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如果你是醫生，請根據患者的描述回答醫學問題。	I ve been diagnosed with kidney stones, had three episodes in a month in a half, went to the ER twice and I m passing fleshy-like particles and no stones-it s incredibly painful and I m in so much pain. What are these particles and why am I passing them?	HelloThanks for query. You have been diagnosed to have renal stones, Since you have repeated episodes of pain it suggests obstructive myopathy due to stone mostly impacted in ureter. And has to be dealt with immediately. Please consult qualified Urologist for proper evaluation and investigations like ultrasound scanning and to explore need for any active intervention to remove or fragment the stone. This is very important to save the kidney from being damaged due to back pressure changes (Obstructive Myopathy). The fleshy particles that you are passing in urine are the infected debris with mucosal lining of bladder (Muck) Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My left arm will not fully straighten anymore. This has been progressing over time. It is getting to the point where my arm is much shorter than the other when I try to extend it such as reaching for something. I Have notice an ache off and on, getting worse lately. I tend to baby the left arm, holding it close to my body. What could be causing this condition?	Hellman in arm may be due to many reasons like degenerative changes, frozen shoulder etc. You need proper clinical evaluation and investigations. Firstly you may need routine hologram, random blood sugar, X-ray left arm (AP/Lateral view).MRI can be done after evaluation. It is the investigation of choice for soft tissue imaging. It can accurately assess muscles, tendon,ligament etc. Treatment depend upon clinical findings and investigation reports. Get well soon. Take Care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My wife was found HBSAG positive in 2001.Her Alisa test value is 2.5. Liver Functional test was found ok. Rest every test are found normal.We have two daughters.Is there any thing that HBSAG patients will have only girl child/.Is there any treatment for this illness Is there any harm to her health .She is now 33 years old.	Hello, There is no relation between Hepatitis B and the gender of child Chat Doctor. If your wives function tests are normal she does not need treatment. I would advise yo unto get her GOT and SGPT tests checked once in six months, in case they are raised she might need treatment. This approach will present damage to the liver. Hope you have been vaccinated for hepatitis B. Hope this helps and do get back in case you have further queriesRegards
如果你是醫生，請根據患者的描述回答醫學問題。	I have a pain at the base of my neck every time i move my chest a certain way. And when i breathe it feels like its swollen idk it doesnt feel like a sorethroat but it knda makes my chest hurt. Can you help me. I have had rjis pain in my neck for a few days.	Hello, I have studied your case. I will advise you MRI cervical spine for better diagnosis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing 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。	my father is a liver cherosis patient recently he had an internal bleeding and he had to get a couple of viens stitched by endoscopy.i want to know what stage he is at .he also get fever every couple of days 102.the dr gave him some antibiotic injections for 6 days now .pls inform mehis stage .is it true that there is more chances that it has gone in portal vien	Hi thanks for contacting Chat Doctor.... Noted your father having cirrhosis and history of varietal bleed.... So he has chronic liver disease with portal vein hypertension... For exact grading biopsy needed.... But let me know you care has to be taken to avoid further complication... If needed here beta blocker might prescribe for portal hypertension. Low salt diet taken.... High protein diet useful.TIPS like invasive shunt procedure helpful in reducing portal hypertension.... If condition worsen ultimate treatment is liver transplantation... Early in morning take grinned spinach and carrot juice.... One tsp crushed papaya seed with lemon juice helpful... If behavioral abnormality, tremor, sleep disturbance and varietal bleed occur immediately directly consult gastroenterologist.... Take care. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my brother is suffering from obsession compulsive disorder. He is suffering of lack of confidence & insecurity. He checks his certificates again and again whether hey are properly placed or not. He checks daily his marks & his name & other data in certificates on regular basis. he feels insecure as if his certificates may be stole by some one and his future may be spoiled.he sometimes checks lock of door too.some times checks his ATM card whether data is correct or not...is there any dust that may corrupt his ATM card....sometimes checks again and again his purse....or mobile if all data is OK...as sms center no etc.....as if someone don t stole any no. from his mobile and disbehave with that person and may spoil his relation with that person. and this checking process may take two to three hours and no of repititions again and again he is basically a teacher on contract basis...and doing his job very well.	Hi, I do appreciate your concern for your brother. From what you have mentioned, your brother is having obsessions of doubts with checking compulsions. That's what is making his do things he is currently doing. You should seek a psychiatric consultation for him. Treatment with medications like fluoxetine would be effective for him. In addition, he can also consider option for cognitive behavior therapy in form of exposure and response prevention. This will consist of multiple sessions focusing on overcoming the obsessions and learning to control them. It is a highly effective treatment option for obsessive compulsive disorder. I do hope that I was able to answer your query. Wishing your brother speedy recovery.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. I am shailesh from Mumbai India. My wife is suffering from intermittent high and lower fever for last four days. today we have seen the second daughter who has prescribed Lumerax 80 and before that she has been taking crocin and combiflam for lat three days as advised by the first doctor. we are yet to her blood sample done..my email id : YYYY@YYYY . Thanks.	Hello, It is not advisable to take a medicine before investigation or without consulting a doctor. Numeral 80 mg which contains lumefantrine is used to cure certain types of malaria and the irregular fever that your wife is having, may be malaria, but it should be confirmed with proper test. You should also investigate your daughter for malaria. Hope I have answered your query. Let me know if I can assist you further. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	hi, I m a 59 year old female with joint pain and swelling in my knuckles. also have been bruising very easily and very often. My platlett count came back within normal levels and I tested negative for reumatoid arthritis. what else can cause my symtoms. also I have had some weight loss but my appetite is good.	Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you have pain in the knuckles and you don't have RA it could be an overuse injury of the tendon. Which can be helped with the help of a physical therapy. Also, weight losing happens due to various other factor for that a thorough assessment is needed. Since the knuckles are getting swollen taking hot water fermentation and performing small exercises of the hand will be helpful. RegardsJay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had bleeding and passed a small clot and am in my 3rd Trimester. I went to labor and delivery they monitored me for 4 hours and the bleeding stopped and the baby had a very active heart beat. I was not dialated and was not having contractions. Is any of this just normal? Also, all that was done was that I was put on pelvic rest, does this seem right?	Hi there,Bleeding in the 3rd trimester is due to one of two causes Abruption, which is associated with high blood pressure and pain abdomen, trauma to abdomen, or it is due to placenta prefix where the placenta is attached to the lower part of the womb, and it causes painless vaginal bleeding. An ultrasound to identify the exact location of the placenta is essential. A physical examination to monitor your blood pressure, urine albumin and fetal heart rate pattern is also necessary. Rest is advisable, as repeat bleeding may make delivery a necessity. Blood cross-matched to your blood group should be made available and corticosteroid injection to help fetal lung maturity need to be given. Hope this helps. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,From the last 15 days I have a problem that I feel pain in my belly and then after that, I have to go to the toilet to pass stool. This happened 4 to 5 times a day. Because of this I also have a problem of rashes on my anus. Kindly suggest.	Hello. You can have acute gastroenteritis like infective pathology. It is advisable to take an antacid like Rabeprazole for a week. Empirically broad spectrum antibiotic like Ofloxacin plus Ornidazole combination can be started. Take bland diet more. Avoid excess spicy foods. I suggest you investigate with ultrasonography of abdomen, stool routine micro examination and occult blood test for further work up. For more information consult a general medicine physician online
如果你是醫生，請根據患者的描述回答醫學問題。	My 11 year old daughter just had a Renal US...showed moderate right pelvocaliectasis. Minimal intermittent dilatatioln of the distal right ureter. The urinary wall is well distended and is normal in morphology. The bladder wall is moderatelly thickened. There is an echogenic mound at the level of the right UVJ compatible with the clinical history of Deflux. Mobile echogenic material is present within the bladder.	HelloThanks for query. Based on the findings of Ultrasound Scanning your daughter has grade one HY Chat Doctor. You need to consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) DMS Scan to rule out any damage to kidney and function of the right kidney3) Renal function tests .4) Maturating Cyst Arthrogram (MCU)In view of grade one OUR she needs to be treated with long term prophylactic antibiotics like Bactrim once daily and get her urine culture done at frequent intervals It is utmost important to see that she does not get UTI.
如果你是醫生，請根據患者的描述回答醫學問題。	HI I AM WORRIED THE PARST YEAR I HAVE HAD A LUMP ON MY NECK ITS A LONG STORY BUT NOW IM WORRIED COZ I HAVE SALTY STUFF THAT FEELS AND TASTES LIKE ITS COMING FROM MY NECK SOME WERE THE LUMP IS PLEASE ANY ADVICE ON WHAT IT MIGHT BE MY NAME IS KIM AND IM 32.	Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the salty stuff from neck lump, is the leaking old last years-neck-lump which has recurred, with salty discharge from it.2-At 32, this could be-Carbuncle / or a chronic-sebaceous cyst with infection and discharge.3-I would advise you to consult -skin doctor, who would treat accordingly.4-other causes could be skin infection/boils.5-Hope this would solve your query.6-Wellcome for any more questions on new or this subject also... 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 had a Amblation on the 4th and I have had vision problems today. It was like I was looking through a prisom it was in both eyes and then I lost my right prorifial for about 5 min. The total time was close to 45 min then back to normal. I am 63 year old male	Thanks for your question on Chat Doctor. I can understand your concern. Ablation is done mostly for atrial fibrillation. And atrial fibrillation can cause thrombosis and embolism. These embolic can travel through blood and lodge in tiny vessels of retina, brain, kidneys etc. When they lodge in retina, they cause decreased blood supply to that part of retina. So retinal ischemia develops. This kind of retinal ischemia can cause visual impairment. So better to consult ophthalmologist and get done retinal angiography to rule out embolism and ischemia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi there, while i was feeding a neighbor s cat 2 nights ago, it stumbled to get the food on my hand and hit my finger with its claw. My finger bleed profusely that time and washed it on running water. Is it possible to get rabies by cat s claws? I am 56 years old and weighs 70 kilos.	HiT hanks for posting your query on Chat Doctor. I appreciate your concern for the cat bite in fact scratch by its claws. It is unlikely to transmit the rabies virus, if any. Rabies virus is found in the brain and the salivary secretions of these animals. So a cat bite by animals teeth with saliva is more likely to transmit the virus if the animal is found to be carrying the virus. But in your case you had scratches by the animals claws resulting in bleeding, so it is unlikely to result in the transmission of the virus and hence no chance of getting the rabies. What you need at the most is cleaning of the wound with soap and water or antiseptic like Provide and a booster dose of Injection Tetanus toxic and maybe you need a course of appropriate antibiotic from the doctor. Hope this answers your query. Kindly rate this answer, if you are convinced.
