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如果你是醫生，請根據患者的描述回答醫學問題。	If you pull off a piece of leukoplakia which the Dentist said it was can one of the white pieces that was pulled off be white with what looked like a tiny hair with a follicle on it just be leukoplakia or is it hairy leukoplakia? Could what looked like the tiny hair just be the root of leukoplakia?	Thanks for using Chat Doctor. Read your query. Leukoplakia lesions cannot usually be plucked. It has to be scraped by removing cells from the surface of the lesion with a small, spinning brush or surgically removing the entire patch (excisional biopsy). I would advise you to have a biopsy done to rule out the diagnosis of leukoplakia. If you have the habit of taking tobacco, smoking quitting that is very important. Limiting the use of alcohol is also very important. Hope this was helpful. Thanks and regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Sir, Since last one year I am suffering from fatty liver problem. My total bilrubin was 1.3 and direct bilrubin was 0.5 and ALT was 63. I have under gone treatment and I have taken Udiliv 300 twice and vitamin e (NE) twice. After one month in blood report Total bilrubin found was 1.03 Direct bilrubin was 0.5 ALT-36. However I was continuing the same medicine for another two months. At present my recent blood report says Total bilrubin is 2.2 where, direct bilrubin is 0.49, AST-25, ALT-19. I am 21 year old I have reduced my weight from 70 kg to 65 kg in last three months. My Physician suspects that the cause of higher bilrubin is Hemolytic Anemia and prescribedt same medicine with Iron supplement for another three months and ask for blood test for Hemolytic Anemia. Please advise. My height is 172.2 c.m XXXXXXkolkata	Hi, Thanks for writing in. Udiliv is not the medication of choice for fatty liver. The best combination would be sorbitol, trampoline citrate and orbiting for a period of 6 months. This will help reduce or normalize the liver function tests. To rule out a hemolytic anemia you need to undergo proper clinical examination and hematological work up including peripheral smear and bone marrow studies. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	hi,ihave high blood pressure and high cholesterol.i exercise regularly and eat better. lately ive been having anxiety attacks. the anxiety makes my hearth beat very fast to about 92 and doesnt come down it last all day and it gives me headaches, losens my stomach, gives me hot flashes and chills. what can i do to make it better?. my doctor gave me xanax but it only works for a little while	Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety is to be understood well to have good treatment. Anxiety is of various kinds, and your description do not give any details of your anxiety. Secondly, anxiety needs to learned, managed and then removed. You should know the basic causes of anxiety to manage it. The best method is psychotherapy which helps to alter your lifestyle to suit your anxiety problems. Yoga and meditation also helps immensely. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a rash on my arm, and my doctor prescribed prednisone (12 days ). I finished it a week ago Sunday, and the rash is coming back. He said its an allergic reaction, but were not sure to what. Will this go away on its own? Is there something I can put on it?	Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. If you have these complaints for the first time, I would prescribe you an antihistamine like fexofenadine or HY Chat Doctor. 2. I would also suggest you to apply a lotion like calamine over itchy areas.3. Please do not scratch the itchy areas as it aggravates itching. 4. If you have recent intestinal symptoms or recent travel, I would suggest you an antiparasitic medicine for 3 days as sometimes intestinal parasites can also cause such symptoms.5. I usually use corticosteroids (prednisolone) for resistant hives/rashes. I do not prefer to use them as first
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I seem to be getting bad chest pains down the centre of my chest it s almost like the bone is hurting buts it s really painful and now and then the pain goes to the very top of my stomach I just had my tea and the last time I had anything was 12.30 this afternoon But the pain is still in my chest 30min on	Tithe pain that you complain of could be due to heart burns. Usually this pain comes one or two hours after eating food. This kind of pain is relieved with antacids and proton pump inhibitors such as omeprazole. You can check if you are getting relieved with this pain by getting over the counter antacids right away. If so, you are likely to have peptic ulcer disease. If you are getting these symptoms frequently you can consult your physician, who will prescribe a course of medication for three weeks to eradicate the germs (H. Pylori) that cause this illness. Hope this helps.
如果你是醫生，請根據患者的描述回答醫學問題。	36 y/o smoker. Have had facial neuropathy for over 6 months on right side. head MRI/EEG in January were both normal. Have small movable lump on back right side of neck, and another in the front along the muscle just above collarbone. Getting a lot of burning sensations. Blood work in OCT was all normal, chest x-ray few weeks ago was negative. Still have burning, and now feel like have little knot right at the bottom of the tendon in the fron of my neck under my collarbone. My doc says the lumps seems normal, and have ENT appt this week. Im really scared this is something awful. long history of cancer in family. Im thinking the chest xray is a positive sign that this may be something benign??? Do you think tendon thing may be a tear/cyst?	Hi, Dear thanks for the query to Chat Doctor. I studied your query in depth.-I advise you on Cause and treatment- as follows-You are worry-some and anxious, only due to the long-family history of Cancer.-AS thought by you chest X-ray is not the answer for diagnosing it.-ENT opinion as advised by your doctor -will find out its cause. And your doctor is right in that advice, because-he has first hand clinical information which I am lacking herewith. Still from the facts given -a-facial neuropathy is -due to the Pleomorphic parotid-adenoma-which could be confirmed by a FNAC Biopsy from a Surgeon.b-About the lump at neck-tendon-above collar bone-I would advise FNAC biopsy and Surgeons clinical-opinion report before commenting on its cause. This would help you to plan a treatment for this query. So don't worry and act fast ASAP. Hope this would help your worry to take proper steps for health. Wishing you fast recovery. Wellcome again if you have any more query in this regard. Have a Good Day.
如果你是醫生，請根據患者的描述回答醫學問題。	I have lupus anticoagulant and just take a baby aspirin daily. Lately, i have been experiencing muscle cramps, light headedness,even a few occasions i had flashes or visions of something not there - not necessarily loss of appetite but not much sounds good. The only significant change is i recently started taking a package of vitamins - this is what is says on package - magnesium 316mg, zinc 15mg, selenium 25mcg, copper 1mg, manganese 1mg, chromium 25 mcg, molybdenum 5mcg, fish oil 2400 mg, malic acid 148 mg. we thought maybe dehydration so ive been pounding water and gatorade (stupid me has only been eating chicken noodle and crackers - only thing that tastes good). any thoughts?	Hi ! Thank you for your query. Dear madam, Well looking into the history you have given it seems like you need to get your disease evaluation at earliest. I don't think it is because of this multi vitamin supplement or deny Chat Doctor. Muscle cramps, fatigue indicate that the disease activity is going on. I advise you to consult a rheumatologist, get your ESR, CRP, PT, INR, APT done and accordingly get yourself assessed and treated as your doctor suggests. I think you should seek medical care at earliest. Wish you good health. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi , I am 66 years old . Two years ago I had a fall and fractured my lumbar bone . I had a vitobroplasty surgery done. After that , I had been having chronic lower back pain . The pain comes on when I stand or sit too long . It goes away when I rest .Is it ok for me to take Neurobion ?	Hi.after knowing your complaints I feel this is a residual pain which is seen after most of the vertebroplasty. The metal implants most of the time benign a foreign body in your body cause various reactions which may ultimately cause low back pain. In my clinic with such scenario I advise some lifestyle modifications like to avoid unnecessary n extra ambulation whenever possible, not lifting have objects n taking rest whenever possible in between the walks. Some painkillers like ibuprofen and some muscle relaxant like thiocolchicoside for a few days added with local painkiller gel application to avoid systemic side effects of above painkillers. Even after these precautions and medications pain persists, I would have advised the metal implant removal surgery n then an MRI to know the exact pathology inside. U can discuss with your orthopedic surgeon the above options n get a proper management under his guidance. U should continue erosion to prevent any further damage to your nerves. I wish you a painless back n healthy life.
如果你是醫生，請根據患者的描述回答醫學問題。	My mom has hada sudden onset of mottling on her abdomen. I am curious what the cause is. Her back story is as follows: she is 3 weeks post op from a modified Whipple( removed body and tail of pancreas, instead of the head) she went to surgeon s office on a Wednesday to have JP drain removed. Started vomiting about 4-5 hrs after getting home. Continued vomiting until she went to ER sunday. Saturday night her abdomen was normal. Sunday when she was in ER her abdomen now has mottling across the whole thing. I didn t see her surgeon in ER. When I did see him on Monday, I asked about and he has no idea what has caused it. Any ideas????	Hi. Thanks for your query. Read the history about your Mother and understood it. The cause of sudden mottling on the stomach after the Chat Doctor. -There might have been leakage of pancreatic enzymes, which can cause this. -The spread of infection in the subcutaneous planes can also cause this. If the vomiting is persistent, if the other signs or symptoms develop like continuation of vomiting, distension of abdomen, constipation or obstipation, fever and so on, she needs to be admitted; Nasogastric tube passed and kept on intravenous fluids and antibiotics. Blood and urine investigations will be done. CT scan of the abdomen will help to diagnose a few more things and the course of action will depend upon the progress of the symptoms / signs / vitals and complications if they develop. Take care, get her admitted and do not take your Mother home till she is cured well.
如果你是醫生，請根據患者的描述回答醫學問題。	I am getting pain in back side of lungs when breathing or moving my right hand to up and down. I have severe gastic problem also. I am using Pantaprazole for gastic problem. Still I am having pain continuously from last 3days. Which medicine I need to use for quick relief.	Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Your current health issues seem to be due to -Duodenitis /or hepatitis/ or pleurisy / or pneumonia/ or pleuritic/ Colitis in hepatic Fleur/liver abscess/ Cholecystitis / Gall Stones. In view of the complaints, you seem to have duodenitis / or cholecystitis or Gall Stones / or pneumonia or pleurisy / or hepatitis / or hepatic Fleur colitis. All these causes could give complaints like back pain while breathing or moving right hand up and down.Therefore, Cause of these complaints -like above needs to be ruled out. Other causes-like discussed above, need to be verified. For this you need to consult attending GI Surgeon and Physician. Dos Suggested-Consult and physically examine from GI Surgeon / and Physician. They would Do needful Investigations-like USG abdomen / Liver/Gall BladderX-ray / CT Chest and Abdomen and would fix the exact cause. Stool and Blood tests would fix the Colonic and other causes. As the pain is continuing for last 3 days-Keep on bland non-spicy Diet Be on Liquids and semisolid x 1 weekReduce on Veggies and fats. Tab Mebeverine 1 x 3 times a data Coquitlam 1 x 2 times a day Tab Cipro oz- 1 x 2 times a day x all for 10 days Tibetan Zirconia 1 x 2 weeks.Thus, You should consult attending GI Surgeon and Physician. This would resolve the complaints of yours. Constant follow-up with local family or specialist GI Surgeon and Physician. For long term would give you long remissions of sucChatDoctorplaints in time to come, which would depend on meticulous follow-up treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. For early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS
如果你是醫生，請根據患者的描述回答醫學問題。	last night my 11 year old son exploded a can of spray paint. It covered his face and hair. We flushed his eyes with water and saline but used paint thinner to get it out of his hair, face and limbs. We immediately rinsed with water and then he had a thorough shower. During the nights he experienced chills and now is achy with a slight fever along with nausea. What should we now?	Welcome to the ChatDoctorSpray paint and paint thinner exposure needs to be immediately managed at emergency setting as it can lead to short term effects like irritation, nausea, vomiting as in your child and many long-lasting effects. So, kindly take him to an ER with details of spray paint and thinner. The health care provider will measure and monitor the persons vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The child may receive:-Breathing support-Chest x-ray-EKG (heart tracing)-Fluids through a vein (IV)-Tube through the mouth into the stomach to wash out the stomach (gastric lavage)-Washing of the skin (irrigation) -- perhaps every few hours for several daysHopefully it will be of help. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	Gd afternoon doctor. Our 6 month daughter was diagnosed with UTI yesterday with about 15-12 pus cells count. They have started with Advent antibiotics (Cipla) and have given urine for a culture. Trust it is going in the right direction? Is that pus cell count a very very bad one? We, being first time parent, are very worried - espceially with the fever that keeps coming and going for the last 6-7 days.	Hi, Thanks for asking on Chat Doctor. 12-15 pus cells in urine are considered to be mildly elevated. Severe cases come with >100 pus cells/HP too. Sometimes we report such a high number as too numerous to count. The protocol says to give a urine culture right away and start the antibiotic after that. Once the culture report is received 48-72 hours later, the antibiotic can be changed if need be. UTI is a common cause of fever with chills and rigors. Kindly get her investigated thoroughly in case the UTI keeps recurring. One time episode is nothing to worry about.
