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如果你是醫生，請根據患者的描述回答醫學問題。	Hi could you help me? My problem is I urinate a lot. I dont think it is overactive bladder because I pee good amount if i have to. Any liquid I consume, mostly water i have to go to restroom right away. If i drink less water i dont have that problem. I have dealt with kidney stone before so i dont wanna drink less water. What should I do. Please help.	Hello. There are various diagnosis to consider: UTI, but you don't refer burning when urinating. Another possible diagnosis is Overactive Bladder, but your urination would be scarce and even losing urine before reaching the toilet. Another diagnosis to consider is decreased levels of ADH, a hormone that prevents excessive urination. Go to your doctor to be explored and establish right diagnosis and treatment. I wish you good health
如果你是醫生，請根據患者的描述回答醫學問題。	I am a healthy 39 yearold female. A productive cough started four days ago. No fever or any other symptoms but, I am a little dizzy ... The coughing happens in little fits ... Mostly clear a little but of red-streaks sometimes Otherwise, I feel great .... When should the coughing go away?	Thanks for your question on Chat Doctor. I can understand your concern. Coughing out red streaked sputum is known as hemoptysis. And this can be seen in pneumonia, tuberculosis, bronchitis etc. So better to consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test) to rule out above-mentioned causes. If both are normal then no need to worry much. You should start antihistamine Chat Doctor. Since it is prescribed
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 25 year old man and always had sexual problems, visited doctor but no problems found. The problem is: at the start of the sexual act, i have an erection and as soon as I start sex, after 2 min it falls down and I need around an hour to get him back to work.. After that, my sexual intercourse either continues for 40 min or my penis dies.. Rarely, but sometimes it all goes well, 10 min and done. Please advise what shall i do?Thank you	Hello Thanks for writing to ChatDoctorYour problem is most likely due to performance anxiety or excessive sexual thoughts. You are too young to have any organic cause. It is most likely due to psychological causes. You should try to keep yourself busy in your job. You should avoid provocative literature, videos etc. You should also try meditation and yoga. This will help you a lot. Try to be natural during intercourse.Don't think much about it. If problem still persists then you may need psychological help. Proper counselling can be done by psychologist. Hope I have answered your query. Take Care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello My mother had cancer in her jaw after that she had radiation she finished her treatments last year in November however she still is losing weight she has had a check up and she is in remission but I don t know why she is still losing weight she does not have her taste buds back yet Can you give me any free advice which way should I go with this she has a sore throat also and sometimes she chokes I am worried about her please help	Thanks for your question on Chat Doctor. Oral cancer patients are more prone to weight loss as their oral intake is very low due to oral surgery, radiation etc. Another reason is chemotherapy and radiotherapy. Both decrease appetite and so oral intake is less. Tumor cells produce chemokines, which also reduces hunger. So oral cancer patients have more weight loss. Better to start nutritional supplements like multivitamin, antioxidants, proteins and calorie rich food. You can also try TPN (Total parenteral nutrition).
如果你是醫生，請根據患者的描述回答醫學問題。	Mom is nearly 70 has been diagnosed with Chronic Lymphocytic Leukemia 15 years ago. She just received a stage 4 non small cell lung cancer diagnosis metastisized to the liver with "neuroendocrine features". What are neuroendocrine features and how long does she likely have to live? Do you believe in natural methods such as the Dr. Gerson?	Hi, Sorry to listen your mothers condition. CLL is generally slowly progressive in nature, many a time treatment is delayed. Unfortunately your mom also have metastatic non-small carcinoma lung. Neuroendocrine variety is a type of lung cancer often has got similar features like small cell lung cancer. It is difficult to comment on life expectancy. Chemotherapy is the sole modality of treatment at this stage. You should better consult an oncologist.
如果你是醫生，請根據患者的描述回答醫學問題。	tension headachesHello -My name is Brittany. Ive been experiencing pressure, starting in the back of my head, that makes it difficult for me to sometimes hold my head up. It feels like my ears are clogged and someone is squeezing my head. My primary care doc has said that it could have something to do with my scoliosis and prescribed me muscle relaxers. I worry about this because my mother suffered permanent injury from a TBI from which she had a congenital cyst on her brain. What could be causing these headaches and do you think I should get an MRI?	Hello Brittany! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to tension type headache, which is a benign type of headache caused by anxiety. Cervical spondylarthrosis and a wrong position of the head during the day, a bad billow during sleep, can trigger this type of headache. No one of the above-mentioned causes is concerning. So, I would recommend you to perform a lot of physical activity, try to correct your posture and use an orthopedic pillow during the night. If headache does not improve from painkillers, I would recommend performing a brain CT scan or MRI to exclude other possible causes that may trigger these symptoms. Hope to have been helpful! Kind regards,
如果你是醫生，請根據患者的描述回答醫學問題。	I have recently been diagnosed with anaemia , blood count 7.9. I was immediately given one unit of blood and put on iron tablets. My level was 9 five days later. I am awaiting a colonoscopy and endoscopy by mouth and have an appointment for the former on Dec 19. I have a holiday booked in Madeira 22-29 Dec but my doctor says I should cancel as I do not know what the test result will be and you can t fly with a count below 10. I am a 73 year old woman who, until now, has always been very healthy. What do you advise?	Dear Concerned., Thanks for writing to us. Anaemia with blood HBO of less than 10 GMT is an absolute Contraindication to fly at your age of 73 years. The Medical fitness can be given by the Treating Physician when HBO is above 10 GMT, and you will have to request the Physician to fill up MED IFF FORM also indicating the requirement of Therapeutic Oxygen (For Eg-02 to 04 Liters Per Minute) so that the engineers arrange to load two therapeutic oxygen cylinders on board and a Nursing Assistant (RN)to accompany you on board in addition to your relatives/Non-Medical Escort. Before the Pax(Passenger) embarks on board they will have to fill up and hand over an Indemnity Bond(IB Form). The above paper work / procedures in India are to be done 72 hours prior to departure(India is a signatory to IATA protocols as envisaged in ICAO regulations). Wishing you the very best, Get well soon, Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello. My 5 year old son had a near fainting episode at school last week. Symptoms included facial pallor, pale bluish lips, sweating and nausea. Right as his symptoms were beginning he said he needed water. The teacher gave him some apple juice and by the time I picked him up (15-20 minutes later), he looked better although his lips were still pale. He had lunch on the way to the doctor s office and had normal coloring by the time we got there. His extremities stayed a bit cool until well into the doctor visit. His exam was normal and no follow up except to make sure he stays well hydrated. Thank you. Lauren	Hi, welcome to Chat Doctor .com. Brief answer - It could be hypokalemic shockDetailed answer, this looks like a hypokalemic shock which occurs due decrease in water in body. Since, he was also asking for water, it also points to this. Your physician has examined the child, and he found no abnormality, this also points towards hypokalemic shock because you were giving him water and food, so the shock corrected gradually. I think you should advise your child to take liquid adequately and on regular interval. I hope this has helped you. Wishing your child good health. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi there. My 22 month old son has a lump on the left side of his head at the base of the skull. The lump is slightly movable and can only be appreciated when his head is in certain positions. Can t tell if it hurts or not as he can t tell me :-) but he does not seem to be in pain when I touch it. Should I show it to the doctor? Last illness was one month ago when he had bronchitis/pneumonia	These are lymph nodes which you are able to palpate. Lymph nodes are present in whole body. Lymhoidb tissue expansion is present in child Chat Doctor. There is a specific cutoff for size of these swellings as per there location in body. If it is more than 1 cm size in neck area then it may be secondary to some problem. If it is large or rapidly increasing in size or becomes fixed to overlying skin or overlying skin becomes red, then consult pediatrician
如果你是醫生，請根據患者的描述回答醫學問題。	I have been reading about leukemia and I think this may all be psychological but i have have pretty bad lower back pain, right lower rib pain, headaches for months, my nose bleeds only slightly, but often,, my gums are swollen, and a little blood comes from the skin in between my v@g!n@ and my rectum. Also, I am very tired almost all the time.. and recently i have been waking up very sweaty.. what do you think could be wrong?	Hello, I have studied your case with diligence. Due to malignancy there can be osteoporosis leading to back pain. There can be degenerative wear of bones, muscles, ligament and loss of elasticity of muscles, due to deficiency of calcium, vitamin D, IT B12 and carnitine. So supplements of these nutrients can relieve pain. In post cancer osteoporosis is very common osteoporosis leads diffuse pain in back. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, You need to start supplement of calcium with vitamin D, it B12, and if osteoporosis is severe then bisphosphonates can be started. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You need to take diet rich in calcium and vitamin D. 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。	Hello doctor,I have white patch on my face. It was very pale but when I apply Fluticasone, it appears as white even my cheeks are rough and slightly depigmented.	Hello. How long it has been there? What are the symptoms of it? Any other area affected? Any other family members affected? Any history of hypertension? Diabetes mellitus? Thyroid disorder? Any known ChatDoctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi just wondering my husbandmay have an infected tooth. Our ine yr old sun had a tiny cut on his finger and my husband put it in his mouth it is now infected could this have caused it? Can other infections such as throat infection also be passed on through kissing someone with a tokth infection or abcess?	Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint in case if someone has an infected tooth, infection is commonly not transmitted to another person by coming in contact in saliva, although throat infection can be contagious and when there is active infection it can be transmitted to other people via close contact like kissing, sharing utensils and napkins and especially viral throat infection is very quickly transmitted. In case if your husband had an abscess in his tooth and if it would be Chat Doctor. . So you need not be extremely worried. I would suggest that your husband should consult a Dentist and get evaluated and an IOP AR [x-ray] can help in diagnosis. In case if tooth can be saved root canal treatment can be done while if there is gross decay extraction followed by antibiotics and painkillers will be advisable. Hope this information helps. Thanks and regards.