如果你是醫生，請根據患者的描述回答醫學問題。	I was diagnosed a few years ago with borderline personality disorder, anxiety and depression, I have taken antidepressants forever since I was in my 20s I am now 39. I have had a lot of traumatic things happen in my life, My dad committed suicide today would have been his birthday. I have been abused in every way and I am trying to get my life back. For many years Ive had no libido, no joy in my life. Ive missed bdays anniversaries weddings etc. All because I felt depressed and didnt want to leave my house. Ive missed so may things, I have this. I have just been weaned of celexa 4omg which I took for years with the Seroquel. My meds now are wellbutron xl 150mg, I started this pill less than two weeks ago, I have increased the dose to 150mg twice a day, I also take Seroquel at night. I have read so many testimonies on these meds and I am concerned. I have been getting severe stomach aches as well as feeling a slightly spaced out. Im wondering if I should stop taking wellbutron and Seroquel and asking my dr to put me back on celexa. Do I have to take meds for life??? How does a dr really know if you have mental illness couldnt it just be due to life experiences and the need to get past them? I feel like I am stupid or labeled and its embarrassing, I just want my life back. I have no joy at all.	Hi, Firstly borderline personality disorder (BPD), makes a person vulnerable for mental illnesses. The thought processes that a person with BPD has is quite different from that of a person without the disorder, and it makes it difficult for the person to cope with day to day stresses that every human being faces in their life. Patients with BPD tend to suffer from complications involving mental health with the slightest of stress. And as you mention, what you have gone through is much more than usual. Coming to your query, why can't this be a normal reaction? Now, if a person without BPD or with no vulnerability happens to go through these experiences then the outcome would depend on his coping skills. Excellent coping skills → Brief period to recover and no illness. Poor coping skills → mental illness. The symptoms of loss of interest inability to feel joy and low mood for many years is a sign of a mental illness. But it is great that you want to come out of it. There are many ways. Medications being one of them. Adequate medications usually help control these symptoms. There are additional treatments that can benefit you which is psychotherapy that involves, building a positive outlook and personality transformation etc. This helps in building coping skills as well. Trained psychologists administer them. They are known to be useful in cases of BPD apart from medication. It takes a minimum of 2 weeks to determine whether a Chat Doctor. I do not know the reason for switching your antidepressant but if the recent
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My sister\s age is 28, normal, sensitive skin. She is having brown spots on her face. Can you please suggest the best Vitamin C serums for removing brown spots on her face without any side effects? Is there any other options (simple and safe) for removing such brown spots?	Hi, Welcome to Chat Doctor forum. There are many causes for brown spots on face, it could be: 1. Freckles. 2. DPN- Dermatosis papulosa nigra. 3. Melasma. 4. Post-inflammatory hyperpigmentation. Treatment is different for each, it is very difficult to suggest any treatment for you without seeing your pictures, I will have to see the pictures to make the diagnosis so that I can suggest you the most appropriate treatment options. Please attach your clinical pictures of the face taken in good daylight.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been feeling sick. I have lost weight for no reason. I dont feel hungry and when I eat a small portion I feel full. I am very nervous weak and tired when I get up in the mornings. I just dont have an appetite. I also had a fever 2 days ago. I am not pregnant. This has been going on for about 2 weeks.	Hi, From what you have mentioned, you seem to be manifesting symptoms of depression. Feeling low, anxious, lethargic and weak, not having enough appetite and having sleep disturbances are all symptoms of depressive episode. I would suggest that you consult a psychiatrist for complete evaluations. Blood investigations in form of complete blood counts and thyroid profile would be recommended to rule out anemia and thyroid dysfunction which can lead to some of your symptoms. Treatment with anti-depressants like Escitalopram would be effective in your condition. I do hope that I was able to answer your query. 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。	Hi! I m a caregiver whose taking care of a 98yrs old lady whose been diagnosed with MRSA in her coccyx just recently but her wound has been there for like a month or so. I have an RA for 10yrs but just recently I feel joint pains and like muscle aches, do you think I have contracted her MRSA?	Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. MRSA can transfer by sharing of common things, like bedsheets, towels etc. Yes it can transfer to you also. But MRSA won't cause symptoms as you mentioned. It may cause boils, cellulitis, fur uncle etc. but it never causes joint pain. You can screen yourself for the MRSA. If you found yourself positive you can clear yourself with mupirocin ointment. Glad to answer your further concern contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctorIf you are satisfied with my answer rate me as five star and close the answer
如果你是醫生，請根據患者的描述回答醫學問題。	Iam having irritation in chest with coughing sensation. sometimes I have cough but it is not severe. Iam having this problem for past 3 weeks. i do not have cold, running nose or sore throat. Iam afraid whether this is TB. I have worked In TB lab for 2 years.	HiT hank you for asking Chat Doctor. I have gone through your query. If you have long term cough then better to go for Sputum AFB test for TB. As you worked in TB lab there is possibility of acquiring. You should also do ESR test in blood which is usually raised very high in TB. A physical examination by physician and a Chest X-ray should be done if needed. These all will help you to rule out Tuberculosis. Hope this may help you. Let me know if anything is not clear. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	hi, I had edema in both my legs, after elevating them, i felt hot sensations in my legs and hands. Have been experienceing joint pains for a while, hair loss, inadvertent itching on my face and chest. Fatigue is my nemisis, as it comes and goes. I noticed lately that i have sensitivity to sun. All my work up are normal. What could this be?	Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have edema in legs, joint pains and hair loss. Well there can be many reasons for symptoms you mention in query like medication reaction or side effect, rheumatoid arthritis, multiple sclerosis, anemia or diabetes, type 2. I would suggest you to consult orthopedic surgeon for proper examination. Doctor will examination physically order blood test along with other test and treat it accordingly. You should also consult dermatologist for hair loss to rule out factors like fungal infection genetic factors and side effects of some medicine. Doctor may prescribe beta blockers, methotrexate, furosemide and analgesic for leg pain and joint swelling and minoxidil along with financial for hairs. For now keep your scalp clean, keep your legs elevated while sleeping and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I am 14weeks now I have legs itching and morning sickness all day, please I am wondering what causes the itching and what is the best medicine for morning sickness ,Thanks in advance.	Hello dear, i understand your concern. In my opinion the morning sickness is a routine symptom of pregnancy. Usually it disappears by 12 weeks but in a few women it might be there till 16-20 weeks. But as it can be controlled by medicines nothing to worry. The medicines used for sickness vary depending on the severity. They are dopamine, metochlorpromide, ondansetron etc. So depending on your condition one of these is prescribed. Take adequate fluids to prevent deny Chat Doctor. Avoid spicy and oily diet. Take food in small quantities every 2 hourly. Coming to itching it might be a non-specific symptom. It might be due to allergy. So better to take dermatologist opinion. Antihistamines like cetirizine might decrease itching. Best regards...
如果你是醫生，請根據患者的描述回答醫學問題。	hello sir, i m 28 years old, when i was 14, i suffered from chiken pox, so its scars or holes still in my face, which look not good in my face. so there is any home remedies, or any cream to remove scares or holes. and i have some spots on my face. pelase suggest any cream.	**1. Since there is positive history of chicken pox, thus we are dealing with post-inflammatory hyperpigmentation scars.2. Initially consult with a Dermatologist, who may prescribe you some keratolytic cream containing skin lightening agents, also protect your skin by using a good sunscreen with minimum SPF 15 to prevent sun induced darkening.3. Scar once formed cannot disappear from body, but can be minimized, moreover, no topical preparation or cream is/are going to possibly help you, what maximum can be done is: use of vitamin E & moisturizing cream gives good response.PS. Wash your face with Began and warm water [as it is the best natural Bleaching Agent]. Paste of Rasta Chandra Churn am, Hard Chat Doctor. Apply it as a face pack, you will see good improvement, or you may ask for Description cream like: MINISTER and/or PIGMENT [Charge Pharma]
如果你是醫生，請根據患者的描述回答醫學問題。	My 17 year old daughter is suffering from abdominal pain which is causing her to throw up. She is not able to hold any food down or drink. The pain comes and goes as period cramps do. But I m starting to think it s more that period cramps. It s a higher abdomen pain other than a lower belly pain. She thinks it s pancreatitis	Hello, There can be numerous reasons for pain upper abdomen with vomiting as intestine infection, gastritis, gall bladder conditions as stone or else, pancreas, liver disorder and others. Grossly speaking, pancreatitis pain is severe, intense, radiating to upper back in the majority of the causes, though individual variations are possible, It would be better to consult her to physician for one time evaluation rather than remaining in dilemma. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here...My right nipple started to invert and when I went to my gynocologist she squeezed the nipple and a clear fluid came out. She did a nipple smear whicChatDoctore back negative, but she sent me to a breast surgeon anyway. The breast surgeon sent me for an MRI whicChatDoctore back negative. Now the surgeon wants to do a biopsy because she says the fluid is not normal. My mother had breast cancer and my fraternal aunt died of breast cancer. Am I doing the right thing by having the biopsy or not.	Thanks for your question on Chat Doctor. I can understand your concern. Yes, biopsy is needed in your case. You are having strongly positive family history of breast cancer. You are also having inverted nipple with abnormal nipple discharge. All these can be early signs of breast cancer. So better to rule out early breast cancer in you by biopsy. And early breast cancer is having excellent prognosis with near normal life. So get done biopsy. 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。	I ve been getting severe cramping in my upper stomach after eating a handful of almonds. I have always eaten almonds as a morning snack but this pain is all of a sudden happening. The almonds that I eat are Raw (no added salt, just whole natural). Do Almonds cause severe stomach pain? I am extremely fit (exercise 6 days a week for over an hour each day). I eat a regular, low-fat, high protein, high fiber diet (and have eaten this way for some time now). I am a 37 year old female.	Hi, Welcome to Chat Doctor Forum. Almonds are considered a common causative substance that could cause stomach cramps and other gastrointestinal symptoms. If you notice that you only develop stomach cramping after eating almonds, talk with your doctor to determine the cause of your symptoms. Stomach cramping may also be a sign of food poisoning after eating raw almonds. Stop eating almonds for a while, If you develop severe cramps, you can take a single capsule of Spasm Procyon as and when you require it. Take Care.
如果你是醫生，請根據患者的描述回答醫學問題。	i have a painful lump in my jaw after a root canal. The root canal followed a crown placement and subsequent infection so the root canal was done on an emergency basis. I am on anti biotics but still not getting pain relief. Is the infection spreading into my jawbone?	Hello and welcome. Thanks for sharing your concern. If root canal treatment was done successfully then please give some time for it to heal. But definitely the pain should reduce and not increase. Keep a check on that. Your current antibiotics will take care of infection. Simultaneously please do warm saline rinses very gently twice daily. Do not allow accumulation of food particles in your mouth. Mouth washes can also be used. Complete your antibiotic course now. Wait and watch, it should heal soon. In case after completion of antibiotics, symptoms persists then please visit your dentist for follow up and new x-ray. Hope it helps. Thanks. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I have grass,trees,dust and weeds. also allergic to nickel sulfac hexa hydrate .I itch about 2 hrs .after ashower or when it is humid. also I don t sweat I get clammy. I only itchin in the spring and summer I don t itch in winter. Also only on Long island I could go anywhere and not itch	Just avoid the contact of substances to which you are allergic. For allergy remember one thing for lifetime prevention is the best treatment. If you are having itching that is uncomfortable, then you can have Tab. Levoceterizine 5 mg as and when needed. It will relieve your itching but with this Chat Doctor. Even on taking tab. Levoceterizine 5 mg twice a day, You're having itching still then u need to consult your doctor for starting steroids.
