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如果你是醫生，請根據患者的描述回答醫學問題。	my husband has a very bad allergy that we think was caused by contact with antifreeze(He is a Mechanic). The allergy is sparked by any emotional or physical shocks. He has just had a bad tummy bug which caused High fever. He has had this condition for about 30 years and occurs sporadically. Face swells and he gets large red inflamed lumps over his body. We have used Celestamine and Zyrtec with a certain amount of success but its getting expensive.Is their an alternative?	HI, thanks for using Chat Doctor The swelling and rash are, as mentioned, possibly due to allergies but to determine the exact cause he may want to consider allergy testing. It may or may not be related to the anti freeze. It is possible that there may be another because that may be contributing. IF there is another source and his exposure can be reduced then it may be possible to reduce his reactions and he may not need antihistamines any longer. 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 sir, I am of 26 years old and recently got married. But I have a problem that my dick won t get hard soon and sperm releases too soon. Even when my wife is nude in front of me there s no erection. Even it won t get hard during sex. I am facing this problem from 3 4 days. It was normal at my honeymoon. Please help me out. Thanks in advance.	Hello appreciate your concern Sometimes Sensitivity decreases following increased frequency of sex or injury to private parts would advise you following guidelinesWatch your frequency of sex and look for any injuryMake your be Chat Doctor. More conducive and appealing for sex. Spend more time in foreplay and take your time You can ask your wife to press at the base of the glans when you feel to ejaculateAvoid smoking and alcohol consumptionAvoid stress and anxiety, just relax and enjoy your earthier are medicines available for erectile dysfunction as well as premature ejaculation, please let me know if you have need any more assistance, I will gladly answer you Thanks for your question Best wishes
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doc, i am 20 yrs old suffering from E.D for 3yrs, i consult a doctor this year due to my stomach pains and pain around my penis then he discovered that i have staphyllocu aureus, he prescribe drugs for me but now i staph is no more and i dont get my erection strong. Plz doc help what is that all about?	Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Staphylococcus (SA) never causes erection problem it is your false belief. But if you feel in that direction than erection problem can occur, but it has psychological origin than. I advise you not to think that SA can cause erection problem. Good psychological counselling can treat your current problem. You can also visit to the nearby psychiatrist for the counselling. You can also choose the option sildenafil citrate for the erection. It will give you good and sustained erection. Please do not take overdose if the single dose is not effective. Please take the Chat Doctor. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/
如果你是醫生，請根據患者的描述回答醫學問題。	hi,myself ashish ranjan and suffering since 5 yrs with internal male organ problems due to red patches present in inner portion of penis along with slightly burning in that particular time due to which i didnt take intrest with my partner for having relation.i have gone through several check ups like-uroflometry,simens test,ultra sound and many others but didnt find any problems in any report.Then afterward i have been prescribed several antibitoics tablets as well as antibiotics injection with follow uo therapy of antifungak,antiinflammatory creams/gels but for some days i get relief from it but red pathes as well as burning problems didnt get relief totally due to which i started keeping creams of antifungal everytime so that whenever needed i apply on it n get relief for some days.so kindly guide me and prescribed me best medicines so that i get relief from this chronic problem soo for which i will be ever thankful to you.	Hello I appreciate your concern thus could be due to STI, allergic reaction or a manifestation of systemic inflammatory disease since your ultrasound and other reports are normal I would advise you for urine culture and sensitivity test as well as biopsy of the rashes should be worried but not so much it may be due to friction or wearing tight undergarments so if you can update me about your weight and working culture I will be able to guide you better meanwhile maintain good hygiene by washing it with antiseptic solutions change the undergarments and wash and Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I missed my period last month and after the first late day I took a pregnancy test and it said not pregnant. So I waited for a few more days to go by to take another and it said positive so from that day I scheduled a follow-up appointment and when I went to get an ultrasound they told me that there was nothing there. So she predicted that I may be early, so she used the camera and she still did not see anything. She told me to undergo a urine test and it came out negative meaning I am not pregnant. I left there and took another test at home and it said negative. It has been a whole month and I still do not have my period. What could be wrong with my body?	Hi. Have you done the blood pregnancy test (hCG)? It could have been a chemical pregnancy meaning non-viable early pregnancy. You can take medicines for with ChatDoctor. You will get periods after you stop the medicine. The bleeding might start by 4 to 14 days. Did the radiologist mention the endometrial thickness?
如果你是醫生，請根據患者的描述回答醫學問題。	my daughter fell from standing on a chair and injured her foot 2 days ago the top of the foot is more swollen today after being on her feet all day at work I am icing it 20 minutes on 10 minutes off and keeping it elevated anything else I should be doing?	Hello, As mentioned in history about the fall, there might be a ligament sprain which isn't healed just with icing. Icing only helps reduce pain and swelling and this is the quick fix. The use of icing is mentioned in the RICE protocol is just because when we take an x-ray we can see the injury if a present can be visible. As the swelling isn't getting subsided I will request you to take an x-ray on a safety note. Most times it's a ligament injury but in very rare cases it's a fracture. We need to rule to this out for our kid. For now, as you are doing icing and keeping it elevated, I will advise you to apply the crêpe bandage, so the foot becomes stabilize along with the ankle with no movement. This will allow the healing process to occur better. Rest assured, your daughter should be fine. In my clinical practice, most of these type of cases are just ligament sprain and heals better with stabilizing the joint and icing. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, My Aunt has been diagnosed with buccal mucosa carcinoma 6 months ago. she got operated and completed couple of sessions of radiation. post which full body MRI scan revealed that the Stage 4 cancer had spread in the bone marrow, brain, vocal chords, spinal chord, liver as well. she was very active during her radiation treatment, however after the MRI a radiation was given in the back since she had major pain in the back. post which she is totally bed ridden and on morphine tablets. she barely gains conciousness for 1-2 minutes 2-3 times a day, other than that she is in sleep all day. Doctors have given up and have mentioned there is not much we can do to cure her. we are also trying to treat her with soursoup juice (annona muricata). What alternative medicine / ayurvedic treatment can be given to cure her or reduce pain and increase healthy life span by improving immunity. i have read about Vaidya NS Narayan Murthy of Karnataka but havent read about successful cases / history regarding such cases. is it ok to give her alternative medicines.	Thanks for your question on Chat Doctor. I can understand your situation and problem. Sorry to say, but terminal stage malignancy has no cure. Not even by alternative medicine s. So better not to follow these things. Since you are saying that your aunt is barely conscious for only 1-2 minutes and remains unconscious throughout the remaining time, I think her life expectancy is very, very low. May be less than a week. So better not to give her anything especially alternative medicine s.
如果你是醫生，請根據患者的描述回答醫學問題。	I was bitten on Friday, not sure if it was a fly(deer or black) or a spider. at my hairline above my left eye. Saturday my eye swelled shut. I applied ice and the swelling went down but on sunday upon awaking it was swollen again. I applied ice again and it subsided. Waking this morning to the same situation. what do you suggest. The swelling itches but not the bite site.	HelloWelcome to Chat Doctor, Spider bites are actually rare occurrences and bites from most spiders cause local redness, irritation and pain that usually can be treated at home. These local reactions usually resolve without treatment over a period of 7-10 days. I would suggest you to follow Wash the site of the spider bite well with soap and water. Apply a cool compress or ice pack over the spider bite location. Over the counter pain relievers may be used to relieve symptoms. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I have a combination skin, which means oily on my t-zone and dry on cheeks . I take care of my face real good. I wash it every night with a gentle cleanser , I moisturize it, and whenever I get pimple or acne I use the acne medicine and it will disappear. But in the few past days I got some pimples and acnes which just dont go away! And whenever they disappear new ones come out! Why is that? What should I do? p.s. I do exercises, and I eat healthy. And I m 18.	Hi! Sue, Welcome to Chat Doctor forum, Sue you wrote that you clean your skin properly.that's good, but you also mentioned that you moisturize it ....well that not good tall...since you have acne prone skin you should not moisturize it. It an irony that you have a combination skin and still you get pimples.but that happens. So start with using an oil free face wash...you need to take tablets like azithromycin 500 mg once daily for 3 days for acne.apply anti acne gels regularly like nadifloxacin gel . Along with this you need to check your hormonal profile too, as imbalance in you periods can also be the cause of pimples... Hormone profile like LH/FSH ratio, SERUM TESTOSTERONE, DHEA-S needs to be done...this would give the clear picture of your hormones. At time one gets pimples two days prior to periods, which also means that hormones are responsible for pimples. If not you need a conventional treatment. Recently available is one of the best medicines for acne is isotretinoin which needs a dermatologists prescription.It's a wonder Chat Doctor. Kindly consult a dermatologist for the same. Take care,
如果你是醫生，請根據患者的描述回答醫學問題。	OVER LAST WEEK I GOT THIS LIGHT HEADEDNESS FOR WHICH I COULDNT WALK PROPERLY AS IF I WOULD FALL.. AND I ALSO HAD VERTIGO FOLLOWED BY NAUSEA WHEN I WAS IN BED TURNING MY HEAD FROM SIDE TO SIDE BUT THIS HOWEVER WENT AWAY WHEN I CLOSED MY EYES FOR FEW SECONDS..IS ABRUPT AND I AM DECAPACITED...PLS HELP	Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Problem : OVER LAST WEEK I GOT THIS LIGHT HEADDRESS FOR WHICH I COULDN'T WALK PROPERLY AS IF I WOULD FALL. AND I ALSO HAD VERTIGO FOLLOWED BY NAUSEA WHEN I WAS IN BED TURNING MY HEAD FROM SIDE TO SIDE BUT THIS HOWEVER WENT AWAY WHEN I CLOSED MY EYES FOR FEW SECONDS.IS ABRUPT AND I AM DECAPITATED...PLS HELPQuestion : What does vertigo and nausea while lying down indicate ? Impression : You are suffering from Lesions in Vestibular Pathway Solution : You need to undergo Clinical Examination, Funds Examination, EEG, MRI Brain and if needed four vessel angiograms. Please consult a Neurosurgeon near you place Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask
如果你是醫生，請根據患者的描述回答醫學問題。	I have a oblong lump on the side of my butt cheek that has just become painful and larger in the last couple of days. I first noticed it about six months ago when is was small about the size of a pea. There was no paint, just itching then it basically wasnt of major concern and I figured it was a ingrown hair. Two days ago I had a larger bowl movement that cause some discomfort. Now that lump is oblong about 1/2 to an inch and painful. What could this be? No redness, maybe a little purple. No head and a little bit of blood from my bowl movement this morning on the tissue paper. No other blood from the other bowl movements today. Just a hard oblong painful lump on the left side of my butt cheek near the anal canal.	Hi, I had gone through your question and understand your concerns. At this area it may indicate several issues and most common are colonial cyst or perianal abscesses. These are inflammatory processes in sacral and perianal area usually manifested with pain, redness, swelling, fever and pus discharge. Cellulitis is less common and may be present in sacral area as well. This is mostly caused by beta hemolytic streptococcus, and it necessitates antibiotic treatment with augmenting, or combination of Capitol+ metronidazole. You should also, apply cold compresses, take nonsteroid painkillers such as ibuprofen 400 mg and rest. If there is no improvement within 2 days, you should see doctor and have intravenous antibiotics. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my name is Stephen I have a question earler today I had a episode where I was driving and I noticed my heart starting to beat faster and faster then I started geting tingling down both arms and hands I went to a friends house and layed down within 20 min my heart rate was down and tingling was gone	Hello! Thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms could be related to anxiety. Anyway, I would recommend performing some tests to exclude possible cardiac arrhythmia: - a resting ECG and cardiac ultrasound in order to examine your cardiac function and structure- an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends for a more prolonged time and exclude possible cardiac arrhythmia-some blood lab tests (complete blood count for anemia, thyroid hormone levels for possible thyroid dysfunction, blood electrolytes for possible imbalance). You should discuss with your doctor on the above tests. If all the above tests result normal, you should consider anxiety as the main cause of this clinical scenario. Hope you will find this answer helpful! Best wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, four days ago I was masturbating quite rigorously, but did not realize it at the time. I developed a sore area the next day where the scrotum meets the base of the penis. Yesterday, I noticed a lump there. It is sore when touching it, but not really painful.Its roughly the size of a pea or smaller.Its located under the skin and not noticeable unless the skin is pushed toward the shaft and brought taught.What might be happening? Should I be concerned?	Hello course you need to be concerned, and please control your emotions during masturbating It's your own penis. Looking at present condition you might have injured your penis during the action if it was healthy previously. In my opinion you should keep it clean and apply any antiseptic ointmentApplication of hot packs will help in healing Be careful you do it next time it doesn't improve or gets worsen than you must see your doctor for physical check up and a course of antibiotics if need be. Hope this answers your question you have any more queries please feel free to write back to me, I will gladly answer you Best wishes