如果你是醫生，請根據患者的描述回答醫學問題。	i have had sholder pain for a yr went to the dr she said i have artitis in my neck and put me on pain meds and muscle relaxer but yesterday i got a muscle spasm right behind my sholder blade and it is still hitting me every time i breath in it hurts bad	Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained your soft tissues like muscle behind your neck. that's y d muscle is in spasm.u need to get a X-ray or MRI done to rule out nerve compression causing pain in neck. Take rest analgesics and anti-inflammatory tablets. Hot fomentation. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless
如果你是醫生，請根據患者的描述回答醫學問題。	I have had hyper thyroid for 5 years that then transitioned into hypo thyroid and have been on eltroxin 50/100 for 10 years... After a blod test last week my doctor moved me to 150 but now I sweat easily, have trouble sleeping and am suffering from some anxiety. Does it take time to get adjusted to the new level ? I felt better at 100 Thanks Chris	HiT hanks for using Chat Doctor In your case, anxiety symptoms could be due to high level of thyroid hormone in blood. In that case, you should get your thyroid profile done and consult your doctor for dose adjustment. If you were feeling well at 100, then you can carry on with the same dose or increase it up to 125 rather than 150 mg. Rest, you can discuss with your doctor. In case, you need further help, you can ask. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	I have pain in my left breast if I lay on it, or if someone give me a tight hug. I do self exams, & have no lumps. I also have chest pain, & I take meds. for irregular heart beat. I see a cardiologist, But this pain is more in my breast when their is pressure on it.	Hello, As long as your heart problems have been totally under control, then, the pain you are having on your breast is due to muscular skeletal issues. Take Naproxen, but by cautiously monitoring blood pressure and other cardiac symptoms. Apply analgesic cream locally. Magnesium supplement can help but non higher than 300 mg daily. Discuss this further with your caring doctor. Hope I have answered your query. Let me know if I can assist you further. Take care. 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 had a car accident 9 months ago and have had pain in my neck, shoulder and back since. I saw a orthopedic surgeon today who said I have a hiatus lump on the back of my neck among other injuries. I have absolutely no idea what a hiatus lump is so would be grateful for any information. I am 36, 5ft 1 and weigh 7 st 11 lbs. I have a condition called Erythromelalgia which affects my legs and feet. Thanks	HI, Dear. Very Good NOON from India. Thanks for your query. I understand your concerns. I studied your query in depth. Need more information to comment on.-I would advise you not to worry still. In my opinion -the hiatus lump on back of neck -post car accident-is the cause for your-Erythromelalgia- and is causing cervical- sympathetic chain-symptoms leading to Erythromelalgia in legs and feet.-Hiatus lump on back of neck -is mostly - lump at the Thoracic Outlet Hiatus, and that causes the sympathetic- ganglion-lump which got irritated by the car injury to head /neck and shoulder and has lead to the Erytrhomelalgia in feet.-Treatment would be-a-Test for the Farms disease-to rule out its association with Erythromelalgia, by skin biopsy for the-Gl3 vascular load, USG study for Liver fatty deposits-b-Tb-gabapentine/ parabolic -for treating the neuropathic effects -c-Tb-Vit-b-12 supplementing doses.-d-Tb-serropetidase-for long with-e- Tb Steroids -if no diabetes- to reduce the traumatic inflammatory damage from the hiatus lump -which is-causing sympathetic chain compression symptoms due to the TOS(Thoracic Outlet Syn Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Had a cold for 3 weeks. Went away. 2 weeks later came back. Doctor treated me with 5 day Z Pak (250 mg) & a corticosteroid pill (4 mg). Still sick. Bad cough. Cough up white foamy stuff. Using Mucinex & Robitussin. Lots of clear discharge from nose. Wheezing.	HelloPersistent cough with foamy stuff for 3 weeks may be due to allergy and wheezing is due to bronchoconstriction. So when such type of patient visit my clinic I advise them to take some anti-allergic + bronchodilator combination for prompt relief. I advise taking montelukast+albuterol once in the night. Usually patient get relief within 2-3 days. Hot coffee and steam inhalation also provide relief. Since this is a prescription Chat Doctor. If no relief within 3-5 day get in X-ray chest and consult a Chest specialist. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	When I am laying down to fall asleep it feels as though my heart stops beating and a jerk up. This can happen for an hour or so trying to get to sleep. I do not wake during the night from this only at the beginning when drifting off. I do not snore or anything.	DearWelcome to ChatDoctorWe understand your concerns went through your details. From the given information, it seems that, in My opinion, you have sleep anxiety, and every time you close your eyes and try to sleep, your bodies sympathetic nervous system kicks on, hence the racing heart and jolting awake. Exercise, psychotherapy and Relaxation CDs would be good. You can use relaxation music before going to bed because it distracts and soothes your mind while trying to move into an unconscious state. You may consult a psychologist for further advise. Take care. 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。	My mouth feel dry and it is hard to eat and drink anything except water and I am coughing up brown mucous. This has been going on for four days now. Yesterday I let my coworker know about the brown mucous and they said I may have an infection. Then they looked in my mouth and saw that my uvula and tonsils were red and swollen. Do you know what could possibly be wrong with me and ways I can treat it.	Hi. Thanks for the query. Red and swollen uvula and tonsils along with coughing up of brown mucous are a sign of throat infection causing TONSILLITIS and UVEITIS. It can be either due to bacterial or viral infection leading to inflammation of throat and bleeding can occur in throat which Chat Doctor. . You should not worry and star taking AZITHROMYCIN 500 mg once a day for 5 days. Take IBUPROFEN 400 mg thrice a day for reducing pain and inflammation. Chew a vitamin C pellet daily. Do warm saline gargles at least 3 to 4 times a day. Take a soft diet. Avoid spicy and hard foods.
如果你是醫生，請根據患者的描述回答醫學問題。	baby was standing upright, lost his fotting (barefoot) fell straight backwards on the back of his head full force on a wooden floor, I picked him up put cold water on the back of the head and a bag of frozen corn washed his face. He screamed for a while and sobbed then I wached. He ate fries. I watched him for 3 hours he was playing and running and coherant. I still cannot forget the noise his little head made. woke him up every two hour and he went back to sleep. Should I know more. Are there symptons one should watch for .	Hi.... I appreciate what you have done after injury. You have done all what can be done and that too very well. As you have asked for the danger signs of head injury which you need to be on the lookout for these are the ones - 1. Altered sensorial or incoherence2. Seizures or fits.3. Blood in the nostrils or any ears4. Watery discharge from nostrils or ears5. Continuous incessant vomiting6. Double vision these are not there you need not worry about this trivial head injury. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	my 36 yr. old son just called me to say he has found a lump the size of a pea he thinks is just on the skin of his scotum, he is 2 provinces away for work and wont be home for another week should he see a doctor there or wait. his brother had testicular cancer at 19 yrs. old and it resulted in losing both testes please help	Hello, Thanks for the query to Chat Doctor. Forum. As you mentioned that pea size lump is over the scrotum and this lump is nothing is to do with testicular cancer. As testicles are lodged in a pouch and scrotum is absolutely on outer side structure. The pea size lump is a most common thing and this in my opinion is sebaceous cyst. Consult a surgeon and get an excision operation, hardly 5-10 minute removal process. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	i have itchy red bumps above my right eyebrow and i have a large lump on the right side of my neck below my ear its painful and my ear is now starting to hurt. i went to the doctor but he just said to wait till it gets worse to see him again. should i take an antibiotic or something? i dont know whats wrong	Hi, Dear,Good Morning. Thanks for the query to my Chat Doctor Clinic. You have 2 issues in this query.a-One-for itchy bump above rt. eyebrow, but you skipped to b-another lump below your rt ear. I feel concerned about them. Itchy one will Resolve with Tb-antihistaminic and Tb NSAIDs, as its mostly-a boil /and or a hive. The one below rt ear being painful-is mostly due to the boil below the rt.ear/as its sudden lump -duration untold by you/ but possibility of Parotid adenoid needs to be ruled out if its long-standing.From your history and In My opinion -its simple infected boil -as your doctor has told you to wait, so that it would be ripe enough to be Chat Doctor. If still You are worried, I would advise you to consult ER Surgeon, who would treat it with Antibiotics and Tb NSAIDs and if need be with-Incision and
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,I am 18 years old. My height is 5\9", and weight is 130 lbs. I am not due my period anytime soon, and I am on birth control. For the past few days, I have been getting severe pains in the bottom of my abdomen. It started a few days ago with sharp pains on the right side just up a bit. By yesterday night, it moved down to where period cramps usually are. They are not cramps, but they do feel like cramps. It is present consistently and sore to press on my stomach on the both sides. I do not have a fever, vomiting, diarrhea or constipation. What could be wrong?	Hi, Welcome to Chat Doctor forum. There could be ureteric calculus if the pain is sharp and shooting or a renal stone dislodged from the place. You need to get an ultrasound done to rule out any pathology. It needs further physical examination as it could just even be a muscular spasm, which happens if there is a muscle pull during day-to-day activity or exercise. There could be an ovarian cyst as the site you specified looks near to the ovaries, but less likely as you are on a birth control pill. More likely there could just be a gas problem as it is the commonest reason for pain there. I presume passing urine is not an issue. Please visit a doctor for a prescription of an antispasmodic tablet.