如果你是醫生，請根據患者的描述回答醫學問題。	My age is 37 height 5.5 and weight 49 kgs, having heart beats at speed of 100 - 120 for last 3 years, now adays i start some discomfort in middle of the chest and sometimes i feel like gap in my heart beats or say some type of vibration. 3 years back i have done 2 d echo, it was normal , and every 3-4 months i go for ecg , even that is normal.Please suggest	Hello, You need to get some more test to look for cause like hologram, thyroid test. Do you have any anxiety as it can cause this? Do you have symptoms on daily basis, if yes then you should get one holder monitoring done which is ECG monitoring put for 24 hrs and pick up any abnormalities in heart rhythm? You should do yoga and relaxation techniques like deep breathing to calm you down. You should also get started on beta blockers like tab Metoprolol XR 25 mg which will take care of these symptoms.
如果你是醫生，請根據患者的描述回答醫學問題。	hi i am 25 yrs old,55,and 54 kilos,.last april we had our anual pa, unfortunately my result turned out that suspiciuos lung density have seen in my xray so they required me to have an apicolordotic view. it turned out to be mild nodular hazy densities infiltrates my left upper lobe and ruled out to be ptb,,ptb class 3 as the doctor said. there is no history in our family with that sickness, but in my job i have a co employee who suffered from it,,my question doc is?how contagious i am at this point in time,how high is the risk that i can pass the bacteria?or what are the factors that can affect or to be consider so that i will be able to pass this.	Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the x-ray report you have mentioned. This report is suggestive of left upper lobe infection. Most common cause for upper lobe infection is tuberculosis and pneumonia. So better to get done sputum microscopic examination to confirm this infection. This kind of infection spreads through coughing. Cough produces Chat Doctor. So better to wear mask when coughing. First 2-3 weeks, person is contagious through coughing. So better to start treatment as soon as possible. After 2-3 weeks you will be not contagious to others. 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 started my period last weekend on Saturday 2/22/14 and then it stop then on the night my period stop , I had unprotected sex but he pulled out before he came ,then in the middle of the night I started to bleed , so I put a pad back on and a lil blood was in there when I woke up , now I only see a lot of blood when I wipe but I see lil blood on my pad every time I where now . Is it possible that Im preg???	Hi and thank you so much for this query. It is very unlikely to get pregnant by having sex on the same time your menses stopped flowing. There is just no egg that can be fertilized at this time. Bleeding is probably related to the intercourse and nothing else. Though it is unlikely that you get pregnant this time around, I strongly recommend that you talk to your doctor about contraception. He would help you to adopt and use correctly a method of contraception to help prevent unwanted pregnancies. Please, protection during intercourse also help prevent against sexually transmitted infections. Please, always consider using them each time you have sex. I wish you the best of health. Hope you find the above helpful.
如果你是醫生，請根據患者的描述回答醫學問題。	What is the deciding factor to alert you that your eosinophils are high. My son in law had blood work taken and he also had blood in his urine but the hospital felt it was nothing to be concerned about. He received a copy of his blood work and the levels were 6.0 on one and 7.5 on another.	Hello, the absolute number of eosinophils is the most important bit of information. More than 500 per microliter is higher than usual and should be investigated. Much higher numbers would be more worrisome though. The rest of the complete blood count information has to be evaluated in parallel with the eosinophil count. If everything is normal then a slight deviation from normal eosinophil count is likely insignificant. The numbers you've provided cannot be evaluated because I don't know if it's a percentage (and of what total white blood cell count?) or an absolute number (what units?). If you'd like a more detailed answer, please ask again providing all the data from the complete blood count.I'll be glad to help! Kind Regards!
如果你是醫生，請根據患者的描述回答醫學問題。	My age is 51 years, hgt 5.3, wght:54kgs. I am a hbsag +ve , but with no viral load and normal lft, recently i have been diagonised with asymptomatic gallbladder polyps of 6mm size incidentally after a usg scan, kindly suggest if gall bladder surgery is inevitable and if some treatment is possible . What precautions/diet should be taken by me to avoid growth of polyps	Brief Answer:You should establish a follow-up plan with your GI doctor. These polyps should be followed-up using standard abdominal ultrasound or endoscopic ultrasound. Detailed Answer:Hello, Thank you for using Chat Doctor.First, is a good think that your polyp size is small, because even though in 95 % of the cases the polyps are benign, there are rare cases of cancerous polyps. The size of a gallbladder polyp can help predict whether its cancerous (malignant) or noncancerous (benign). Small gallbladder polyps that are less than 10 millimeters in diameter, as in your case, are unlikely to be cancerous and generally don't require treatment. However, these polyps should be followed-up using standard abdominal ultrasound or endoscopic ultrasound, to look for changes that may be an indication of cancer. As in your case, most of the time, they are asymptomatic and are often detected incidentally. So how to deal with these polyps ? See a gastroenterologist and make a follow-up plan. In case of repeated pain or changes in their dimensions and morphology, consider cholecystectomy. In this way you avoid either long term surveillance of the polyps. Regarding diet, it should include fresh, fiber-rich fruits and vegetables such as avocados, cranberries, berries, grapes, cucumbers and beets, broccoli, bell peppers and oranges. You should eat lean meat, fish and poultry, avoiding red meat and all high-fat food in generally. You should Chat Doctor. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind
如果你是醫生，請根據患者的描述回答醫學問題。	my mom was having typhiod . now aftr 2 years her reports are as under . Salmonella Typhi O positive 1:160 Salmonella typhi H positive 1:160 Salmonella Paratyphi Ah positive 1:80 Salmonella Paratyphi Bh negative . what does it indicate ?	Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion your mothers tidal title is still high. There is a need for clinical correlation between tidal and clinical features. If the symptoms is still suggesting you of having typhoid further treatment is necessary. I advise you to carry out stool and blood for culture and sensitivity testing for Salmonella type bacteria. Take the treatment as per the report, and you will be all clear with infections. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist.
如果你是醫生，請根據患者的描述回答醫學問題。	I had neck surgery about 1 year ago, and soon after the surgery I began to experience lower back pain. Ever since the surgery I am continuing to experience back pain and it seems to be getting worse. I am getting pain in my legs and it is starting to effect my duties at work. Do yo have any advice that might help me? Thank you.	Welcome to Chat Doctor I have gone through your query and understand your concern. After going through your query I came to know that you are suffering from chronic backache. It is unlikely to be related to your neck surgery. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You can get vitamin D and vitamin B12 levels and if found low you can take its supplements of vitamin B12 and D3. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics such as Ibuprofen give relief. Avoid long continuous standing. You can discuss with your treating Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doc, May concern towards my health are having Shortness of Breathing(SOB), got nervous or feel dizzy sometimes or let may say my heart beat runs so fast everytime I laugh too much, just like my heart is sqeezing..When I was in high school I was exempted during our P.E. because many times I m collapsed at school. During that time I was taking a medicine as what the doctor s advice then if I should not becareful I might have hole in my heart. What I am afraid of is that last June I feel exhausted & hard to breath for an hour.Please can you help me Doc with regards to this concern?Thanks,Virginia T. Niez, 35yrs. old	Thanks for your question on Chat Doctor. In my opinion we need to rule out1. Cardiac cause2. Respiratory causes first for your symptoms. So get done ECG and 2D Echo to rule out cardiac cause. Get done chest x-ray and PFT (PULMONARY FUNCTION TEST) to rule out pulmonary causes. If everything is normal than no need to worry much. Your symptoms may be due to anxiety. 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 I have a child who is nine years old and she has been diagnosed with Separation Anxiety. I cannot afford to continue the counseling services and to be honest there was no improvements when she was attending. However she has been having some pretty serious incidents with starting back to school this year. It takes me over an hour of forcing her to get dressed for school and then four of us to remove her from the vehicle once we get to school. She will only sleep on pillows in my room because she refuses to sleep in her own bedroom I need to know what options do I have for getting some kind of help for her. I have tried everything and I am exhausted. HELP	Degree understand your concerns went through your details. I suggest you to continue the professional counseling service. You have a child who is troubled with separation anxiety. I see. Is this child yours, or you are a teacher / counselor / stepmother? Why this child is having separation anxiety? Because we are dealing with a delicate subject and delicate innocent client, wee need to be cautious. Separation anxiety will be cured when time passes. But being the caretaker, you need to excise caution on many aspects. I suggest you talk to a child psychologist. I need to assess the child thoroughly in order to provide you any advice. That may not be possible given the online status between us. Please understand. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I was on strong antibiotics for a sinus infection, tylenol, advil and experienced severe diarrhea. I am also on Crestor for high cholesterol. I recently had blood work done during a routine exam and my doctor said my liver enzymes are very high and I still have diarrhea (the sinus infection was 3 weeks ago). I am going to repeat my blood work tomorrow, but is it normal to still have the diarrhea? My ENT said its probably from the antibiotics and statin. What do you think?	Hi, You do get diarrhea when in strong antibiotics. However, it should stop within a week of you stopping the course of the medicine. Elevated liver enzymes are a common side effect seen with use of statins. Your doctor is right on this. I agree to him/her. You still have diarrhea. While you go in for a blood work tomorrow, also get a stool routine done to check for active intestinal infection. You probably have to reduce the dose of statins or switch to better Chat Doctor. Discuss with your doctor regarding these issues. Get well soon.
如果你是醫生，請根據患者的描述回答醫學問題。	hello doctor,my mother has chronic kidney disease and she had a dialysis once.before dialysis her creatinine level is 7.2 and after dialysis its level is 3.2.. but now we dont want any dialysis more. Is is possible to cure it with the help of medicines. what is the diet for CKD i we had dialysis once.	Hello, CKD is a very delicate and serious disease. If by doing dialysis once her creatinine has come from 7.2 to 3, she might need again in future if her creatinine levels go up. As for medical treatment, causes of CKD in most patients is uncontrolled diabetes mellitus or uncontrolled hypertension. So I would suggest you don't be against dialysis because if her great levels goes up there are other problems which start to surface for which dialysis is the only solution. So talk to your doctor, see whether her diabetes or hypertension if at all present is under control and get her renal function tests regularly checked and under control. Kindly revert if you have any further questions. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	I was diagnosed with Stage 2A breast cancer in February 2011. I have had a bilateral mastectomy and chemotherapy and now have saline breast implants. For the past few days, I have been experiencing pain between the 5th and 6th ribs to the left of my sternum. The pain is worse when I breathe. Is this costochondritis? A problem with the implants? Metastasis? Please give me your thoughts. Thank you.	Hi, Thanks for writing in. The pain in Costco Chat Doctor. It is a sharp pain. Breast implants can cause irritation of the nerves in the anterior chest wall causing pain perception. This pain is more localized to the area where implants are present and usually does not radiate to other places. Metastasis is pain due to bone destruction. This is diffuse pain which increases on palpation and focused on the area overlying the bone. It is suggested that you get a chest X-ray or CT scan done to evaluate in detail the cause and nature of problem leading to the pain.