如果你是醫生，請根據患者的描述回答醫學問題。	i have undergone a surgery for Total Laryngectomy + Partial Pharyngectomy with Total Thtroidectomy in which after the removal of disectional parts from neck the biopsy reports of the same is hereunder:- Structures Invaded - Mucosa, Muscle (Cartilage Free) adjacent Mucosa with Mild Dysplasia, Diastance from nearest Muscosal Margin - 0.3 cn (Inferolateral), Distance from deep margin - 0.1 cm (left lateral), Lateral Soft Tissue Margin - 0.1 (Left Lateral), Soft tissue at the base of tongue - Free from Tumor, Bone Invasion - Absent, Vascular invasion - Not Evident, Perineural Invasion - Not Evident, Stromal Response - Lymphoplasmacytic Infiltrate and Desmoplasia - Moderate, Bilateral Vocal cords are free of Tumor, Sections from Strap Muscle is Unremarkcable and is free from Tumor, Margins - All the surgical cuts margins are free from Tumor, Tracheomostomy Site - Free from Tumor, Thyroid Lobes - Unremarkable, Lymphnodes - 2 Nodes are Identified, Both are Free from Tumor, SND - LYMPHNODES - 15 Nodes Isolated, All Are Free. Opinion :- Squamous Cell Carcinoma - Moderately Differentiated of Hypopharynx Area. Please tell me whether this surgery was most required or I could be treated through the radiotherapy Plus chemotherapy as after this surgery I not only have lost my voice but social status as well as business & respect in the society.	Hi, dairy have gone through your question. I can understand your concern. You have squamous cell carcinoma of larynx. It is in early stage. Surgery was really needed to prevent further spread of disease and save your life. Surgery followed by radiotherapy and chemotherapy is the treatment of choice is this case. Your reports suggest cancer is limited to larynx and it's not spread in adjacent area. So it's good for you. Consult your oncologist and take further treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Im very worried because my dog died 3 days ago the dog showed symptoms of rabies before he died he attacks my other dog and his throat is paralyzed lose of appetite until he died , and i remeber almost 2 months ago he bit my cousins foot , it was a lil wound but it bled, last friday the after the dog died my cousin received vaccine, including RIG, today is the day 3 or the second dose, he is in the process of completing the series, my question is... is he now protected? even though its almost 2 months ago when my dog bit him, my cousin is healthy right now, but im still worried.	Dear I can understand your concern. I would like to inform you that the incubation period that is interval between exposure and the onset of clinical disease for rabies is usually 20 to 90 days. This disease is almost uniformly fatal but is almost always preventable with appropriate post exposure therapy by vaccine and RIG during early incubation period. As you have mentioned dear about 2 months has passed we can't say for sure how effective this therapy will be.but we have still a large hope as he has not developed any features suggestive of rabies this means he is in incubation period. So continue with full vaccination and RIG schedule. Hope for the best dear. Hope this will help you. If you have any other concerns please feel free to message me. Thanks for contacting Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a spleenectomy and a piece of my diaphram removed due to cancer.. been 5 months since, now I am seeing this hard bulge just above my belly button. Ive been told I have a hiatal hernia, but isnt that too low for it? Ill make an appointment to see my doctor, but which doctor my surgeon or internest?	Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for hard bulge above belly button are as follows-Mostly they are ? Secondary tumor post-cancer removal. Check with ER Surgeon to resolve the worry for hiatus hernia-post cancer Surgery.Don't worry of them, as they could be relieved with proper treatment. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Wishing you a Fast Recovery. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	A friend of mine has had an MRI which shows an enlarged pancreas overlapping her liver and gall bladder. A surgeon. Has suggested she go for an endoscopy MRI. Her symptoms include high liver enzymes, itching, back ache, loss of weight and appetite, dark urine and light stools. Would this indicate something serious like pancreatic cancer? She has no abdominal pain nor nausea or vomiting.	Hi, dairy have gone through your question. I can understand your concern. She has high liver enzymes, dark urine and light stool. It is suggestive of obstruction of bile duct. With pancreas increase in size so it may be due to periamullary carcinoma. You should go for endoscopy and biopsy if needed. Go for that and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	hello. i am a 52 yr old female and have been taking tablets for high bp for 2 years. recently my bp has been very high and i dont know how to get it down. i take my tablets properly but still its going up. last reading was 224 over 107. can u advise me	Hello, Regarding your concern, I would explain that your antihypertensive therapy does not seem to be effective in controlling your blood pressure values. For this reason, I recommend consulting with your attending physician as soon as possible and discussing the possibility of increasing the doses or adding new antihypertensive Chat Doctor. It is also important performing some blood lab tests in order to exclude any possible metabolic disorders (complete blood count, PCR, ESR, kidney and liver function tests, blood electrolytes, thyroid hormone levels). Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter has a large lump in the middle of her neck right over her larinex. Her primary care doctor took her blood and told her that her SED rate is elevated. her ear is bothering her as well as getting headaches and she is always very tired. any ideas?	Hi, dear. I have gone through your question. I can understand your concern. You have lump in neck with high sediment rate. So most probably you have tuberculosis. You should go for fine needle aspiration cytology to diagnose tuberculosis. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	For the past two days Ive woken with a rash that runs from the top of my knee to my hip, all the way around my right leg and it disappears about an hour after I wake up. No fever, my room stays about 65 degrees, I wore shorts to bed the first night and sweatpants last night. What is this and do I need to see a dr?	Hello, Thank you for posting on Chat Doctor. The condition you have referred to is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other Chat Doctor. Hope this will help you in resolving your query. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	i have a back pain from long time..recently i consulted ortho specialist..and got all tests done including MRI ...MRI report says Bilateral pars interarticularis defect at L5 with grade 1 listhesis....Mild disc bulge at L4-L5 level intenting anterior thecal...now i am going under heat therapy ..but i am not getting benefited out of this..now doctor suggesting surgery...i want to know whether surgery is the only option?what are the do s and donts which i should follow?	Hi pavitravshetty For pars defect with grade one listless surgery is advised only if patient is athlete or has occupation which require heavy activity like forward bending and weight lifting etc. Grade one listless with can be managed conservatively with some lifestyle modifications proper lumbar corset and physiotherapy. Decision depends on how much pain you have and what's your occupation? Occupations as mention ed above may require surgery depending upon the pain.
如果你是醫生，請根據患者的描述回答醫學問題。	first of all thank you for your kind attention. Last 20 dys(November 06) ago my S.Bilirubin(Total) was 1.86 then i consult doctor and taken bed rest with medication , on November 10 i have tested & S.Bilirubin(Total) was 5.72, on November 18 i have tested & S.Bilirubin(Total) was 2.81. How long i need to take rest more?	Hi, Welcome to Chat Doctor, You have tested for on bilirubin or other liver function and viral markers were also tested.Maybe you have viral hepatitis, and it is showing decreasing trend, so it should clear of in 2 weeks time. If there is no other problem and taking normal diet you ma y resume light work. If there is any supportive therapy given continue to take the medicines. Viral hepatitis should be tested for HBS Ag to know it is Viral Hepatitis B or not as it has propensity to go in chronic hepatitis. If it is Hepatitis E it should resolve in few days. As Hepatitis is water born take care of water and diet. Good Luck
如果你是醫生，請根據患者的描述回答醫學問題。	My daughter is 16 and is quite aggressive and hostile. She thinks everyone including the parents are against her and the only people who are with her are her friends. She often threatens to take a knife and stab herself. The doctor prescribed Serta tablets. I would like to know if it is OK for a 16 year old and if there could be any side effects	Hello and welcome to Chat Doctor. Thanks for your query. These symptoms could be indicative of an emotionally unstable personality disorder or even a psychotic disorder. Your daughter needs a detailed psychological assessment (which will include a detailed exploration of her symptoms as well as past, personal, social and childhood history, plus a mental state examination) to make a definitive diagnosis. Serra (Sertraline) is an antidepressant medication which is relatively safer when compared to the older antidepressants and 50 mg is a low dose. However, this medication will usually take about 2-3 weeks to take full effect and there can be a mild increase in anxiety symptoms due to the medication in the first few days. Sertraline has been approved for the use in child Chat Doctor. This doesn't mean that these medications should not be prescribed. In fact, the benefits which this medication provide clearly outweigh this mild risk, but its just that patients should be more cautious. Wish you all the best. -
如果你是醫生，請根據患者的描述回答醫學問題。	My feet and ankles have been swollen for the most part of a yr.. They may go down for a day or two, but they always swell back up.. Ive also been having shortness of breath.. My dr ha put me on water pills, potassium, and several different meds, I have changed my diet, and stopped drinking soda and nothing has worked.. Its gotten so bad that its hard for me to walk due to the pain and the swelling is putting pressure on my ankles and causing them to go out.. Any suggestions??	Dear patient pain and swelling in both ankles with shortness in breath my first diagnosis would be heart problem. Are you hypertensive? If yes this may be sign of early heart weakness. If you have no heart issues or hypertension local ankle pathology needs to be taken care of. Where exactly is your pain ? If it is in lower part of ankle plantar fasciitis is likely, if OT is beginning ankle retrocalcaneal bursitis or a chilled tendinopathu is likely, if it is on lateral aspect of ankle perineal tendon bursitis is likely. What I mean is there are multiple possible diagnosis and mere ankle pain will not help me in identifying your disease. Detailed examination by expert orthopedic surgeon is required to identify the pathology. Meanwhile, start tab aerosol SP twice a day for pain and swelling relief.