如果你是醫生，請根據患者的描述回答醫學問題。	I m extremely itchy all over my body, the itch happens mostly at night, and in my room. I have washed my sheets and and now even on a sheet-less air mattress. The itch occurs at all points of my day except when I am in the shower. Baby powder and cortisone doesn t help at all. The itch is mostly on my chest, thighs, arms, and hands (and avoids the pubic area). PLEASE HELP I don t have any sort of bites; but I have noticed that much of the itchy areas house small red dots, and when I get out of the shower, some areas of my skin get very red (but are relieved).	Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. From your description, I would first think of "urticaria", which can be due to allergies or non-allergic causes too.2. I usually prescribe my such patients regular antihistamines like levocetirizine or cetirizine or HY Chat Doctor. 3. I would also suggest you to apply moisturizing lotion/cream over itchy/
如果你是醫生，請根據患者的描述回答醫學問題。	sir, ive suffering from skin problem i.e. pimples on my face. my age= 19 yrsWeight= 65 kg Height= 5.10 Ive consulted with many skin doctors and also treatment but never got satisfied result . so, would you please suggest me a effective solution?	Hi, Thanks for writing to us. The treatment for acne depends upon the grade and severity of acne. So what would suit your skin best can only be decided once your skin has properly been analyzed. However, you may follow these guidelines to help you to some extents a salicylic acid or glycolic acid face wash twice in a day(if your skin is too oily). If your skin is sensitive use a mild cleanser like episode, detail OS or cutirinzIf having comedones, get them extracted. Avoid facials and massages. Avoid using greasy creams or cosmetics. Use water based moisturizer(Neutrogena/Clinique)Apply Darlene clindamycin/Darlene benzoyl peroxide cream full face in night. Use only pea size amount for full face. Follow these for two weeks to see, if you are having response. If not much improvement is seen, meet a dermatologist. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	a student of mine had severe right arm pain about 4 days ago and when he was in karate class he had severe chest pain and was winded and his right arm was in severe pain. He was taken to ER and they kept him in Childrens hospital and ran all the test and said nothing was wrong, could this be true?	Hi...it could be a myalgic or a muscular pain. Moreover, when you quote that he is involved martial arts, this carries all the more importance. The hospital would have been doubly sure before clarifying it as normal. So do not worry about it. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if pain in intolerable. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -
如果你是醫生，請根據患者的描述回答醫學問題。	My baby girl is of 5months old. at present mother milk is not getting enough to fill her stomach. Plz help what type of milk powder can we give to my baby. Is it true till 6 months only mother milk is given to babies?. will their be any side effects if we give any milk powder.	Dear Sir/Madam, Thank you for posting your query at Chat Doctor.comfort the child, mothers milk is breast, can be given till 12 to 18 months. If you feel there is shortage, formula milk can be started, there will be not side effect this. Initially, child find little unusual to accept that milk, but eventually they get adjusted to the formula milk. However, you kid is almost 5 months old, you can start extra supplements in form of grated apple, pulses soup water, mashed potato, millet oatmeal, fresh juice, grated almonds etc. All the items to be given through spoon in small quantities multiple times in a day. This is train your child to develop good eating habits from the family pot. Hope you find my answer informative. Your thank-you note is very much appreciated! With best wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	I am from Bangladesh. I am in a private service in Dhaka. I felt chest pain for last six months and so i we went a cardiologist in SQUARE Hospital in Dhaka. He gave me some test like ECG,ECHO, blood tests and ETT. All other tests except ETT was found normal. I was for 9 and half minutes in excercise tolerance test. I didn t feel bad. But the cardiologist told me that he found some significant changes in third stage of test. So, he stopped the test and he advised me to do an angiography for better result. He suspected that there may be block. Then I went to another cardiologist in National Heart foundation of Bangladesh and he advised me not to do angiography right now. He prescribed me some medicines like Anclog plus, Anzitor, Ecospirin and advised me to walk an hour every day. By this time I talked to my sister in USA. She consulted with a doctor there and the doctor said if ETT test is positive it will be better to do an angiography. Then I went to another cardiologist for third opinion. I went to Prof. Dr. Afzalur Rahman, MD (Card), Phd (card), FACC (USA), FRCP (Edin), FRCP (Glasgow), Fellow in Intervention cardiology (France & USA), awarded CRT2009. He also checked my tests and advised me to do an angiography as soon as possible to be risk free and to know the actual result. So I did Coronary angiography under him at Square hospital. My CAG report was normal. There was no blockage in heart as per result from CAG. He advised me to feel free and stopped all medicines. He told me that the cause of the pain might be from muscle strain or Gas. Still I feel chest pain and it seemed at middle of chest and sometimes from middle to left or right. I feel tired sometimes. I have my CAG report and CD with me. I need your suggestions and advice	Hi, If your Coronary Anglo report is normal than you should not worry from the cardiac point of view. There are many causes of chest pain. Yours can be due to musculoskeletal pain or due to Costco Chat Doctor. Both are benign conditions and can be easily treated by a painkiller. Positive ETT can be false as it has a sensitivity of around 70% but Coronary angiography is the final test and if that is normal then there is nothing to worry. So relax and don't worry about it. Hope I have answered your query. Let me know if I can assist you further. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	I have hematemesis. Been having this for more than a year. Have taken X-Ray, Scan, MRI scans, Gastroduodenoscope and have done blood check. every Tests shows tht there is no problems with my health but i still cough blood and sometime it i blackout. What do you think can be done? Any more test?	Hi, dairy have gone through your question. I can understand your concern. You should go for oesophagoscopy. You may have varietal bleeding. Also, you should check for portal hypertension. Black out spell may be due to blood loss and anemia Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a small lump in my neck above my collar bone, on my right hand side. It s about the size of pea and seems to be quite hard when I squeeze it, it s not on the other side either. my grandma had cancer of the lymthnodes when she passed so wondering if I should get it checked out?	Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic cancer. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact idea regarding cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	hi. Dr. Im 35 years old befor one month i see my hair is faling some aria of my head in a cercle i go to skin speacialist he told me that is Androgenetic Alopecia he give me tablets in zink and Trigane hear re groth liquid but my hear is faling fastly that time 5 areas of my head is injurd please give me sugestion where i go for treatment.	Hello, I have gone through your query and would recommend you to continue with minoxidil 5 per cent lotion on the affected areas of the scalp twice daily and take tablet finasteride 1 mg once daily. Hair regrowth takes time, and you need to continue these medicines for at least 4-5 months to see significant results. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had two stents put in seven years ago . I am 63 years old . I have not had any problems at anytime . The last month I felt a little strain in my heart area . The last three days I have been experiencing sharp pain in my left arm in my bicep area .is there any connection ?	Hello. Thank you for your question and welcome to Chat Doctor. I carefully read your query. First, I believe that you know what does a chest pain originated from coronary arteries feel like. This is called angina, and is more like a severe heaviness or tightness in the mid-chest and which spreads to the left arm. Sharp pain with the highest probability does not reflect a pain originated from a blockage in the coronary arteries. On the stent side, since it has been seven years you underwent stent implantation, I assume that the stents are patent and working well, since the highest probability for them to narrow is within 6 to 12 months after implantation, depending on from the stent placed. However, once you had coronary artery disease, although treated at that time, you have an independent risk factor to develop coronary artery disease again. I would recommend you to undergo a cardiac stress test, based on the above-mentioned fact, and the strain you felt in your heart area. As for the sharp pain in your left arm, my opinion is that it is not connected to coronary arteries. I hope I was of help. Kind regards.