如果你是醫生，請根據患者的描述回答醫學問題。	sir, my daughter aged about 5 years, effected with tuberculosis and treatment is going on for the last 5 months. she has been suffering with frequent fever every 20 days and one month. all the diagnosis are showing normal. but problem has not been rectified. plz help me.	Hi thanks for asking question. You are suffering from tuberculosis, treatment of it by AKT take time in completely clearing the infection. Because of some residual mycobacteria you might suffer from occasional fever. Look for improvement of clinical symptoms and chest x-ray improvement with sputum examination. If it shows improvement then chances of AKT failure are less. So try to avoid stress and complete AKT. 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. I had a baby 7 weeks ago. Since having my baby i noticed that the bottom of my ribs was very painful to touch. Then i noticed i had only what felt like hard lumps at the bottom of each rib cage.Im not sure if its tissue or actual rib cage. Is this normal?	Hi. Thanks for your query. Noted the history of swelling and painful to touch lower rib case after delivery. This can be due to a condition called Costco Chat Doctor. Since you must be breastfeeding the baby, there will some restriction for the medicines. Get examined and confirmed the condition I mentioned and get started on local rubrafacient lotions, anti-inflammatory medicines and rest. Avoid all such activities which will strain on the area.
如果你是醫生，請根據患者的描述回答醫學問題。	hi my 1 yr old daughter had her amoeba back, and i am worried because everytime she drinks her milk, she poops, watery stools. what would be the best thing to do for that? she was prescribed with metronidazole 3 times a day 5ml for 1 week, she had a history of amoeba, she was 6 mos when she had it and it came back again. the dr. advised to give her lactose free milk,	Some things I like to know about her. Since when she is suffering from loose stools? How frequently she has loose stools ? Do u give her purified water ? What her weigh and length? Amoeba is not so common cause of diarrhea. Commnest cause of diarrhea is viral that is self limiting in 5-7 days. Did she undergo stool exam so that you saying it is amoeba. We give ORS, Zinc and Lactobacillus in loose stools
如果你是醫生，請根據患者的描述回答醫學問題。	i am 17 and latley i had a problem . while i usally masturbate about 4 times a week its been more than 2 week that i havent found the urge to masturbate . i was wondering if it has got something to do with the fact that for this past weeks i feel realy tired as i can only sleep for 5 hrs daily beacouse of my job	Degree understand your concerns went through your details. Definitely Yes. Tiredness can cause very low libido and thereby loss of interest in masturbation or sexual urge. This happens so because body needs energy even to have sexual urge. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. 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 an MRi of my knees and it was diagnosed that I have meniscal tear in both knees. I have some pain and take anti-inflammatory pill each day & tylenol several times a day.. Surgery was recommended. It is supposed to be minor surgery to repair it, but nonetheless, it is surgery. Is there another alternative to surgery...like therapy? Thank you	For less severe meniscal injury some simple exercises can help maintain muscle strength in the front of the thigh (qua Chat Doctor. All of these areas are important for your overall leg function while your knee heals after an injury or after surgery. Exercises should only be done on the advice of your doctor and only if you feel very minimal or no pain while you do them at home, or you can use knee hinge braces to support the knee, which can help in healing. Knee hinge brace will transfer your weight from thigh to leg. I hope you will get help with this.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 39 year old female with these symptoms for over a year: Uncontrolled high blood pressure, nausea, right side/flank pain, blue color to hands and feet, feeling of being frozen, shortness of breath, occasional blurred vision and memory fog. My doctor has done an EKG, stress test and chest CT. All tests were normal. I m up to 50mg Metoprolol BID and still having really high BP s and these symptoms. Can someone please figure out what is wrong with me. I m scared.	Hi, welcome to Chat Doctor. Thanks for posting your question on this forum. I understand your query and concern. Many of your symptoms are related to high blood pressure uncontrolled. Its important that Metoprolol dose is increased to 100 mg SR taken once a day and 50 mg at bedtime.Likewise, a complete ultrasound of the abdomen is needed to document any renal pathology responsible for flank pain. Fundoscopy is must in your case to document hypertensive retinopathy. I advise you to have a baseline ECG and 2 dimensional echo on the follow-up to have a recent quick review of your cardiac functional reserve. Consult an expert cardiologist for further expert management. 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。	Hello I was diagnosed with a UTI on Sunday night and given Bactrim. My conditioned worsened so the Dr. Put me on Cipro. I had 102 fever with lower back and side pain. After 2 doses of Cipro the fever went down and the back pain subsided. My stomach is bubbly and distended, the side pain has returned but no more back pain. The need to urinate and burning has gone away. I am also constipated. Should I be concerned of appendicitis? Would the urine test have picked this up?	Hi and welcome to Chat Doctor, You should not be concerned of appendicitis. UTI suffering patients doesn't have appendicitis. Appendix is not located in urinary tract, to get inflammation. Do you have abdominal pain in the region of umbilicus associated with nausea or vomiting, anorexia? Nothing to worry, if necessary please take ultrasound of abdomen to rule out appendicitis. Wish you speedy recoveryThanks
如果你是醫生，請根據患者的描述回答醫學問題。	Age: 40, weight 98 kilograms. No history of disease but has has urinary tract infection before.I recently had water accidentally splash in the toilet on my genitals. Later I got itchy pain on my genitals. A physio diagnosed that I have a urinary tract infection. How is this possible?	Hi! Urinary tract infection is very common and most of the time we cannot explain it; however, there are some possible sources / explanations as follows:1. Anal source: organisms carried forward while defecation2. Rubbing, injuries, contamination or contact with any infected surface like won skin, sexual contacts etc...3. Stone, sides, tumors in kidney or bladder or any area in the tract4. Malformation, surgeries, tuberculosis etc. In the body / tract Hope you got the answer; regards,
如果你是醫生，請根據患者的描述回答醫學問題。	Hello I am 19 years old, i m 5 3, and weight 110. I used to be addicted to painkillers like Vicodin and Percocet . After I stopped taking them, which was very hard I might add, I found out I have liver damage. I was wondering if either liver damage or pain pills can mess with vaginal health. While I was taking the pills I had vaginal dryness , loss of period, and I was getting BV ALOT. Will these problems be gone if I continue taking extremely good care of my liver?	Dear Friendlies killers like Vicodin taken chronically for ill health or for recreational purposes always harm you, as in your case affected your liver. Good thing is you stopped. There is no well known relationship between painkillers and vaginal Chat Doctor. About your liver, I can comment the best only if you share with me your liver function tests and ultrasound abdomen.Don't consume then again and say no to alcohol. Good Luck
如果你是醫生，請根據患者的描述回答醫學問題。	i took a cross check to the face about 2 months ago and ended up getting a whole right through my mouth requiring 10 outter and 6 inner stitches . to the right of the cut is what appears to be a large ball. I went to dermatologist today where he said he thinks it could be a keldoid scar excuse spelling but as i search the keldoid scars it appears to look nothing like them, just a fairly large ball type blister that wont go away. He injected cortizone this morning hoping to make it smaller.. Any ideas what this is?	HI, Welcome with your query to Chat Doctor. Based on the facts of your query, after its review, In my opinion you Your dermatologist in his diagnosis and cortisone injections treatment. What you see an active keloid lumpy red blisterlike lump and not a blister in real terms. Such blisterlike lumps are of active keloid growths of fibrous tissue, which could indicate FB of the stitched thread in it. You have to keep this second possibility of FB granuloma in external cheek scar in mind, at the red lump you have. In that case Surgical Excision after The USG lump study would fix FB in that lump and would fix your problem. Hope this reply resolves your worry with your queries. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS
如果你是醫生，請根據患者的描述回答醫學問題。	my aunty aged 46yrs. Her problem is she is having jaundice and doctors are saying the reason for this is her stone deposition in gall bladder. Her SGPT value is 2863U/L, SGOT value is 1952U/L, bilirubin value is 5.4 mg/dl . She is having hepatitis E . Can you please tell me the possible treatment for this disease. Is hepatitis E curable?	Vaccines against HEV are in development [95-99]. Two large placebo-controlled trials found that vaccination was more than 96 percent effective in preventing infection in high-risk settings Little information exists regarding the efficacy of pre- or post-exposure immune globulin (IG) prophylaxis for the prevention of HEV. There is at present no proof that immune globulin, including lots produced in countries where HEV is endemic, confers protection against hepatitis Travelers to endemic areas should engage in practices that may prevent infection, such as avoiding Chat Doctor. Treatment of infection remains supportive. Case reports have suggested a benefit from Riboviria, suggesting it might be an option for chronic HEV infection, but more data are needed
如果你是醫生，請根據患者的描述回答醫學問題。	Recently had my front tooth removed (root included) and currently have a tooth denture waiting for it to heal in preparation for implant. However, with my tongue I have squeezed out some pus and it really stinks...I am rinsing with warm salt water and am brushing flossing regularly...also have been continually taking nurofen gel caps for the pain & swelling...should I be worried about the stinky pus?? I m endeavouring to go to after hours doctor asap coz I just want this to all go smoothly for the coming implant...thoughts??	Hello there....It's been how long you have your front teeth extracted???? Presence of pus is indicative of infection... What was the reason for your teeth removal? Inspire of antibiotic coverage, if pus discharge still persists, culture sensitive test needs to be performed ... It is evident that microorganisms are resistant to the antibiotics used and change of antibiotic is mandatory... if sterilization procedures are not well maintained that would also lead to infection... Usage of denture is not ideal before implant placement...use it only when you go out in public...continuous usage of denture is not indicated as it would pre-dispose to bone loss... for implant success you need to have enough bone.... In your present condition I would advise you to wait for at least 3-4 months before the implant placement... Get yourself examined clinically for further management...
