your chemotherapy and the onset of neurological symptoms. You need to see a neurologist and undergo a detailed evaluation. MRI of brain and serum vitamin B12 level should be checked. You would get better with treatment. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/
如果你是醫生，請根據患者的描述回答醫學問題。	i have always had circulatory problems in my feet and calves, when i would get off of work at mcdonalds my calves would be purple and swollen, my feet would hurt and tingle or even sting. i couldnt walk for 2 hours. ice packs and elevation and diabetic socks made it bearable. this was 2 years ago. today i look down and i see a 1 inch area right above the right ankle purple and swollen, painful.......i woke up with it. I think i had a vein burstLindsey	Hello and welcome to Chat Doctor, Presence of purplish discoloration of ankles and calves after standing for long duration suggests stasis of blood and vascular pathology. You need to get some investigations done to find out the cause, Doppler studies of the lower limb will help to know the status of vessels and blood flow in the lower limb. In case, any vein is incompetent, it can be removed surgically. I am afraid that the purplish discoloration on your ankles is permanent, and it will not go off even after surgery. 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。	Good Morning Doctor, I am a resident of west bengal.I have severe SOCIAL PHOBIA and ADHD disorder including severe stammering.I am showing to Mr.ARABINDA BRAHMA(NEURO PSYCHIATRIST),ASHADEEP HEALTH CARE.He has given me Feliz-s-10,Etirest 0.5,Renervol-200 & Paradise XR-25.Is this a true treatment?Can these medicines cure me?	HiI understand your concern. Social phobia can be treated with SSRI. Feliz s and Paradise both are SSRI. They both will give good results. Etirest is anxiolytic which can control your anxiety in social situations. Accroding to me, it is good medicines to control anxiety and phobia. You have to require taking this medicine properly to come out from this. But You said ADHD ?? You do not mention ab treatment. This Chat Doctor. Kindly discuss with your doctor about it. Get well soon. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Sir, I am Gopal, we are trying to have a child since 5 five years. My wife side everything looks normal(other than one cyst with size 2.6 X 2.6 in L.t overy. Last month we have done one cycle of IUI , but failed. Again this month RE asked us to come on 14th day of cycle. that day my wife had two eggs with (2.6X2.5 and 1.9X1.8) in Rt. overy and two eggs with (1.8 X 1.6 and 1.7 X 1.6) in Lt. overy. RE given injection for egg(s) rupture and asked us to have normal intercourse on next day(15th day) and come for IUI on 16th day. We had two times normail IC on 15th day. On 16th day scanning before IUI shows 2 eggs in Lt.overy and 1 egg in Rt overy already ruptured. They have done IUI. IUI seman sample was 20 millions, 50% SM, PC- Plenty. Since one more egg rupture was pending after IUI we had sex for two days and each day twice. Can you please clarify me how is my SA report looks, is motality & morphology ok? if not how to improve motality. Can we expect conceiving in this cycle. Also for some pooja(prayer), after IUI my wife had fasting for 1 day morning to evening. does it effect IUI. MY AGE: 32 Y MY WIFE AGE: 34 Y I had left vericocelctomy in 4 years back. My SA report ============ PHYSICAL CHARACTERISTICS 1. LIQUIFICATION TIME : 50 Minutes 2. COLOR : WHITISH GREY 3. VISCOSITY: NORMAL 4. VOLUME : 1.9 ML 5. REACTION: ALKALINE MICROSCOPIC CHARACTERISTICS 1. SPERM CONCENTRATION : 20 MILLINONS/ML 2.FAST FORWARD : - 3.MODERATE : 10% 4.SLUGGISH : 50% 5.NON-MOTILE : 40% MORPHOLOGY 1. NORMAL : 64% 2. AMORPHOUS HEAD : 04% 3. PIN HEAD : 04% 4. ROUND HEAD: -- 5. GIANT HEAD : 04% 6. DOUBLE HEAD: -- 7. NECK DEFECT : 08% 8. TAIL DEFECT : 12% 9. DOUBLE TAIL: 04% 10. NO OF PUS CELLS: 2-3 /HPF 11. NO. OF EPITHELIAL CELLS : 1-2 /HPF IMPRESSION: ASTHENOZOOSPERMIA ============	Hi Goal, Chances of conception in one cycle of GUI with multimolecular ovulation after 5 years of infertility are around 20%. Your semen analysis appears fine. Fasting has no effect on success or failure of GUI. You can safely try around 4 cycles of super ovulation with GUI for maximizing chance of pregnancy. After 4 cycles, if you don't conceive, chance of success in GUI decreases & better to go for IVF. As there are good chances of conception in this cycle don't think of future & relax. That might help. Wish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, Ive had cold like symptoms with a heavy cough for a few days now and have started to get stomach pains from coughing, I think?..is there anything i can have apart from the normal cold/flu remedies and cough mixtures to ease this..im reluctant to go to the Drs as i dont want a wasted journey to be told to have paracetamol, hot drinks and keep warm...thanks	Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* Primary working tips in your case-deep breathing exercises.- avoid exposure to atmosphere containing pollen, dust (use face mask)- maintain HY Chat Doctor. - gargles with salted lukewarm water added peppermint oil 3 times a day.