如果你是醫生，請根據患者的描述回答醫學問題。	hi! my name is jocelyn magbanua fr. philippines. i have 1yr and 6months daughter and she has amoebaiasis for n 2nd time the last was feb. this yr. why? even if i make sure that everything is clean she uses wilkins water also. what well happen if she has always like this. thank you so much... god bless	Hi, recurrent amoebas can occur in a child if there is a habit of eating nails, scratching the wall, are putting fingers in mouth. Another reason can be inadequate treatment during the first time. Sometimes if infestation is more than repeat antihelminthic Chat Doctor. I suggest you to look for above things. You should also do a stool for routine microscopy test. This will clear the picture. Antihelminthic
如果你是醫生，請根據患者的描述回答醫學問題。	i am a nursing student in Bhutan, i have patient whose complain is swelling of abdomen, fever,and loss of appetite. now i am a trouble to form a nursing diagnosis, would help in forming it. patient is 12 years of age and diagnosed as abdominal tuberculosis.	Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. You have given the diagnosis - abdominal tuberculosis. The distension could be due to ascites (fluid in the abdomen). Individuals with tuberculosis will have fever, loss of appetite and loss of weight. You can get an ultrasound done to confirm the presence of ascites. If it is confirmed, the ascetic fluid analysis may be done to confirm the diagnosis of tuberculosis. I hope that answers your question.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi there, Ive got a problem with girls and not sure if thats normal. Whenever I see a girl that I like I usually get shy and never do the move to talk to them and that makes me feel someone who isnt normal, the main reason will be stress, different thought like all the bad thoughts get into my mind i.e. she might reject me, Im quite hairy so she might be freaked out of the amount of hair I got or maybe my penis is too small and she will leave me straight etc.. can you help me please?	Degree understand your concerns went through your details. I suggest you not to worry much. You have not mentioned your age in the query. For the majority of the adolescent and young adults, such problems are common. This happens mainly because opposite gender identity crisis / conflict. Such a crisis is part of developmental process. Such a crisis helps develop the human properly and as required by the nature. Don't worry. Enjoy the shyness and crisis / conflict. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. 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。	Im a 62 yr. old male, 59, 186lbs. No medical problems or history. Was diadnosed at a long time ago w/ Scheuermans disease ? not sure if I spelled it ok. My question is ; when I walk at times my chest tightens and both my arms go numb my whole upper torso sot of goes numb and I have to stop and get back to normal and I am ok. What causes this ?	Hi and thank you for choosing Chat Doctor to post your question. I read carefully your question and my opinion is as follows:The characteristics of your pain, (tightness sensation, localization in chest, radiates on arms, precipitation by efforts, relieved by rest), your age, make me think about angina sectors. It is usually due to atherosclerotic heart disease but may also occur as a result of severe myocardial hypertrophy, severe aortic stenosis, or in response to increased metabolic demands as in hyperthyroidism, marked anemia, If I was your treating doctor I would order as first diagnostic tools:ECG, Exercise ECG to look for evidence of ischemia during pain or stress testing. I hope my opinion is helpful to you. Wish you good health. Kind Regards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have some black spots on my tongue .For long time there is only one spot on tip of my tongue but recently I observed that same spot are on side of my tongue doctor said that its normal .since I have no habbit of smoking can you tell me is this a serious pbm	Hi. Thanks for the query. Black spots on tongue can be due to a number of causes, one is excessive accumulation of melanin pigments that are normally present and can be accumulated more in certain areas of body. Other is poor maintenance of oral hygiene that can cause black hairy tongue due to accumulation of bacteria and fungal overgrowth over the tongue leading to dark spots. Another cause can be intake of metallic compounds containing Bismuth. Allergies can also cause staining of tongue. So it is not necessarily any serious problem. But I would still suggest you to consult an Oral Surgeon and get evaluated, and a thorough clinical evaluation should be done. As of now you can start cleaning the tongue with a tongue scraper and gargle with 1:1 solution of HY Chat Doctor. . You can also gently clean your tongue with a soft toothbrush by dipping in the HY
如果你是醫生，請根據患者的描述回答醫學問題。	Hi .. My husband is having pain in his knee. We consulted a doctor. He told us that the pain is due to gap in knee bones. Due to lessening of bone due to internal tensions between bones. The doctor prescribed some medicines and asked him not to bend his knee. And use ice for messaging. Still there is no difference in pain. Can u please suggest something	Hi, The gap reduction between the knee joint is not possible without surgical procedure. But you can manage the pain:You can take hot and cold therapy for 20 mins every 4 hrs. Do isometric or some weight-bearing knee exercises for strengthening of the knee muscles so that they could bear the body weight. If he is obese then reduce the body weight. Take physiotherapy to restore the range of motion. Do massage with oil over knee joint. Use knee brace. If he is over weight then should walk with stick. You can take steroid injections. Take medicines like ibuprofen or naproxen but not for long use. If he is unable to walk for even 40 steps get knee replace. If he doesn't get relief than consult the or tho.
如果你是醫生，請根據患者的描述回答醫學問題。	hi. i am mary ann from the philippines. i dont know how to start this but the problem is is tarted having back pains during the last few days of my training in Manila for a job. at first i really didn;t think it is a serious matter. but, when the doctor asked me to have a urine test which i repeated twice after i have taken antibiotics showed same result. my urine contains ALBUMIN. with all honesty i really don;t know what is happening. but awhile ago when i urinated there is a blood as well.	Hi and welcome to Chat Doctor. Albumins are often detected in urine and this can be sign of kidney glomerular damage or reinfection. Blood is sign of infection or kidney stones. You should do ultrasounds to evaluate is there stone or kinda damage. Also, you should check creatinine and urea levels. You shouldn't be worried, this can be easily treated by antibiotics and certain medicines. Wish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My father-in-law is aged 77 years. He has diabetes and blood pressure. His creatinine level is between 3.6 and 3.8. Has high levels of albumin in the urine and high levels of urea (129). He is admitted to the hospital following less to nil urine output. They have placed a catheter and are observing the urine output. However, it is still less. Around 600 ml for 24 hours. For now, the doctors are running an infusion to reduce acidosis. Does he need a dialysis? Is this a case of CKD? If yes, what could his stage of CKD be? What would be the further line of treatment?	Hi. Yes, unfortunately this is chronic kidney disease stage 4 to 5. May be the late stages of CKD is rapidly progressive especially in diabetics. If urine output has not been improved after treating the infection and achieving good water balance, I am afraid he might need dialysis.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi , my child came down with fever when she was five week old that lead to convulsion, she will be 10 month old and still cannot upright on that is she rest her chest on her thigh and her Head drops once in a while, was told that she has cerebral palsy please assist on what to do to help her am worried.	Hello dear, I had gone through your question and understand your concerns. You should be worried but not too much. You may start to do massage, physiotherapy, exercises,vitamin D, Calcium, B-complex with lysine. Perform neirovizualisation- MRI of brain, neurosonography to reveal cause. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi there, Today I was working at my school and in my last class of the day I started to feel very faint, get the chills, began to sweat, and I thought I was going to vomit. I then realized I had not gone to the bathroom all day and I hadn t had much to drink. I had to push through it to work with my students. On the drive home my hands were numb but it got better for a few hours and the numbness went away. I got home and drank a lot of cranberry juice and water, yet I am still not feeling well and I have pain on my right hand side near my abdomen. What could cause this and do I need medical attention? Could a good nights sleep make it better?	Hi. Gone through your history carefully. You should consult a Doctor. The reasons being: Attack of fainting, chills, sweating, nausea, numbness with pain right side of abdomen suggests an infection may be enteritis or colitis. All these indicate for an examination by a Doctor and prescribe you according to the signs he would get. Why wait till the problem becomes serious. You are still not feeling well.
如果你是醫生，請根據患者的描述回答醫學問題。	I was diagnosed with bronchitis and I am congested and wheezing. I then got laryngitis, My dr prescribed me methylprednisolone and Im using a albuterol inhaler, but Im still wheezing and congested. He also prescribed me a zpak.....why am I not better after a week?	Thanks for your question on Chat Doctor. I can understand your concern. Treatment of bronchitis is based on severity. And to know the severity, you need PFT (Pulmonary Function Test). You may need additional bronchodilators if your bronchitis is very severe. So get done PFT and start appropriate inhaled bronchodilators according to the severity. You may also need bucolic and expectorant Chat Doctor. So consult your doctor, discuss all these and start appropriate treatment for control of your bronchitis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	i have had this dull pain only on the left side under my breast but it is also on my back left shoulder blade with alot of gas what could it be well i guess i wont get an answer since i have to pay sorry :( i dont have a cc to pay with so im sorry	Degree understand your concerns went through your details. If you feel acidity and gastric and digestion problem, the pain could be attributed to it. When you have this gastric problems, the gas present in your stomach area pushes the diaphragm upwards. Your chest cavity is already packed and has enough space for breathing movements of your lungs. This gas further pressurizes the chest cavity, and you will feel that pressure as tightness or pain. You should consult a physician to rule out organic causes. Take care. 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。	Every so often when Ive stretched out or just run up the stairs my chest starts to feel really tight and I experience trouble breathing. It doesnt happen all the time and Im fine doing normal activities and dont usually experience this when doing anything active like running or exercising.	Thanks for your question on Chat Doctor. I can understand your concern. You are having chest tightness and breathing difficulty on exertion. So we should definitely rule out heart diseases for your symptoms. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi im 27 man i smoke i dont drink i take hydrocodone at night some times in the day my chest has been herting on the left side under my peck an some times it hurts under my airm it does it mostly at night an then i feel my heart beat in my need slowe why down but when i check it its like 70 beats a min an i have mvp	Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to anxiety. I would not recommend taking HY Chat Doctor. Anyway, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG- a chest X-Ray study-complete blood count- PCR, ESR for inflammation Are your symptoms triggered by deep inspiration or body movements? This would be indicative of a musculoskeletal pain. In such case ibuprofen would help improve your situation. Hope to have been helpful! Kind regards,
如果你是醫生，請根據患者的描述回答醫學問題。	I had a liver scan it said MODERATELY INCREASED HEPATIC ECHOGENICITY AND COARSENED ECHOTEXTURE CONSISTENT WITH HEPATIC PARENCHYMAL DISEASE VERSUS FATTY INFILTRATION. What is HEPATIC PARENCHYMAL DISEASE? Treatment? Cant find alot of information on it and cant get ahold of my doctor.	Hello, The hepatic parenchymal disease could be in the form of fatty liver or chronic liver disease. I suggest you to investigate to guide you further. -SGPT-SGOT-Viral markers-PT You can revert with reports to guide you further. You need lifestyle modification and stoppage of alcohol initially. Then based on your reports will discuss further. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I just turned 25 yrs. old. Three weeks ago my left cheek started getting raw and eventually ended up with a white patch. When I brushedy teeth and hit it with my bristles it tore it off and it bled. My dentist prescribed me with a chlorhexidine rinse. After two weeks it was gone. Thank god! Now my right cheek is raw and burns when I eat or drink acidic foods. Especially when I brush my teeth with Colgate sensitive toothpaste. What could this be caused from? Thank you for listening to my problems. :) Sincerely, Ashley	Hi, Thanks for asking the query, White patch on the cheek can be due to cheek biting habit, any allergy, alcohol consumption, smoking. I would suggest you to visit to a Dentist and get the checkup done. If there is presence of any sharp cusp get it trimmed. Apply Colonel oral ointment topically over the affected area. Start with multivitamin supplements. Take lukewarm slain and antiseptic mouthwash rinses. Avoid eating of hot and spicy food stuffs. Hope this helps out, Regards...