如果你是醫生，請根據患者的描述回答醫學問題。	my 5 year old daughter complaning does not see a black board in class last seat.we go for eye test dr.prescribed glasses.her right eye sph -1.75,cyl -0.5,axis 160. & left eye sph -1.75.pls suggest what we do eye sight numbr not increase ang what we do for cylinderical numbr reduce.my daughter is very little for face a problem.we r also very tensed what diet we give her and plz recommend for eye drops also.thanks	Hi, thank you for choosing Chat Doctor. Sorry to learn about your child. But try to understand that there are no medications which can reduce eyesight expect diet rich in vitamin A and carotene which have proven effect in some studies. There is not much we can do for the Colin Chat Doctor. As they grow for some kids the power decreases, hope the same for your kid, if not there have been many advances in recent times including painless laser treatments for eyesight. Hope this has helped you. Your vote of thanks is appreciated, Good luck,
如果你是醫生，請根據患者的描述回答醫學問題。	Sir I am S.N.Phukan 55 years old man. My prostrate is enlarged to 41 gr. Previously I took silofast-8 now doctor changed it to urimax-D at bed time. I took also Olmezest-20 for blood sugar. I am also a heart patient. This year 25th September placed a pace maker in my heart before placing pace maker I was fall down and injured in my nose. I took also ecosprin-150 and atorva-20mg for heart. How long I will take urimax-D. To day my fasting blood sugar is 199. I took insulin human mastered 30/70 20 unit before lunch and 10 unit before dinner. Again at bed time I took basolack 20 unit. I am waiting for your reply.S.N.PhukanAssam, Jorhat	HelloThanks for your query. You have been diagnosed to have enlarged prostate (41gms)and have multiple cardiac problems. Ideally there are two modalities of treatment for enlarged prostate 1) Medical line of treatment which includes alpha receptor blockers like Tamsulosin(Climax) and Finasteride . These Chat Doctor. And has to be continued till you opt for surgical treatment .2) Second option is to get the enlarged prostate removed by an endoscopic surgery of TURN. In view of you having multiple cardiac problems I would suggest you to avoid surgery and continue taking medicines for life long.
如果你是醫生，請根據患者的描述回答醫學問題。	My 7 year old daughter is complaining that her stomach hurts right around the belly button and she is not hungry. This has been going on for 2-3 days, she also states that depending on how she extends her leg, it hurts even more. Could this be her apendix?	Abdominal pains are common in childhood. Most of them are not serious.However, it is not appendicitis as pain is not continuous nor with fever and vomiting. You should look for any constipation and also deform her once. Add some fibers in diet like salads etc. Again get a routine urine test done as urine infection is also a cause of pain in child Chat Doctor. Further if the pain is not disturbing sleep, not associated with vomiting and the weight gain is ok then you may not need to worry.
如果你是醫生，請根據患者的描述回答醫學問題。	Dear Doctor, I am aged 35 and weight is 106. I had been to doctor on 20/11/13. My USG SCAN Diagnosed as GRADE 1 FATTY LIVER. My blood levels SGOT & all related are very high. Almost the double of the maximum prescribed limits. After endoscopy the diagnosis was LAX CARDIA & DIFFUSE EROSIVE GASTRITIS. Is it something serious. They have advised me Heptral 400 , UDILIV tablets.	Hi, thank you for using Chat Doctor. I had gone through your query. GOT and SGPT are the liver enzymes that indicate the liver cell injury. Fatty liver is the abnormal accumulation of fat in the liver cells. I would suggest you to continue the medication prescribed by your doctor and follow the instructions given below to lowers got levels and to get rid of fatty liver as it is a reversible condition. This can be achieved by simple lifestyle modifications for weight loss. I would advise you to follow these instructions given below. Try losing 1 or 2 pounds per week not more than that, as it would lead to health problems. Go for cardiovascular exercises like brisk walking, running, swimming for 45 min a day, 6 times a week. Strength training 4 times a week. Avoid alcohol, quit from smoking. Avoid fatty foods, junk foods, deep-fried foods, simple sugars, pizzas, chocolates, ice creams, soft Chat Doctor. Have a balanced and healthy diet that should include complex carboy
如果你是醫生，請根據患者的描述回答醫學問題。	I have a sprained right knee per the ER. They gave me norco w/Tylenol for pain. Plus 50 mg prednisone for 5 days. The pain pill 10-325 lasts 3 hrs. I can t see an orthopedic doctor until Thursday morning. I can t refill the pain med unless I go back to the ER. I ve tried everything they advised at ER. Heat, raise leg above heart height, bed rest, no weight on leg. I m using a borrowed walker. Also took 1advil with norco as I was advised by ER. What else can I do for relief from this pain. It is wrapped with elastic bandage but no brace. No MRI done o X-Ray.	Hi, as mentioned by you about the pain not getting down even you tried the RICE protocol along with medicine. I will recommend you to take an MRI and see if ligament injury is present. As while having a ligament injury most of the time pain don't come down even with the RICE protocol. Also in the meantime you can ask a physical therapists help for ultrasound therapy and TENS therapy. As it is an instant pain reliever since it is applied in the site of the injury. We have practically tested this and research also supports this for instant reduction in pain. Pain won't be at level zero but sure it will not be that bad too. Also, some small exercises for maintenance of the muscle property will be performed to keep the hemodynamic stable. Once MRI is done we can come to conclusion of any possible ligament injury and post that treatments will be planned accordingly. RegardsJay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,I have a sore throat. My right sinus and ear are always full. The sore is behind my right tonsil.	Hi. I understand your concern. Your right sinus is full which indicates that you are suffering from right-sided sinusitis. It will create a post nasal ChatDoctor. Therefore, a sore throat and a clogged ear are likely to develop. It will be better to consult your ENT doctor for a thorough examination. Do a necessary investigation to finalize the diagnosis. Then only the treatment can be planned. For more information consult an ENT otolaryngologist online
如果你是醫生，請根據患者的描述回答醫學問題。	hello. my husband suffers high blood pressure, an insurance company dont want to life cover him as his reading was 196/100 (his meds were finished and he had to get more). I now feel like hes a walking heart attack and am worried sick. I dont know what his reading is whilst on meds, but know that the reading is much lower. Hes 43, smokes about 10 cigarrettes a day and drinks socially. Am I being paranoid that hes going to suffer some sort of major heart attack soon or is he okay as long as he takes his meds?	Hello, I had gone through your question and understand your worry.-The normal range for high blood pressure is 120/80 mmHg. At 196/100 mmHg it is quite high but reversible. -In my clinical practice, I first advise patients with high blood pressure to stop smoking and do a generally modify their lifestyle. Partaking in regular exercise like walking and eating healthy. -Always remember to buy necessary medications before they get finished and take medications as prescribed. - Continuously increased blood pressure till 196/100 is a risk for a major cardiovascular event. Please ensure that he adapts to the changes, and hopefully he will be fine. Warm regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, What might be the cause of blotchy redness in the pubic area? My skin appears to be dry in the spots that are red. The redness is located only on the pubic area directly above my penis, but not on my stomach. It normally does not itch, however, sometimes it does during/after exercise. Also, I have some similar blotchy redness in the middle of my chest. It does not itch at all and doesn t look dry. Not sure if this related at all. Thanks.	Hi, Possible causes for blotchy redness in pubic area may be due to Jock itch or heat rash or yeast infection or razor bumps or folliculitis or herpes simplex infection, etc. Use moisturizer cream locally, use tablet Atari 25 twice a day for five days. If symptoms not improved please consult your doctor he will examine and treat you accordingly. 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 Dr. Rynne, This may sound minor but I feel that it does not hurt to ask. I have experiencing muscle spasms for at least two or three years now that at first seemed minor but it happens often enough for me to be concerned. There is no rhyme or reason they occur in various places throughout my body continuously. My eye, lips, arms, legs, temples, etc. Should I be concerned? Is this a result of a vitamin deficiency? Your help is greatly appreciated!	Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns. For how long you are suffering from it? Any other associated problem? Like diabetes or hypertension? You need a proper clinical assessment before a reasoned conclusion can be Chat Doctor. If I am your attending physician after clinical examination, I will get your FBC, ESR, CRP, Rats, Lots. After then, we will be able to proceed. I don't think it is due to the vitamin deficiency. Meet your physician. Meanwhile, stay calm and use acetaminophen to relieve pain Get well soon Hope your query is adequately ad
如果你是醫生，請根據患者的描述回答醫學問題。	sir , My age is 20 year old and i am to week my weight is only 56 kg but my height is good. Sir some people tell me your weakness is due to releasing sperm. i ask with you that is this right. sir i release my sperm from 14 years. and i release it in one time in a week or another i release it more than 2 time a day. so sir tell me about this facts. I am highly thankful to you for this	Hi, I had gone through your query and understood your concerns. Sir, the release of sperms is just like any other normal phenomenon. And, its quite common among young boys. The process only burns some calories like any other exercises do. Other than that there nothing else like causing weakness. When you do it more times in less time, that lead to slight restlessness. Otherwise else, now and then is not at all a problem. Hope this guides you. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I am wondering if fear of crowds such as shopping malls can be associated with aggressive behaviour in an adult male?Could panic caused by crowd of strangers spark aggression to the strangers? Is this a phobia. The person does not want to shop at weekend as there may be crowds. He sometimes is aggressive to strangers while out and I hear stories of his aggressive behaviour when young while out.	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. Yes it could be a manifestation of phobia. Agoraphobia can cause such a presentation and the person can react violently as well. He needs proper treatment. Structured graded systematic desensitization can be helpful in this case. Also, the medicines such as paroxetine and Escitalopram can help you in such cases. 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。	Hello doctor,I am a 22 year old male. I have little penis (3 inches) and for increasing my penis size, I do stretching exercises like jelqing and on doing jelqing, I have leakage in my penis and I do masturbate 3 times a week and jelqing time duration is five days in a week and I also do exercise for my height means for increasing my body height. So will it affect the body? Is masturbation right or wrong? I have attached the reports you had requested for.	Hello. Your reports are normal (attachment removed to protect patient identity). So, no medicine will help. Height and penis size cannot be increased at your age. Masturbation is normal and not harmful. Be careful while doing jelqing. If you do it vigorously you may damage the penis. For more information consult an obstetrician and gynaecologist online
如果你是醫生，請根據患者的描述回答醫學問題。	I have been told for the first time, that in the last few days they have seen head movements when I am talking. Not every time, but sometimes and it is slight back and forth. I do not realize this is happening. I am a 65 year old female in good health. My dad, 93yrs old, has essential tremors when he tries to write. What is going on?	Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have head movements while talking. Well many people with dystonia experience head shake especially if the dystonia is affecting their neck. Head tremor can be due to a condition called essential tremor or due to dystonia and in that case the tremor is labeled dystonia tremor. I would suggest you to consult neurologist for proper examination. Doctor will examine physically. Doctor may prescribe medicines like carcinoma levodopa, trihexyphenidyl, Genotropin or diazepam which act on neurotransmitters like dopamine. Doctor may also recommend physical therapy or speech therapy. Hope your concern has been resolved. Get Well Soon. Best Wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	I have a lot of little tiny lumps under my armpit. Sometimes I can feel them and sometimes I cannot. My armpit is always tender and sore. My right breast is larger than the right is that normal? I just felt a stinging sensation on my armpit. I am 20 years old can this possibly be breast cancer? I did an ultra sound a year ago but it came back negative. I am extremely worried	Hi, dear. I have gone through your question. I can understand your concern. You may have some lymph node enlargement in axillary areas. You should go for fine needle aspiration cytology of that lump. Chances of breast cancer is very rare in your age. No need to worry about that. You may some other pathology. Consult your doctor and take treatment accordingly. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doctor, i am 41 year old black woman and i weigh about 80kg, 5ft 4 inches tall and i have never really been ill but i have had four caesarian sections and i have four kids. Two years after i had my second child who is now 9 years, i noticed a lump in my one armpit only and i thought it would go away but it is still there. i noticed that it would swell and become painful whenever i had a baby then go back to the normal size with no pain after. the armpit has a visibly protruding skin.	Thanks for your question on Chat Doctor. I can understand your situation and problem. Armpit swelling associated with pregnancy can be due to hormonal changes. Hormonal changes during pregnancy can cause fat deposits in the armpit and this can give swelling. After pregnancy when hormones are normal, this swelling reduces and disappear. So it is mostly related to hormonal changes during pregnancy. But better to get done ultrasound examination of armpit to rule out lymph node enlargement as maxilla is full of lymph nodes and when enlarged, they can cause armpit swelling. So get done ultrasound examination of armpit. If this is normal then mostly you are having hormonal changes related swelling.