如果你是醫生，請根據患者的描述回答醫學問題。	My 69 year old mother was in a car accident, she was hit from behind by a truck going 25mph, he did not break and he pushed her into the vehicle in front of her, she has had memory problems and headaches ever since the accident. An MRI taken 5 months after the accident showed gliosis , could the car accident have caused that?	From the complaints your mother has its suggests a post-traumatic gloss. Gloss is formation of a scar with dense fibrous tissue and the neurons die after the injury. It is a slow process, and it can lead to memory loss and headache and slowness of speech. Please consult a neurologist, and he can examine her full neurological status and prescribe you euro stimulators and other Chat Doctor. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	Yes, today I stared with a pain on the right side about an inch or 2 from by belly button. I feel it more when I walk. Last year I had the same pain put with more pressure and felt somethinig wanting to come out of that area. I had every test done, my doctor was in between gallblader and apendix but the test came out clear.	Hello thanks for choosing Chat Doctor well as you have mentioned the pain and region of pain it seems to be related to appendix or gall bladder, but you also need to look into the possibility of a ureteric calculus, you should get a urine examination and an x-ray PUB done & get a report from a good radiologist. Then discuss the report and test with a general surgeon after he examines you, hope that is helpful thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. Im wondering if I should be concerned about my latest Metabolic panel and CBC. I am a 28 year old female without symptoms.I am always exhausted, but I am a student (normal).Values of concern:Globulin: 1.8 g/dLA/g ratio: 2.7WBC count is 3.8 Thousand/uL	Hi, dairy have gone through your question. I can understand your concern. Your total count is low. Your AG ratio is increased. No need to worry if you don't have any symptoms. It happens many times without any illness. It will be back to normal within few days. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, My sister has brain and lung cancer . She has brain surgery and was doing okay. Friday night she got very confused and we couldn t get her in bed. She went to the hospital and was put on a vent and removed because of carbon levels. Does that make any sense? Today she had a burst of energy and was much more lucid. Is this normal? In three months she has had brain surgery and fell and had a hip replacement . She is also very close to dialysis .	Hi, I think I understand what you have described. In your sisters case, her confusion may have been due to high carbon dioxide levels. This may have been caused by the effects of the brain cancer which can affect the breathing pattern which, in turn, affects the amount of carbon dioxide in the blood. When she was put on a ventilator, her breathing would have been better controlled. This would have lowered her carbon dioxide levels to normal and her confusion would have improved which would have made her more lucid. If you would like to ask any further question, please do not hesitate to contact me. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My Husband developed Mental Illness during late 2008. He was 31 yrs when he got the illness. He had problems with social interaction, suspects people, absolutely no sleep and all these symptoms were on the higher side. We showed him to a doctor and she started him with Sizodon 1 mg and gradually increased till Sizidon 4mg. After he showed improvement and got stabilised, she gradually decreased and brought back to Sizodon 1mg in 2010. He was absolutely fine till last month, infact during the past couple of years, he was much more sensible than before and very creative and sharp in his ideas. He was shining in his official life too. But suddenly over some months he was not taking the tablets regularly thinking that he is normal and all is well. Then came back the symptoms. Again we had visited the doctor and he is under medication. My Questions: 1. Whether he has to take medication life long? 2. Is it true, that this illness is controllable and not curable? 3. Whether by taking Sizodon 1mg regularly, he can lead a normal life throughout his life span? Thanks, Anita	Hi, Answer to your question:1. He may have to take medication Life long. If there are no symptoms after 1 year of discontinuation of medicine, then it can be stopped.2. Yes it is controllable, till now no evidence of its cure.3. He may require to change the medicine in near future as it is associated with high risk of death. Clozapine may be started, but it has its own side effects. Hope I answered your queries. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I am writing on behalf of my mother and she is currently facing the severe recurrent nocturnal high blood pressure problem. She has been constantly relying on anti-hypertensive drugs from the past five years and the situation is aggravating day by day. Moreover, she claims of facing high pulse rate and is positively confirmed by ECG. Currently, she consumes a combination of Cilnidipine and Metoprolol and also other allied drugs in an emergency.	HelIo. Nocturnal nighttime hypertension is a complication of primary secondary hypertension. It can lead to some cardiovascular complications. I usually treat my patients in this situation with Potassium supplements and advice that they avoid any sodium diet. ChatDoctor. I advise her to see a cardiologist for proper evaluation, to know the best management possible in her case. I wish her a quick recovery.
如果你是醫生，請根據患者的描述回答醫學問題。	I injured my right calf 1 month ago with a large tree branch. The wound healed externally very quickly but the calf appears red, tender, and swollen (only around wound) no warmth to the area. I have positive pedal pulses and wonders if I am worrying for nothing. Could it still be in the process of healing?	Welcome to Chat Doctor I have gone through your query and understand your concern. Yes it can be in process of healing. Due to injury there is swelling in calf also. You can take analgesic such as ibuprofen for pain relief. Elevation of limb on pillow is helpful in reducing swelling. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	my name is tito from California usa I had a stroke 16 monthes ago I had 2 rh side brain hemrges brain bleeding im 48 and my rh side was perilized and now for ive been getting stronger how longe will my pains hurt and I work on my body will I not live long I can drive and walk I just feel my brain my pop or start bleeding I was just wonting to know thanks god bless	Are you sure your hemorrhages in the brain were on right side and weakness of limbs on same side? If so probably you would have had a cerebellar hemorrhage or lower brain stem hemorrhage. Do you have hypertension if so on regular medication? It's nice that you're recovering from weakness. Your survival depends on how much care you take on your body like regular excises. If you have hypertension regular usage of medication and avoid smoking, alcoholism and fatty diet if any. Regular physiotherapy and exercise are advisable. You live as normal persons' life if you take care of above-mentioned things. Pains no need to worry it vs subside slowly take simple analgesics like paracetamol.
如果你是醫生，請根據患者的描述回答醫學問題。	On Friday I called 911 and went to emergency by ambulance. After an ECG, x-rays, blood tests, oxygen, and an IV, the attending doctor said that the chest pains, neck pain, tingling in my face and shortness of breath had been caused by elevated enzymes in my chest wall. She said it could have come from a strained muscle. BUT I didnt have any muscle strain. What could have caused those symtoms?	Respected user, hi I evaluated your query thoroughly.* All symptoms are related to acute body response to certain event / episode which may be obvious to conscious mind or may be not obvious but impacting subconscious mind.- relates to psychosomatic manifestation of body response towards any event. Hope this clears your doubtsThanks for using Chat Doctor & reviewing my answer thoroughly. Welcome for any further assistance. Wishing you happy healthy life ahead. Regards dear take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doctor,,This side Lokesh. My Brother was having Jaundice .His DB is 3.2 and TSB is 2.0.Now doctor have told that he is having Typhoid also.What to do.I goggled that such type pf patient must be given lime juice but doctor have denied to give any bitter taste things.Please Help.	Hi thanks for contacting Chat Doctor... Noted here you are having both jaundice and typhoid.... Apart from lime other home remedy also there. First what is the cause for jaundice???? Gall stone ??? Hepatitis ???? So I can guide on detail... Here heavy fatty and fried food totally cut off from diet.... Soft and bland diet taken... Fruit juice more. Mashed potato, boiled vegetables etc. useful.... In lunch take green leafy salad... In evening sugar Caine juice or grinned carrot and spinach juice taken.... Vegetable soup good one.... One tsp cumin seed with milk can be taken... Small meal taken with frequent interval.... Take care. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have an itchy rash under both my armpits for about 2 months now. I have tried changing my deodrant and wearing loose clothing but nothing is work. I wash reguarly so its definitely not that. I am now very fatigue and tired with really bad headaches, which makes my eyes feel puffy. I am also vomiting too. Just need some advice on what to do really?	Hi, Itching in maxilla may be due to either candidiasis or irritant/ allergic contact dermatitis. Perspiration may increase the itching. Take antihistamines like levocetirizine. Clotrimazole dusting powder may be sprinkled in maxillae. Avoid deodorant and soap bath. You may use detail liq. For bath. For other complaints you consult physician. He may go for blood tests for the diagnosis. I hope you got my answer. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I have numbness from my bottom/ lower tummy right down both my legs to my feet. I do have IBS. I am on a ranch of meds from my own doctor for alot of side affects I had from a Iud i had put in 15 months ago but was removed due to side affects. Im taking codeine/tramdol/diazepam.. which are all doing there jobs. The numbness just started from my bottom first then over 3 days right down to my feet	Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that the numbness in your feet could be related to different possible causes: an electrolyte imbalance, peripheral neuropathy, adverse effects related to your current therapy, etc. I would not recommend taking for a long time codeine, tramadol or diazepam, because they can cause addiction and tolerance, beside other adverse effects. Besides, codeine and tramadol may aggravate IBS. I would just recommend consulting with a neurologist and performing some tests : - complete blood count-blood electrolytes- a nerve conduction study. I would also encourage you to stop taking codeine or tramadol, and see if your symptoms improve. This would implicate these Chat Doctor. Hope you will find this answer helpful! Best wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	Sir, my wife has developed a large bright patch on her face . a dermatologist has carried out blood sample test, which has come normal and a test Skin for AFB , by taking a piece of skin from the affected area, which has come negative. the Doc has prescribed Rifampicin and Dapsone for it. he has said to be under medication for 6 months and written the disease as T T . what is this T T in medical terminology? She had a minute patch on her left cheek for quite some years, which has all of a sudden flared up recently. her age is 34 years, she has thyroid and no other complications. going by the prescribed medicines, could any skin specialists enlighten me on what could be the probable reason for my wife s skin problem? Is it curable? Thanks	hit is type of leprosy, and it takes long time to cure, but it is curable now spot may last up to years but i don't know why he has given in your test as your biopsy is normal.there is alter sensation of touch and temperature in leprosy casein they are altered then she needs to start these medicine this is major disease, and it is legal duty of doctor to inform about it please consult him again and ask for explanation why he has started it better to consult other dermatologist before starting medicine.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here...hi! m husband was advise to have a dialysis since his creatinin level is 4.85.his potassium is 6.6.and his red bood is 9.86.his been a diabetic for 21 yrs now but not properly controlled being a pure vegetarian.are these lab results enough basis to have dialysis?	Hi and welcome to Chat Doctor. As a Urologist and kidney transplant surgeon, i understand your anxiety. Your husband has diabetic nephropathy with CKD(chronic kidney disease). The lab reports establish the fact of chronic kidney disease or failure. A kidney biopsy is done to find the cause for the renal failure. He needs to have maintained dialysis or a kidney transplant. His dietary habits (vegetarian), has no effect on the lab results. If you've any other doubts, send a direct question in my name, with reports. Chat Doctor. Manga.