如果你是醫生，請根據患者的描述回答醫學問題。	I have been told I have carrpeal tunnel, tendinitons and kienbock in my right hand, my main hand i use. would surgery be the best answer. I have stage 3 kien bock. I cant bend my hand forward, and it hurts in everyday use ie... doing hair, cleaning my self using the computer and numerous things.	Hello, Surgery is good if it is disabling the movement due to pain. Using hot water fermentation and MFR along with therapeutic ultrasound therapy and TENS therapy should help reduce the spasm of the flexor retinaculum of the carpal tunnel. Since you are a computer desk worker it needs to be modified and simple stretching and strengthening exercises for the hand and forearm should be done. Hancock is avascular necrosis, and we need the CT/MRI for the same to see the status. If necroses then surgery will be of good choice to look for and if not then with conservative management you should do well. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have two round painless lumps the size of a pea on both my legs & one one my left hip.The ones on my legs are as follows:(left leg-inner thigh/right leg-outer knee).I have tried cutting into them.There is no pain,but there is blood.What do you think it could be? I am 37yrs.,5 6 ,170lbs. I have no medical history.	Hi, Dear,Thanks for your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based on the facts of your query, You with painless lumps with blood only after cutting, seems to suffer from-Could be Multiple HPV warts / or could be Fibrosis / or could be from ? Blood clots with thrombosed Varicose lumps.USG / Color Doppler with dual image scan of both extremity with Excision biopsy if need be, would get it removed completely. A follow-up treatment with your doctor as per the histo-path study report would be the only solution in your case. Hope this reply would satisfy you and would help you to plan further treatment with your doctor there. Welcome any further query in this regard, which would be replied in next session. Will appreciate YOU, to write your excellent review feedback comments of this service experience, to help the needy patient visitors like YOU, at Chat Doctor services. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS
如果你是醫生，請根據患者的描述回答醫學問題。	I have upper thigh pain. I have become to weak in my legs to get off from a floor on my own. I started Atkins diet in October 2013. I have lost 35 pounds. I am also menopausal. Approximately 3 years ago, I had similar symptoms and thought it was a long drawn out flue. Perplexed in MI. I am 47...	Hi there. Firstly congratulations on losing an appreciable amount of weight. Keep it up and its really inspiring that you have managed to do so. Now coming to your problems. From what I have gathered after reading about your situation, you might be having a problem with your spine which may be compressing a nerve that supplies the area around the anterior aspect of the thigh, which is likely to be at the lower lumbar spine region. This problem could either be due to degenerative changes in your spine or a disc related problem. The thigh muscles are responsible for extending your knee and are part of the antigravity muscles that help you in standing up. Also given that you are post menopausal, I hope that you are taking supplements and adequate hormone replacement therapy. If not please consult your doctor about starting the same. Post menopausal osteoporosis can lead you to have compression fractures of the vertebrae and that may worsen an already underlying problem that you might have been having till now. If your problems are not progressively worsening, then conservative management with initial period of rest followed by physiotherapy for the back muscles such as extension exercises will be useful for you. Do remember some important danger signs, if you end up having any disturbances in your bowel/ bladder habits, such as loss of control, increasing frequency of urination or progressive weakness you will need to consult your doctor immediately. For your current problem, I suggest you get x-rays of your hip joints and spine taken and get a neurological evaluation for the same. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi im a 19 year old female and i have had odd stomach problems since i was about 8. I get stomach aches about 3 to 5 times a week with no explaination and they r completly out of nowhere. When i was about 10 i had a few tests done and they werent able to figure it out. Not having medical insurance i am not able to go for more tests. Do u think it is serious and should i be worried?	Hi. Yes this is a serious matter and life is more important than the insurance, you have to manage. The causes of such pains as you have explained - pain in the abdomen for the last 11 years, 3 to 5 times in a week, sudden; this is all indicative of an intestinal obstruction- the causes being :Intestinal strictures, internal hernia, Irritable bowel syn Chat Doctor. You need a minimum of a X-ray of the abdomen in standing position, ultrasonography and a few blood tests only to get a proper diagnosis and may be a small surgery may solve your problem. So go ahead.
如果你是醫生，請根據患者的描述回答醫學問題。	MY NAME IS MANI SAGAR AGED 19 YEARS OLD FROM INDIA...I had the back pain,,,doctors said to take mri ,,ct scan,,x ray etc.,but they are saying nothing is the problem but i am suffering from pain severely for 4 years ......BUT my SPINAL CORD IS IN CURVE SHAPE...	Hi there, thanks for your question. It is possible to have back pain associated with spinal curvature. Whether it needs treatment or not depends on severity of curvature, any outwards change in appearance and severity of pain. A well-trained spine surgeon can decide about appropriate action. Hence, would suggest you to meet a well-trained spine surgeon dealing with spinal curvatures to treat your back pain. All the best. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	hello! I have 7mm stone at UVJ at right side. There is also a stone of 5.5mm size in upper ureter at left side. right now i am not having any pains.Dr. has suggested cystoscopy and bilateral URS and DJ stenting. Is it really required or else i should wait for stone from right kidney to pass through urination only. My urine output is normal. I am 28 years , male.Kindly guide me.thank you.	HelloThanks for query. You have been detected to have stones in both the ureters 1)Rt side at UV Junction 7 mm stone 2) 5 mm stone on left side in upper ureter You have not mentioned regarding back pressure changes in kidney (HY Chat Doctor. There are two options of modality of treatment 1) If you have not severe pain, vomiting or fever you can certainly wait for two more weeks and expect the stones to pass down spontaneously with understanding that in case you get severe pain or vomiting during this expectant period to visit hospital and Urologist for immediate endoscopic intervention (URS)2) Get the procedure done as advised by your Urologist.
如果你是醫生，請根據患者的描述回答醫學問題。	i was detected +ve for hbsag in 2004. no treatment since then. presently facing problem during emloyment. otherwise live healthy lifestyle. no drinks no smoking no tobacco. protected sex with wife. please advise me nearest doctor fo consultation. i stay at nashik	Hi thanks for asking question. You gave diagnosed with Bag in 2004. If it remained elevated after 6 months then you might be carrier for it. So you have not mentioned repeat test done or not. If you still have positive for Bag then you have to take following lifestyle management with if appropriate can use interferon or lamivudine like specific antiviral Chat Doctor. Avoid processed food and refined sugar like white bread, pastry etc. Green leaf veg and fruits useful. Avoid bad trans fat like cheese, beef meat, butter, chips etc. Use omega 3 fatty acid containing oil like sunflower or olive oil. Use it to minimum. Regularly do exercise. Licorice powder with honey taken daily is good herbal remedy. I hope you will understand my concern. For consultation, you can consult any gastroenterologist in your city. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	He is suffering with MND from last 2 and Half year and now his age is 72 Yrs. 5 Month back, he was having only issue with throat(Speaking problem ) and left hand palm was not working proper but when we took all reports and doctor found MND then we start medicine of MND ( Riluzole ) but after that he is having more problem. Now his right hand is fully paralysis and throat is more affected and left hand is as it is.	Hi, Thank you for posting your query. It is unfortunate that your relative has MND- motor neuron disease. At present, there is no cure for MND. Rissole does not stop the disease progression, it may only help little in improving the muscle strength. At present, please start Rules tube (nose-to-stomach food pipe) feeds, to prevent aspiration pneumonia. Regular physiotherapy and exercises should also be done. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/
如果你是醫生，請根據患者的描述回答醫學問題。	My son hit his side, lower abdomen on his camping chair with the medal rod while runing with it. He cried but didnt complain of pain said it hurt a little. I rubbed the area his right lower abdomen on his side. I was wondering if i should take him to the e.r for check up of internal bleeding? I asked google and now Im worried. please help	Hi thanks for your question your son was hit by a metallic rod on right lower abdomen and didn't complain of any pain. I would suggest getting him examined by a physician and get ultrasound of his abdomen done to rule out internal bleeding. Clinical examination and ultrasound will rule out internal bleeding. If internal bleeding is ruled out by these 2 means, then there is no need to go to E R. Hope this answer your question
如果你是醫生，請根據患者的描述回答醫學問題。	I have a hard lump on the outside of my right knee, smaller than a golf ball which is much more noticeable when I bent my leg. It feels like a bone but i don t have one on the other knee and it doesn t hurt. I m a keen jogger and gym regularly and noticed this about two months ago. Cant recall any trauma or injury. Any answers? thx.	Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Synovial thickening with silent Knee arthritis as you jog a lot. This repeated and stressed overuse of the knee has caused this knee problem you for last 2 myths. Treatment -Tab Motrin400 mg x 3 times a day x 10 days Arthroscopic Synovectomy. Tab Glucosamine (Syn flex)for recouping damaged cartilage. Inj of mesenchymal stem cells in to knee cartilageReduced Jogging x for 6 weeks time. Only Static qua Chat Doctor. It D3 -Calcium for better bones in knee. High Protein diet with this x 6 weeks would help you Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!!