- consume honey and basil leaves as ayurvedic healers.- consult later your doctor as per the requirement. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards 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 want your opinion on the symptoms I am experiencing. I am a 73-year-old female with 8.4 kilos, and height 5\3". I have been trying to fast during the day for the last two weeks. But have been taking an optimum diet shake in 250 ml morning and afternoon, and having a main meal in the evening. My weight when I started this diet was approximately 9.4 kilos.I am taking medically prescribed tablets for cholesterol, for high blood pressure (Olmetec), and Sertraline for chemical imbalance (depression). None of these is a high dose. However, over the last six to eight hours, I have been experiencing some degree of heart palpitations and feeling unwell. I have been trying to stay cool indoors and decided to snack on some salty biscuits with salty cheese. This did help somewhat, but the heart palpitations, although not severe, are still noticeable, with a little pain when taking deep breaths. I do not want to go to the hospital but would appreciate some advice regarding these symptoms.	Hello.I read your symptoms and as far as losing weight is concerned fasting is the worst way to do that. But symptoms like these should not be overlooked, and you should visit a nearby hospital. Looking at your symptoms and the history that you provided it looks like as a hypoglycemic and hypotensive attack which happens when required amount of glucose does not reach the brain, and you might have felt unwell, and palpitations can be the presentation of that. From the ChatDoctor. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	just below my left shoulder blade shoulder bone and muscle not to inches there s a 23 inch lump and it feels like it s deep and a dull achingsometimes it feels like the circulation is not going to my elbow and I have a dull throbbing pain but my arm never goes to sleep at first I thought it was a muscle pulled muscle but I haven t really done anything with my arm I haven t moved anything or done anything to pull a muscle.the one is soft when I push on it I can feel the pressure but I don t have any feeling like if I were to push on my muscle you feel the muscle feels it there s no feeling its like it is nothing there I m not diabetic as ID and lisinopril have been for years I have no other health problems what do you think.	Hi ! Good evening. I am Chat Doctor answering your query. From the history and the size of the lump, I would advise you to get it clinically assessed with related investigations like an FNAC/CT scan if need be either through your family physician or a general surgeon in your area. It might not be possible to opine on this swelling without a physical examination and investigations there on. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have an occasional twinge in the center of my chest at the bottom of the chest bone. They occur about every two hours and last about one second. No other pain, shortness of breath, etc. It does not happen when I exercise on the treadmill, but rather when I am at rest. Should I be concerned	Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, no need to worry worry about such twinge sensations in chest because you are not having chest pain or breathlessness or other alarming symptoms. But I would like to rule out any heart and lung pathology for this symptom. So get done ECG and 2d to rule out heart diseases. Get done chest x-ray to rule out lung pathology. If all these are normal then no need to worry about these sensations. Sometimes, stress and anxiety can also cause similar symptoms. So avoid stress and tension if you are having stressful life and be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I am nicole, I had unprotected sex, I took postinor2 and a week later I bled for 11days bsefore it stopped in november, ihave also seen my period this december for 3days and now I feel funny about to puke like I am pregnant, could I really be pregnant???	Hi, Thanks for sharing your health concern with us. Emergency contraceptive pill contains high doses of progesterone and this is the reason for the with Chat Doctor. If you took the pill within the stipulated time you are well protected. Moreover, since you experienced a natural period you need not worry about pregnancy. Your symptoms are not specific for pregnancy; you could be experiencing gastrointestinal symptoms also. Please remember to restrict the use of emergency contraceptive pill for one or two occasions per year to avoid hormone imbalances. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	hi doctor, i have been looking for a second baby tho i had delays in my periods for two month then i was advised to take premolute tablet once 3 tablets aday for 10days i did that and my periods started on 30 to3 now i was inquiring if i time my ovulation period is it possible to have baby or what should i do in order to have a baby sooner	Hello, The very fact that your periods are getting delayed and requiring with Chat Doctor. So, just timing the ovulation might not be of much help because with irregular cycles there are chances of having ovulatory cycles. So, I would suggest you to see your local gynecologist get the basic work up done for TSH prolactin and go for follicular study that would give us a picture about the growth of follicles and if you require some medication to grow the follicles and release the egg. 