如果你是醫生，請根據患者的描述回答醫學問題。	my 40 yr old son has has two open heart surgerys back to back after the first one he was not sent home with antifungal his heart valves had to be repaired due to infection now he cannot be opened again and within 8 to 10 yrs when they need to be repaired again what happens then?	Hello, If it is the valvular heart disease then it can be managed it medical management or surgical management, and it depends upon the which is diseased or the elements that have once it is the surgical category, then it needs surgery and once the surgery done, then it can not be taken again for the surgery for the same reason of valve disease or for the opening heart again it is very less likely, moreover the infection of the valve can be managed with medicine if the condition is not severe. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	I have pcos and my gyno has asked me to take fertyl 50mg as i am trying to concieve. She has asked me to take the tablet for 5 days starting from the 2 nd day of the cycle but i have read that from the fifth day it needs to be taken. When exactly shall i take the tablet?	Hi, For best results fertyl-50 should be taken from day-2 of the menstrual cycle ((day 1 is the day you wake up bleeding) once a day for 5 days at around the same time every day. Ovulation (release of egg from the ovary) usually occurs 5-12 days after the last dose of fertyl-50. And the best time to have intercourse is from 5 days after the last dose of fertyl-50 (day 10 in the cycle) every other day for one week. Hope I have answered your query. Let me know if I can assist you further. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	This is the second month Im consuming Duphaston 10mg tabs..my periods are irregular..is there any chance to be pregnant this month..Im over weight..and I had no vaginal discharge this month which is a symptom of ovulation..first day of last period was April 16 and it lasted for 8 days..I have had sex most of the days..pls reply ASAP..	Hello, Duphaston is progesterone supplement and quite effective for successful pregnancy. Following ovulation, mild to moderate vaginal discharge is common phenomena, but it is not a 100% the surest feature of ovulation. So chance of being pregnant is there. Here, you should undergo one home pregnancy test after missed period and blood test for beta-ChatDoctor after 7 days to confirm. Following test report, consult with gynecologist for other relevant investigation & next line management. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	HAI....my mom has been diagonised to be affected with early stages of TB ...she is taking combutol 1000 & R-cinex 600 once a day. she is suffering from heavy joint pain throughout the body....does this occur due to the medication?? is this common for all? please answer!!	Hello, In a patient on combustor users may present like pain and swelling of joints. It may be due to allergy or side effect to the Chat Doctor. Pain may be due to arthritis of joints. Until examination is done it is difficult to say what it is. Please consult with your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	my husband and I wanted to have a baby. according to his semen analysis, his liquifaction time is 1 hour and 10 minutes? Our OBgyne told us to have IUI? can we still have a baby even without IUI considering that he s liquifaction time is 1 hour? what can we do to treat this? please help us	Hi greetings You have not provided details of semen analysis. I presume that it is otherwise normal. Does he have any pain in his testicles or infections in genital tract like urinary infection, prostatitis or epididymoorchitis ? I would like to examine his testis and epididymis to feel any tenderness and if so do a rectal examination to find out prostatitis. If infection is present he will need antibiotics for minimum 3 weeks or till symptoms are cured. After 2 to 3 months his semen analysis may be repeated to see any change.Meanwhile lifestyle modifications by eating healthy food and doing exercises may be advised. One semen cycle is 3 months so that you can wait for 3 months before attempting GUI. I hope you are convinced. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	hi. i am 26 years old. female. my lymph nodes in the neck and chin seem to be swollen and is painful especially when touched. i likewise have pinkish rashes all over my face and neck. the rash itches sometimes especially when i sweat. what is wrong with me? thank you.	HIT hank for asking to ChatDoctorI really appreciate your concern and from the history given here I could say that if the rash is there on your face then this could be due to some reactive phenomenon and this can be managed with antihistamine, Tab Levocetrizine 10 mg three times in day, for the lymph nodes this can be treated with Tab Ibuprofen 400 mg twice in day, if the lymph node persist then this need to be investigated for underlying causes, have a nice day.
如果你是醫生，請根據患者的描述回答醫學問題。	hai , I am Syed working in saudi arabia,when my wife went to medical test in india for visa endoursement for saudi arabia. they said Unfit by saying that there is a infection in the blood .My wife is pregnent and 19th week.But we have been doing tests every month and consultings docter never found any infection. Could you please tell me what could be that infection in blodd?	Hello and welcome to Chat Doctor, You have not mentioned which infection tested positive in maternal blood. The routine pregnancy tests include blood test for hemoglobin, blood grouping, blood sugar, TORCH infections, urine test for sugar and proteins, ultrasonography for looking at development of the baby. Other infectious agents are tests if there is suspicion for some infection. The tests done for via purposes may be different and not included in routine blood examination. So, kindly review the report and let me know the infection which tests positive in the blood. 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。	My twenty eight year old son... who has been doing a very hard work out for about 3 weeks now was very sore across both of his pecs. He then played about 4 hard games of ping ball. He called me this morning and said he had discoverd a bump under his right nipple that was about the size of a quarter. He said it was sore when he pressed on it. I am a concerned Mom.	Hi, Welcome to Chat Doctor. By the query data, You seem to have Gynecomastia with mastodon. This occurs due to the pubertal changes usually. But in your sons' case who is 28 yrs old, the case is little late and hence needs to be worked for any hormonal abnormality of low testosterone levels. I would suggest Second Opinion with Surgeon and its urgent treatment after investigating its cause. This would help you to plan treatment with your doctor. Hit thanks if convinced. Will appreciate Premium query for further inquiry. Chat Doctor. S. Genl-CVTS
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I am a 47 year old woman with high creatine in my blood when they draw it from vein they seem to think its from to much exercising so they told me to slow down a little then come back for more blood work when I do its still high I have had kidneys stones 2 different times and passed them on my own I myself dont think its from exercising I have always done this I have arthuritis which they think might be causing it I would really like to know what kind of test they could do to figure out for sure whats going on with me I feel like something is eating away at my muscles tired of worrying	Hi and thank you so much for this query. From the information you have provided, I am concerned that your kidney stones may be interfering with the normal kidney function leading to increased levels of blood creatinine. I would suggest that you meet a nephrologist to evaluate you fully and ad Chat Doctor. Also, many electrolytes and substances lie uric acid are eliminated through the kidneys. I wouldn't want to immediately conclude that this is the reason of your arthritis, but your doctor should look into this chance as a possible cause. I hope this information proves helpful to you. For now,
如果你是醫生，請根據患者的描述回答醫學問題。	hello dr. am 35 yrs old not yet give birth even a child. i have pcos complaint, even when taking follicle study, came to know that the eggs are not growing in a particular stage and for the past two days i feel frequent palpitation in my right palm(under the thumb) and as well as a pricking feeling. can i know whats happening to me?	Hi, The only risk factor I see is age of 35yrs. After 40 pregnancy chances are very low. PCs have always had good chances of pregnancy. If married for a short duration I suggest meet infertility specialist, have Ovulation inducing pills with hormone injections, which can surely get the good number of follicles to rupture. Hoping your fallopian tubes & husband semen factor is normal. If married for long >4-5 yrs or if normal Chat Doctor. You will have the lot of follicles for IVF. Palpitation & pricking sensation could be incidental. But do get Thyroid profile / Blood sugars done. If overweight, try to reduce weight. Some possible causes for those sensations. All the best
如果你是醫生，請根據患者的描述回答醫學問題。	My 4 year old has two flat red spots on her forehead. She has had them before and they lasted for a few weeks then went away. She has now got the, again and has had them for about 3 weeks. They do not cause her any discomfort but I dont know what they are and why they have come back?	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。	I have had sever abdo and gut problems for 6 years now to the point I am bed ridden I have seen so many specialist and had many test and surgerys and yet no one can tell me answers all they say is have a bag put in and a historectomy and see how the pain goes so I live on endone which make my sever constipation worse I am forever in hosp as I get so severly constipayed I use so many things from bowel preps and pain killers an nothing wrks all dr have turned there back on me cause they dnt know what wrong please help as this leads me to feel miserable chronically in pain 24/7 when I have always been healthy and fit an now im depressed and even opted for suicide as I cant live like thi any more I have had colitis and I suffer sever ibs an barretts ospehgus but dnt believe it would cause this much pain ive done all diets been checked for every disease I need answers im 30 an no one listens please help or recommend the best leading dr	Hi. First, I would request you to enlist the problems, surgeries in a good chronological way for me to understand what exactly is the history. Since you are giving a history of Colitis, IBS and Barrett's, I wonder these to be one of the important causes of the pain you have. I would advise you to have few investigations. Please ask for an Enterocolitis wherein you are given barium through a nasogastric tune to delineate the bowel in real-time to see what exactly is the motility, any obstructions, strictures and so on. Now-a-days camera endoscopy is also available. You can go for diagnostic Laparoscopy to see exactly the interior of the abdomen. I hope these tests would help you to get a proper diagnosis. Constipation has to be avoided at any cost as these will enhance the problems. I hope this will help you. Please post previous records.