如果你是醫生，請根據患者的描述回答醫學問題。	hello i went in this morning and had 10 teeth out under GA and all was fine but one of the stiches in the top left tooth that was pulled out has come out it bleed quite heavily at first and there was a flap of skin hanging down but it has stopped bleeding now do you think it will be ok ?	Thanks for using Chat Doctor. Read your query. Good, the bleeding has stopped. I would advise you to visit your as soon as possible and get it resutured. Since you have removed multiple number of teeth and to avoid any more bleeding and further infection, it is better to get it redone. Do warm saline gargling. Avoid forceful gargling as it may dislodge the clot leading to Chat Doctor. Continue the medication as advice by your dentist. Hope this was useful. Thanks and regards.
如果你是醫生，請根據患者的描述回答醫學問題。	whats your charge for a visit how do you know when you are suffering from testicular cancer	Hello. Welcome to ChatDoctorDepending on age there are many types of testicular cancers. Almost all of these have a common symptom in the form of painless testicular enlargement. Some tumors also manifest with virilization/ feminizing symptoms. Apart from these, there can be other symptoms e.g. weight loss or lymph nodal enlargement (in case of a systemic lymphoma involving testis). In any case the best approach is by HORUS followed by biopsy procedures if clinically indicated. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	what does this conclusion mean after a ct scan / DEgeneratechanges of the lumbosacral spine affecting pre dominantly L5/S1 as well as T12/L1 without compromising of the spinal is seen at this level . Disc protrusion at L4/5which is indenting the thecal sac narrowing the spinal canal at this level.	Hello, I have studied your case. Your MRI says foraminal protrusion causes foraminal stenosis which leads to compression of exiting nerve root which later on supply lower limb. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. As MRI shows disc compressing on nerve root then surgical decompression is permanent solution. 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. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	hi i am suffering from chickenpox and am taking acyclovir for the 8th day today along with augmentin for last 3 days for the bacterial infection. I have headaches for last 10 days, it is always above my right eyabrow. I have been taking paracetamol for this. Is this related to my present illness and is it a cause for worry, i have no other symptoms other than the blisters now.	HelloWelcome to ChatDoctorAs you are already on acyclovir and augmenting, no need to worry. Complications of chickenpox like pneumonia, bleeding problems, infection or inflammation of the brain (encephalitis, cerebellar ataxia), blood stream infections (sepsis) are common in people with weakened immune systems because of illness or medications; for example, People with HIV/AIDS or cancer patients who have had transplants, and People on chemotherapy, immunosuppressive medications. So, just no need to worry. You take paracetamol for headache. If symptoms worsen like increased vomiting, blurring of vision, altered state of mentation, then you need to consult your doctor immediately. Hope you are happy with the answer. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,Can I take Testosterone cypionate and Trenbolone enanthate, while on high blood pressure medication Benicar 20 mg?	Hello. If you have low testosterone and have been given a prescription for using testosterone, after consulting an endocrinologist you can take it. But always remember you should not have very high doses of testosterone since hypertension already puts the cardiac system under some risk for development of coronary artery disease in the future. Even though nothing has been reported scientifically, but doctors believe there is an indirect association between high testosterone and cardiac ailments. As you know men are prone to more heart attacks. So it is better to take it lower doses if it is required medically.
如果你是醫生，請根據患者的描述回答醫學問題。	Im having pain in my bones. All the time but feels worse when im working or lifting anything. Especially in my arms and the lower halves of my legs. It s an achey pain. I would rate it as a 2 on a scale of 1 to 3. Its a recurring pain that comes and goes. Ive been dealing with it for a few years now. Ive been use using deep heat but it doesnt help as much as it used to. A few years a go I was told that I am deficient in vitamin D.	Hi, Thanks for your query. The symptoms that you are having are likely to be related to benign causes like electrolyte imbalance, iron, vitamin D and B 12 deficiencies, etc. Most of the time these symptoms can be taken care of by taking electrolyte rich fluids, it D and Methylcobalamin and iron supplements. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
如果你是醫生，請根據患者的描述回答醫學問題。	Last night my husband bit me on my arm . I quickly got up and told him to stop. I really got scared i told him what he had done and that if he had realised what he has done. his response was yes . he then got out of bed and went to the toilet. At this point he really sh?? me up.That evening he was watching a vampire movie with lots of blood and guts. He does not sleep well. His bedtime routine is sleeping between 1am and 3am. He gets up for half 8pm. He s got a lot of stress . He speaks jiberish whiles sleeping and makes sudden movements. Once he was having a nightmare until I woke I m up, asking him if he was ok. I think I saved him from his nightmare. Can you please help and give some sort of explanation. Thanks kera	Hello Seethalkaursingh, The problem you have tried to describe, doesn't appear to a nightmare. Its closer to being a night terror. Please understand that sucChatDoctorplains are very common and increase at the time of stress. People generally don't discuss them as they don't cause any problem for themselves. Epilepsy / seizure disorder is another concern, and he should be investigated by an EEG. There are many unanswered questions in your write-up. But one thing is for certain that your husband surely need some help from a psychiatrist. Please ask him to visit one who would like to explore many his areas. Hope this answers some of your questions.
如果你是醫生，請根據患者的描述回答醫學問題。	Im wondering if you could advise me, i ve had severe pain in my right lower abdomen and a dull ache in the same area but in my back, I ve had urine and blood tests in which it showed a urine infection to which I have taken antibiotics. I ve been to the doctors following on who have advised me I have kidney stones and that they should pass through and that the uti had cleared, I have been drinking alot of fluid, the pain hasn t eased and I have noticed tonight that my stool is a green colour. Is there anything you could suggest or say to put my mind at ease? Tnanks Michelle	Hi Michelle, Yes, severe abdominal pain may be due to kidney stones. Region of pain depends on Location of stone in urinary tract.- Uncomplicated kidney stones located in kidney may be asymptomatic or give mild dull aching pain over right or left upper abdomen depending on site of stone.- Stones in ureter which is a tube connection kidneys to urinary bladder (urine bag) give severe pain in back radiating anteriorly to abdomen. It causes more severe pain. Region of pain varies vertically depending on position of stone in ureter (upper, middle, lower)- Lower abdominal pain may be due to stones in lower ureter or urinary bladder. Usually stones in urinary tract may be associated with infection (UTI) or blood in urine.(Though UTI in the absence of structural abnormalities in urinary tract ASE more common in female.) In your case I want to know -1) Depending on what basis your doctor told you the presence of stone.2) Any associated symptoms like nausea, vomiting, loose motions.3) Any menstrual complaints (considering you as a female). Following investigations may help in locating the site of stone in urinary tract if present-1) X-ray PUB.2) Ultrasonography of abdomen and pelvis.3) Intravenous paleography it helps in establishing site of stone as well as kidney function. Green color stools in your case may be due to-1) Antibiotic use for UTI.2) Intestinal infection (it may usually be associated with multiple episodes of loose motions, vomiting, central abdominal pain.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, We live in Sunshine Coast, Queensland Australia and have just moved into a new home in Eumundi - it is pretty mucChatDoctorplete inside. We keep taking turns breaking out in various strange red rashes none of us have ever experienced before. It started with me with a rash on my arm that was red bumpy and itchy, then my mum and sister who visited for 2 weeks got something similar but there bumps were much bigger and redder, now my husband a month later has just been having really hot flashes and i just checked his back and it is completely covered in a red itchy quite swollen looking rash (he sweats alot so we thought it was heat rash for him). But just yesterday we discovered numerous tiny furry caterpillars climbing slowly on the walls (since the rains) - could this be related? An itchy grub of some sort? Please help, not sure what s causing these sudden things??? Amanda	Hi Amanda, Thanks for writing in Chat Doctor. The condition can be allergic contact dermatitis, lichen plans, muscular eczema, popular urticaria, insect bite reaction etc. Diagnosis cannot be made without visual clue. Treatment depends on diagnosis. A visit to dermatologist will confirm the diagnosis. Blood work up may be required for diagnosis. Till the time you can take tab. Cetirizine 10 mg twice daily. It will decrease itching.Also, you can apply mild steroid like HY Chat Doctor. Hope this helps. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	who makes this drug and why would i take it, I already take 1000 mg of metforminevery YYYY@YYYY , right now I am taking 1000 mg of metformin twice a day 27 units of lantus, and Glyburide 5mg one in the morning aznd two at supper last a1c aweek ago was 6 4mo ago 7 I don t understand why should I drop glyburide and take glipizide	Good day. Noted your concern and glad that your HAC was 6% recently. Did you have any hypoglycemia episodes recently? Glyceride (micronized glibenclamide) is much stronger than glipizide and since your recent HAC is good and (if you had hypoglycemia) the doctor would probably want to change over to a less potent Chat Doctor. From the available history, these are the possibilities for a suggested change over from Glyceride to glipizide.