如果你是醫生，請根據患者的描述回答醫學問題。	my mum has been complaining of abdominal pain for a few months now, however, recently it has become worse. Today she was in utter agony, i asked her what it feels like and she said like bricks in her stomach area. She indicated that today the pain originally started around her left hip but has extended beyond that, around her back and front as well as further up, as far as her ribs. She is now refusing to go to hospital. I dont know whether she needs to or not. Please help, I am very concerned	Hi. This is a common sense that when mother is suffering from such an agony - pain in abdomen for the last few months and now has worsened, you have to take her to the hospital for a clinical examination, investigations of blood, urine and stool. CT scan of the abdomen and whatever will be advised on physical examination by a General Surgeon . Sh e needs to be admitted and investigated and surgery if required may be planned.
如果你是醫生，請根據患者的描述回答醫學問題。	Wow, cool... Um, I have a lump on the back of my lower neck (almost shoulder). No redness or swelling, just pain. No external signs (no puss, skin breakage). The skin rolls over it easily, but it feel attached to the muscle. I woke up with it suddenly yesterday, and it has not changed. It is quite hard and unmoveable. Should I be worried?	Hello, Thanks for writing to swell, without a clinical evaluation it would be difficult to determine the cause of the lump. Possibilities that may need to be considered include lipomas, cysts, growths from underlying connective tissue etc. I would suggest getting this evaluated by your doctor for an accurate diagnosis and appropriate management. You may get the X-ray of the area affected and FNAC (fine needle aspiration cytology) of lump under his/her guidance. I do hope that you have found something helpful, and I will be glad to answer any further query.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,The patient is my wife.Patient age is 30 years, we have one child 2.3 years old and healthy. She was feeding baby till 2 years of her age. During pregnancy TSH was 5.7 and taken medication, after pregnancy, TSH became normal, stopped the medication as advised by the doctor. During pregnancy, heel pain was there continuously with coccyx pain. Did MRI whole spine, it was normal. Since last one month, there is no heel pain but while getting up from bed in the morning, there is a pain in both feet. She takes a few seconds to get up from bed in the morning only. She is taking Tayo 60k for seven weeks and one on monthly basis. She feels very low energy throughout the day with mild body pains. We consulted the doctor (general physician), advised CBC, TSH, vitamin D, vitamin B12. I am attaching reports. TLC was 3.97, after one week it was 3.56. Platelet was 125, after a week 158. As of now, I do not have any problem except weakness, mild body pains. Patient weight is 42 kg to 45 kg for many years. During pregnancy, it is 53 kg, now it is 43 kg. Height is 5 feet. My query is regarding TLC count and platelet. If we need some more investigations? If there is any abnormality then how fast TLC can go down. What is the reason for low TLC? Does she need to consult someone else? If after three months TLC count will be the same, is it worrisome? If it is not going down or up, is it serious? Assume it is the same for the next six months than what should I do?	Hi. Kindly find answers of your questions as below. Your total leukocyte count and platelet were low initially. But gradually it has been improved so suggest recovery of any unnoticed infection. Moreover, the peripheral smear examination report was normal (attachment removed to protect patient identity) and not showing any abnormal cells that warrant further investigation. You have to still repeat CBC after few days. The TSH is high, so hypothyroidism should be ruled out. For that repeat TSH estimation after few days and investigate with T3, T4 estimation as well. If there is any abnormality, then gradually all counts go down or high and peripheral smear shows abnormal cells if blood cancer is present. It is difficult to say one reason for low WBC. But the infection can be possible. If no cause is evident then ANA estimation can be done to do work up for autoimmune disease. If your CBC values do not fall within the range in the next few days then hematologist can be consulted for a detailed evaluation. If hypothyroidism is confirmed then Levothyroxine should be started.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a tooth extracted 2 months ago went back a week later with dry socket they cleaned it out went back a week after that got put on zpak then went back 2 weeks after that still infected and cleaned it out ..now 2 months later I go back and it still is infected Im scared what do I do	Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you are not undergoing a proper treatment done due to which it has taken so long for the healing to take place. Chat Doctor. . Only cleaning the socket and antibiotics will not help, and you need to consult an Oral Surgeon and get evaluated and a thorough clinical evaluation and investigations like x-ray of the socket can help in diagnosis. In case of
如果你是醫生，請根據患者的描述回答醫學問題。	i hope u can help me my partner has found a lump on his private parts made an appointment at the doctors the doctor didnt even look at it and sent him to a clinic that he said would help they told him he had to go to a walk in centre that have now told him his doctor shouldnt of sent him but go to local hospital he rang them and has got to wait for an app its now 4 days of waiting and hes worried sick i just want to no why the delays when it could be very serious i dont know what else he can do to find out what the lump is	Hello, Without a physical examination of the penis, it would be impossible for anyone to provide you any diagnosis on this matter. The lump could be pimples, pearly penile pa pules, genital warts etc. For the time being, do not worry too much about it because it may not be anything serious. Wait for the doctor to inspect and then investigate. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist
如果你是醫生，請根據患者的描述回答醫學問題。	hello Doctor some 50 days back i was feeling Nuasia & Vomiting in the morning .. i went for a Blood test( LFT) My Bilirubin Found 2.9 where as SGPT is 30 & SGOT 26 with other parameters of Alkaline phosphates are within normal limits .. Initially i was treated with UDILIV 300 twice daily but afre 21 days , when i made repeat LFT, it fond no marginal decline Serum Bilirubin is 2.7 where as SGPT is 27 & SGOT is 24 then i change the doctor & take advice from an MD who suggested me for an whole abdomen USG which find everything is normal except marginal Hepatomegaly .. Then 2nd doctor come to an conclusion that i have fatty liver & no jaundice . He prescribed me Viboliv 500 twice daily with Sorbiline for next three months & advice me to have normal diet with less oil & Fat .. I am yet to make an LFT which i am planned to do in end of march Is my treatment in right direction pls advice	Hello, Mild elevation in your bilirubin, first you need to know the reason, Kindly check your viral markers (Hepatitis B and Hepatitis C, if they are negative then okay, if they are positive then please get treated for the same, then regarding your fatty liver, your scan does not show any fatty changes, but kindly get your sugar, thyroid n cholesterol levels checked and can be treated accordingly if they are altered, along with diet restrictions like avoiding fatty foods with exercising is the ideal thing. Consult your Gastroenterologist and get yourself completely evaluated. Hope I could help you. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a doer spot near my ankle and it was red and hot dr gave me keflex and redness got better and not hot but stil a round spot there .both legs half way up my leg are sore if I get a pedicure and they massage them so I don t let them massage them. Had a doubler test and it came out negative.	Hello, I read your message and understood your problem. If it is possible for you to send me photos of your ankle it would be great. I need to see the lesion myself in order to give a final opinion. The ankle rashes can be due to a possible infection, autoimmune conditions, and other causes like lichen plans, Golfers vasculitis and troubles with veins. Try to remember any insect bites or other things affecting the interested area. It is quite usual that the rash expands to upper parts of the legs. As reflex is working the skin infection soon will disappear and the red patch too. Soreness of legs indicates the presence of infection but not only this. You need to do a check to identify any problems with your leg veins like varicose veins or any hematologic conditions. Other health systems must be checked too especially kidney, liver and heart. Hope this is helpful. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, I just recently noticed a lump on my right under forearm, midway between the wrist and elbow. About Pea size, non tender, cant tell whether its mobile or not, not aggravated by flexion or extension of arm. Surrounding area is reddish with yellowish discolouration. No known trauma noted. What could be it? many thanks.	Hi, Dear,Thanks for the query from you to my Chat Doctor Clinic. I have gone through your query and after in depth study on it, In My opinion-your lump mostly is - resolved / dormant/old-boil or / insect bite hence non-tender.Don't worry about it. Still if it doesn't regress and vanish, you may need treatment, Tb NSAIDs, with antibiotic Cover, if no relief in 2 days time. Still I would advise you to check up from ER doctor or Surgeon. Hope this would resolve your worrisome query for now. Wellcome-to my Chat Doctor Clinic for any more query.
如果你是醫生，請根據患者的描述回答醫學問題。	I am suffering pain at my back waist for 2 weeks and sometimes pain at my lower abdomen .here s my urine test result- Protein-trace,WBC15-20/HPF and RBC-0-3/HPF. does it mean that i have UTI? what would be the possible treatment? thanks	Hi, Welcome to Chat Doctor Forum. Your test results indicate that you are having UTI. Firstly you need to give your urine for culture test as well. This can tell you which bacteria are causing the problem. Meanwhile, show your reports to your doctor and he/she will prescribe you antibiotics. You may take a pain reliever for the low backache. I would recommend you to take plenty of fluids as this will help in flushing out the bacteria. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I ve been on omeprazole for a dozen years (reflux) and developed microscopic colitis about two years ago. No pain with the colitis, but very soft stool and occasionally diarrhea. Nothing has helped: I ve tried Entocort, laiada, bismuth, probiotics, lactose free diet (for about a month). Because the omeprazole may contribute to the colitis, I ve been urged to substitute pantoperazole or lanoperazole for the omeprazole. I ve been told that the former may be less likely to trigger the colitis than the omeprazole. Any suggestions?	Hi, Based on the history colitis seems to be due an important side effect of proton pump inhibitor omeprazole. Colitis seems to be due to bacterial infection which occurs due to suppression stomach acid production by proton pump inhibitors. All the proton pump inhibitors are known to cause colitis or diarrhea. I suggest you to take and H2-receptor blocker like famotidine for your reflux disease. Hope I have answered your question. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	hello,in April I was at home, just about to walk downstairs when it felt like my heart started jumping all over the place.not pounding/thumping. Having had flutters and pounding before, i didnt panic because i knew that it would pass. i did notice it was different,jumping fast all over my chest area, also i felt like i was going to pass out.then the feeling went into my neck and in my stomach,like pumping then i had slight pain under my jaw and under cheekbone area.Started to feel bit heavy on my chest but no chest pain. fainting feeling went away and i carried on as normal. A week later was sitting down,my heart felt little bit the same and like i was going to pass out.Only mild and not as long as before.About a week later went to see nurse about something else,didnt mention it, she took blood pressure, said it was fine.left, walked to shops, was there looking about 10minutes and my heart started jumping all over again but i was more concentrating on not passing out,just trying to get my breath back.somebody came to help me.Since then, i can constantly feel my heart doing something different.Im not sure if its stopping or jumping? Even my husband can feel it in my pulse in my neck,he said its like a pause. it also seems to make me cough and when it does a double jump it seems to jolt me?	Kind of description you're giving, its look like you are having tachycardia episodes (high pulse rate) most probably the condition called as PSV. Best treatment is electrophysiologist studies which will confirm the diagnosis and can be treated with ablation simultaneously and mostly permanently. If not try to get ECG done if possible during the episodes or try measure pulse rate or heart rate and treatment try cough multiple time which will stop this tachycardia. You can also pour cold water over your face or try to blow out air through closed nostril and mouth, which will make high pulse rate subside.