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 think i have illergic reaction to chewing tabacco. i have a bump inside of the roof of my mouth and it comes and goes away i also am getting another bump undernieth my tooth l line on the top of my on the right side. is this spreading threw out my mouth. I quit using tabacco for 4 months and I only been chewing for 3 years. and this month started back up but I have had gum diesease for along time without chewing? All it is a bump and i can feel little white bumps on the side of my cheeck Im really scared to go to a doctor can u please help me and explain to me what this is	Hi and welcome, Appearance of white or red bumps on the oral mucosa is seen due to several reasons ; It can be an allergic reaction to certain food stuffs, deficiency or vitamins especially vitamin B 12 and vitamin C may lead to oral lesions. Habits like tobacco chewing, smoking and alcohol consumption may also lead to oral inflammation and lesion. These bumps can be being or malignant lesions but needs clinical evaluation before confirming. Exact diagnosis can be made only after clinical examination and pathological tests. I would suggest you to consult and oral surgeon and get the evaluation done. Meantime avoid tobacco chewing and other habits if any. Start with a multivitamin supplement course for 7 to 10 days and maintain good oral hygiene to prevent infection. I hope this helps, take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 46 years old and looking for a solution to a life long problem I have with purple mottled legs this condition gets worse when it is cold. I also have a problem with Reynauds disease. is there any herbal remadies I can take? is it an auto immune disorder? Is is connective tissue illness and if so what do i take. i suffered from recurrent miscarriages betweeen my two children.	Hello and welcome to Chat Doctor, A history of purple mottled legs and worsening of condition when exposed to cold is suggestive of Reynolds disease. Raynauds disease is an autoimmune disease and is treated with steroids. The disease runs a chronic course with waxing and waning course. Steroids have to be taken as the disease flares up or relapses. Episodes have to be controlled with Chat Doctor. The effect of herbal medications is questionable. You need to stay in contact with your rheumatologist. The recurrent miscarriages appear to be unrelated to the Reynolds disease. Thanks and take care
如果你是醫生，請根據患者的描述回答醫學問題。	I am Taban from Uganda, We have been managing an adult patient here of 42 years for about a month in a public hospital.Tooth reported to have fallen off while brushing; this resulted into hospitalization in a lower level health facility. Has oral candidiasis. purulent discharge from the socket of upper right jaw(17). next tooth available is 13 which is mobile. examined yesterday, and there is communication with maxillary sinus. Did Full Blood Count on 13/09/2011 results thus: WBC 4.1, LYM 0.8, GRAN 2.8, HGB 9.1, MCH 22.5, MCHC 34.4, RBC 4.06,MCV 65.6,HCT 26.7, RDW% 21.0, PLT 61.	With your query, this is a case with infection.is he healthy without any systemic diseases? How are his built I mean is he well nourished? How about his oral hygiene status?and does he have any adverse habits like smoking etc...? First of all check his systemic health status then periodontal health status with oral hygiene later keep him on antibiotics ask him to have good food fir candidiasis give him some antifungal Chat Doctor. Hope this helps you kindly visit your oral physician for further needful
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 DVT and I am under anti coagulant till now, does this make any problem with zotreem plus ?	1. Street plus are slimming capsules made by Duramax (MTC) company as food supplement.2. Street plus capsules are not recommended for people under 16 years and above 65 years of age, please mention your age?3. It is Contraindicated in people with high blood pressure, so please mention your BP limits?? And women who are pregnant and/or breastfeeding.4. Company claims it to be 100% safe and natural herbal supplement, but if you want to continue with it, ask your healthcare professional about the same, probably it won't effect your health situation.