如果你是醫生，請根據患者的描述回答醫學問題。	i have been having problems with numb tingiling and pain in legs and feet. had a mri done said there was 2 small with spots on the brain.. which i was told it was normal but they wanted to do a spinal tap to rule out ms since my mother has ms. what are the chances that is what i could be. I also have neck and shoulder pain.	Hi, Thank you for posting your query. White spots on MRI (also called as hyperintense lesions) are not specific for multiple sclerosis (MS). These lesions can occur in other neurological conditions including migraine, infections, stroke, etc. Doing an MRI of spine would help, as if lesions are found in the spine, it would favor a diagnosis of MS. Spinal tap would also help, as presence of oligoclonal bands in the CSF would also favor a diagnosis of MS. However, with just two lesions, and normal spinal tap, MS is unlikely. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
如果你是醫生，請根據患者的描述回答醫學問題。	My 5 year old daughter has a lump which has suddenly appeared on the outside of her left foot. It is directly where the little toe joins the foot purtruding out wards. It is red and sore and hard and the size of a small marble and she has had no direct trauma to the foot. However over the last week and a half her second toe, next to big toe on the same foot became swollen underneath, red, purple and bolbus not extending past the first knuckle joint and not on top just underneath and a little at the tip so I took her to the dr for that when it did not get better on its own but they just gave an antibiotic script without determining the cause, to use if it did not go away. The swelling has reduced but still a little red and purple bits? I have not given the antibiotics yet.	Hi! Thanks for writing to us sharing your daughters' health problem! In short, I must say that you have to give her antibiotics and do some x-ray and blood tests possibly...! Your preschool daughter is having this lump which is red and painful which implies that there is severe inflammation and is definitely spreading medially...this could be a sign of underlying osteomyelitis, tuberculosis, kind of acute arthritis or some soft tissue infection etc...! Therefore, she needs medical attention; the earlier, the better; please see a surgeon for appropriate investigations and antibiotics/ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have burning sensation inside the tip and under the head of my penis. It burns when I urinate. My abdomen feels tender too. My hips and lower back feel tender as well. I do have a history of kidney stones but Ive never passed one that felt like this before. Any thoughts?	Hi, Thanks for writing in. There are many symptoms related to the location and size of kidney stones. If the stone is too large to pass easily, pain continues as the muscles in the wall of the tiny ureter try to squeeze the stone along into the bladder. One may feel the need to urinate more often or feel a burning sensation during urination. In a man, pain may move down to the tip of the penis. If the stone is close to the lower end of the ureter at the opening into the bladder, a person will frequently feel like they have not fully completed urination.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I got blood work for recurrent chest pain. All was normal but my D-dimer was 1.28 ug/ml (normal below 0.50). Chest CT with contrast normal, doppler u/s both legs normal, abdomen/pelvic CT, as well as abdominal ultrasound normal. The doctor says do not worry about D-dimer but it was normal range a year ago. I had a hysterectomy, endometriosis excision or fallopian tubes removed five months ago and it resulted in an abscess and sepsis. I was hospitalized for a week but recovered. I have Hashimoto\s but no treatment because my TSH is in a normal range. Should I continue to pursue the D-dimer? Currently, I am taking Lexapro 10 mg daily.	Hello, Welcome to Chat Doctor forum. I think we should retest D-dimer may be after few weeks, three to four weeks. This is to see the trend and confirm the elevated levels. The usual causes for elevation include DVT (deep vein thrombosis), pulmonary embolism, infection, stroke, trauma and rarely some cancerous conditions. Also, D-dimer rises with age. But, all your investigations are negative so ruling out the major and important causes for elevated D-dimer. I guess at this moment, you are totally asymptomatic, right? No fever or any evidence of infection, etc. The elevation from previous infection five months back should have settled by this time. You have undergone all possible test to rule out the causes for elevated D-dimer so I think there is no need to worry about it at this moment. So overall, I think, we should repeat the test after three to four weeks. Also, see if you have any symptoms or let me know if suffered from recent infection or trauma. 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 was diagnosed with lesions on my brain, after having a grand mal seizure. I have daily headache. This was in 2007 and also that year, after many episodes of chest pains, I was diagnosed with a flextion deformity in the arch of my aorta. My aorta is only 1/3 the size it should be, resulting in tachycardia, and almost daily chest pains. I also have severe hypertension. I had no insurance at the time, and moved to Colorado where I qualified for Medicaid. Over the last few years, I have noticed I can t concentrate on anything, and certainly can t finish anything I start. My mind is like a whirlwind. As a former nurse, I know something is wrong. I just can t focus. The meds. I take for my brain lesions is Norco 10/325 & Valium 10 mg. for headaches. For the other I take Norvasc 5 mg. HCTZ, & Lisinopril 20 mg. and Trazadone 50 mg. for sleep which does not usually work and I rarely take. This issue with my thought process is what bothers me the most as I can t think straight. I don t hear voices, but it seems in my head, I m telling myself to do 10 different things at one time. My lesions seem under control as I haven t had a seizure in years, but of course I take my Valium regularly. My flexion deformity of my aorta will always be with me, as a cardiologist in Birmingham, AL told me to go home and enjoy the rest of my life. I can t enjoy my life with my mind whirling around at 100 miles per hour. Any help for me?	Hello, I am afraid that more information is necessary for the nature of that brain lesion. A brain lesion can mean anything, it can be a tumor, an infection, a stroke, inflammation, trauma, hypoxic injury etc. It's impossible to make suggestions without knowing what it is. Some brain injuries remain the same, some may worsen with no available treatments, some may improve or even be cured, so It's impossible to make any prediction or recommendations for any lesion. The precise nature must be cleared out. So please look into your medical records about the precise diagnosis and feel free to write again. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,The patient underwent angioplasty two months ago. The medication provided makes the patient unwell and there is a loss of appetite. We need proper medicine advise.	Hello, Welcome to Chat Doctor forum. I have reviewed the detailed query and the attached picture. I have reviewed the medications patient is taking (attachment removed to protect patient identity). There is no medicine that seems to be unnecessary. All are needed for the patient. That is why the physician has prescribed these medicines. Feeling unwell and loss of appetite have a lot of reasons and can be due to any one of them. The patient\s heart is also one of them. Certain medications also have a side effect of loss of appetite and feeling sick. The age of the patient and recent angioplasty adds up to the symptoms. To me, there seems no need for medication change (and this is based on the limited information provided about the patient. I do not have knowledge about patient\s past medical history, recent health issues other than the heart, status of kidneys, liver, and lungs. To start or stop any medication we need to know the health status of all the body organs). I would recommend to regularly check the patient\s blood pressure, blood sugar levels and other routine blood work. Consult back to his cardiologist in a couple of weeks. This visit is recommended post-angioplasty to see if everything is alright. He would do an echocardiography, EKG (electrocardiogram) and other heart tests to see all is as it should be. Hope it helps. Please feel free to ask more if you need further assistance. For more information consult a cardiologist online
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, one of my family members just suffered a massive heart attack for a while ago, oxygen didnt go to his brain for 30 mins and they received wave(heart) when he got near the hospital. Yet he cant breathe on his own. He is on life support now and the doctors say they must monitor him for 48 hrs. He still cant breathe and there are no signals. tHE Doctors also say he had diabetes and didnt know about it. His kidneys dont work, and his liver doesnt work.Blood isnt circulating through his body. Is there any options or any cases like that? His 48 hrs will be over in 2 -3 hours.Will he survive?Will there be damage?	Sir or Madam actually your patient had heart attack, and it is seen in heart attack that if heart stops for more than 10 mins and there is no cardiac massage given brain injury chances are very high. Doctors if revived the patient cant assure you about the complete recovery. Patient mortality is very high in such scenario. If patient heart is beating and pt on ventilator nonresponsive only wait and watch policy is there. There is no alternative.
如果你是醫生，請根據患者的描述回答醫學問題。	In my sonography i have been mentioned to have mild hepatomegaly with fatty infiltration of liver and in my liver function tests most of parameters are ok with bilirubin as 0.2....i want to know is is it a serious problem...i have a regular problem of bloated stomach...please help????	Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. This is not problem, but you should change your dietary and lifestyle habits for some time since obesity and inappropriate diet are main cause of fatty liver. You should avoid alcohol and carbonated Chat Doctor. You should eat more green and boiled food. All so, you can take Sylvain to protect your liver in the future. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Dear team, My name is Ramkrishnan Ramanathan and I am writting from Chennai, India. I am diagnosed with the mental illness called OCPD. I want to know whether my illness could be permanently cured using Gene Therapy. I have no other option than undergoing gene therapy to possibly cure my illness to save my life. So may I request you to perform gene therapy on me atleast as research? Anticipating your valuable reply, Ramkrishnan Ramanathan	Dear Ramakrishna. You seem to be thinking too much about your CPD ... Kindly answer some of my questions1. Who diagnosed you as having this problem, was it a certified psychiatrist or a GP?2. What were your chief complaints.i, e. Problems which made you to go to your doc?3. Are you on any treatment Right now? To tell you my friend If your problem has been diagnosed by a proper specialist, is not going to cause any danger to your life. So good thing is that you don't have to start searching for life-saving measures. I would suggest you to start the treatment at once, and attend your psychiatrists counselling sessions. I hope you will consult a psychiatrist and get yourself cured. All the best,,,
如果你是醫生，請根據患者的描述回答醫學問題。	I have a 15 month old daughter she fell off a chair she did have a toy in her hand but as soon as I picked her up I noticed her mouth and nose was bleeding she stopped crying and started playing just fine, she fell on the back of her head should I take her to the doctor or be concerned?	It is never wrong to have a doctor look! Statistics show that if a child hits her head but never loses consciousness, never throws up, cries right away or returns to play right away, and doesn't seem sleepy or unusually out of it after a head bump, then the chances of a serious injury being present are extremely low. Most likely the nose/mouth got hit somehow on the way down or right when she hit, and that lead to the bleed. If it stopped right away, it is usually no cause for alarm. Again, if anything at all seems off, it is always right to have the doctor take a look.