如果你是醫生，請根據患者的描述回答醫學問題。	hi, i am a 42 yr old male. recently ive had 4 urin tests and all to be found with large amounts of blood threw microscopic. (hematuria) otherwise healthy with no pains or any systems. we tried a ct scan, ultra sound,cystoscopy,and went to a urologist and a kidney specialist. the city are for which i live in is known for a bad are for doctors to say the least. so, my faith isnt what it should be. ive been left by 3 doctors with the same answer...i have no idea where the blood is comimng from? so,just have to live with it. at first they said a cyst was on my right kidney ,then later saying its just informality of my kidney and its nothing. very well could be,but like i said i dont have thier 100%faith in them. whats should be my next step?	Hi, I feel you have undergone fairly detailed evaluation. What you are having is called Asymptomatic Urinary Abnormality. I strongly suspect you to be having Thin Membrane Disease, other membrane related conditions or Iran. Since you have not mentioned your place I advise you to go to a place having facilities for conducting Kidney Biopsy and EM(Elect one Microscopy) evaluation. The treatment then can be decided based on the reports.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi,both my children have a few blistry type spots,whichhave appeared inthe last week or so,i have checked for bed bugs and although ihave changed washing powder to persil non bio,it does not have oxyclean in it,so what can it be from?my youngest has today appeared with the samespots,making me think it may be contagious.please help	Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY Chat Doctor. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards -
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 ? hey, i got TSH 7.8 last year doctor suggested me thyronorm 25mcg i took for month adter three months igot tested the tsh level is normal in range again after 3 months i got tested again it is in normal in range without doctoe consult i stop the medicine any thing happened please suggest and one more thing i have B.p. in starting stage but i would not take medicine regularly anything will happen please suggest.Please type your query here...	Hello! Welcome on Chat Doctor! I passed carefully through your question and would explain that thyroid dysfunction and high blood pressure, are chronic disorders, which can lead to serious consequences if not treated properly. Thyroid dysfunction can lead to central nervous system dysfunction, cardiac arrhythmia and also high blood pressure. From the other hand, high blood pressure can lead to chronic changes of the arterial walls, causing thickening and narrowing of the blood vessels with an increased risk for stroke and heart attack. So, I would strongly encourage you to maintain your blood pressure under control. Some tips to maintain a normal blood pressure naturally would be: - reduce salt and caffeine intake-try to lose some pounds if you are overweight. - perform a lot of physical activity (yoga, walking, etc.). Hope to have been helpful! Wishing good health,
如果你是醫生，請根據患者的描述回答醫學問題。	hello im wondering if you can help me, im 34 weeks pregnant with my third child and for the last week or so ive had a really heavy thick discharge, its kind of a white yellowy colour with a bit of brown, i know this mite disgust you but im a smoker and im really worried there is something wrong the baby doesnt move much but hasnt rite through my pregnancy can you tell me if this discharge is normal.	Hello dear, I understand your concern. In my opinion thick yellow vaginal discharge needs examination to rule out any infection. The optimum fetal movements should be at least 10 in a span of 12 hours. I suggest you to consult doctor and get vaginal examination done to check for any infection. In case of any infection antibiotics might be needed for it as these infections might predispose to preterm pains. Smoking during pregnancy causes growth retardation of fetus and low IQ in baby. So stopping smoking during pregnancy is essential. Best regards...
如果你是醫生，請根據患者的描述回答醫學問題。	31 yr old male. Wrestler and jiu jitsu practitioner. Never had any significant health problems. I found a quarter sized lump on my inner thigh a couple inches south of my groin. It is firm, painless, slightly purple with a black dot on the top. You can move it under the skin. Ive attempted to puncture it with a needle and squeezed it pretty hard to see if pus would come out. Only blood. I now have some fluid build up around the lump (what I get for being a DIY doctor, right?) It hasnt gotten any bigger. I started doing jiu jitsu again about 4 days a week for the last month. Only after I started jiu jitsu did this lump come up. Any ideas what it could be?	Hi there - Lump on the thigh could be a number of things. Given your history of Jim Jitsi and wrestling, the most common thing is a hematoma (old blood clot) under the skin. Another cause could be a lipoma (basically, a benign fat ball). Neither of these is cause for concern. Another more concerning cause could be an enlarged lymph node, which can be caused by a benign infection and in rare cases, malignancy (cancer). I certainly don't mean to scare you, and the other causes I mentioned are much, much more likely. I'd recommend you not stick any more needles in it for starters, and ask your doctor for an ultrasound. If there's any question, they can biopsy the mass and find out what it is. Hope this is helpful, feel free to contact me 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。	Hello doctor,My niece who is 4 years old is suffering from a brain infection. She also had a spinal tap test and diagnosed with a high infection. Suggest me the best specialist doctor for this. Is there any serious problem now or in the future?	Hello. The reports you sent me do not show normal values beside the observed values (attachment removed to protect patient identity). From what I can understand, this would have been a case of viral meningitis. If the child did not have any serious life-threatening episode during this infection, it is less likely that there would be any damage done. As regards the future, since there were no convulsions, I feel not much damage has been done, so things should be fine. Continue other medications as going on. Consult a neurologist for the same. For more information consult a paediatrician online
如果你是醫生，請根據患者的描述回答醫學問題。	My 11 years old daughter complains she feels weak and agitated and begins to cry almost every other day. Time to time complains about breathing problem. We have had her checked for asthma and other but no result. She is not worried about anything. She is a Beta-Thalassemia carrier and her mother diabetic. Confused!	Hi, please get a complete blood count, urine routine test and a random blood sugar test done for the child if these tests have not been done before. Tiredness may be due to anemia or blood sugar related issues, so these have to be ruled out. A spirometry test may also be done to test for lung function. You may also get a test called TSH done which is a screening test for thyroid function. Is the children height and weight OK. Based on the above I could give you a more comprehensive opinion. How is the school environment and academic performance of the child. Are there any issues at school that are distressing?. Child Chat Doctor. You may have a friendly discussion to explore if there are academic or interpersonal issues at school or home. Please post the test results here so that I may assist you with more information. Warmest regards
如果你是醫生，請根據患者的描述回答醫學問題。	I fell and injured the inside portion of my knee a week ago. My leg has bruised behind the knee area. However, what concerns me is that a couple of days after the fall, my shin became red and the leg below the knee is swollen. Could that be from the fall as well? I never injured the shin.	Hello, Yes, you are right. This is due to the injury to the knee. It is nowhere related to the shin. As you had a fall and this injury must have diatribes the internal structures of the knee leading to sprain and swelling. Taking up an x-ray will be always good for a safer side to figure out if you have any fracture. In most cases, it turns out negative, but we do have to understand that it is better to be cautious than ignorant. What I will suggest is to take up an x-ray if you can on a safe side. You can take hot water fermentation and keep the leg elevated over a pillow & perform ankle toe movements. This will help to allow a good venous return which will help to reduce the swelling and redness. Post this you can do some static Qua Chat Doctor. Using a knee brace will be of benefit for stabilizing the joint to avoid excessive pressure falling over the ligaments due to injury. In my clinical practice of over 12 years, most patients have responded well when precautions are taken and exercise is implemented with an intention to not allow muscle wasting and
如果你是醫生，請根據患者的描述回答醫學問題。	my son just had liver test done for the second time his first test showed a slight elevation in the enzymes so we retook the test 1 month later and now he is high at 65? what can cause this/ they are sending him for ultrasound of the liver his age is just 12	Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis (HAD, HBV, HCV) are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes. Advice : - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish your son good health. Regards, Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my name Loma ,26 years old I have a pain in my scalp and hair pain .Also my hair fall i have baldness in my left side of my hair and the side i have pain What can be the cause..since i went to see dermatologist and they told me (Lichen planus) and some doctors alopecia ,,nothing works for me ...and these days i have pain every night specially night time ...can you help me with treatment of something can help me to regrow the hair and scalp pain.	Hi Dear, Understanding your concern. As per your query you have symptoms of pain in scalp due to hair loss which seems to be due to alopecia errata. Stress is becoming additional factor. I would suggest you to consult dermatologist for proper examination. Doctor may order skin patch test, blood test and physical examination. Doctor may prescribe you medications like financial at least for 3-4 months and can prescribe antifungal treatment along with minoxidil spray. You should avoid wearing hat/cap for long time and use almond oil for regular head massage. Hope your concern has been resolved. Best Wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	An 80-year-old male has had low grade fever almost daily between 37.8c-36.5c for over a month. Currently he stays in the hospital with diagnosis as unknown fever. His culture and blood exam come as normal. CT found some shade in the lung, but exclude cancer and infection. Do you have any suggestions? Thank you ver much.	Thanks for your question on Chat Doctor. In my opinion the shade on CT plate must be ground glass opacities (GO).Egos are very common in old age due to inflammation of lung. It is not infection. It is inflammation of lungs mostly due to inhalation injury. So ask your radiologist about possibility of Egos. As treatment is consisted of steroids only.10-15 days of steroids are sufficient to improve these Egos. Steroids show Chat Doctor. But we need to first rule out infection.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, Once I was small bitten by a street dog 10 years ago, that moment I was not aware about the rabbies viruses and could not attend to the doctor. Now many of my friends saying the rabbies can occur after many years also. Please suggest me is there any risk for me ?	Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. Rare but a direct answer is yes, it can occur. If you could share with us the details of the bite and the status of the dog, if known, we can give you a better answer. This is my personal opinion based on details available here. If you still have any query you may please ask me. Stay Healthy. Chat Doctor, MD
如果你是醫生，請根據患者的描述回答醫學問題。	Hello My mother is a very hard working women, few years after giving birth to my small brother she had her womb removed...eversince, she has experianced many problems It started with a vericose condition on her legs and since she was not treated in time, her problems have extended during the years... Now she suffers from - back pain - a continous pain from her back, down her thighs to her ankles -her ankles swell up on days she doesnt exercise - her joints ache and she cannot sleep to a side on the bed, if she does within 5-6 mins a unbearable pain arises so she sleeps straight and that causes backpain early in the morning - and recently she complains that she feels a tingly feeling on her legs ...she compares the feeling to mice running on her legs but from the inside We have consulted doctors but none of the medications have helped her ...i was hoping someone can explain to me what might be possible wrong with my mom. Note- my mom is overweight ...height 5 foot 9, weight 90 kg, age- will become 50 mid october Please do reply Melansha My email YYYY@YYYY	Hello, Your mother is perhaps suffering from osteoporosis, a condition of thinning of the bone material causing pain in the bones. This usually occurs after the menopause but in her case it might have started early owing to the hysterectomy. She might also be suffering from problems in her spine causing the pressure symptoms like tingling and pain. Pain in joints is usually due to arthritis and since she is overweight, it is common for joints to take the extra strain. She needs a complete orthopedic assessment and so, I advise you to take her to an orthopedic for treatment. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	hi my canine teeth stick out when i smile and my lateral incisors are both pushed back and i think i have an overbite but my bottom teeth are nearly perfect except for one that is like rotated but still in line with my other teeth, how can i fix this?	Hi Dear, Understanding your concern. Rotated tooth as per your query is due to space problem in arch, and it can be treated by orthodontic interventions. Well orthodontic treatment depends upon many factors like :-- Age, this is very big factor which play important role in orthodontic treatment.- Type of occlusion, weather it is class 1, 2 or 3.- Condition of the bone and position of the jaw. After accessing all these conditions doctor may give orthodontic appliance. There are many treatment options available for rotated tooth like whip appliance. I would suggest you to consult orthodontist for proper evaluation and treatment. Hope your query is solved. 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。	Hi I have been diagnosed with tonsillitis and given penicillin. During the illness my gums became red and swollen. They are now very sore and if I press down on the gum, pus and blood come out the sides onto my teeth. Please help, it is stopping me from eating properly and extremely painful.	Thanks for your query, I have gone through your query. The tonsillitis and the pus discharge from the gums can be two separate entities or the consular abscess may be Chat Doctor. Nothing to worry, Along with penicillin you take metronidazole 400 mg TID for 5 days (if you are not allergic). If there is gum or tooth infection around the wisdom tooth get the tooth removed. If it is because of consular abscess it should come down after taking antibiotics. If it does not subside then consult an oral physician. Do saline gargling. I hope my answer will help you, take care.