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello am a 26 years old male. my hight is 172 and weight is about 90.5. i have been diagnosed with mitral vlave prolabse since dec 2009 and also diagnosed with high blood pressure. after some doctors trials to find a proper medication for the blood pressure diovane valsartan 80 mg have been discribed to me (1 tablet a day) and no medication for the MVP. since jan 2010 i realized that i have a tooth abcees but i have not treated it untill now. during the last week when i visited my dr he informed me that i have distolic dysfunction grade 2 and a hypertensive heart deasies due to uncontorlled pressure. my blood presurre have been uncontorled for about 3 weeks and on avreage is about 140/90. my questions arewhat should i bear in mind if am planing to extract the tooth that got an abcees this week. are there any ellaborations i need to provide my dentist with?is there any relationship between abcees and distolic dysfunction?Thank you	DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERTGOER HYPERTENSION AND DIASTOLIC DYSFUNCTION IS NOT RELATED TO YOUR TOOTH ABSCESS BUT BEFORE THE DENTAL PROCEDURE YOU NEED TO HAVE YOUR BP UNDER CONTROL SO THAT THERE IS NO ADVERSE EFFECT DURING THE PROCEDURE CAN CONSULT A CARDIOLOGIST TO GET YOUR BP UNDER CONTROL BEFORE ANY TOOTH PROCEDUREHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
如果你是醫生，請根據患者的描述回答醫學問題。	I had a red lump like area on the underside of my breast that has now turned to look like a blood blister. This morning I woke to find a red line heading upwards from it. Should I get to an ER or just call my doc which is closed for lunch for another hour.	Hi.it is best if you consult with a doctor for clinical evaluation. It is not an emergency case, so you could wait and do it on out-patient consult. Based from your description it could be an infectious process (such as dermatome herpes) or it could be any of those benign lesions (such as sebaceous or gelatinous cyst). It is best that you are examined personally. Further diagnostics and management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have fibromyalgia and neuropathy. Here lately mainly in morning when I move (walk, pick up something,etc.) myheart starts beating really fast and hard. I feel like its going to jump out my chest and it makes it hard to breath. Could it be a cause of my fibro or neuropathy? I also take cymbalta and gabapenten.	Thanks for your question on Chat Doctor. I can understand your concern. No, these symptoms are not due to fibromyalgia or neuropathy. Possibility of stress and anxiety related symptoms is more. But better to first get done ECG to rule out cardiac diseases. If ECG is normal than no need to worry about heart diseases. Stress and anxiety cause tachycardia, palpitation, chest pressure and heaviness. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. Be relax and calm. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. But first rule out cardiac cause. 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。	Im a 17 year old male and I havent been sexually active in a really long time. Just to get that out there.Recently Ive noticed my urine smelling like fish, and so does my penis. It doesnt go away after i shower and it isnt a yeast infection because i have no rashes or pains or infrequent eeing... I also am not on any meds with yeast infectin-related side affects.I have no clue what it is, but Id like to know.	Hi, From history it seems that as you are nor sexually active since long there might be having deposition of Sega on glans penis leading to some local infection and smelly discharge. There is other possibility of having urinary tract infection as well. Go for routine urine check up. Make a habit of cleaning Sega by averting fore skin while taking shower. Keep local hygiene well maintained. Take plenty of water. Ok and take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Had kidney stone removal on Tuesday morning. the tell me when i wake up they found nothing. I was peeing blood & have not stopped I think something is terrible wrong.Why would they not do some scan to see where the stone is? Why am I bleeding so bad ?	Hi, Thanks for writing in. Stones are sharp-edged and during removal, can be broken down to small pieces. After breaking in to smaller pieces, the fragments also are sharp and can injure the urinary tract. This causes bruising along the walls of ureter. This can lead to bleeding and the blood comes out with urine. You may have such a process which has led to bleeding in urine. The stone has been rightly targeted and the blood in urine is a common occurrence in people with multiple residual fragments after lithography. Please Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi .doctor. my daughter is pregnant for the first child.she is in saudi arabia. she is in her 34th week of pregnancy.her care taker says after 37th week it is safe to deliver the child with induced labour. is it safe to do that? please guide us.	Hello dear, I understand your concern. In my opinion induction can be planned at term pregnancy if there are no complications. At or after 37 weeks to 41 weeks is considered as term. Less than 37 weeks is preterm and more than 41 is post term. So if there are no complications and the fetal movements are good, with good liquor etc. then you can wait up to 41 weeks for spontaneous onset of labor pains. If there are any complications and normal vaginal delivery is possible then induction can be planned after 37 weeks. But natural labor pains are always preferable. Walking or practicing antenatal yoga daily aids in normal vaginal delivery. Hope this helps. Best regards...