如果你是醫生，請根據患者的描述回答醫學問題。	My father has abnormally high monocytes with the blood draw under the CECW-DIFF Under the Differntial Morhtology his MPV was also abnormaly high the CMV revealed his ALT/SGTP and AST/SGOT to be high. He has gpne from family dr. to Hemetologoist now to Pathologist with a Bone Marrow Test due tm at 9am. All signs to me point to possible Fatty Liver. But I am not a Doctor. Why are they doing a Bone marrow and not a CT or MRI of the liver first? What are the other possiblilities that would lead them in the directioon of Bone Marrow before simple CT or MRI?	Hi thanks for asking question. Here you have not mentioned full report with total count number and PS finding. Monocytes are high. So if blood report cant identify malaria parasite and high suspicion of chronic infection then bone marrow useful in identify malaria or tuberculosis like condition. If count high or PS shows atypical cells bone marrow useful for identifying subleukemic AML. For fatty liver USG is helpful. For liver mass identification yes CT can be done. Decision has to be taken after physical examination and detailed history for doing biopsy. You can consult another doctor nearby before biopsy for taking second opinion. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi there - i have been feeling light headed and quite agitated / anxious recently. I did see my GP who advised that i had high blood pressure but this was probably just because of the Christmas excess of alcohol etc; however the symptoms remain after over a week back in work after Christmas. Any ideas? ThanksDave	Degree understand your concerns went through your details. I suggest you not to worry much. I suggest you go with your GP. You might be having BP. Of course, you are also right. Excess stress can cause anxiety as well as hypertension. This hypertension, if due to stress, could last for around 6 months to one year, if you keep it in check. Exercising, controlling weight and flabbiness, eating food rich in potassium and minerals, fruits, not engaging in trifles and living a peaceful life shall definitely help you bring your BP down. Till then please go with your GP's advise. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. 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 undergone heart bypass surgery on May 1989.I am on Ecospirin 75 since then .Last October,my doctor changed the dosage to Ecospirin 150.On 16 Sept 2011,I had to admitted to hospital due to severe Gastro intestinal bleeding.The doctors opined that this bleeding,from Ulcer in Duodenum,is the result of intake of Ecospirin.I had no history of Ulcer before.Since recovery,I am off Ecospirin(as a blood thinner currently) but I guess I WILL HAVE TO TAKE a blood thinner.What alternate can you suggest?...DBAge:74 years,Weight:74Kg.,No Blood Sugar,Has under gone CABG on May,1989	Hello, Thank you for your query at Alternative section. After going through you query I would like to suggest you that you defiantly should go for Ayurveda medicines, you will find good alternative for this. If patient come to me in this situation, We Examine the patient thoroughly, get detail about the Diet and daily lifestyle patron. It Will be very helped for us if you revert with these details. Because to treat any disease we have to find out the cause first, According to that we can modify his diet and lifestyle. Patients should cultivate good habits and hobbies to keep their body, mind and spirit in a healthy state. A discipline lifestyle with regular timing of meals, good food habits, planning for some regular physical exercise and recreational activities is essential. In fact these habits and hobbies are good for everyone irrespective of whether they are coronary artery disease patients or post-Surgery patients. Taking food and medications on time, exercising regularly, taking holidays and vacations and practicing relaxation techniques like yoga and meditation on a regular basis are some of the practices that all these patients must follow. Diet has to be specially planned for each individual depending on whether the person has obesity, diabetes, hypertension or high cholesterol. In general there has to be control of total calorie intake (usually less than 1,600 Kcal per day). The diet should be low in carboy Chat Doctor. Each patient should be given individual specific guidelines for his/her dietary regimens. So Get proper advise Please revert with you Diet and lifestyle Patron Along with that I prescribe the medicines to maintain the fat metabolism, to strengthen the heart. Usualy we Prescribe Hero Mineral combination Arjuna Bharat Ra's, Arjuna Sheer aka, Arjuna arista, Whitman RAS, Aroma verdict Vat, Punarnava, bhangra, Employee. Each prescription designed according to individual requirement. You are requested to meet and seek consultation of Good Ayurveda Consultant. Hope this is Information is helpful for You regards Vienna Naveen Sharma
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I am a lifeguard at my local pool as i was last summer. Last summer went good and I had never been dehydrated or felt like i do this summer. But this year I have felt anxious, constantly tired, at times weak, i feel constantly thirsty, i have to urinate almost every hour of the day,i feel lightheaded and sometimes nauseated. Can you give me any ideas of whats causing this?	Hello Good Evening, As per your description you did not mention your age and your weight and history of your weight gain or loss. Your symptoms can be just physiological, nothing to worry or can be of Diabetes. Because in Diabetes there are major symptoms are:1. Loss of weight2. Frequent urination3. Increased thirst4. Increased hunger. Other symptoms can occur, because you are losing weight but same physical exertion. So you should rule out, that you are suffered by Diabetes or not, by following investigations:1. Blood Sugar levels (Fasting and PP)2. HbA1c levelRegards.
如果你是醫生，請根據患者的描述回答醫學問題。	hello, ive been having a pain in my upper right abdomen between my ribs for about 3 weeks, along with a new pain traveling up to my right shoulder which feels to be a nerve. This has happened about 4-5 times over the past 4 days. Ive had a HIDA scan whicChatDoctore back fine and hepatitis test and liver enzyme test which all came back fine. I did however get an abnormal chest xray back. maybe you could decifer some of the terminologly. It states there is a mild peribronchial thickening noted in the right hilar/suprahilar region. On the later view there are densities projected over the spine. The possibility of an interstitial infiltrate cannot be excluded.	Hi and welcome to Chat Doctor. Peribronchial thickening is nonspecific sign, usually means nothing, but can suggest bronchitis or atelectasis especially in smokers. I would be more concerned about this spine issue? It must be evaluated by Ct scan. It can be degenerative changes but something much serious should be ruled out. You should also do liver and gallbladder ultrasounds to check gallbladder stones, this can cause such pain too. 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 I have had a blood pressure check with a home machine which gave a high reading and a feeling of pressure under the stern ham also my heart rate is high but thisMay be that I am worried in case I have a heart problem. The pressure has come and gone for around4 months	Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. Essential hypertension is a chronic disease. It has not a definite cure, but it should be treated life long. Sometimes a lot of people does not feel anything even having high blood pressure. But sometimes, excessive blood pressure in a hypertensive crises can be manifested with headaches, blurred vision, nausea or vomiting, increased heart beats, chest pains or pressure as you describe. So, first I will recommend you to measure your blood pressure. If you have elevated values, meaning mean values above 140/80 mmHg than you have to treat it. If you leave your blood pressure untreated it slowly modifies the heart. If I was your treating doctor I will recommend a full cardiac check up with blood test analyze, an electrocardiogram, echocardiography, a pressure and rhythm holder monitoring. Only after this we can be able to judge to start a medication or not for high blood pressure and heart rates. In mean time avoid excessive salt intake, caffeine products, energy Chat Doctor. They rise your blood pressure and your heart frequencies. Hope I was helpful. Wish you good health. Best regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Dear sir, I am Bangalore, One of my relatives, is suspecting their 2 years old kid might be become deaf/dumb, because there is no sign of hearing/speaking any kind of word and also his father is dumb and two in their family..they have taken kid to few hospitals they mentioned there are chances of going dumb but not giving clear advice what next..i.e Is there any therapy/treatment or can get operated..Sir please advice good hospitals/treatment centers either in Karnataka/Andra pradesh and what should we do? Thanks, Gopi	You need to first check the hearing of your child. Please consult an ENT specialist and get a play audiometry and ERA test done. With the reports the ENT SPL can tell you whether hearing aids would be of use. In the meantime start speech therapy sessions and also consult a developmental pediatrician to assess whether the child has any difficulty in communication skills. Bangalore has quite a few good centers for such problems St Johns hospital being one of them.
如果你是醫生，請根據患者的描述回答醫學問題。	iam rajan from Puducherry,an artist designing logos and monogram and interested in calligraphy.i developed pain in the back in 2001.consulted an orhto doctor.then applied medicinal herbal oil in the affected area for 45 days . Till last week i was managed to travel and do day to day work.Again i feel difficult to drive my two wheeler .consulted a doctor. he told me that the gap is norrow between L5 and S!. what i have ti do to reduce pain and to do my day to day activities	Trajan, 1st if all u need to know that u have to maintain your sitting posture, like use of pillow at back while on chair for long time sitting, 2nd u need to c orthopedic to review u for your spinal curvature n he will teach u exercises for back which u have to continue for quite some time.(even IIF u get BTR in 10 days u have to continue for at least 6 months). U need to undergo physiotherapy for few sittings along with mild analgesics and muscle relaxants.and local application of painkiller tells. Lying down on tummy for 20 mins at NYT will help u too...