如果你是醫生，請根據患者的描述回答醫學問題。	For a few weeks now, I have the pins and needles sensation on my hands (on the side farthest from my thumbs), and on my fingers (my last three fingers). Where this sensation is there are also visible little red spots. I am a drummer, and I first started experiencing this after a practice. Could it possibly be nerve damage?	Hi, as you mentioned the abnormal sensation facing, it could be pinched nerve anywhere in its course. Maybe the cervical region or wrist region. As you are a Chat Doctor. Also by performing the NCV it will rule out the nerve injury. Once the injury is located, you need to perform some regular neck static exercises and also the upper limb as a hole. Even to focus on strengthening the muscles of the wrist as it is more used while playing the
如果你是醫生，請根據患者的描述回答醫學問題。	Hello,My brother is 21 years old. He is overweight also. he has been recognized high blood pressure. Sometimes, he complaints for headache. Is this due to high blood pressure. What immediate precaution he should take while headache/high blood pressure.	Thank you for asking this question because it is important to know because of the headache & hypertension and high blood pressure is usually a silent disease and it is does not cause any symptoms, but also it is a silent killer too, but some people are sensitive and if the blood pressure is mildly high they get headache, but also you have to remember that headache can cause high pressure as I mentioned some people are sensitive to even lower level of high blood pressure in that case it is not that dangerous but if the blood pressure is very high and level III that is above the 190 systolic and the diastolic above the 120 then he should get immediate treatment what and go to the emergency room, but you have not told me any numbers off the blood pressure I will be interested if you can provide me that, and then I can be more specific in the meantime if he has a high blood pressure he should not do any strenuous exercise except regular walking thank you again
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My face is so dark when compared to my body. I am a sports person so from my childhood I am exposed to sunlight a lot. Is there any solution to come back to my body color?	Hi. I understand your concern. You should use sunscreens with SPF 50 or more daily. Try to avoid sun exposure as possible. The creams used to increase skin color will do more harm than good. Melanin is the pigment which causes darkening. Its production increases on exposure to the sun. So protection from the sun by using sunscreen will definitely help to prevent darkening. For more information consult a dermatologist online
如果你是醫生，請根據患者的描述回答醫學問題。	good morning dok... i have test hbsag negative after i diagnosed hepatitis b from june 2009, that day until dec 2009 undergo treatment for 6 months the result is good.. hbsag got negative i develop immunity to to antiviral, i use for treatment.. is it possible that hepatitis might be back ?	Hi thanks for contacting Chat Doctor .... Noted you had Bag positive.... After six months it was negative means you had free from disease... You have developed protective antibody that gives protection for long duration esp. Many years also sometimes.... But still now onwards try to avoid Bag infection....... You can do your anti HBS antibody title .... If it is more than 10 than it is protective. Happy to help further if you have further queried. Take care. Regards; Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	FINDINGS OF MY LEFT LEG MRI REPORT ARE; EVIDENCE OF STIR HYPERSENSITIVITY SEEN INVOLVING THE POSTERIOR HORN OF MEDIAL MENISCUS. MODERATE JOINT EFFUSION IS SEEN WITH EXTENTION ITO SUPRA -PETELLAR RECESS,PARA-CODYLAR,INTERCODYLAR REGIONS AND TIBIO-FEMORAL JOINT SPACE. THERE IS EVIDENCE OF MILD PATCHY STIR HYPERSENSITIVITY SEEN INVOLVING THE LATERAL FEMORAL CONDYLE -LIKELY MILD MARROW EDEMA/CONTUSION. THERE IS EVEDINCE OF MILD FLUID SEEN INNSUPERFICIAL TO THE MEDIAL COLLATERAL LIAMENT-LIKELY GRADE 1 SPRAIN. SUBTLE PATCHY STIR HYPERSENSITIVITY SEEN INVOLVING THE SUBARTICULAR ASPECT PATELLA-LIKELY GRADE 1 CHONDROMALACIC CHANGES. IMPRESSION 1.GRADE 2 HORIZONTAL TEAR POSTERIOR HORN OF MEDIAL MENISCSU. 2.MODERATE JOINT EFFUSION. GRADE1 CHONDROMALACIC CHANGES INVOLVING PATELLA.	careful history of onset and reason has to be evaluated, whether any trauma or sudden jerk during movement occurred or is there no history of preceding trauma. Is effusion gradual ad swelling increasing? All this to differentiate tear of posterior horn or synovitis due to insidious onset of arthritis aaaaaaaaa/rheumatoid?you must meet an orthopedic doctor to evaluate these points co-relating history, clinical findings and MRI. Additional information about collateral ligament if trauma occurred and to rule out bursitis in and around knee. Treatment is usually knee support in brace, rest,aspiration cytology and therapeutic Chat Doctor. Pain medicines, anti-inflammatory meds and local infiltration with steroid, if necessary, after complete evaluation. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	I have a severe pain on one of my right ribs. I don t understand why the pain is there. It s a sharp pain. Also, I don t know if this has anything to do with it, but I also have blood discharging from my vagina even though I don t get my period for another 2 weeks. thanks for the help.	Hi I did review your concern. For the sharp pain in your ribs it is always better to consult a doctor and rule out whether it is not a problem of heart or lungs by getting an ECG and a chest X-ray done. If everything is normal your pain can be of muscular origin and can be treated with ibuprofen tablets. About the inter periods bleeding my advice would be to consult a gynecologist and get the lower pelvis examined for any pathology as normally it should never bleed in between hope this yellowish you all the best. Thank you for using Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a MRI done because I was having pain, what appeared to be in my right hip but seemed to move to different places on my right side. I got the results today and it was discovered that I have a mild disk bulge in my lower spine. The MRI also revealed that I have Free Fluid in my abdominal area and the doctor wants me to have an abdominal pelvis ultural sound. My question is, What is free fluid?	Hello Dear, Welcome here on Chat Doctor dot com a site for solving your health problem online by qualified healthcare professional. I am very much concerned with your problem and certainly will guide you how to get rid of these. In my viewed fluid in abdomen means an abnormal fluid in peritoneal cavity, This is indicative of some pathology in abdominal organs for which your doctor has suggested ultrasound. I suggest you visit your family doctor for a detail close examination and advice for further treatment.
如果你是醫生，請根據患者的描述回答醫學問題。	good morning sir, this is narayana from india, i am brain haemorage patient and had an operation. iam diabetic now becoz of the steroids given during operation. i have severe fatigue . i am taking torleva, melmet 1tab, eslo 1tab, telmisat 1tab, now doctor sugested to take pantoacid 1tab daily. please suggest me	Hi, Fatigue is a common symptom that follows bleeding in the brain. The treatment is to check and make sure there are no other contributing factors that can be corrected such as thyroid disease, anemia, or electrolyte deficiencies. Sometimes this symptom remains for weeks or months following the event. You can learn how to pace your activities during the day to avoid feeling overly tired. Most people report improvements over time. There are some medications that may help as well. As far as diabetes is concerned, often by with Chat Doctor. Your primary doctor is best suited to manage this situation and will recommend medication, exercise activity to help you get into optimal physical shape and condition by losing excess weight, eating well, and sleeping the proper hours nightly. Hope I have answered your query. Let me know if I can assist you further. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	I am 44, 5ft 10inches tall and weigh 12 and a half stone. I have felt really unwell for the past two months. All my blood tests are normal. I have had very strong pai in my neck which my dr thinks is a trapped nerve.All my pulses are fast and you can feel the blood running through them. I have had a headache and an upset stomach. I spent a week in hospital because the pain everywhere in my body was severe. They thought it was a virus, then an upset stomach, and then possibly gynacalogical. They discharged me and gave my a three week course of very strong antibiatics. I have lost a stone and a half in weight,i have not felt like eating. I stiil feel very tired weak, and the pai and pulsating is still present. I have an autistic son who is demanding and this makes my life very stressful. Can you please suggest anything.	Hi, Your problems of headache, abdominal discomfort, palpitations and tiredness can be due to various reasons. We need to evaluate them. First, you need to relax. Don't panic. Stress is the major reason for precipitation of these kinds of symptoms. Focus on your diet. Take plenty of water 2-3 liters, fruits, vegetables, and lots of salads. Avoid taking too much tea or coffee or oily and spicy food. Find time to go for walk or meditation. Have a good night sleep. You can start taking multivitamins also. If you still feel they symptoms are persisting then go for some investigations. I don't know which all tests you did, but I feel the most important is to complete blood count, vitamin D and B12 levels, TSH, calcium, Helicobacter pylori. Once the results are there you can talk to your doctor about the results. Take care. Hope I have answered your question. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	I went to lift my daughter up and all of a sudden my neck got sharp pain in it and it went in to the front of my head and the back of my head and they hurt. Right when this happened i wasnt able to move my head left to right but after a few seconds i could. The back of my neck hurts. what should i do go see a doctor?	Hello, It looks that you had a neck strain. There is pull of muscle leading to compression of nerve supplying to forehead. You should do following to have relief in this- -Avoid any hard movement at your neck.-Apply warm compresses over your neck.-Wear a soft cervical color.-Take a mild analgesic like ibuprofen for relief. 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 daughter did a leap in dance yesterday and landed hard on a flat foot. At the time, she experienced a pain that went up her body. Today she has pain up the right side of her body going up her leg to her lower back. Should I continue to rest her and alternate ice/heat for a day or two or does she need to go to a doctor now?	Hi, It could be due to contusion or sprain. Fracture is unlikely. As of now you can use analgesics/anti-inflammatory combination like diclofenac/seratiopeptdase for symptomatic relief. You can continue ice packs also. If symptoms persists better to consult an orthopaedician and get evaluated. In that case you might require an MRI scan. 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。	Dear Doctor,My son age 21, is undergoing treatment for I am told acute psychosis. He is in his final year of engineering. He suffered with High mood for a month followed by nervous breakdown for 3/4 days marked with unrelated & irrelevant talk, when medication was started under psychiatric treatment. We felt this all started with his repeated non achievement of academic goals. Today he feels helpless & worried about his future. which is increasing his anxiety.Cap Zypsidon 20 mg 0-0-1 Tab risdone plus 0-0-1/2Tab Lonazep 0-1-0Tab Macorate CR 300mg 0-1-1Tab pacitone 2 m g 1-0-0We still do not know his diagnosis. Please advice what alternative therapy like meditation/ self or guided hypnosis / exercise could be supplementary. Also suggest any other therapy which could be helpful.We are ready to do any thing possible to see that he lives normal life on his own.Look forward to your valuable guidance.	Hello... Thanks for your query. Based on the symptoms provided, your son seems to suffer from bipolar disorder. He is currently on a combination of mood stabilizers and antipsychotics which is appropriate in this case. Meditation, hypnosis and alternative therapies do not hold much value in treatment of psychosis or bipolar disorders. However, adequate sleep definitely has a protective role. Wish him good health. Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have undergone a nano peel the aesthetician steamed my face then started pricking the pimples which was really painful then after that the actual nano peel began using a machine with corundrum and crystals. After the procedure my face was very red. When I wake up this morning my face is still red and I feel like I ve got even more pimples and pimple marks on my face. Is this normal with that procedure? What do I do?	Hello. Thank you writing to us at Chat Doctor You seem to have developed irritation to the procedure. If I was the treating doctor I would suggest you to use a moderately potent topical steroid e.g. fluticasone propionate 0.05% cream, twice daily. Use it for 3-5 days only and then stop. That should make it fine. This is a prescription steroid and I suggest you to talk to your dermatologist for a confirmatory diagnosis as well as the needfulAvoid using soap on face. You may use a gentle cleanser for face wash e.g. detail cleansing procedure, twice daily. Always wear a sunscreen whenever out in the sun. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	what is the best treatment of having so many syndromes caused by chronic disease such as Hepatitis C and Peripheral Nueropathey, High Blood pressure, anxiety, chronic migraine headaches, Osteopena, Chrosiss of the liver, Fibromyaliga, C4, c5 and c6 Nerve damage and vertebrae collapse, Rheumatoid Arthritis, degenerative disk disease, TMJ, Incontinence of bladder, consistent high white blood count, Low vitamin D, recurring UTI, Neck and severe back pain. Depression and Bipolar and Nerve pain???	Hello ! I read your question and understand your concern. I am really sorry about your complicated medical situation. I would recommend an antidepressant or an antiepileptic agent in your situation. Duloxetine or Nortriptyline would be a good choice of an antidepressant for most of your problems. Nortriptyline is very helpful with the urine incontinence too. Another Chat Doctor. Because your liver problems we should start very slowly these
如果你是醫生，請根據患者的描述回答醫學問題。	Hi! I fell three nights ago and hit the back of my head on concrete. I had a slight headache that night but have had no further symptoms. Now Im being told that I should go to the ER for testing because I may have internal bleeding. Is this true? What should I do??	Hello.....since it has been 3 days since YOY his your head and you are otherwise in good shape i don't think an her visit is necessary right away. Symptoms of traumatic injury to the brain could include besides headache, dizziness, loss of balance, Chat Doctor. So unless you are experiencing any other symptoms or having a worsening in the headache intensity in my opinion you should be fine. Hope I have helped.