如果你是醫生，請根據患者的描述回答醫學問題。	HiI have been regularly sneezing for months now. A few sneezes every couple of hours at varying times of the day.For the last 2 days I have been really tired and had an achy body. I suddenly vomited once yesterday and last night developed cold/flu like symptoms which are persisting today. Now including bloody in my mucus.Could this be allergy related? Or are there unrelated symptoms?	There are 2 possibility one could be a viral infection like Flu if you have aching body, sneezing. But if you say you have been having sneezing for few months this could be signs of allergic rhinitis. Sometimes the lining of your nose might be inflamed and vigorous blowing of the nose can cause bleeding. If the mucus from your nose remains blood stained even after you recover its worth getting an opinion from ENT specialist. Have you tried taking regular antihistamines for ongoing sneezing like Levocetirizine 10 mg daily
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. I had a wisdom tooth extracted 3 days ago....very straight forward procedure. After 40 hours or so I woke up with flu symptoms . Sore throat ...sever headaches aching all over. Im still suffering headaches and sinusis pain. And my throat is so sore I can hardly swallow and my tonsils are covered in white spots? Could this be connected to the tooth extraction?	HELLO AND WELCOME, Wisdom teeth extraction is a very difficult procedure, so pain and swelling usually lasts for a week following tooth extraction. You should take rest for a minimum of 1 week. Take hot and cold pack simultaneously on the extraction socket area. Rinse you mouth after every meal to avoid food lodgment on the affected site. Take complete course of antibiotics and analgesics prescribed by your dentist to enhance healing. Warm saline gargle may help to relieve throat pain. Avoid intake of hard/spicy food. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doc, My one year old baby boy is been suffering irregular bowel movements. my doc advised me to do a stool routine analysis the report is as follows Colour : Yellow Consistency : Semi Loose Pus Cells :2-3 RBC : 1-2 Ova : Not seen Cysts : Not seen Parasites Not seen Stool Reducing Substances -Negative Stool Occult Blood -Positve. Could you please advice me on what further treatment could be done. My son is pretty active n the weight gain is also normal,he is weight about 10.5kg. he is on formula and breast feeding both. I havent introuded to cows milk yet but his diet has skimmed yoghurt is that ok ?? As of now his diet includes oats ,fruits such banana ,apple ,rice,biscuits and rusk. Is there any further test to be done or is there anything i should be avoiding. his sensitve stomach has always been a issue since his birth.he atimes passes mucusy stool too couple of times prior to this test the stool check was done and all the time it was normal/negative. Looking for your advice.	Hi....first accept my congratulations on a well grown and nurtured baby. Your baby diet is perfect and is doing very well regarding his weight. It seems your kid is 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. I suggest you use zinc supplements (Z&D Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My brothers mental condition is not alright since last ten years. He is now 34 years old. Weather it is depression or any other complex. It started all of a sudden before 10 years is is continued till now.But now he is very serious. He is throwing away things,burning clothes, does not want to stay at home, doesnt talk to us properly. Pls help me in this matter. I need ur kind and prompt advice and help. Waiting for ur suggestion.	He has a psychotic illness. A detailed assessment and evaluation is needed to plan a proper management. There are many treatment available for his help. He needs a detailed consultation and thereafter a long term treatment. Don't loose hope. Give me more details- Is it continuous illness for last 10 hearsay history of any other medical problems, addiction of alcohol or other Chat Doctor. His sleep. Interaction patternsDoes he suspect others. Does he talk to himself
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I had a TORCH test after 12 weeks of pregnancy. It showed Rubella IgG and CMV IgG to be high, but the Rubella IgM and the CMV IgM were normal. Please advice.	Hello. Feel comfortable to contact me anytime for more queries. I would be happy to assist you. For more information consult an internal medicine physician online
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here... hello sir my age is 27. height is 5,9 , i want some suggession from u i will be v.thankful to u. during sex some time when my attention diverts then my penis not stayed tight. then i feel ashamed infront of my gf. tell me how i can stay my penis tight during sex? plz solve this prob. thanks	Hi, These include: Physical problems, such as injury to nerves or loss of blood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Side effects of certain medicines. Stress. Chat Doctor. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and includes avoiding tobacco and