如果你是醫生，請根據患者的描述回答醫學問題。	My name is Judy. I am 54 yrs. old. I have had epilepsy since I was 13 years old. I have been taking klonopin for about 10 yrs. My dosage was increased to 2 mil. twice daily about 2 yrs ago. My question: I have started seeing ghosts at night time and it it really bothering me. Sometimes I can be sitting on the couch watching tv and sometimes in bed. I also take 150 mil Lamictal 2 times daily and 2oo mil Zonegram twice daily. Please tell me is this normal or not. Could this be a side effect of the klonopin? Or the other drugs? My e-mail address is YYYY@YYYY .com	Hello You are taking three Chat Doctor. You are a known case of epilepsy and are currently seeing figures like ghosts. There could be following cause for the visual disturbances or hallucinations you are having-- First possibility is epilepsy itself. Certain kind of seizure can present with hallucinations. Temporal lobe epilepsy can present with visual hallucinations.- Zonisamide is a good adjuvant
如果你是醫生，請根據患者的描述回答醫學問題。	Dont know where to start; have had burgers for 20 years, lost my toes (both feet) and have went on. Just got the infor that Im on stage 4 (something esophageal cancer) and I have been to the VA where all the long, short & mediam coat drs are fighting over me. I opted to stop chemo and Ill start here. Can you give me an idea who/how/what to ask - eg. time line etc. just want to get this over with but dont know what to do or ask. Dr. Perrin MD in Ft. Dodge is what I guess my primary Dr. along with HOSPICE AND GOD KNOWS ABOUT THE VA?An and all infor or suggestions would be helpful. iV NEVER DONE THIS BEFORE. tHANKS *HELP INFO - i DONT DRINK, SMOKE AS OF 20 YRS AGO SINCE MY DIGANOISE OF BERGERS. THANKS AGAIN	Hi, dairy have gone through your question. I can understand your concern. You have esophagus cancer. It is stage 4 cancer. Surgery is not useful in this stage. So treatment options are chemotherapy and radiotherapy. But it will not cure the disease. It just works as palliative therapy. Despite all treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. Consult your oncologist and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	i went to a gyna,was advised to take ova care,duphaston10mg and vitamin e.my periods are irregular and havent conceived since removal of jadelle last year October 2012.havent used anything since and i want to conceive are this medication safe to use are they good for me?????.	Hi, Both ova care and phaeton will help in conceiving. I would suggest taking it under advise of gynecologist after complete evaluation, reproductive hormone analysis, USG scan and ovarian follicle study. Ova care contain mineral and nutrient that will require for pregnancy. It is effective to become pregnant and maintain reproductive health. Duphaston contain progesterone. It helps to support implantation and early pregnancy. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards,
如果你是醫生，請根據患者的描述回答醫學問題。	Im 22 and pretty sure I have sleep apnoea because I wake up around 3 or 4 times a night gasping for breath. Over the last few month Ive also been having issues with my breathing in the day. Its like Ive become concious of my breathing and now its a concious action. Occasionally my fingers or lips start to tingle when Im having trouble. When Im having trouble breathing my heart pounds, but still at 75 beats a minute. Ive been given an inhaler and Im being treated for asthma and it helps a bit but not much at all. Obviously the fact Im a smoker doesnt help, but Im gradually kicking the habit. Do you have any idea if its something other than asthma or how I should treat it? Sometimes I dont use my inhaler for days, other times I need a puff or two and sometimes I feel like I need it constantly and it isnt helping enough. The doctors dont seem to be much good at diagnosing me... so far theyve treated me for anxiety - which didnt help at all - and asthma, which is helping but not in the way Id like.	Thanks for your question on Chat Doctor. I can understand your concern. First you need to quit smoking as soon as possible. There is no other alternative to this. So quit smoking first. Secondly, consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). 3. Sleep study. PFT will tell you about severity of the disease and treatment of asthma is based on severity only. You may need newer long acting beta 2 agonist (LAB) (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). If sleep study is positive for sleep apnea then you will need CPAP (continuous positive Airway pressure) machine at night. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. 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。	Hello doctor,I have these marks which were initially boils. I have had these marks on my chin before but was not so bad, but the other day I had three boils and it made the marks on my face look more standing out as before they were not noticeable. I used hot water on my boils and I think that it brought out the marks on my face. Will they fade? As they are depressing me as they look like spots or a scar when they are not a spot. How do I get rid of it? Please help.	Hi, Welcome to Chat Doctor forum. I have seen your query and concern and examined your picture (attachment removed to protect patient identity). With your descriptions and given picture, it seems you have a hypertrophic scar (raised scar due to excess collagen deposits). If you will not treat them, it will remain as such, but rarely can it subside too. It is a reaction pattern of the body to injury. It can be treated by intralesional steroid injection like Kenokort (Triamcinolone acetonide) 10 mg/ml, 0.1ml/cm2 intralesional at the gap of three weeks interval, given by a dermatologist.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a stomach virus two weeks ago that had a fever of 102 for 2 days after that I started having a stuffy nose that went into my ears and my eye look like it had an infection. I ran a fever of 99 for about 2 weeks. I now have a very sore throat and my temp is still 99 and I have a lump on the top of my mouth towards the back. Is this something I should go have looked at or could I be at the end of what ever bug I have	Hi, dairy have gone through your question. I can understand your concern. You have infection in ear, sore throat and fever. You may have upper respiratory tract infection like granular pharyngitis which give lump like feeling. Furthermore, you should go for examination. If needed to take a course of antibiotics like azithromycin or levofloxacin according to your doctors' advice. 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。	Doctor i m 5 months pregnent, its my 1st issue. I hv been asked for LFT test and report says :my Billi Rubine is 1.2,SGPT is 289, SGOT is 171 and Alklyene phos is 291. And in the USG i had a stone in GB of 13.7 mm.Plz suggest me the precautions and line of treatement.	HelloWelcome to Chat Doctor. Thanks for posting your query. I understand your concerns. Stone in the gallbladder doesn't require any surgical line of management until and unless it is causing severe pain. If you are having pain on the right side of you abdomen, you are expected to undergo cholecystectomy. As you are in your second trimester, it is safe to undergo surgery. If you are a symptomatic, you can undergo surgery after the delivery. Hope this helps you Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	had heart stent put in 4 months ago due to heart attack that was brought on by severe pnemonia that put me on life support.a week ago my feet and ankles started to swell, getting less swelling,but still there.called my doctor,wont prescibe water pill,till he sees me sometime next week,any over the counter suggestions	Hello and thank you for your question. There are no over the counter pills that you can take, but there are some things you can do to decrease the swelling. Cutting out all salt in your diet is very important. This means not adding salt to your food but also avoiding prepared foods such as processed meats, canned foods and eating out at locations that do not use salt restrictions. Propping your feet up so that they are above the level of your heart can help also using support hose or compression stockings can decrease the swelling. Walking or just moving your legs around while you are sitting around get help get the fluid moving out of your legs as well. If you develop shortness of breath or chest pain you need to go to Emergency Best regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I had a Cardiac Risk Assessment 1 week ago today at the local hospital as part of a Cardiac Assessment Screening that was offered. I am a 57 year old caucasion male, I am 5 7 186 lbs. The assessment included an ECG. The results are as follows: Vent rate 64 BPM Sinus rhythm, PR interval 158ms Right bundle branch block, QRS duration 148 ms Abnormal ECG, QT/QTc 430/443 ms no previous ECGs available, P-R-T axes 44 -20 14. Up until the last 3 years I stayed fit by going to the gym and working out on the treadmill and using the weight machines for strength training. My goal this year is to get fit again by returning to the gym. I would appreciate some insight as to what these results mean. I plan on contacting a local physician to be evaluated, but am concerned about the results of the ECG. Sincerely, Kevin M. B	Hello Kevin, I have gone through your history. Right bundle branch is usually not a serious abnormality .it is possible you may be having long-standing RBBB without any significant heart disease. But when it is picked up for the first time we need to confirm that it is not due to any lesion of heart. If you have old ECG taken in past (by chance) and it too showed same finding then you may consider as benign condition. However it is advisable to get echocardiogram and stress test done. If they are normal you safely resume Gym. And live normal life. My best wishes.
如果你是醫生，請根據患者的描述回答醫學問題。	This is a bit embarrassing to say, but i recently found a small hole-like opening in the crack of my butt the other day. it doesnt hurt, but it bleeds about once a day with a watery-blood type substance. i am sure this isnt normal, but i was wondering if i should see a doctor for this. by the way i did some research on my own and it seems to be something called a fistula. i am a little worried it could get infected.	Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, it can be fistula, or it can be sinus. But it can only be known once the clinical examination done. I advise you to visit the nearby surgeon which will guide you regarding the type of channel you have. I advise you to please take the surgery done because surgery is the only treatment option available. If the surgery is taken delayed, there is chance of infection. As the anal area is potentially dirty area there is chance of infection by the bacteria from the intestine. Please maintain the hygiene as it can prevent you from getting infect ion until you visit the nearby surgeon. You can do it with frequent washing and Chat Doctor. I will be happy to answer your further concern on bit.ly/
如果你是醫生，請根據患者的描述回答醫學問題。	I have been having pain on and off in the right side of my abdomen for the past few days, and theres also discolouration (like a bruise, but not very dark, rimmed by a red border, slightly itchy) in the same general area. Am wondering if its something that will pass or should I seek medical help immediately? Im 21, approx 52kg, 160cm.	HI. Thanks for your query. Your problem does not look like it will pass on its own. It may not pass but can worsen. And can be Chat Doctor. After reading your history I think this can be due to some inflammatory process going on on the right side. The probable causes can be :Colitis. Retrocecal Appendicitis. Kidney infections... The cause of redness can be hot water bag you must have taken. I would advise the following :Get the blood, urine, stool tests done, ultrasonography and further tests as per examination done by your Surgeon.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, so I had oral sex it was her first time going down on a female and she was way too rough. It started hurting so I made her stop and there was a lot of blood. I have what looks like a cut which then kinda created a bubble looking thing. Dr gave me triamcinolone acetonide ointment. It looks like the swelling has gone down (happened 6 days ago on meds for 4) but it looks like the bubble is going to stay like that and it looks extremely gross. dr wants me back in 6 more days, if it still looks like that can the dr cut it off? It literally looks like a ball of skin that doesn t need to be there	Hi, Blister may be due to fluid collection under prepuce skin after vigorous sex, or it may be due to herpes simplex or candida infection. Until examination is done it is difficult to say what it is. Use oral pain painkiller and apply anti-inflammatory medication locally. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	i had sudden gall bladder removal surgery 2 years back after suffering from it for a month and having jaundice . I had to go for surgery with good faith and thought trouble might be over. But i think unusual real troubles started afterwards . i suddenly developed hyper tension , higher sugar , thyroid and higher cholesterol . I am 29 years old and i did not have these troubles and i was completely healthy before gall bladder removal. i have asked numerous doctors and no one have any clue. they said you need to be treated for metabolic syndrome . Any Doctor in forum can comment that would be great. I think if i get on thyroid treatment all these other symptoms might go away. I was on statin and i had terrible side effects. After having bad experience i had started natural remedies like no sugar diet/less salt , omega 3 acids, olive oil, oats , flex seeds, an hour of gym . after doing all these although my blood pressure is 130/86 and not coming down. I am going for further checkup and i dont have any hopes after not having any results. Any one know how i can improve on this I am taking all steps but no results so really hart broken.	Hello & welcome to Chat Doctor, I had gone through the case, I want to know your family history of diabetes, hypertension, thyroid problem. Do you have any symptoms and sign of this problem right now like headache, obesity, rising of blood sugar etc? I will advise you to do Panama(ANULOM-BELOM) exercise for 15 minute daily for 1 week and then major your blood pressure, definitely your problem will resolve. If not then you have to consult the doctor for hypertension, who can advise you medicine, correct diet pattern and more exercise for it. Hope so your problem will resolve. Thanks & Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my urinalysis result color yellow, transparency cloudy, ph 6.0, specific gravity 1.020, protein trace, sugar neg(-), wbc tntc, rbc 2-3 , epithelial cells mod, mucus treads few, bacteria mod crystals amorphous urates few, cast none. i have fever now , i havee stomach pain and back pain	Hi. Thanks for your query. You have Urinary tract infection which has caused the stomach and back pains to. I would advise you the following :First send the sample of urine for culture and sensitivity before any antibiotic is started as even a single dose of an antibiotic can alter the reports. Blood : Urea, creatinine, CBC Ultrasonography of the abdomen to see any stones or secondary changes in the kidneys, ureters and urinary bladder. MVP if required. Get a course of 3 weeks of antibiotics and supportive treatment as urinary alkalinize. Take plenty of fluids orally.