如果你是醫生，請根據患者的描述回答醫學問題。	HI I HAVE A 73 YEAR OLD GRANDFATHER, WHO HAS A ROTTEN SMELL PROTUDING FROM HIS NASAL CAVITY.AS WELL AS A VERY BAD TASTE IN HIS MOUTH . HE IS LETHARGIC MORESO THAN USUAL TODAY ALTHOUGH HE WORKS THIRD SHIFT AND DOESNT ALWAYS SLEEP WELL AT NIGHT, I AM VERY CONCERNED FOR HIM. AT FIRST HE PUSHED IT OFF AS HE IS DEVELPING GINGIVITIS, NOW HE IS C/O SINUS ACTING UP AND STATES HE HAS TO BLOW HIS NOSE JUST TO BREATHE. I AM VERY WORRIED AND HAVE ADVISED HIM TO GO TO HIS PRIMARY CARE DR ASAP! PLZ GIVE ME SOME INSIGHT AS TO WHAT THIS ISSUE MIGHT BE, DOES HE NEED TO GO TO THE ER?	Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have said that you have your grandfather old aged he has bad taste bad breathe, it can be due to not able to maintain good hygiene, so you can help him in doing Brush twice daily, and Mouthwash chlorhexidine twice daily, Do warm saline Gargle two - three times a day, For sinus problem you should go and consult ENT surgeon, get proper medication, Hope this will help you. Wish him good health.
如果你是醫生，請根據患者的描述回答醫學問題。	hallo doctor i am sorry if i say this but i have the problem when i make love with a gir this problem started after i used the kind of spry for i dont bee finsh soon but after tChatDoctory cock dont become hard i dont knoe why is like die if even i am with a girl	Hello, Your problem seems like it has two roots. One is Performance anxiety - which could cause Erectile dysfunction and the other could be Stress... Sprays which contain anesthetics only help you to prolong your Climax, but it does not help with attaining or maintaining an erection. If these problems still persist consult your physician. I would say your problem is most likely due to the above psychological causes .thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	hi... i have recently been in and out of the dr/er for a pain on my right abdemen (about 2 weeks ago)... this morning i noticed a quarter size bruise at the site where its been hurting. I have done nothing to that area to get a bruise... im concerned. They threw out appendicitus and gall blatter but sonograms and bloodwork came out clear for that and all the test showed was high white blood count - gave me antibiotics as a trial run to see if pain went away. Im still not 100% well... and with this im just a tad bit concerned... Should I be?	Hi. Thanks for your query. Yes, you should be concerned as there is a bruise at a spot where you have pain in abdomen for the last 2 weeks and your white cell count is raised, History of Appendectomy and removal of the gall bladder and ultrasonography later noted. The possible diagnosis is a development of cellulitis and / or an abscess at this site under the skin. I would advise you the following:Get a clinical evaluation and physical examination to see for the abscess development, If positive get operated as the pus has to be Chat Doctor. , Also get a course of an antibiotic and anti-inflammatory medicines like Ibuprofen
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. My blood pressure was 154 over 76 2 hours after lunch time, and was 146 over 72 this morning after waking up. I have pain on my left kidney area, some pain in my left rib cage, and sometimes dizziness. My mom had a history of Diabetes, high BP, CHF, and I am 44 years old, 188 lbs and 5 ft 11 inches.	Hi, your blood pressure is certainly high, and you need to monitor blood pressure frequently. Have low salt diet, low fat, sugar, diet. Regular exercises and get your lipid profile and sugars tested once. You need to start on medicine and I usually start my patient on tab Telmisartan 40 mg once a day. You can discuss this issue with local doctor. Still you need to keep track of BP so that its should be controlled and will not affect kidney and heart. Regarding your pain it can be gastritis and kidney problem is less likely. However you avoid spicy, oily food, avoid alcohol, smoking if any, and try tab pantoprazole 40 before breakfast once a day. You can do one ultrasound abdomen done which can make picture Clear.
如果你是醫生，請根據患者的描述回答醫學問題。	My husband has a baseball size lump on the top front of his shoulder. It feels like a soft ball, but squishier. It is under the skin. He had not noticed it until tonight. Could something this large, grow this fast? There is no pain, it just feels tight when he raises his arm out. It looks quite odd. Any ideas?	Hi, Dear,Thanks for the query to Chat Doctor.-I went through your query in-depth and Understood your health concernsRemedy and Cause-In my opinion lump in front of top of the Shoulder-is Sebaceous Cyst.-But could be fibromyoma/ Lipoma-as being painless went unnoticed till this time-So growth is not in a day but over many months or yrs. Its only today you noticed remedy advised-a-Consult an ER surgeon.b-Get the Clinical reasoning from Him. If its SEBACEOUS CYST-Excision after Nucleation in tools the curative treatment for it.c-If its benign tumor suspected by your Surgeon-FNAC BIOPSY would fix the tumor nature and would plan treatment by Excision / Nucleation of the benign lump. Hope this would help you to work a plan with your doctor. Wishing you early and fast recovery. Wellcome to my Chat Doctor Clinic for further queries in this matter. Wishing you Good Health ASAP. Have a Good Day. Chat Doctor. S. Genl-Thorasic CVTSSuper specialist in Asthma/Cancer and non-curable diseases.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been suffering from telgoen effluvium for the past 4 months! I have attached my blood reports. Doctor says my B12 is less (188) For now I am on some supplements and I took b12 shots too! When will I see difference and change in my hair! It still falls!	Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, Chat Doctor. From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to stress.(Vitamin B12 deficiency)If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like CBC, blood sugar, Thyroid function test. Some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I am a heart patient, and I am on Plavix and Aspirin. I have multiple blockages in my legs. Is it possible for a clot to form in legs, and then it moves to the heart, causing a heart attack when I soak my legs in hot water to relieve my restless leg syndrome? Similarly, can multiple clots in the heart be a cause for my restless leg syndrome that occurs in my right leg alone?	Hello. I assume that you have blockages in arteries, and if blockages are in arteries, then they will not migrate to the heart. Instead, there will be a pain while walking, and if it is severe, it may lead to gangrene. If blockages are in veins, then they will migrate to the heart and lungs. As you have multiple clots, then we can suspect that there might be some damage to your nerves, causing the symptoms. I suggest taking a tablet, Neurobion (vitamin B complex supplements), and Pregabalin.