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I had a dog bite on 30th Dec 2013 and blood came from the bitten place, immediately washed the wound with soap and took rabies vaccine which is the first dose and on 2nd I took second dose and today I took 3rd with this I have completed 3 doses and 2 doses yet took be taken. I want to know the diet restrictions, reactions when rabiepur injection taken and also the time takes for complete recovery from the infection and injury.	Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you were bitten by a dog for which you have taken care of your wound with thorough wound wash and antirabies vaccine of three doses on days 0,3 and 7. Adequate and complete treatment is of at most importance in any dog bite. As such there is no diet restrictions, and they can have whatever they are having regularly. If you are an alcoholic and smoker you need to restrict that as it hampers the immune system to produce adequate and protective rabies virus neutralizing antibody titles. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	A yellow tint to the skin could be jaundice, hepatitis ...what else could cause this. The person recently started a diet and lost a significant amount of weight, was also hospitalized for diverticulitis, before that. I just do not like his coloring and his doctor didn t even mention it at his last visit.	Hi there, Thanks for posting in Chat Doctor. Yes, jaundice is the most common cause of yellow discoloration of the skin. A closely mimicking condition in hypercarotenemia. In jaundice the sclera (white of the eye) also turns yellow, but in hypercarotenemia it remains white. Hypercarotenemia occurs due to excess carotene (precursor of vitamin A) in blood. It occurs due to intake of carrots and similar yellow orange food items. It can also occur in conditions like hypothyroidism and diabetes. You can discuss with his doctor about these possibilities. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Sir, am having a pain in my toes whenever i wake up early in the morning and i step my foot on the floor or after a break when i get up from a seat i get a tickling pain in my toes..And between i also suffer from pain in my knees too.I have been diagnosed with uric acid of 7.2 last year. I eat a lot of outside food and non veg. Please suggest me	Hi I am Chat Doctor. . In my opinion you have a kind of gouty arthritis due to increased uric acid that was mentioned in your given history. You may use painkillers like NSAIDs like Advil tab when needed, high fluid intake, proximal or allopurinol sachets, hot gentle massaging with topical gels, B12 vitamin supplementation physiotherapy and exercising will be helpful. Try to avoid overweight, vigorous movements, high protein and salty meals, red meat, alcohol and smoking are the main goal of treatment. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,I have been on birth control continuously for three years. About a month ago, I took a pill late instead of in the morning. My boyfriend has not ejaculated in me. But, I noticed that I have gained weight. What are the chances of me being pregnant after taking a pill late? I do not have periods since I take the pills continuously.	Hello, Welcome to Chat Doctor forum. This is a common mistake that you have faced. However, a single late pill intake is in no way could turn you fertile as well as pregnant. Even if you miss a single pill, the chance of pregnancy is very remote. Now, continuous pill intake could be the reason for absence of cycle. We advice this sort of continuous pill intake only if you have endometriosis, a disease produces painful menses. However, you need to take pills with a gap of 7 days pill free period or have to be on inert pills for 7 days. Then only, you will have cycles.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been feeling very sore in my lower left ribcage under my breast. I have checked for bruising since its tender, but there is nothing on the surface of my skin. I noticed yesterday that there is a horizontal hump/bump from under my left breast to the sore area of my ribs. What could this be?	Hi, dairy have gone through your question. I can understand your concern. You may have breast lump, muscular pain or rib cage problem. You should go for x-ray and mammography. It will clear all doubts. If it is breast lump then go for biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. If it is muscle spasms or pain then take muscle relaxant. Consult your doctor and 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, I seem to have a "swollen" joint at the ankle end of the 5th metatarsal. It is very painful, especially when walking, but it aches even when resting. I am a very well controlled insulin dependant diabetic. Could this be tumour, an ulcerated joint or arthritis? I would respect your views as to what I should do.	Thanks for your question, first If It is localized swelling You should do MRI ANKLE to know its and plain x-ray to exclude bony lesion and to know the nature and extent of any soft tissue lesion.diagnostic Aspiration may be helpful if it is localized tense swelling If it's diffuse swelling, so I will advise you to receive anti-oedematous medication and also receive NSAID for the pain .also elevate your limb all the time
如果你是醫生，請根據患者的描述回答醫學問題。	my 5 year old son has had a cold since thursday however he has got up today and is quite breathless hes had a chesty cough since thursday aswell. I tried to get in an appoint at drs today but there was no appointments available. do u have any advice on what i should do now?	Most often respiratory tract infection in child Chat Doctor. Most often such infections are associated with allergic reactions. Giving some antiallergic like cetirizine syrup for a few days should help in relieving the problem. Alongside, giving steam inhalation should provide relief. Water in the form of vapor reaches deep into the lungs and helps in diluting the cough and provides relief by diluting the cough. If the child is still developing wheezing or rapid respiration, visiting the ER without delay should be a good idea.