如果你是醫生，請根據患者的描述回答醫學問題。	Yes, Please!, Good Morning, My husband has developed a mass under his chip wear it makes a v like shape, he complains about the pain and it being swollen, .. it seems as if it is getting more swollen each day ..He barley tried clod conpressions for less than 5 mins ..Do you know what this might be?	Hi.Thanks for your information about a mass that has developed under the chip wear of your husband. The pain, increasing in size indicates that there is an infection going on in the area and your husband needs to take an antibiotic and anti-inflammatory medicines to get the infection contained. If the problem is more than 3 days it is likely to develop into an abscess and then will need incision and Chat Doctor. For getting a clinical evaluation, getting a prescription and an opinion whether to give medical treatment or to give an incision, it is better to consult a General Surgeon.
如果你是醫生，請根據患者的描述回答醫學問題。	help	There is nothing wrong in open sexual discussion with parents, as parents are great, sincere guide. They will never mislead you. Watching & doing is a normal phenomenon seen in the majority of young guy. So there is nothing to get scared. One learns from experience also. I think your parents must not have minded it, as they know it common & normal behavior. Enjoy the experience of life & concentrate on your study. Disclaimer
如果你是醫生，請根據患者的描述回答醫學問題。	A few weeks ago I injured my tailbone, the pain was manageable up to today. Today I was sitting with my legs crossed and I bent forward and when I bent forward It felt like a ripping in my tail bone and now no matter what I do I get a severe pain in my tailbone	Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As the injury was directly on the tail bone there are two major possibilities which can occur here. Due to the impact of the injury - there might be a spondylolisthesis of the lower vertebrae or may be a lower level disc injuries.These is the commonest form of injuries which happens and gets unnoticed. Which later on give symptoms of constant pain and mobility induced pain. Taking an MRI of the lumbar spine along with the tail bone will help understand. As x-ray fails to show the soft tissues and sometimes the fracture as well, so MRI will be of choice. Post which with rest, medication and physical therapy all will work out well. In my clinical experience I have come across tail bone injury complaints, but MRI confirmed it to be spondylolisthesis or a disc injury. Treated with physical therapy, have helped the majority of cases. RegardsJay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	my 4 year old son keeps telling me that his stomach hurts and when I touch it he screams. it feels very hard or swollen almost like he is pregnant. This just started lastnight. Now he is telling me that he wants to go to the dr. and get a shot and he hates shots. What could this be?	IIN my opinion, the visit to a pediatrician is a must for diagnosis and management of your children illness. Sudden abdominal pains with severe tenderness can be an episode of bowel obstruction, complicated appendicitis, pancreatitis, peritonitis, comics due to stones etc. All these conditions need immediate doctors interventions. They may ask for some blood and urine examination, X-ray abdomen and ultrasound abdomen to come to a definitive diagnosis. You can give your child dicyclomine and acetaminophen for immediate pain relief before you visit ER. Take career further questions, do contact us.
如果你是醫生，請根據患者的描述回答醫學問題。	I m a 27 year old male ....suffering from breathing problem very often for this I took Asthalin 2 once in a day but now the frequency of my intake of Asthalin is 2 or three tabs in a day as I feel the breathing trouble again and again ..... So I want to know whether there will be any problem if I continue with this pill or is there any alternative to it....???And also my X-ray and scutum examination were done one month back it was a clean cheat!!!	STALIN IS OKAY THERE ARE NO PROBLEMS BUT YOU HAVE TO TREAT IT AS THE FREQUENCY WILL GO ON INCREASING AND ULTIMATELY STALIN MAY NOT WORK YOU ARE HAVING ALLERGIES GET TREATMENT CAN ADD ANTI-ALLERGIC TAB SINGULAR 10 MG BD SINGULAR CAN BE TAKEN FOR LONG NO SIDE EFFECTS AND ITS FREQUENCY Won't INCREASE YOUR BD TABLET OF MONTELUKAST WILL WORK FOR VERY LONG TIMEOUT YOU CONSULT THE ALLERGEOLOGIST FOR EXACT POSITION
如果你是醫生，請根據患者的描述回答醫學問題。	I had unprotected sex so the day after i took a yasmin contraceptive pills. Im on the last 4 tablets now. I think to stop taking it cause my urinary track infection become active since i started taking the pills.i also had a sore between my anus and vigina and its realy give me hard time. i dont do any sexual intercourse after for almost 3 weeks now. Is there any possibility to get pregnant if i stop taking the pills.	Hello, If you have been abstaining for so long, the question of conception does not arise. Once you stop the pills, you are no longer protected, and you need some other form of contraception before you plan further intercourse. For the time being, please get your sore and urinary infection treated by a specialist. Please abstain until you are totally cured. If you had the intercourse while on the last four tablets, then you need not worry at all as you are safe. Hope you find this information useful. Wish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	my daughter is 14yrs and has been taken to emergency twice in 60 days. 2 wks ago had a procedure to drain the bartholin abscess. Tonight she has developed 4 additional lumps on labia (right), anal area and side of anal. What do we do - shes in pain. Momma, g	Hi, Good Evening. Thanks for the query to my Chat Doctor virtual-CLINIC. I studied your query in-depth.-In my opinion-Your daughter needs to be investigated for the Recurring Abscesses by FBS, PPS and Hb1Ac to rule out the Juvenile Diabetes.-She is now having multiple-infective lumps-with another Catholics abscess?or Bartholin-Cystitis with perianal accesses.-Remedy-a-Start anti-diabetics in consultation with Physician doctor.b-Gyanaec Doctor would treat it with-Tb-NSAID -Antibiotics -Ofloxacin -Tb Ornidazole. Most lumps would regress in 5 days time.-Proper anal hygiene needs to be taught to your daughter for long run cure and care. Those which lumps don't regress--If the lumps still are painful and grow in size, they may need Incision and Chat Doctor. -Hope this would help to resolve your painful-leg lumps by discussing with your doctor. Wishing you fast-recovery. Wellcome to my Chat Doctor Clinic again. Good night.
如果你是醫生，請根據患者的描述回答醫學問題。	hi,i had lettz surgery for cin 3 in april,now i am bleeding after sex,having pain during sex,swollen lymph node on my groin and slight pain and bloated feeling in my abdomen what do you think is wrong with me?does it have anything to do with the lettz treatment i had?	Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, with your history of surgery for IN 3 and the present symptoms of bleeding and a swollen node on your groin, I would not hesitate to refer you to your operating surgeon/gynecologist at the earliest possible to rule out any relationship of these symptoms to the original problem. The treating doctor might perform a physical examination of yours followed possibly by an ult around/CT scan of the pelvic cavity and also FNAC of the lymph node swelling in the groin to arrive at a possible diagnosis. 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. Wishing 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。	hello my 11 yr old daughter is complaining of chest pains but its not directly where her heart is but above it and her upper left muscles. she says it hurts her to take a deep breath like she feels strings tugging. she cannot straighten he body because she says it hurts. she says this has been going on for a few days but today she says it is worse....should I run to the emergency room????	Hello, Rule out cardiac causes by going to a nearby physician for examination and check up. Investigate with EKG for rule out any cardiac cause if present. If no cardiac cause present, then history regarding trauma should be taken. Muscular strain pain can lead to chest pain also for which ibuprofen can be prescribed and hot compress useful. Consult a physician for examination. 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 25 month old daughter is having cold. She had runny nose whole of yesterday and today morning vomited minutes after having her glass of milk. She has a very mild temperature. Should I give her something like pedialyte? What medicine and foods will you recommend?	Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal
如果你是醫生，請根據患者的描述回答醫學問題。	53YOF, post-menaposal, Med Hx: Psoriatric Arthritis, High B/P & Non-Insulin dependent Diabetes. I have been taking Victoza for approx 4 months. Before that I had been taking Metformin for approx 1-1/2 years without any real change in BG levels. My last A1C a month ago was 6.2 - down from 7.1 before starting Victoza. I have also been able to lose 20 lbs which is helping me feel better. The last 2 weeks, I have been experiencing nausea in the mornings when I wake up. Sometimes it clears up but other days it lasts until the afternoon - it is just kind of there in the background at varying degrees of severity. I am wondering whether this would have anything to do with the Victoza. I did experience nausea at first until the dose was adjusted but not like this. I am also on diovan daily which has my b/p controlled, and ultram daily & humira bi-monthly for arthritis which is doing well. I have been on these meds for several years. I will be seing my arthritis doctor in 2 weeks but since this was available online, I thought I would ask. Any thoughts?	Dear Friend, greetings from Chat Doctor... I understand your problem s . Victory can cause nausea and vomiting in some patient s . Your HbA1c is now OK . But I do not know why did you stop metformin . You please meet your doctor and tell your problem s and take other class like glinting with metformin . Which is an excellent Chat Doctor. . Plus your lifestyle change s both dietary modification s and exercise is must which helps to keep your sugar and BP in check . Take more of green leafy vegetables, and fruits . . Thank you and do contact us for more questions .
如果你是醫生，請根據患者的描述回答醫學問題。	on 11-08-2011 i fell and hurt my ankle. i heard it crack. i couldnt walk on it, was transported to er via ambulance. they told me my foot was seriously sprained. i requested copies of xrays and today i finally received them. i have a spiral essentially nondisplaced comminuted fracture lateral malleolus left ankle. My question is..... I have been in severe pain for two weeks and also have been walking on it. Could I have damaged it further by not having it properly immobilized?	Hi, According to me, there are many reasons for tremors like exercise, fatigue, several medicines, may be some nervous system disorder, Parkinson's disease and many more. Sometimes in depression there are tremors known as intention tremor which does not have any cause. So need detail history to rule out cause of tremor. Thank you. Hope I have answered your question. Let me know if I can assist you further.

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