如果你是醫生，請根據患者的描述回答醫學問題。	hello My son is 16 months old weight is 10 kg. He vomits daily after his night meal. During day time he is well. At night he takes light food as Dal and curd. Sometimes he cries and vomits. We consulted many doctors. they gave vomiting medicine, some gave medicine for gas and some antibiotics. But root cause is not traced yet. Please advice me. Regards shivanibector	Weight of 10 kg is low for a child of 16 months even though it depends on the birth weight. Try eliminating wheat based products from the diet for at least 2 weeks and see if there is improvement. Also remove milk and milk based items from the diet. You can give curd. Give small but frequent meals. Give fiber rich diet including green leafy vegetables. You may add Isabel at dinner time. I hope that the situation will improve with the steps I mentioned.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a disc extrusion between the L4 L5 region and is giving me pain in my right leg. It is a nagging pain and I am able to attend to my routine office work. I am active and also drive a car. The orthopedician and the neuro surgeon says that there is a slight weakness in my right toe. The orthopaedician says that I can go for a nerve block for eliminating the pain. He also feels that since I am active surgery is now not indicated. The neurosurgeon on the contrary says that I must go for micro discectomy.. I need an opinion.	Hi, Thank you for posting your query. It is clear that your symptoms (pain and toe weakness) are due to disc prolapse at L4-5 level. Both epidural injections and surgery are good options. However, the decision depends on the degree of disc prolapse and patients symptoms. I know your doctor is the best judge, as they have examined you, but I would feel that surgery may be delayed by a few weeks, and injection given a chance first, as it is simpler and less invasive. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
如果你是醫生，請根據患者的描述回答醫學問題。	Sir, I am an Acute Myeloid Leukemia-M2 patient undergoing treatment for the past one year.i had taken 5 doses of chemotherapy from the Regilonal Cancer Centre ,trivandram,Kerala( 2 Induction+ 3 Hidac).i was in remission and was discharged on 14/5/10.During the usual consultation with the doctor it was found out that my blood counts were decreasing gradually.So my doctor did a BMA& BM biopsy and it was found that ihad 15% blast,probably relapse .to solve my poblem can you suggest me a right opinion regarding the future treatment?	Hi, dairy have gone through your question. I can understand your concern. You have Acute myeloid leukemia. 15% blast suggest that you have relapse. You can take repeat chemotherapy or go for bone marrow transplantation. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	I m loosing my hair because of heavy drandruf..I some how controlled my hair fall to minimum level by using some oils and shampoos..but I m unable to get the lost hair..how can I regrow my hair...my hairfall was just from few months back...please suggest me a best medicine or some other way to regrow	Hi there.1. You can start using romaine 2%, apply 6 sprays once daily bedtime. 2. start using longhair supplements daily one after breakfast.3. You can try seamed antihero loss shampoo weekly twice with soft Chat Doctor. 4. have diet rich in proteins and fresh fruits and vegetables. This will prevent further hair loss and make the existing hair thick. Use them for a minimum of 40 consecutive days for visible results.don't worry you will be fine.
如果你是醫生，請根據患者的描述回答醫學問題。	I had an endoscopy today and a 50mm pedunculated and sessile polyp was found on the greater curvature of the stomach. I had in 2012 a paraesophageal yiatel hernia repair with nissen fundoplication. I now have a small reoccurring hiatal hernia. Yikes Do I have to worry about cancer or is this a refleciont from last years surgery.	Hello klee0522, Thank you for posting your query through Chat Doctor. Your question itself contains worry. This is the dangerous part of it. You have to understand that all the changes in your body which we call diseases are defense mechanisms and are not aimed to destroy you. Now come back to the surgical repair of the hiatal hernia. Was it a major surgery. Did you get alarmed at or after the surgery? Did you think it was going to be fatal etc.? Also understand that no surgery is curative. It is only an interference with nature and except in accidents, they are not needed. The surgery done for hiatus hernia could have avoided by right Homeopathic remedies since childhood. But it became worse and the acid reflux symptoms got worst and disease worsened to a more serious type. So now you are suffering from the sessile polyp. I am not to say that surgery on hiatus hernia caused this. It is a constitutional manifestation and so genetic. Now, my conclusion is that you should not worry about cancer or its fatality associated in your case. What you have to do is to approach an expert Homeopathic physician at the earliest. In case you do not have one and if you opt to consult me online, I need a lot more information about YOU because in Homeopathy YOU are being treated and once YOU are cured, all your complaints will get relief. You need not doubt, even the polyp can get regressed and your body and mind will become healthy. I can even send to you a case taking form on request in which you can enter your whole case and forward it to me. I will study it and suggest your curative remedy. With Best Wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor, My question is, when can I drink more than two glasses of wine a day or a whole bottle without it hindering the healing process after my dermapen session of micro needling? And also, because I was occasionally drinking a few bottles of beer after I had gotten it done, does that mean my healing time has to be longer than six weeks? By the way, I did my acne scar regions with 2.00 mm needles.	Hi. Alcohol use can diminish wound healing, it increases the blood flow so it can also cause bleeding. Excessive alcohol intake also reduces the immunity of the body which can lead to delayed wound healing. Same principle applied to micro needling. Micro needling is also a small type of injuries created in the facial skin so that the healing process makes a healthy smooth skin and remove the scar. So if you take alcohol during that process alcohol is going to affect that healing process and it can lead to infection. So I advise that you should completely avoid alcohol if possible. A small amount of one glass of beer per day can be taken if you cannot control your urge to take alcohol. I hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	Doctor my son Aditya Saraswat is suffering severe back ache in his spine and finds difficulty in sitting straight as for the last i year he use to sit for long hours to study for preparing for his competitive exams but for the last one month he is suffering from pain in his back and shoulders and now he is unable to undertake journey by bus even for 15 Kms bus jopurney in Kolkata. My family Doctor dvised for an X_Ray (L.S.Spine (AP+LAT)) and his x_Ray report indicates L5 ias sacralised - Disc soaces are normal - Both sacro - iliac joints are normal . Please advice what treatment or exercise my son should do.	HiT hank you for your question to Chat Doctor. Sedentary lifestyle over long period of time can lead to muscular back pain. In my opinion your son is likely suffering from muscular back pain. He will need physiotherapy comprising muscle relaxation and strengthening of weak muscles. For the exact type of exercises he will need examination by a physiotherapist. Local analgesic gels and anti-inflammatory medicines like ibuprofen will also help for pain relief. Spondylolysis is a break in part of the bone of vertebra and is one of the causes of back pain in adolescents but related more to activity than sitting. Also, this is not as common as muscle related causes of pain, so it is worth trying therapy first. If the pain is increasing despite all above suggested measures consultation with orthopedic surgeon for further imaging will be required. Hope this is helpful. I would be happy to answer any questions. My best wishes for Aditya future.
如果你是醫生，請根據患者的描述回答醫學問題。	I have what appears to be broken vessels on inner areas of both ankles. The ankles were very swollen 2 days ago- after walking at Disney World for 5 days in a row. This appears under the skin. I do have some pain in foot and calf. My blood pressure and cholesterol have fluctuated a lot here lately, but I am not on meds. I am overweight.	Hi, as mentioned by you the brief history, what I can understand is that you have swollen ankles and might be painful. After walking for two days in a row there is possibility that you may have got DOES - Delayed onset muscle soreness. Which is common in most people post any excessive physical activity. Also, you mentioned you are obeser than you need to perform physical exercise to lose the excessive accumulation and get the muscle toned. Due to excessive walking there is a soreness in the muscle fibers and are not able to make the Venus return to the optimum. Also, as you have done all of a sudden a good physical exertion there will be fluctuation in the blood pressure and cholesterol. In fact most systems will have fluctuation as it is normal. Chances for any breaking of the blood vessels is uncommon due to walks, but if you want to confirm a Doppler of the lower limbs is recommended to figure out if there are any. For swelling of the ankles you need to first keep the legs elevated and perform ankle toe movements. Also, understanding that physical exercise is recommended highly in you as you are obese. But prior to any exercise regimen a cardiac clearance will be of an advantage.regards Jay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 14 years of age, I weigh 156, and I am 6 0 , I had well what I think I had a stomach bug about a week ago. I began to get better later on through the day, anyway now my stomach won t growl when I m hungry anymore it just has little periods of a burning sensation , I eat then after I feel a little sick and I do not know if it was the stomach bug or something else? I tried drinking milk to lessen the burn , but could it be maybe acid burns?	Yes its most likely an acid reflux and possibly associated gastritis (inflammation of the stomach) , the hint here is the pain after eating, and using milk to lessen the burn sensation. I recommend the following :- avoid eating pipers and spicy food - avoid caffeine especially in early morning - use one of the proton pump inhibitor for 1 month duration, use it half an hour before breakfast, try lansoprazole 30 mg once daily or omeprazole 40 mg once daily, this dose is measured according to your body weight. I hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	hello, my baby is 5 months old. from the last 2/3 days she is suffering from indigestion & gas problem. doctor prescribed decolic drops & neopeptine susp. she was ok yesterday, but now she has become restless & crying a lot. Any advice will be appreciable. thanks. ajit	Hi, Thank you for asking question on Chat Doctor. Bottle feeding babies usually ingest gas while feeding. Either breastfeeding or feeding with cup and spoon will prevent gas. What your doctor prescribed is OK, continue the same medicines. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics
如果你是醫生，請根據患者的描述回答醫學問題。	Namaste madem, My daughter under went surgery in which tubes near overy were seperated and some tissues were removed and doctors said that tubes are weak , in this circumstances can my daughter become through natural conceiving process , if not what are the alternative processess. plz give your opinion.	Hi, thanks for writing. I would suggest getting a hysterosalpingogram to see for the dye spillage in both the tubes. If there is free dye spillage, it means that the tube is patent, and she is likely to conceive naturally. If there is blockage of both the tubes, hysteroscope cannulation of the tube can be tried. If this is unsuccessful, then she will have to go for IVF to attain pregnancy. Hope I have answered your query. Good day.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter of 27 years age is having left hip joint pain and the MRI suggest fluid presence. blood test of TB gold indicates positive and the reading is .8 instead of .3,many blood test are done related and their result is normal except ESR which is 28 and CRP QUANTITATIVE SERUM test show 17.3 .Chest x-ray is clear but she is advised to go for CT scan for chest. Confused and whom to consult for correct diognestic for start of TB treatment. pl advise.ibrao	Thanks for your question on Chat Doctor. I can understand your concern. Your daughter is having septic arthritis of hip joint with collection of fluid (synovial effusion). Most common cause for this is tuberculosis. Her TB gold test is also positive with high CRP (C Reactive Protein) and ESR (erythrocyte sedimentation rate). All these favor TB more. But confirmation should be done by aspiration of synovial fluid from hip joint and send it for ADA (adenosine Deaminate) level. ADA is marker of tb infection fluid. So if ADA of fluid is also high, better to start anti TB Chat Doctor. So consult orthopedic doctor and discuss synovial fluid aspiration. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	sir my skin adjacent to my eyes on both sides and forehead is getting darkened with rashes. i showned it to a skin specilist . he performed some peel off process and prescribed medicines also. he gave me some ointment also to applied on the affected surfaces. afterfollowing the medications for a period of time the rashes disappears . after discontinuing it the rashes again reappears. please guide me. RAJESH	Hello, welcome to Chat Doctor. There are a lot of reasons for dark circles with rashes most common ones are- hereditary, Allergies, asthma, and eczema, fatigue, age, anemia, some liver problems etc. this is due to excess melanin pigments produced. Most common treatment prescribed are HY Chat Doctor. You can continue treatment of your dermatologists. Along with it take plenty of water, green vegetables, rub cucumber juice and potato over dark areas, they also help to reduce pigment stake care, and you can ask future queries
如果你是醫生，請根據患者的描述回答醫學問題。	hi i am mastrubation victim it all started when i was 12 years andi now i am 19 but i cant quit and i am afraid then i will not get my health back i like sport very much goin to the gym and boxing but this is realy ruin my life my question is there chance to quit it and how long it takes to recover from it	HelloThanks for query. You have been indulged in frequent masturbation since the age of 12 years. Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and reason for sexual problems in the future. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doctor, I am getting married on 30 Nov and i have started on Femilon medicine as an oral contraceptive . However, in this cycle i will get my periods on exactly my wedding date i.e. 30 Nov. I do not want that to happen, as it will be very uncomfortable for me during day-long and night-long festivities. Can i prepone my periods by stopping femilon now, so that i finish my periods before 30 Nov? Please help.	Hi, I understand your concerns. Stopping Felon to advance your periods may not always give you the anticipated results. Instead of advancing your period, I advise you to postpone them. After completing the 21-day pack of felon, start the new pack the following day without any gap. Continue to take the pill until all the functions at home are over. Once you are free you can stop the pills. You will get your period in 3-4 days time (within a week). I hope I have answered to your satisfaction.