如果你是醫生，請根據患者的描述回答醫學問題。	I just woke up with pain in my chest around my left breast. Lasted for about three to five minutes. If I tried to roll over or take in a deep breath. It would feel someone was stretching my heart. My husband rubbed some muscle relaxer cream over the area and it seemed to release. I was able to sit up. But was so scared. I started to have a panic attack. I feel a dull ache still there, feel a little gas in my belly. I dont have a history of reflux. Ive been under a lot of stress lately. Afraid to go back to bed.	Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. And no need to panic at all. This pain is mostly due to bad postures during sleep. So first be relaxed and calm. Avoid stress and tension. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures during sleep. Start painkiller and muscle relaxant Chat Doctor. Since, these are prescribed medicines, you need to consult doctor for them. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I recently suffered severe chest pains. Blood results were all fine but heart sonar indicated a 3 mm patent foramen ovale. I just want to know if there is a need for treatment.	Hi. Small PFO (patent foramen ovale) is usually silent but may cause a stroke or pulmonary embolism if thrombus travels across it from right to left or left to right respectively. Moreover, your report says aneurysm of 12 mm, that needs consideration. I would suggest transesophageal echo to study it in detail. Usually, PFO is closed by the device but an aneurysm may need surgery. So, I advise you to have a transesophageal echo done and then plan will be decided accordingly. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	just wondering if it is possible to live through undiagnosed appendicitis? instead of vomiting, it was diarrhea. then constipation, mostly diarrhea for months. literally felt like being stabbed for 10 months, before the pain was dulled by pain meds. they had to be increased up to 100mg. s of oxycodone a day, and i finally got so sick, i vomited ,hallucinated and my upper right abdomen and right kidney was hurting. but after receiving antibiotics, i am no longer on pain meds, tho i do believe i suffered alot of damage to my peritoneal membrane. this happened immediately after robotic surgery, which happened right after exploratory showed pus wheths before ovaries had been removed 3 months before. three weeks after ovaries were removed, i hurt myself trying to save my neighbor, when she went into respiratory arrest. the infection was, i believe, misdiagnosed as blood clots. after all this, i don t have any money in the bank right now. but i will on june 3rd, if you ll keep this and send me an email to answer. YYYY@YYYY	Hi ! Good morning. I am Chat Doctor answering your query. The diarrhea and pain could have been due to the pus in the pelvis which might have irritated the colon and so the resulting diarrhea. In case it was an appendicular abscess, many times there is no reason to look for a persisting appendix again, as the whole appendix might have got sloughed of its own in the process of infection and formation of an abscess. Now that you have got relief, continue with the treatment of your treating doctor. However, in case of recurrence of the pain, you have to get yourself reviewed by your surgeon again at the time of abdominal pain. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	wHAT IS THE DIFFERENCE BETWEEN OXYCOTIN AND OXYCODONE? cAN YOU TAKE THERA FLU WHEN ON EITHER? I AM ON OXYCOTIN AND TYLENOL AND DON T KNOW IF I CAN TAKE THERA FLU B-CAUSE LABEL SAYS TO ASK DR. I HAVE A SINUS INFECTION. THE OXYCOTIN AND TYLENOL IS PRESCRIBED BY PAIN SPECIALIST	Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You can take it under doctors guidance. Oxycontin and oxycodone both are same. These is narcotic analgesic. They are potent painkiller superior to Tylenol and others. As pain reliever has given you this Chat Doctor. They must be given you with proper thinking. Please do not take this therapy as this
如果你是醫生，請根據患者的描述回答醫學問題。	I have been experiencing a stinging/Burning feeling when I pee, and occasionally notice pink spots on the toilet paper. I assumed it was a UTI so Ive been drinking cranberry juice for the past two days, but the burning has not gone away. I havent had sex since the burning feeling started, 4 days ago. I cant visit a doctor due to not having health insurance. Are there any home remedies, I can use to get rid of this?	**1. Ideally urine sample should be sent for culture- sensitivity and colony count, before initiating treatment. As soon as the result of sensitivity test is available, treatment is started [or changed, if already started] according to maximum sensitivity.2. Since you don't have health insurance, even then predisposing factors to infection like: obstruction, calculus, diabetes should be properly identified and managed/treated [for which opinion of urologist is necessary since he may distinguish lower tract infection from upper urinary tract infection]3. Take plenty of water and fluids. Avoid: hot/spicy foods, salt, garlic,mustard oil, citrus fruits, alcohol,excess physical exertion. Take: Jagger with cold water, coconut water, amla, dates, musk melon, watermelon. A few teaspoons of baking soda diluted in cup of water, followed by at least 2 cups of water is effective. You may ask for prescription medicines like: tab Calgary, tab/syrup cyst one, Chandon Assam, usher Assam.
如果你是醫生，請根據患者的描述回答醫學問題。	Wondering what is causing my lung pain. Background: Worsens both with activity/movement, and whilst lying down. Sitting still provides relief. Seems related to my menstrual cycle - over past year it is worst either during, or just before, menstruation. I ve been checked for heart issues - tests came up clear. Also had CT for chest to check for clots, came up clear. I have existing conditions: recurring stage 4 endometriosis in bowel and reproductive organs, PCOS and ongoing joint pain.	Thanks for your question on Chat Doctor. In my opinion you are having anxiety related chest symptoms mostly. Since your all cardiac and pulmonary tests are normal, no need to worry about major organic disease. It is anxiety mostly. You are also having endometriosis and PCs (poly cystic ovarian disease). Both these diseases are associated with stress and anxiety. So I advise you to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life. And work out solution for the same. You may require anxiolytic Chat Doctor. So avoid stress and tension. Be relax and calm.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello my name is lisa I have had really bad pain in my lower abdomen. lower back which in turn shoots pain down into the upper parts of my leg. Ive had a small fever and these symptoms have lasted 4days now.at first I thought it was just my ra but sooned realized this was much worse. Feeling light headed and evev strong pain medications just barely dent the pain. Its not as severe right this moment as it has been. Before the birth of my last child my ob found a small csyst on my olvory but we have never checked to see if it has grown. Im not sure what to think at this point. I have an appointment with my ob tomorrow what should i asked or do? ? I appreciate all your thoughts and help. Thank you	Hi Lisa, welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You had severe lower abdominal pain, Backache, Pain of upper legs. Long back you are diagnosed with a small cyst on the ovary. You have got appointment with your OB tomorrow. It appears to be the urinary tract infection, or a stone in the bladder, the fever and leg pains may be secondary to the same. As the cysts are a past, they may not have a relation to it, and they won't show like this. Wishing for a quick and complete recovery. Best regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Three months ago I fell while walking down stairs and landed on my back. No major pain at the time, just soreness. Now that area of my back is sore to the touch and sometimes tight, painful in the morning. It s the lower back, on the spine. I have no trouble with movement or lifting. Should I have an x ray? What are possible explanations?	Welcome to Chat Doctor. Thank you for posting your question. I can understand your concern. Low back pain can be due to a lot of reasons :1.muscle strain2.muscle spasm3.osteoarthritis4. Disc prolapse5.HLA-B27 associated arthritis including ankylosing spondylitis, reactive arthritis, psoriasis arthritis, and inflammatory bowel disease6.spondylolisthesisThats all about the information. Do not worry too much. I would suggest you to take combination Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been having pain in my abdomen area on my right side for a few months now. It almost feels like it did when I was pregnant and the baby would push on my side. The only difference is that this pain is persistent and doesn t go away. It is very uncomfortable and wakes me at night sometimes. What are some of the things that can be causing it.	Hello. Thanks for writing to us. Persistent pain on the right side of the abdomen can be due to a liver pathology or a renal problem. Gall bladder problems also cause pain on right side of abdomen. Other causes can be intestinal motility or a pelvic pathology. To know the exact cause investigations like ultrasound scan are necessary. I hope this information has been both informative and helpful for you.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been having pain and aches in between my shoulders since yesterday and my lower back ,bad headache today chest and stomach pain and leg cramps bad. sometimes its like a knife being pushed in between my shoulders ,some blured vison, just don t feel right.	Here as per your explanation looks like pain in between your shoulder could be due to muscle weakness for the same place, or it can be due to spinal curve loss at cervical level. Again you also have pain for your Lowe back means either it can be spinal muscle weakness or loss of curve at lumbar level. Along with this spinal pain if you have anything like numbness or tingling sensation then it could be nerve compression at respected level with disc problem also. But if you have pain only at spinal level and there is no radiating pain to hand or leg then it can be related to bone weakness, muscle weakness or there is something called as ankylosing spondylitis. However the conformation can be done only with MRI and blood test for Ankylosing spondylitis. As per the report you can visit orthopedic and plan for your treatment. For severe cases here he will suggest for surgical option and for mild issues he will suggest for physiotherapy treatment with spinal exercises and few medications.However even after surgery also physiotherapy advice for posture and spinal exercises advice is very important so go ahead and follow it. Along with this you can also use hot and cold pack at home for some more relief. Headache also can be related with spinal problem and should improve along with this treatment. Apart from this for your gastric issue it may or may not be related with this. In case if it is relates with your spinal health then that will also improve with spinal health. And if it's not improving then I suggest changing your lifestyle and diet habits TK healthy habits. And even after that if there is no result then you need to visit a specialist for this for proper evaluation and treatment. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I fell on my knee on the concrete 1 month ago. The area was bruised and scabbed. It has since healed, but there is now a large hard lump on my knee cap. It is about the size of a gumball. Does no feel fluid filled. It is in fact very hard like bone, but is only mildly tender when touched. What is it? Will it go away?	Hi, Greetings from Chat Doctor. Since you fell on a concrete slab you must have suffered a hematoma in the knee. Once hematoma is organized it will feel like a hard swelling instead of fluid. You need to give cold compresses to prevent it getting bigger. You also need to take paracetamol and diclofenac tablets to get relief. It will take a long time to resolve spontaneously. You better go to an orthopedic and Chat Doctor. Hope 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 have back pain from an injury at work, pulling a patine out of a broken window. It was recently exacerbated by injections of Lidocaine to evaluate for possible ablation. I am currently on 300mg Gabapentin TID, increased from 200mg TID (increase started today.) I still dont know where or what the pain comes from, I have had a recent MRI that is inconclusive. Thank you,Tom Wichman YYYY@YYYY	Hi there. Taking simple Gabapentin alone probably will not relieve your symptoms. You might be suffering from strain to the back muscles. Firstly I would advise a period of bed rest for or about 2 weeks on a firm bed. This is the minimum time needed for healing. Take an analgesic with a muscle relaxant. Local analgesic gel a heat massage can be done. Avoid bending forward and lifting any sort of weight. Pregabalin is a good substitute for Gabapentin. I hope my advice has helped. Good luck
如果你是醫生，請根據患者的描述回答醫學問題。	i have lichen planuspilaris in my scalp. I am losing my hair daily. I have tried emuaid. and herbals stuff like stinging nettle, horsetails. omega 3,6,9, plus creams given by dermatologists.. I am stressing out over losing my hair and I don t know what to do.	Hello. Thanks for writing to us at Chat Doctor Lichen Plano Polaris (LPP) is one of the causes of Cicatrices Alopecia (irreversible loss of hair) of the scalp.LPP is characterized clinically by follicular lesions, scaling and loss of hair leaving behind smooth atrophic patches and hyperpigmentation. The disease tends to spread at the periphery. The therapies that you have tried are not specific to LPP. Specific treatment of LPP is with Oral steroids which would arrest further progression as well as reverse early damage. Oral steroids are usually given in pulse doses and may be required to be continued for 4-6 months. Topical treatment is with potent topical steroid lotions with or without salicylic acid. I would suggest that you seek another appointment with your dermatologist. Your dermatologist will assess the condition and prescribe accordingly. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	I am 27 years ord with ADD and limit depression at times. I am currently taking 150 mg bubropion/voxra and 100 mg setralin/zoloft. I feel sometimes tired and dosed, sometimes it feels great and some not. Should I just consult with my doctor to take one of those medications or do I possible need both of those?	Hello, I think that your description of how you feel with your medication is very good to carry with you to your next appointment with your doctor. I always like to encourage patients to speak frankly with their physicians about medicines they've been prescribed and to tell the doctor without fear or hesitation if something seems to be making a difference or not. He/she is the best one to determine your need for different doses, dosing schedules, or the inclusion of adjunct medications. It is especially important to realize that some of these medications used for depression and ADD can have Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,Please explain the relationship between a sinus problem and pregnancy. Does sinus infection be a reliable sign of pregnancy? Why does pregnancy trigger sinus issues in some women?	Hi, Welcome to Chat Doctor forum. A lot of women have an increase in sinus congestion during pregnancy. It happens due to the increased level of estrogen during pregnancy which tends to cause vasodilation generally. Hence, they have improved blood flow through the nasal and sinus passages. It leads to symptoms such as runny or blocked nasal passages, congested sinuses, and even sinusitis. It is not a reliable sign of early pregnancy. This symptom comes along with other symptoms to indicate pregnancy. Some women who tend to have sinusitis may not be able to tell it. Women who are not usually prone to sinusitis may have it as a positive sign of pregnancy with few other symptoms.