如果你是醫生，請根據患者的描述回答醫學問題。	My skin is breaking down on my lower legs after I had scratched them absentmindedly. I have had three courses of antibiotics and prednisone but they would only heal to a certain point. The skin at the corner of my mouth is cracking which may indicate low Vit. A. My blood sugar levels are normal, but I have worn trousers for many years and the skin has had little exposure to the sun. I think I need to see a dermatologist.	Hello, I can understand your concern for the skin breaking down on my lower legs and near the mouth. There are two different conditions in your case where TH problem over legs appears to be due to eczema like condition. While on mouth it is due to deficiency of vitamin B complex which causes the cracking at the corner of the mouth. In your kind of cases I suggest taking vitamin B complex especially folic acid supplementation to get early relief in cracking at mouth. For the part of lower legs problem you require a supervised treatment by a dermatologist in form of topical steroids and antihistamine such as cetirizine. All the best.
如果你是醫生，請根據患者的描述回答醫學問題。	my boyfriend told me yesteday that at the GUM clinic he had been told he had symptoms of chlamydia, I know i never gave it to him and he swears hes been faithful. i also found out that he has had it in the past, could this be why he has these problems now. PLEASE help this could make or break our relationship	Hi, Thanks for posting in Chat Doctor. I understand your concern. Chlamydia is one of the most common sexually transmitted infection (STI) caused by bacteria chlamydia trachomas, and it easily spreads because it often causes no symptoms. In fact, about 75% of infections in women and 50% in men are without symptoms. Hence, it may be unknowingly passed to sexual partners. Symptoms in men produced due to Chlamydia include the following:1. Small amounts of clear or cloudy discharge from the tip of the penis.2. Pain during urination.3. Burning and itching sensation around the opening of the penis.4. Pain and swelling of the testicles. The condition can be diagnosed by use a swab to take a sample from the urethra in men or from the cervix in women and then the specimen is sent to a laboratory to be analyzed. Treatment is by administration of oral antibiotics with azithromycin or doxycycline. It is recommended the partner(s) also be treated to prevent reinfection and further spread of the disease. It is very important that you always use condoms during sexual intercourse to lower your risk of contracting or passing on infections such as Chlamydia. Hope the information provided would be helpful. All the best.
如果你是醫生，請根據患者的描述回答醫學問題。	Dear Doctor, My daughter is 8 yrs old. She is having allergic rhinicitis. I consulted a paediatric pulmonologist in bangalore and she is under medication since 2 weeks (2 weeks back I had consulted him). As of now she has improved 50%. But still she coughs very hard...(we can hear the sound)...pls let me know whether giving the medicines (inhalers/syrup) would be good for a long time for the above ...thankx a lot	Thanks for asking in Chat Doctor forum I appreciate your concern for your daughter. The best way to prevent allergic rhinitis is to prevent exposure to allergen after finding it. Otherwise, medications like antihistamines and mast cell stabilizers help a lot with least/no long term effects. So, you need not worry. You can promote her to go for yoga and respiratory exercises. All the best. For rest please consult your doctor only.
如果你是醫生，請根據患者的描述回答醫學問題。	I started out with a sinus infection on 1/2 was on amoxacillion for 6 days then minute clinic switched me to augmentin due to no improvement, after 10 days on augmentin i still was feeling bad so i took the remainder of my amox, went back to see my regular physician on wed 1/25, she put me on prednisone and the zpac, I am not noticing my chest is red, not a rash just red as if i were sunburned, other symtems include cough, headaches and still a lot of phlem, any ideas of wht this is?	Hello greetings I were your treating doctor I would treat your problem as upper respiratory tract infection (including sinus infection). I would prescribe you a course of penicillin group of antibiotics for a week and cough medicine. That you are already having I would like these details to help you furthermost all lab investigation was carried out?? Please consult your doctor for the investigations and an X-Ray paranasal sinuses, continue with the medicines as advised to you, it will take some time to heal you adequately do some steam inhalation and deep breathing excercisesHope I have answered your question. If you have any further questions I will be happy to help 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。	Dear Doctor , My child has loose motion . She was adviced to take Gnorm Sachets for 3 days ( Morning and Evening) . I gave the first sachet at night and in the morning i found her cheeks and eyelids were swollen , unable to see her eyes because of her cheeks covering the whole face. Her complete body was filled with rashes of uneven sizes . We took her to the same pediatric and was given medicine for allergy along with Gnorm . She got fever and finally after five days she recovered . In a gap of another five days the rashes started to still appear . It used to disappear after some time and appear later . She was taken to doctor and was given allercalcin syrup . Five ml morning , Afternoon and night . 