如果你是醫生，請根據患者的描述回答醫學問題。	I work in a building that is seventeen years old five days ago a major waterline broke and flooded the whole north side of the building. The ceiling came down on three floors. So I had to walk through dripping water and flooded floors. About three days ago my chest feels heavy and i have shortness of breath when I talk. My job requires a lot of walking that does not bother me. Is it possible that I might have breathed in mold and if so what should I do.	Hi, I understand your concern. I think you might be having a lung infection. I advise consulting with your physician and run chest X-ray to determine the right diagnosis. For the moment, I can only advise to take antihistamines (e.g. loratadine) until you see your doctor. However, I still think you should go to clinic immediately. If you cannot manage, then, go to ER to check your problems with difficulty in breathing. Wish fast recovery.
如果你是醫生，請根據患者的描述回答醫學問題。	I am experiencing SOA, more noticeable congestion from the R lung vs the L, some ankle swelling, a persistent cough. I recently had bronchitis and was on antibiotics. I am 54, a former smoker. I am more fatigued than usual. I have HTN and am on 3 medications. I have noticed an irregular heart beat where it feels like I am skipping beats. I do get up at least 3 times during the night to go to the bathroom. I was wondering about CHF.	Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, possibility of congestive heart failure (CHF) is more in your case. CHF is known complication of hypertension. Due to CHF pumping of heart is decreased and fluid over load occurs. And this excess fluid accumulate in lower limbs, lungs etc. So swollen feet, chest congestion, cough, irregular heart beats etc. are favoring CHF more. So consult cardiologist and get done 1. ECG 2. 2d echo 3. Coronary Angiography if required. You need diuretics and cardiac isotropic Chat Doctor. 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 have lost quite a lot of hair over the years, I think due to several things, one of them being a massive haemorrage after an op and the other being I lost my husband. Is there anything you could recommend to make my hair get a lot thicker, there is considerable loss on the top and back.	Hi, Hairball can occur due to a number of causes like fungal infection, nutritional deficiency, stress, long-standing illness, side effects of medicines. If there is excessive hemorrhage then it can be due to low hemoglobin levels, so it can be a cause of hair loss. Stress can also be a cause. You should consult a Trichologist and get evaluated, and he can advise you investigations like hormonal assay, blood tests, pictogram, to rule out the exact cause of the problem and treat you accordingly. You can be advised to apply 2% Minoxidil lotion over the scalp. Furthermore, you can be advised to take multivitamin supplements. Furthermore, you should massage the scalp with warm coconut oil. Furthermore, you should take a nutritious diet and Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. my father is at the age of 65, gone through a surgery of cist in lower right jaw. Now he is having the problem of temporary loss of memory. A month back this simptom continued about 10 minutes. Otherwise he is healthy,takes good food, bp & sugar is nil. Can we get solutions from Neurologist ? we are from Koppa near Sringeri.	Hi, Thank you for posting your query. I have noted your fathers symptoms. They are suggestive of minor brain stroke-TIA (transient ischemic attack). In TIA, the blood supply to brain gets reduced for a short period of time, resulting in neurological symptoms. He should be seen by a neurologist and an MRI of brain should be done. He should also be started on aspirin tablets to prevent major brain strokes in the future. 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 am a hyper patient and recently found that I am short of breath if i climb stairs or even walk fast. There is a history of heart disease in the family. Recently with one of my ECGs, the doctor said that maybe the arteries arte narrowing and I must go in for a full heart check up and then maybe an angiography. Is it something serious?	Welcome and thank you for asking on Chat Doctor! I have gone through you question carefully. As you have a family history of heart disease and shortness of breath on exertion with (probably) an abnormal ECG you must undergo a heart check up (recommended). If everything comes out to be normal you have reason to celebrate and it would allay you anxiety as well Hope you will find this answer helpful! Wishing all the best,
如果你是醫生，請根據患者的描述回答醫學問題。	I had surgery for kidney cancer 8 years ago. They removed part of my right kidney. I am also diabetic. For the last week I have been having pain in my right leg where it is hard to lift my leg and it feels like it will give out some times when I am walking. Can this be related to my kidneys?	Hi, As post surgery there might be weakness of the spinal muscles leading to nerve root entrapment and due to which there is weakness in the legs and abnormal motor control. Also, you being diabetic will make the nerve functions to reduce as well. I will advise simple low intensity exercises which will help you to reduce the symptoms. Exercises include - breathing exercises, core stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, static hamstring, static qua Chat Doctor. This should help the muscle strength and muscle physiology to regain its normal functions and help to have normalcy of life. Hope I have answered your query. Let me know if I can assist you further. Jay In
如果你是醫生，請根據患者的描述回答醫學問題。	I was diagnosed with SVT 6 years ago. I went to the hospital with a heart rate of 230. I went to the Cardiologist and he said it may be SVT. He did an echo and put me on Atenolol. Nothing in stone as to what caused my heart rate to be that high. I am 39 years old. I absolutely do not like Atenolol. I have gained weight and been some what down since I started taking the medication. I stopped taking it. My blood pressure today is 111/80 with a bpm of 95. I feel better yet a little different. I have been off the medicine for 5 days. Is there an alternative to Atenolol or are the numbers okay to not take it?	Hello! I have gone through your history.first I would like to know whether at the time of heart beats of over 200 was your ECG done?if it was not done that SVT is your presumptive likely diagnosis. If you are not comfortable with atenolol, I suggest you to start Tab. Calaptin 40 mg thrice a day. And if your problem does not recur then you may continue the same. Most importantly rush for ECG if you get that fast racing heart again. If you can document SVT on ECG and if you continue to get frequent spell of SVT, then you should undergo electrophysioligical study for evaluation and possible procedure called RFA.my best wishes.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here...hii... my uncle had typhoid last month..about 2 weeks after discharge he is now suddenly having low grade fever(99-101C) from noon to night..it starts at around 12pm and leaves by 12am..he also has headache at the time..couldit be a relapse?His blood culture was normal at the time of discharge	Hello, thank you for posting your query here. Did your uncle take the complete course of antibiotics for typhoid ? From the symptoms you be described with low grade fever and headache, my opinion is that he is having a viral illness now. You can ask him to wait for 2-3 days, and if fever persists, to do a blood culture and start on a course of antibiotics (what he took last time for typhoid). Importantly, ask him to take a vaccine for typhoid a month after recovery, as infection with typhoid does not protect against typhoid recurring in the future. Hygiene and handwashing before eating food, after using the toilet is to be stressed upon. As is Chat Doctor. Hope he gets better soon.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello- Can taking Vitamin B supplements stain your teeth? I started taking more B12 (1000 units a day) about a year ago and my dentist has noticed more staining on my teeth during cleanings. I also started using COQ10. We re trying to figure out (as my diet hasn t changed) what s causing the stains. Also, about a year ago, I started a new regiment for HIV---Triumeq (which consolidates three pills into one) so I m just trying to figure out how to stave off the stains per my dentist. Thank you!	Hi. Thanks for the query. The medication that you are taking are not seen to cause staining of teeth rather it can be due to causes like roughness of teeth with age, improper brushing technique, using mouthwash can also at times cause staining and the most common is poor oral hygiene maintenance.However, if you are taking any iron supplements then it can cause staining of teeth. Excess intake of tea and coffee, smoking etc. can cause staining of teeth. You should first learn a proper brushing technique from your dentist and go for regular dental cleaning that is every 6 months... Use a mixture of HY Chat Doctor. . Eat more of hard fruits as they have cleaning action on teeth and along with it
如果你是醫生，請根據患者的描述回答醫學問題。	my gf has been having issues with her skin most of her life she 20 years old and as a child she would get these rashes that covers her body..she says it happens a couple times a year which i find not normal...she also has acne and break out in rashes if shes overheating or her body temperature too high..she used to take doctor prescribed medince for the rash, but the was years ago...well now we dont have much money or insurance..and every rash cream we use dont work plus shes allergic to SPF in sunscreen she has rashes from that too what do she need a dermatologist?	Hi...dear user., Thanks for choosing Chat Doctor., Skin rash since childhood and associated with Acne., could be due to Hormonal hyperactivity..., She has having seasonal Allergy with Mast cell granulation..., hence she is getting frequently this problem..., Treatment is ...1) Avoid the triggers like...cold touch, Bitter fumes, Dust, etc.,2) Tab. Fexofenadine 180 mg for 30 days.... after 2 tabs weekly for 5 months...,3) Tab Dexamethasone 0.5 mg 2 tabs /day for 5 days., 1 tab /day for 5 days, 2 tabs / weekly for 4 weeks., weekly once for 6 months., ( Pulse therapy)4) Mast cell granulation.....by...using Sodium complicate, nedocromil., Follow this ...total remission will occur ok., bye
如果你是醫生，請根據患者的描述回答醫學問題。	hi, I am 33 years old and recently diagnosed with high blood pressure. Before i was put on meds for this i was having problems with rapid heartbeat with very little activity, pain by cartoid artery, and dizzyness when i would kneel down and stand up or sitting and then stand.. Well after the meds for high blood pressure the same problems occur. Is there reason to be concerned?	Hi, This doesn't appear a matter of concern, the symptoms of dizziness occurs whenever one stands up BP falls a bit and causes decreased blood supply to brain, leading to dizziness. These may occur commonly in many individuals and also as a side effects of blood pressure med. Also keep monitoring your blood pressure. So in order to prevent these, you need to increase fluid intake and don't suddenly get from sleeping or sitting position, instead do it gradually. If too troublesome then you need to wear compression leg stockings. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,A 29 year old female had an abortion through pills. She took Mifepristone initially, and Misoprostol tablets 800 mcg sublingually 26 hours later. She had severe pain and contraction immediately after taking Misoprostol. Two hours later the placenta and blood clots came out. She had heavy bleeding. So, I thought the abortion was over, but two days later, the fetus came out in a rotten stage with a bad smell. Please help. I am worried about an infection.	Hello. The dosing schedule was wrong. The basic mistake was you did not know the age of the fetus. This medical abortion is recommended for pregnancies that are less than 63 days. Now, you definitely need an ultrasound of the lower abdomen. It is fortunate that she is not having any fever, bleeding or abdominal pain. I suggest you meet a gynecologist as quickly as possible. He/she will advise you after a clinical examination. For more information consult an obstetrician and gynaecologist online