如果你是醫生，請根據患者的描述回答醫學問題。	hello doctor,my wife had an accident 3 years ago,had history of head injury with episodes of seizure afterwards.She was treated then and was fine then she had a baby a year later ,having lost so much blood during complications of child birth ,she stated having episedes of seizures and convulsion untill she was transfused before she got better.Its been two years after the child bith but ,she has constantly been having headache .What can she do	Hi, I am sorry that your wife is affected with epilepsy and I hope she has no more seizures. Chronic and recurring headaches may or may not be related to her neurological conditions. I am sure a brain scan was performed during the events in the past. If the scans are normal, then it is unlikely to be related to the seizure. There are other causes such as migraine, sinusitis, tension headaches, rebound headaches, refractory errors, etc., which can give rise to constant and recurring headaches. I wonder what your wife has is one among these. All the aforementioned conditions are easily treatable with medications and lifestyle changes. I encourage you to consult her neurologist. Detailed evaluation can help us narrow down to a single possibility. We can take up the treatment from there. Good luck!!!
如果你是醫生，請根據患者的描述回答醫學問題。	hi doc, i had my twice miscarriage and had undergone d and c operation last february7,2012 AND January 5,2013.. first miscarriage is due to oblated ovum and the second one was due to no heart beat. i am so traumatize and scared that it might happen again if i try to get pregnant. i already have 5 kids but still want to have one. what will i do to have a future healthy pregnancy?	Hello, Having 5 kids with previous 2 miscarriage are always great risk for next pregnancy. Multipart women are always associated with recurrent miscarriage. Plan next pregnancy with some initial investigations like USG lower abdomen, Test for chromosomal abnormality, TORCH profile, Thyroid profile, PPBS and Progesterone level. Also take Folic acid & Vitae supplements for at least 3 months in preconception period. Consult with your gynecologist. Try to avoid following things (preferably in the 1st trimester):1) Any type of sexual activity/intercourse2) Long journey/stepping uneven surface/heavy work3) High heel shoe (risk of fall on ground with miscarriage)4) Prescribed/unsafe medication to avoid defective organogenesis. Be well and wish for successful motherhood once again.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a patch of small bumps on the upper arm and a small patch on top of my shoulder. Arm is sore to the touch down to elbow. No other pain, not hot or discolored. No recent sports or other injuries occurred. A few of the bumps have small white heads on them. I have no other health issues, take no medications.	Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Ringowrm patch with bumps on upper arm and shoulder. Actinic Keratitis and other possibilities due to It A deficiency -like Toad Skin with bumps, needs to be ruled out. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist
如果你是醫生，請根據患者的描述回答醫學問題。	My friend had Flesh Eating bacteria on her foot. She has been using Acticoat 7 since Sept 11th. The last 2 days she s had a metalic taste in her mouth. She is diabetic and takes Glipizide 10mg. Her wound was healing but now seems to have taken a step back and that is probably because she won t stay off her foot. We have Manuka Honey and thought we should use that now. Any thoughts on what we should do?	Helots condition in a diabetic case is known as DIABETIC FOOT and according to this query, you should do these measures :Write down the current condition of blood sugar lever as well as HBA1C level. This type of foot has as:1 The neuropathic foot in which neuropathy dominant.2 The neurpischaemic foot.3 Non-neuroischaemic foot. However, it is very difficult to understand these terms but important for you so that you can understand the present condition of foot. When such case visit I first of cleanse the wound with SERPENTINE oil for local application. Hy Chat Doctor. Provide + clobetasol lotion for local application until and unless contraindicated. Antibiotics after blood culture. All this treatment under the guidance OS planetologist and surgeon. Hope this will help you in the management for treatment.
如果你是醫生，請根據患者的描述回答醫學問題。	Dear Doctor, My blood sugar report says that I have readings of Fasting Blood Sugar: 145 and Postprandial Blood Sugar: 209.I am on insulin. Please advise me as early as possible.	Hi. You don\t need to panic. This is not something serious. For a good effective treatment, I need to know what medicines you are taking along with insulin. Also, there are 100 kinds of insulin, which one are you currently taking and in what dose. It might be just cured with giving some additional medicine or increasing the dose of insulin. There are chances that, it might be a case of insulin resistance which can be broken down. Consult your local doctor or ask a doctor online with all details Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have not been the best at my oral hygiene but lately, I feel I have been way better. I am aware of the tartar and that I need a good cleaning. I brush my teeth twice a day, use mouthwash twice a day, from there I use periogen twice a day and top it off with flossing once a day. When I read about gum disease, I see a lot of stories about gum recession and discolored gums. It terrifies me. When I brush my teeth and floss, they do not bleed. I see that is a good thing but I cannot help to just think that something may be wrong. I know I can do better with my teeth and I have been trying but the anxiety haunts me on a daily basis. Can anybody help me by looking at the pictures?	Hello, Welcome to Chat Doctor forum. When you get a full scaling procedure done, all the calculus seen will go away. Then, the gums will look more healthy and good. You have some recession in lower front gums due to heavy calculus buildup (attachment removed to protect patient identity). Make it a habit to get your teeth cleaned by a dentist every six months. Other than that, you have healthy gums. You can maintain them by occasionally gargling with warm salt water gargle twice a day. It gives excellent results. For more information consult a dentist online
如果你是醫生，請根據患者的描述回答醫學問題。	I am taking Zyprexa 30mg, stelazine 20mg, Zoloft 200mg, clonazepam 0.5mg, bisoprolol 10mg, metformin 1000mg, wellbutrin 300mg. I have had lack of concentration, problems with understanding what I read and memory problems. Fortunaetily, wellbutrin helps me with these problems.I think if I take Wellbutrin 450mg it will make a significant difference. But my psychiatrist is against this idea. I just turned 48yrs old without any other problem, except high blood pressure which is under control. Can you give me ideas as to how I can persuade my doctor to prescribe 450mg of wellbutrin	Hi, I have gone through your query. You should continue with Wellbutrin 300 mg. Increasing the dose may result in seizures, that is why your treating doctor is against it. Lack of concentration and memory problems are common when on antidepressant. In my patients I usually add tab Tetra fol 7.5 mg once or twice daily. It has showed remarkable difference and there was no need to increase or decrease the dose of ongoing medication. Do consider positive feedback as a credit to my work. Let me know if you have any further questions.
如果你是醫生，請根據患者的描述回答醫學問題。	My father is having diabetes for last 12 years, now aged 56. His FBS: 160mg/dl & ppbs: 240mg/dl. It is already in high range since last 1 year. Though he is under medication,, still, it is not decreasing. How can it be decreased? What are the medical issues I need to be careful? Which food must be avoided?	Hello, Fruits should be taken in minimal quantity per day, whole fruit is to be taken instead of fruit juice. He must go for a morning walk at a moderate pace for at least 30 minutes per day. Avoid smoking and alcohol. With these blood sugar levels must come down within one month. Otherwise, medication has to be increased. If still no effect, he should switch to insulin. Raised sugar impairs kidney function, fatty liver and fat deposits in arteries. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have been feeling depressed, life is getting hopeless. I am very religious and I have racing thoughts about death and about life thereafter. I have been having decreased social interactions, isolation from others, curiosity, sad, a big sex desire, really wanting to die so that I can see what comes after death, and sometimes a faking sickness. Kindly help me. I am on Focalin.	Hello, Welcome to Chat Doctor forum. You seem to be suffering from BPD (borderline personality disorder). You can take help from a psychologist to deal with the behavior problem and the psychiatrist can help you deal with the depressive disorder, hypersexual desire and the anger issues. Try to stay away from recreational ChatDoctor. This will affect your behavior. You must visit a psychologist to evaluate your personality. For more information consult a psychologist counsellor online
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. Ive had a skin tag under my left breast for the last 5 or so years. Its grown a little over the years but hasnt really been a problem. A few days ago Ive noticed that its grown and now has a wart like hard type bottom and the top is a blackish color. It has also gotten raw at times and is painful at times not just irritating but sore to the touch.	Hi and welcome to Chat Doctor. I understand your concerns and I will try to help you as much as I can. This is probably a fibroadenoma which is a benign breast growth and usually there is a slow size progression over the years. I think that at this point you should do breast ultrasound and have a biopsy to be sure that this is not something more serious. Then it can be removed under local anesthesia by a general or plastic surgeon. In every case it doesn't sound serious to me if this lasts for more than 5 years. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.