10 days over but still rashes are appearing . Once when the medicine is given it disappears for 4 to 5 hours and then reappear .My daughter is 1.5year old . Not knowing what to do ?	OUR DAUGHTER IS ALLERGIC TO MILKSOP EXTERNAL MILK AND DIARY PRODUCTION MOTHERS MILK AND MILK AND DIARY FREE DINETTE CASE IS EXPLINEDLOOSE MOTIONS WERE ALLERGICGAVE MEDICINES IT FLARED IN SKIN AND FORGIVEN MEDICINE FOR FACE IT AGAIN REAPPEARS TRY MY TIPS NO EXTERNAL MILKING AND DIARY FREE DIETS YP ALLEGRA 1/2 SF BDS YP GENUS 21 SF APPLY MOMETASONE LOCALLY GO FOR BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES FOR MILK AND GO FOR SLIT FOR CURE
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, my mother has been diagnosed with Grade 2 fatty infiltration of the liver. She is 56 years old. Her sugar level fasting is 124 and post eating, it is 222. Her cholestrol & BP are normal. Eight years ago she had gone through laproscopy in order to remove gall bladder stone. I would like to know what is the cause of fatty infiltration of the liver? What do you suggest should the treatment be? What kind of diet should be followed?	Hi, thank you for posting query at Chat Doctor. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I ve been having really sharp pain in my abdomen right in the middle above my belly . I ve had diarrhea and maybe slight fever. I have some loss of appetite . I went to the ER yesterday morning and they gave me Hyoscyamine and I ve taken it as it says and it has helped a little but not enough to make it go away. My lower right abdomen feels bloaty and tender. Not too much pain but there is pressure there. They took some labs and he said it s not appendicitis but I have no idea what else it could be. I m 22 and just need some help. Thanks.	Hi. Please furnish details:- What's your gender?- Is this the 1st episode of this kind, or else is it recurrent?- Exact duration?- Did the pain start all of a sudden or otherwise?- Nature of pain: Colicky / constricting / burning / twisting / vague?- Can you walk with the body straight upright, or else do you have to bend forward slightly?- Did the pain begin after running / traveling on a bumpy uneven road?- Do you get relief on passing flatus or stools, or applying heat to the abdomen?- Any pain while passing urine?- Vomiting?- Details of diarrhea: Frequency, consistency (watery or semisolid), associated with gripping pain?- What are the lab results? Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a 2year old that has Interstitial lung disease. Biopsy showed lymphoid hyperplasia and small granulomas They are currently doing a work up of her ammune system. On her CBC it showed her glucose to be 59 this was not a fasting blood glucose. My question then is does hypoglycemia have anything to do with her lymphoid hyperplasia?	Welcome to the ChatDoctorI have gone through your question and understand your concerns. The causes of interstitial lung disease with lymphoid hyperplasia and granulomas can be due to infection (tuberculosis or fungal) or inflammation associated with any autoimmune diseases such as acidosis. So, autoimmune work up is useful to come to a definitive diagnosis. Since both these causes can lead to deranged glucose metabolism in our bodies, the episode of hypoglycemia can occur. I would recommend you to go for proper evaluation of this by fasting and PP2BS levels of glucose in laboratory and discuss the results with your pediatrician. Hopefully this will help you. I would be glad to help you in any further questions. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,Should I think about going to a hematologist? The last few years of my CBC shows WBC 8.4, 9.6, 13.9, 11.3, 11.3, 10.5, 8.3, 12.3, lymph (abs) 3.2, 4.4, 3.9, 4.0, 3.8, 3.6, 3.9, platelets 331, 400, 380, 453, 428, 407, 459, 389, neutrophils (abs) 5.8, 8.5, 6.3, 6.4, 5.8, 3.9, 7.6, eosinophils (abs) have all been .1 or .2. I am an active 50-year-old female, 156 lbs, with hypothyroidism 175 (since past nine years, Levothyroxine MCG), Genetic high cholesterol (since I was 18 years old), cholesterol total 257, tri 273, HDL 80, LDL 135. Just started on Atorvastatin 20 mg. I am starting to get concerned that I am in the early stages of CLL. Should I request to be sent to a hematologist?	Hello. I do not find any significant abnormality in the report. At one stage your lymphocytes were high that is 4.4. But it fluctuates as per reports and not raised to more than 4.5 at any time (attachment removed to protect patient identity). If absolute lymphocytes remain persistent high greater than 4.5, then CLL can be ruled out by flow cytometry investigation. You can consult a hematologist for your detailed physical examination.

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