如果你是醫生，請根據患者的描述回答醫學問題。	My father is65yr old,paraplegic since 25yrs.,has multi drug resistant uti since then,off n on on antibiotics.recently developed evening rise in temp for more than one month,burning sensation at night,dry cough.has been on iv antibiotics fr last 5 days but no reduction in fever.plain urine exam normal,culture shows uti fr which he is taking iv antibiotic,urine Afb normal.chest X-ray normal.kindy advise.	Hi, Thank you for posting your query. Recurrent urinary tract infection (UTI) in your father can be explained by neurogenic bladder that may have happened because of spinal cord injury. In a neurogenic bladder, there may be incomplete evacuation of bladder with residual urine after evacuation, which predisposes to recurrent Otis. The first issue here is to treat the current infection, which can be done by using broad spectrum antibiotics. Second and more important issue to prevent Otis from occurring in the future. This can be done by using antibiotics as prophylactic agents. In addition, clean intermittent catheterization (CIC) may be taught to the patient, which can alleviate the problem of incomplete evacuation. I hope it helps. Best wishes, Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had an accident where my tooth went through my lip 3 weeks ago. I had 6 dissolvable stitches and 4 others under my lip. Visibly it looks a lot better and the swelling has gone down lots but I have a lump in my lip and its quite numb. trouble is I play a brass instrument and wondered is the lump normal and how long will it take to disappear?	Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. The numbness and swelling normally occur after injury. The lump you mention in you query can occur due two possible reasons - Firstly in can be a muscle that occur due to entrapment of foreign body in duct of salivary gland duct because of injury.- Clot that doesn't resolve yet. The numbness in the lip indicates nerve involvement due to injury. It may take several weeks to recover depending upon the severity. You should avoid playing instrument until the proper recovery of lip because it can aggravate the condition. I would suggest you to consult oral surgeon/dermatologist for proper examination. Doctor may prescribe multivitamin for quick recovery and may perform surgery to correct nerve numbness. For now apply petroleum jelly to keep your lip moist, give cold compresses to lip to reduce swelling and take ibuprofen(if not allergic) or acetaminophen for pain and swelling. 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。	Good afternoon. I am a female who will be 31 in July, I am not on any medication at. I weigh approx 13st 11 and try to exercise for 2-3hours weekly (running, badminton & tennis). For about 6months I have experienced missed heart beats with a sudden strong heart beat, which makes me breathe in deeper and feel a little light headed at times. I can feel this in my chest. I have a pulse of 71 - 80 BPM with a missed heart beat about 4-6 times per minute at rest and a pulse of 146-152 BPM with a missed heart beat of 8-14 times after an hour of tennis. I only have coffee in a morning (1 - 2 cups), I eat regular fruit and vegetables, I take vitamin suppliments and have take aways probably once a month. I dont like salt so try not to eat processed foods and never add salt to my food/cooking. Most of the foods we eat consist of pasta, bread & rice (all carbs!!) but include fish, veg, red meat & white meat There is no apparent reason for the missed beats, they are all the time, in bed, watching tv, at work, in the bath, driving, walking, excercising etc. It is frustrating and a little worrying to say the least Is this normal or should I see my GP? thank youNicola Lee	Dear Nicola Lee, From your description it seems you have extrasystolies, it is a specific type of arrhythmia, when heart contracts prematurely from time to time. It can observe in young people without any pathology. If the amount of extrasystolies us less than 1000 a day, then nothing to worry. If it is more than 8000 a day, there is a need for treatment. Between 1000-8000 is a gray zone, and if there is a need for treatment, decided individually. I would advise you to see your doctor to perform a holder monitoring, which is a test, when you wear a small device, which registers 24 hour ECG, so the amount of extrasystolies will be known for a day. Take fearsome back if you have any further questions
如果你是醫生，請根據患者的描述回答醫學問題。	MRI says I have complex tear of the medial of the posterior horn of the medial meniscus. Tricompartmental osteoarthritis with chondromalacia of the medial femoral condyle and patella. Small joint effusion and Bakers cyst. Mild lateral subluxation of the patella. Osteophytes are also seen in all three compartments. Do this mean I need a total knee replacement?	Hi, Thanks for writing in. I suppose you had a knee pain or injury and were referred for MRI scan of the knee. The report shows.1. A complex tear in the spongy ring of tissue known as meniscus which is present in the inner side of the knee. It is mentioned as complex tear.2. There are degenerative changes in the knee with inflammation of the underside of the knee cap (patella) and lower end of thigh-bone (femur) with softening of the cartilage. This can be considered an overuse injury.3. Small amount of fluid is there in knee joint (called effusion) with a benign cyst usually found at that location (Bakers cyst)4. There is also tiny bone out growths seen in all bones at knee joint do to aging and wear and tear changes. The decision of a total knee joint requires the images to be seen and the range of movements that you are able to perform without discomfort. If you have had a recent injury then your condition needs to be reviewed clinically after taking rest and application of ointments for few days.
如果你是醫生，請根據患者的描述回答醫學問題。	hi i have , under the skin pimples i thought. but nothing at all ever comes out. if i pick at it . there is cluster of whiteheads underneath. they hurt and feel just like the tip of a whitehead. but wont come out, i have to pull them out , then the bleed alot. only if i get them all out it will heal with a scar . any idea	Hi Mickey how are you young one ? Pimple or Acne vulgarism is a very common skin ailment in your age, basically when opening of pimple is closed it is called white head, when it is closed it is known as black head. Keep few things in mind ..... 1. Never try to press any acne it may cause scaring and post inflammatory hyperpigmentation or scaring 2. Wash your face multiple time 3. Never apply oily creams and oil over face. Consult your dermatologist if your problem doesn't resolve with preventive measures. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my baby having uti. {E-COLI} possitive so, treated with oral antibiotic syr. augmentine. during uti he had a cold dr s suggest to give syr.cetrizine. now he developed cough and cold because, i though syr augmentine i kept in frige. before giving medicine only we keep the medicine out after 10or 15 mints only we will give. and they adviced to give syr azee od 3days, now the antibiotic course over. still he have sever cough. what do? i can give asthalin nebulization in home. but he is ok active .mainly he is not taking food properly.	Stalin is a bronchodilator and is safe and often essential in persistent cough. Such cougChatDoctormonly occurs due to viral infection where antibiotics are ineffective and hence he has not recovered yet. You can give Stalin nebulization at home, but you would need a nebulizer device. Alternatively, you can give steam inhalation on one hand and Stalin inhaler through spacer device and the combination will serve the same purpose. It is common for child Chat Doctor. However, since the child is otherwise active, I would not worry.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello SirI am Jatinder Kumar and having Chest pain from Last few Months. I have Done 2 Time ECHO And 2 Times TMT Test. Impression of TMT in First Time PTA Achived THR and Second Time i have Shortness of breath Problem and TMT Reschudle Then Impression of TM is PTA Did not Achived THR. What is Difference of These Test. Heart Target Rate 89 % in First TMT and 79% in second TMT. Please Give me Best Suggestion.	Thanks for your question on Chat Doctor. I can understand your concern. Our heart rate increases with exercise. This is normal for every one. Depending on persons' height, weight, target heart rate (THR) is decided by TMT machine. If we achieve THR without getting breathless or rising BP or abnormal ECG then out TMT is good. But if we fail to achieve THR due to breathlessness or accelerated hypertension or ECG changes means our TMT is not good, and we need angiography to rule out coronary artery disease (CAD). Since your TMT was stopped due to breathlessness and hence THR was not achieved, possibility of CAD is more in your case. 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。	Okay I am 19 years old and my back hurts. It hurts when I bend over, sit down or even lay down. I have not picked up anything heavy. My boobs are huge though and I have had them for years could that be the problem. The pain comes and it goes but it comes out the middle of no where. When my back hurts my tummy always seems to hurt and I always seem so tired. Can you help me?	Good morning mam. Your oversize breast is not at all problem. A lot of females have it, and it does not cause any problem. But the problem could be your postures during your work, sitting and lying. Try to adopt good and healthy postures. And do regular exercise. Sometimes back pain with pain abdomen could be due to acid peptic disease. Avoid spicy and preserved food. Have fresh food in time. Hope u get well. Thank u
如果你是醫生，請根據患者的描述回答醫學問題。	I have a rash on my left shoulder area and a gel feeling lump at the middle of my collarbone. I had Rotator Cuff Surgery on my right shoulder on 11/4. I have a strong history of cancer. Lung cancer in 2002 and bladder cancer in 2009 and many basal cell cancers. I am concerned with these two symptoms. Thank you	Hi, dairy have gone through your question. I can understand your concern. You have rash on shoulder and lump in middle of collarbone with family history of lung and bladder cancer. Your lump may be enlarged lymph node due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma, or you may have some soft tissue tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact idea. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 21 yr old male, I ve had asthma as a child and bretahing through my nose troubles as a child as well. I have been experiencing lots of mucous production , which when I cough up is sometimes very thick and foal smelling (dark in colour), but otherwise always froth-like. Sometimes I also cough up little hard chunks that feel like powder or cheesy inthe center that smell identicle to feces. Some insight would be helpful as past doctors have put me thru unsuccessful tests and diagnosis ssuch as post-nasal drip and just yesterday an upper GI barium test...because I mention slight difficulty swallowing. I am a nursing student and giving my symptoms, I am assuming something is causing irriation in my lungs, possibly re-occuring asthma symptoms , but I want to know if I should be worried about other problems such as COPD , pulmonary edema . etc. Thank you	Hello dear... Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages to an allergen. Nebulisation will provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)And the presence of foul smelling sputum indicate lower respiratory tract involvement such as Bronchiectasis (a condition grouped under COPD, in which there is irreversible dilatation of the air passages due to damage to bronchial wall)So...it will be better to consult a Pulmonologist. And make sure that you are well protected from cold, dust & other allergens. Other than that eat a healthy diet, avoid stress, get good sleep, think positive and stay happy. Wishing you good health. Thanks & take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Went to get an ultrasound last week for abdominal pain. 3 cm cyst on left ovary and smaller cyst on right ovary. Having a lot of fluttering in my left lower abdomen that can be described that feels like a baby moving. Have pain still in left pelvic area. Always bloated, always feeling full, losing hair and peeing often. I have had two children, I am 28, I have had breast cancer. Negative pregnancy tests. I am 5 5 and 170 pounds. What could the fluttering feeling mean? I am positive it is not just gas.	Hi. Thanks for your query and an elucidated history. Yes, there has to be a reason for this fluttering feeling and pain in left pelvic area and the feeling of baby moving. Your history of cancer breast noted, very uncommon at such a younger age. I would suggest you the following since you have a complicated history for your young age. Go for CT scan of the Abdomen to make certain that the cancer has not spread to the ovaries, the cysts of the ovaries can in fact be secondary cancer growth. This will prove what it is. This can be colitis as you are loosing hair, bloated and feeling full. I would advise in such a case the following:Take a course of an antibiotic and metronidazole, activated charcoal tablets, probiotics and most important the therapeutic dosages of Multivitamins. This may help you symptomatically.