如果你是醫生，請根據患者的描述回答醫學問題。	my father is 84 yo and is having open prostatectomy, he has a coronary stent and a pacemaker, he has beign taking baby aspirin that was stop almost a week ago, his cardiologist s to put him on a low molecular weight heparin, 40 mg sc once a day. I guess in this case we should outweight the benefits of DVT against bleeding, any comments	Thanks for your question on Healthcare on Chat Doctor. I can understand your concern. Yes, definitely, complications like bleeding is more common than DVT at his age of 84 years. And for prevention of DVT, you can give nonmedical measures like lower limb movements, compression stockings etc. These measures prevent DVT without increasing risk for bleeding. So in my opinion, you should discuss these with your doctors and convince them for not using low molecular weight heparin. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	my ecg says moderate mid-and left precordial and high lateral repoloriztion disturbance consider ischemia LV overload and or digitalis negative T in l aVL V4 V5 V6 with small negative T in V 3 i was givin this to bring to cariologist my apointment is not for 3 weeks i am active doing zumba should i refrain from this activity for now and what does this mean	Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Ongoing Myocardial ischemia leading to After lateral wall MI. I advise you to get an ECG,2D Echo of your heart, lipid profile, hsCRP. Troponin I immediately to confirm the diagnosis. Monitor your blood pressure, heart rate immediately. Chat Doctor. Avoid stress and anxiety. Avoid smoking and alcohol. I also Exercise daily for 30 min. Coronary angiogram with or without stenting will be the procedure of choice. Consult your cardiologist for expert management and follow up. Post your further queries if any, Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, Im 48 and have been running for years-33min in 10km and 15min in 21km when I was in my thirties and now over the last two years I find it difficult to breathe after two or three km, running at 3.30 345 etc and believe me my training is pretty good but theres something in competing which I cant fathom.	Hi thanks for contacting Chat Doctor... Here your physical examination necessary including auscultation also. ... First investigate with your CBC to rule out anemia .... If hemoglobin level is low .... In anemia tissue can't get enough oxygen when exertion done .... So correct it if present with tablet or injections.... Second measure your blood pressure and rule out cardiac causes by ECG or Echo. If needed treadmill test also done. . If heart failure or any other cardiac disease present treated accordingly ...... If still cause not clear chest x-ray done . Consult pulmonologist and discuss all these .... Take care....
如果你是醫生，請根據患者的描述回答醫學問題。	I have an 8yr old that has been having headaches and dizzy spells for 2 weeks now, the headaches are in her temples and hurt like a stabbing pain. We have been to numerous drs and her sinus are clear ears are clear bad am MRI done this week and it all looked good. Tonight she has yellow bloody snot. They thought it was vision or migraines??	Yellow blood stained snot is not unusual in case of a respiratory tract infection and not a cause for concern. But it could be related to sinusitis which in turn could be the cause of the headache that she is suffering. Sinusitis is often hard to treat as they have poor blood supply and hence the medicines cannot properly reach there. Taking steam inhalation should provide relief. Water in form of vapor can reach deep into the sinuses and help in diluting the cough. There is indeed a possibility that the headache is due to migraine or visual problems. These would not be evident on tests like MRI. Clinical correlation and vision testing is needed.
如果你是醫生，請根據患者的描述回答醫學問題。	hi, I am 42 overweight , I am not sure if i am hypertensive. every time I go into the doctors office I ve read high on the blood pressure monitors and when i try to do it myself it reads high but the machines make me panic. being squeezed on the arm like that freaks me out.. so not sure if i just have a phobia against being squeezed or if something is going on. I don t smoke . I have allergies. I have an allergy to cats and live with three of them. 3 weeks ago I was cleaning out the spare room. there was a large box that I needed to get to the basement. It was empty but big. I ran down teh stairs with it than ran up all three flights of stairs. My heart was beating fast (but probably in the normal fast category for running up and down three flights of stairs , (for me) and I had a really hard time catching my breath. it took a few minutes it seemed like. or at least a minute it seemed like a long time. Then when my heart was back to normal and my breath was caught up I had a pain in my right lower shoulder blade. It lasted another day. It hurt when breathing in or touching it. should I be concerned? does it sound like heart probs or asthma?	THESE ARE ALLERGIES AND THEY ARE INCREASING AND YOUR OTHER SYSTEMS ARE INVOLVING TIME INCREASES YOUR SAME MEDICINES FAIL TO CONTROL SYMPTOMPSAND DURING EXERCISE THEY ARE NOT ABLE TO HAVE SAME EFFECTS USING SYMPTOMS WHEN YOU EXERCISE CAN ADD STALIN AS BRONCHODILATOR OR SINGULAR 10 MG SOS WHEN YOU EXERCISE LIKE WALKING UP DOWN AND MORE WORK THAN FORMAL ACTIVITYAPPLY AUREOMYCIN H OINTMENT IN NOSE BD SEA WATER 2 Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I was told 9 years ago I could not have a baby naturally as I have only one ovary I was told that the only Fallopian tube I have is blocked however I am around 2 and a half weeks late Last night I did a pregnancy test which showed negative but I still have not come on ! I have symptoms of pregnancy Could I still be pregnant?	Less likely if the pregnancy test is negative, but you can still wait for a day or two and repeat a pregnancy test with early morning first urine sample which is most accurate. Delayed period could be due to variety of reasons like stress hormonal imbalance, change in weight suddenly etc., so if pregnancy test comes negative consult your doctor once to get the reason for delayed period and appropriate medication for same.
如果你是醫生，請根據患者的描述回答醫學問題。	Since Feb 26, Ive had diarrhea or very loose stools. Last weekend (a week later) my right side was tender so I went to the dr who ran tests and sonogram and the sonogram came back with gallstones. The bloodwork came back with a high white blood cell count. Im still waiting on the stool results. Ive had a low grade fever 99-100.2 for over a week. I have pressure on my tailbone and anus. Could all these symptoms be related to the gallstones or could it be somwthing in addition to?	Hi, I had gone through your question and understand your concerns. Gall stones may cause some abdominal discomfort including abdominal cramps, diarrheas, nausea or vomit, but it should not cause anal pressure of any kind. High WBC count is usually sign of infection or inflammation, and it may be elevated if there is acute inflammation of gallbladder but is usually is associated with pain under right rib cage. If you don't have it then you should look for another cause of fever such as enterocolitis and stool analysis results are required or this. Later, you can consult surgeon about surgery need, but you should not rush with it. I hope I have answered your query. Wish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	HI DOCTOR. MY DAUGHTER WHO IS NOW 18 MONTHS OLD HAVING A DOWNS SYNDROME PROBLEM. BUT WITH A GOD GRACE SHE DONT HAVE ANY OTHER DISEASES WTH THAT LIKE HEART OR OTHER. BUT WE THINK THAT SHE IS DOING EVERY THING THAT A CHILD DO AT THIS AGE.SHE UNDERSTANDS WHAT WE SAY OR ALSO SHE DO WHAT WE SAY HER TO DO. ALSO SHE LEARNT MANY THINGS LIKE TO DO PRAYER, CLAP, AND MANY OTHER. BUT SHE DONT WALK STILL, BUT WALK WTH SUPPORT EASILY.SO MY QUESTION IS THAT SHE CAN GO TO A NORMAL SCHOOL OR .....?BUT I THINK THAT SHE WOULD. SIR PLS CAN U SUGGUEST ME THAT HOW CAN I HELP HER TO LEARN MORE AND ALSO FOR TAKING CARE OF HER.THANKS	Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Her IQ should be done and depending on her IQ levels, her further schooling should be decided. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Just recovered from a virus that caused extreme fatigue and mostly affected my lungs (breathing, coughing). Now over that I have a dry, hacky cough that makes it extremely hard to sleep. I even wake up wanting to vomit and am experiencing some mild incontinence for the last 5 days.	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. It is common after viral upper respiratory tract infection. Bronchitis causes worsening office cough, breathlessness especially at night. And due to this, abdominal pressure rises and this causes incontinence. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. 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 sharp chest pain on my left side and my left arm feels very uncomfortable and I feel tingling in my left hand. Even if I laugh I will feel a sharp pain in the same area. Could it be gas? Also it feels a little agitated in my neck, also on the left side.	Hello, I have studied your case and I want to warn you that this is not gas at all. It can be pain of heart problem known as MI. It is a serious condition, and you need to visit ER as soon as possible. If there is ECG then you will need urgent intervention if form of medications. I would suggest you to do not waste any more time. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	I had surgery 3 years ago to remove a necrotic gall bladder. I was extremely ill. Today I experience considerable internal pain around the scar area accompanied by what appears to be the movement of my internal organs. It is extremely uncomfortable. Please help	Hi.it is residual scar pain due to the constant irritation of the nerve endings devised during the surgical process. These are all highly nervous innervated areas with more pain radiating to the inner organs please apply some local pain relieving creams like(volini-diclofenac gel) for temporary relief local application of ice, or steroid based creams a help. Please go for a repeat ultrasound abdomen to rule out for any local reinfection. Thank you. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	My husband was misdiagnosed in A&E in November with Malaria. His test was negative and he was told he had a virus. Five days later he was hallucinating and collapsed as he had cerebal malaria. A month later he got. Post infection encephalitis. He was in a coma and it has took 7 months for him to return to work. The hospital admitted they didnt follow correct protocol of three blood tests 12 hours apart before giving a negative or positive diagnosis. Should we sue the hospital for original mis diagnosis? This could have resulted in his death.	Hi, Thank you for posting your query. We need to see the entire case details to establish whether there was negligence on the part of doctor or hospital. However, in the light of information you have provided, it could be a case of medical negligence. So, you can contemplate a legal action. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, im 14 and am worried about my penis, it looks almost like a micropenis when flacid but is only like 3 inches when erect. When Its is erect, you can see loads of little white spots and I also cannot retract my foreskin. My left testicle is Much smaller than my right and I have a lot of pubic hair, quite a bit of armpit hair, im getting quite a bit of hair on my legs and my voice is starting to break. What is wrong with me?	Hello.welcome to Chat Doctor .1. Do not worry about the size, it will grow how much it supposes to be, and nothing any doctor can do regarding size, its natural thing.2. Comming to white spots- its needs to be examined, and get treated.3. Foreskin retraction, you should slowly practice pulling it back gradually, and it will stretch. If completely it's not possible - Needs a circumcision to be done, or else it will lead to infections in long run. 4. Comming to your hair growth, its normal entity. Take care. Hope helped. Anything to ask ? Do not hesitate. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello. Ive had lower back pain for a few days now. It s hurting in my lower back, butt and into my shin on my left leg. I went to the ER yesterday because I couldn t stand the pain anymore. He didn t do any exrays or MRI but he said it appeared to be my sciatic nerve and said I was having muscle spasms because my thigh muscle was jumping. He gave me a steroid shot and sent me home. I woke up an hour or so ago and both my legs and both my arms are tingling . Is this cause for concern? Do I need to go back to the ER?	Hi, Thank you for posting your query. The initial problem with which you went to the ER is suggestive of nerve compression in the lumbar (lower back) region. This is commonly caused by the prolapse (bulging) of the disc. Common symptoms include lower back pain, pain in the legs, tingling, numbness, etc. It can be diagnosed with the help of MRI. If symptoms persist, you can get the MRI done. Your second problem of tingling of arms is probably not serious and is due to compression of nerves while sleeping. It should recover in a short span of time and there is no need to go back to the ER. Best wishes, Chat Doctor.

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