如果你是醫生，請根據患者的描述回答醫學問題。	I am going to Kenya on honeymoon and am wanting to start trying for a baby, I am having vaccinations for Yellow fever and taking anti malaria tablets, the nurse said it was fine to start trying but I have read I should wait, is it ok to try or should I wait?	Hi there, , Trying to get pregnant after taking yellow fever vaccine should pose no problems to you. But regarding the malaria prophylaxis, you should be cautious. A lot of factors play, Whether the area you are going to has high density of anopheles, chloroquine sensitive or resistant and how long do you plan to stay. You should keep in mind that no anti malaria tablets are 100% protective, and you could still get malaria. Malaria can increase risk of miscarriage, and anti-malarial medications may or may not have side effects on the pregnancy depending on which one you are using. I would advise you to avoid getting pregnant while on anti-malarial medications. Hope this helps. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	i have had a chest infection and bad bout of asthma i have been back tomy gp as i am constantly dizzy and feel drunk i have noticed a lump at the back of my head right at the base of my skull on the left hand side is moves about is not completely round does not feel sore but is large enough for me to seee if i holda mirror at the backof my head	A lump over back of neck might be just a boil, lipoma or sebaceous cyst, neuroma etc., it can be removed easily by simple excision by general surgeon which will take hardly 10-15 minutes under local anesthesia. For that u go to a surgeon and get removed it. For your asthma there are many inhalers and nebulizers, tablets like steroids, alpha agonists, anticholinergics are available in market, u can easily go to pulmonologist the get prescribed it.
如果你是醫生，請根據患者的描述回答醫學問題。	last month i got my period somewhat like a week before, at 1st it ws light, and it continued for about 9 days as high bleeding. is it something like implantation bleeding? when i consulted the gyno, she gave me meftal, omeprazol and tranzamin. so the next day it got stopped. and for this month still i didnt get my period, like almost a week delay. is there any chance to be pregnant. i wish for.	Hallow Dear, Since you had continued bleeding during menses for prolonged period, and it had to be controlled by medicines, this time the periods are delayed. Wait for some more days, may be for a week to 10 days. If still you do not get menses, you may have to induce your menses by some progestational preparation. Please get the advice and prescription from your Gynecologist. I hope this helps you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I initially noticed bumps/ sores on my head, but very few. Shortly afterwards I was getting red bumps on my neck and face with a white center and progressed on my chest, shoulders and back. My Dermatologist said it was mild foliculitus, Granted it may be but after 2 visits and 2 months later I still have symptoms and this tube of cream just doesn t knock it out. My scalp still itched and it looks like it could be thinning. I bought dandruff shampoo but it only does so much. I m wore out from applying antiseptics and antibacterial creams . Should he have suggested antibiotics	Hello dear, Welcome to Chat Doctor. I have read your query and understood your concern. If you have been diagnosed as having folliculitis spread over body, I usually advise my patients to take oral antibiotics like accolades/ cephalosporins to control the acute episode. Alongwith topical antibiotic like mupirocin 2 % cream is advised. I will advise you to get your blood sugar levels tested. As per details, this is my best advise for you. You may discuss this with your doctor. I am sure he/she will agree with my opinion. Stay healthy.
如果你是醫生，請根據患者的描述回答醫學問題。	if any patient s CA-125 result is showing 465 U/ML . how swear it is? is this result is cureable ?	Welcome to Chat Doctor CA-125 465 U/L is quite high. It is not possible to interpret the meaning of an abnormally high CA 125 without additional information about the particular patient being evaluated. The reason is that blood levels of this protein can be increased in many benign and malignant conditions. In the patient who is being evaluated for a pelvic mass, a CA 125 level greater than 65 is associated with malignancy in approximately 90% of cases. However, without a demonstrable mass, the association is much weaker. If it is due to ovarian cancer treatment depends upon stage of cancer. Treating gynecologist/oncologist will be in better situation to comment on prognosis(curability). Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Dear Dr,From last 20 yrs I was suffered high values of Esnophill it lies between 8-10.....hence I am regularly suffered from Cough Cold, morning hours 20 to 30 sneeze / day, watery nose, whole day one of nosestrill blocked.....as well as some skin problem on neck area.Is it cureble, what are medicine I have to intiate & what are precautions I have to take in daily routine.Nikhil Sharma	HI, thanks for using Chat Doctor Eosinophils rise in response to allergies. This increase is in keeping with your symptoms of nasal congestion, sneezing, nasal discharge. These are symptoms allergic rhinosinusitis- this is allergies of the nose and sinuses. The main aspect of treatment-(1) avoiding the source of the allergy if it is known. Allergy testing can help to determine what causes your allergic reaction(2)topical steroid nasal spray(3)oral antihistamines and oral decongestants- these would be available over the counter hope this helps
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,I am Sadhana from Mumbai.My brother who is 23 yrs of old issuffering from jaundice from past 3 days.He has lost is appetie andeats very less.Can you plesae suggest me some home remediesDoctor advised medicines are been given to him	Hi, Jaundice should be investigated thoroughly. HAD is a common cause and self limited. HBV and HCV should be ruled out. My advice is as below:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-Decreased oil consumption (oily food)- NO red meat-Green vegetables should be ingested daily-Use lemon juice (lemonade) once in a day-Reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Hope to answer your concern. Any further questions are welcomed. Wish him good and sound health.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been suffering with what my doctor thinks is a pinched nerve. Have had severe pain and cramping in my leg for over a week. Am scheduled to go an MRI tomorrow. I have been using a heating pad on area of pain in my buttock area and soaking in Epsom salts to Eli ease pain. This evening while bathing I noticed some red blotches on my buttock and leg. Doctor has me on oxycodon for pain. What could these red blotches be?	Hi the pinched nerve needs to be checked out by an MRI and nerve tests. The red blotches most probably were caused by local skin irritation from overexposure to heat and soaking in Epsom salt. Please discontinue this, and you will find the skin reaction better. Meanwhile, continue on your oxycodone and pain medications available with you till you do the MRI which will reveal the cause of your pain.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My mother is facing water discharge from her eyes. With water, there is also some thick semi-liquid discharge from sides. These symptoms are also accompanied by some heaviness in the eyes. I believe this is contagious as one another family member of mine is facing the same issues.	Hello. Your mother is most probably suffering from infective conjunctivitis. Probably bacterial. The treatment is antibiotic eye ChatDoctor. You should consult an Ophthalmologist for the same. Most important is that it should not spread to others. It spreads from person to person by Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Dr I am 31 years old woman I lost my child a year ago because my placinta got detached at the last moment and the baby died of soffocation now l have beem trying to conseive but to no avail l dont know whats the problem is my husband have no time to visit DR for the same can u please help me out can there be any infection or somthing else gone wrong inside l am really very worried please do the needful	Hi, I think you can go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. Also, a semen analysis of your husband should be done. You can also do a HSG to see the tubes' patency. If everything is fine, you can try naturally for 6 months. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. If it doesn't work then you can go for some medicines for growth of your follicles. Discuss with your doctor regarding this. Hope I have answered your question. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My son has a big black and blue mark on the back of his calf, doesnt remember bruising it, can barely walk on thart leg it hurts so much, any idea what this is? My son is 11 yrs old, woke up this morning with the mystery bruise, cant even apply pressure on leg withhout hurting, what is this?	Hello, Such bruise mark can be due to following- -Insect bite-Due to soft tissue injury. If he is not having swelling in foot and leg & there is no fever then there is little to worry. I shall advise you following to have relief in this- -Take rest.-Take an analgesic preparation in child doses like acetaminophen.-Keep limb elevated on pillow. Most probably this will go away with in 3-5 days. If it does not disappear, or he has fever or swelling then please consult to your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	I HAVE ROUGH PATCHES INSIDE MY MOUTH ON MY RIGHT CHEEK ONLY I AM A MALE 17 NO ONE IN MY FAMILY HAS CANCER MY DAD HAS DIPPED FOR 30 YEAR THE PATCHES DO NOT CAUSE ANY PAIN AND ARE NOT DISCOLORED I HAVE ONLY BEEN SMOKING FOR TWO MONTHS SO I DONT THINK ITS MOUTH CANCER WE DONT HAVE THE MONEY TO GO TO THE DOCTOR RIGHT NOW SO ANY HELP YOU CAN GIVE WOULD BE GREATLY APPRECIATED	HiT hank you for your query with Chat Doctor, After looking into your query you have a smoking habit for which I would strongly suggest you to quit. Coming to the patches do you have any burning sensation or any other symptoms?are they Scrabble or non Scrabble? I would definitely say to visit your oral physician for thorough clinical check up which is mandatory. Donor neglect it since you have a family history of same. Hope I have answered to your query
如果你是醫生，請根據患者的描述回答醫學問題。	im married women of age 25, my body type is normal and healthy, last week my pregnancy card shows positive but after 9 days it start bleeding and a miscarrage, doctor advise me to stay cool and try next and says no medications helps in my problem and better luck next time. advise me should i go for treatment or any food habit or else may help me in this.	Hello, Thank You for the query at Chat Doctor I have gone through your question and understand your concern. Early pregnancy miscarriage is common, and it is not indicative of any problem with your reproductive health or future risk for miscarriages. There is nothing that can be done to prevent a miscarriage. But here are few tips to follow for a healthy pregnancy-Since you are trying to conceive, you can start taking folic acid 400 mg daily. Folic acid helps in proper brain and spine development of baby.-Diet rich in fruits, vegetables and protein(meat, soy bean)-Avoid Chat Doctor. Limit coffee to 1 cup a day-Avoid carbonated caffeinated

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