如果你是醫生，請根據患者的描述回答醫學問題。	can a swollen cheek be a sign of conjuntivitis? My son has a small sty on his left eye that appeared yesterday. I have been cleaning it with a warm wet wash cloth and following with a warm compress for about 5 minutes. Today his right cheek is slightly swollen from lower eye to his jaw. Are the two symptoms of conjuntivitis or could it be something else?	Hello. I just read through your question. The swelling of the shift would not be conjunctivitis. Conjunctivitis would be a redness to the white of the eye with some kind of discharge from the eye. It is possible that the swelling and redness of the cheek could be a skin infection. I recommend consulting with your doctor, so the correct diagnosis can be made and appropriate treatment plan implemented.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a small rash fro shingles but my left arm is so weak and I cannot grip with my hand. I also (last week) slipped and feel on my elbow, but I really don t think that it affected my hand. Is there medication for shingles. I went to my doctor last Monday but he did not say I required any medication?	Hi there,,,welcome to Chat Doctor- Shingles is a painful skin rash caused by reactivation of varicella zoster virus.- It is an infection of nerve and there can be loss of sensation or tingling or pain of the affected area due to nerve damage...it is transient and recover with in a couple of months with the regeneration of nerve...- Antivirals do have a role in shingles, but it should be taken within first 72 hrs... May be that's why your doc ask you not to take any antivirals...- If there is any pain then you may take gabapentin 75 mg twice a day... As shingles is an infection of sensory nerve, power remains intact i.e. loss of grip could not be because of shingles-Make sure you are not having any fracture and subsequent nerve damage,,,I recommend you to seek an orthopedics advice to rule out any fracture... Hope this will help you
如果你是醫生，請根據患者的描述回答醫學問題。	my mother recently had thymectomy,her biopsy report came as stage 1 BUT B3/b2 VARIANT....she had a myasthenia crisis postop and on ventilator now....based on staging and histology variant as B3 is consuidered to be a invasive variant..did she require radiation therapy..kindly help me sir	Stage 1 Thomas is one which is completely encapsulated without any trans-capsular invasion or extension. Completely resected stage 1 Thomas does not require post-operative radiation therapy even in B2/B3 histological subtype. Radiation therapy is required in incomplete resection, margin positive disease on histopathology report, stage 2 to 4 disease or in thy mic carcinoma. I hope your query has been answered. If you any further question I will be happy to answer. Thank you for choosing Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have had pain in left kidney area, urine tests show no kidney infection, ultra sound show kidneys good, x-rays show clean kidney left side, small calcified kidney stone in right. Have continuous paind in left side as it intensifies, I get a hot flash Doctors have no answer to my pain.	Hi, I understand your concern. The nature of pain does not indicate it to be originating from your kidney. Moreover, all your reports are not suggestive of it also. The reason for pain appears to be neuromuscular or bone related in nature. First thing to do will be to correct your posture while sitting, standing,lying down. You can apply Martini ointment locally for pain. In case of severe pain you can also take Tab Tramadol 50 mg. Do regular walks and exercises once pain lessens.
如果你是醫生，請根據患者的描述回答醫學問題。	I have an uneven jowl line one side of my face right at my jaw to my chin and underneath a little bit around the neck is bigger(noticebaly) than the other side. People often ask if i have an abssess tooth because it kind of resembles that but i have had this since about the age 13 and it wont go away the more weight i gain the more noticable it gets. When i was about 13/14 yrs old i had lipo on it to try to get it away because its no mass or tumor. Do you have any ideas what could be causing this? it is making me very uncomfortable with my self image:(	Thanks for your query, I have gone through your query. The uneven jaw line can be because of any defect in the jaw bones like condylar hyperplasia or hyperplasia or hemimandibular hypertrophy or atrophy. So consult an oral physician and get yourself examined to rule out the above said causes. You may have to get some radiographic investigations done like OPG, PA view and TMJ views. Once we diagnose it later we can manage accordingly with surgery. I hope my answer will help you, take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello I am recently going through a divorce and so far the depression started, anxiety, thoughts about myself dying and and others close to me. And fear has become a major issue for me as well. I have been placed on numerous medications trying to see what will work be. It seems like they work for a little while then stop.... I am currently taking abilify 10mg, vybrid 10mg until its due to increase after seven days, and Seroquel for sleep. Its scary because I don t like medicine but I feel like there no way out of this situation.	Degree understand your concerns went through your details. A person going through the worst life scenario is supposed to be disappointed, depressed and at loss. Such a condition should have corrected itself if there were proper guidance. In your case, currently, you should pursue the present treatment. You should also discuss psychotherapy with your psychiatrist. A combination of psychotherapy, medicine and meditation do help anxiety disorders and depressive disorders. Work with your psychiatrist and psychologist the psychiatrist suggests. 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。	Hello doctor,I had a white bump on my penis for the past three months. It did not cause any pain when I touched it, and when I tried to remove it in the shower, it did not budge. It is single and there was nothing else resembling it that showed up on my penis. It showed up maybe a day or two after sexual contact with my girlfriend. I am not sure if it is an STD.Today, during the shower I realized it was not there anymore. It either fell off or shrank, I have not been paying much attention to it the last couple days so I am not really sure. I am attaching a picture of what it looked like when I had it, and what it looks like now. It does not look like any STDs I have seen online, so I am at a loss as to what it could have been. Any help would be appreciated.	Hi, Welcome to Chat Doctor forum. The lesion is not looking like an STD (sexually transmitted disease). From your history, it is asymptomatic and pain free. Whitish concretions can form due to the collection of subpreputial discharge or it can be Fordyce\s spot. Wart can be asymptotic and go for spontaneous resolution. But it would have spread by now. Apply Mupirocin ointment on the spot. Clean the area with mild soap. Observe next time. If it is forming again please consult with your doctor and remove it and give for biopsy along with blood tests for STD for reassurance.
如果你是醫生，請根據患者的描述回答醫學問題。	I shiver and severe itch over my body, also my lip is very swollen, I do suffer from urticia, and it calmed down but now it seems to have flared up, I take one clyatyn tablet every day. but it has not hepled me. my tongue comes up when I have it on the one side, very hard not to scratch.any suggestion to help me, Pauline Chaplain.	Hello, Thank you for asking at Chat Doctor. I went through your history and would make following suggestions for you:1. Were I treating you, I would suggest you to take montelukast and fexofenadine in morning and HY Chat Doctor. You can continue it up to 5-7 days depending upon response.2. I would also suggest you to apply a lotion or a moisturizer over itchy areas. Please do not scratch itchy areas, it would aggravate your symptoms.3. If you have difficulty in swallowing or respiration due to tongue or throat swelling, I would also prescribe you a short course of steroid (prednisolone) for 5 days.4. To identify the cause, I would like to know your symptoms in great detail. I would also like to know your age, any other medical conditions that you might have or any other
如果你是醫生，請根據患者的描述回答醫學問題。	I HAD DRY CAUGH IN THE NIGHT BETWEEN 2 A.M TO 3 A.M SOME TIMES. AFTER THIS MY BREATHING IS OBSRUCTED. AND MY VOICE BECOMES VERY VERY AND IT MAKES LOUDER NOICE FOR WANT OF BREATH. AFTER HAVING A GLASS OF WATER IT BECOMES NORMAL. DURING THIS TIME I HAD OBSTRUCTION IN BREATHING. WHILE EATING ALSO ESPECIALLY WHEN I AM TAKING FOOD SOME TIMES I GET DRY CAUGH AND VOICE MAKES VERY LOUDER NOICE FOR WANT OF BREATH AND WATER. WHAT IS THE EXACT PROBLEM. I HAVE CLEAN HABITS. NO BREATHING PROBLEM DURING THE DAY OR WALKING RUNNING AT ANY POINT OF TIME. PLEASE PROVIDE YOUR ADVICEMY AGE 47 YEARS,MY HEIGHT 165 CMSNO BLOOD SUGAR,BP 70/110i HAVE BREATHING PROBLEM IN THE NIGHT WITH OBSTRUCTION IN THROAT.	Hello. Thank you for asking at Chat Doctor. I went through your history. I would like to ask a few more questions here like - What is your weight (Are you overweight)? Do you have any nose symptoms like nasal obstruction, running nose, etc.? Do you have any difficulty in swallowing foods or liquids? Do you have regurgitation of food, especially at evening or after spicy meals? However, from your history, I would think first of gastroesophageal reflux disease or obstructive sleep apnea. I would not think of allergy/asthma at present. I would like to make following suggestions:1. Were I treating you, I would prescribe antacids like omeprazole or pantoprazole half-an-hour before meals for at least 2 weeks.2. Please avoid hot, spice meals. Please avoid smoking, alcohol and caffeinated beverages.3. Please do not eat to full stomach at dinner. Please do not go to bed immediately after dinner. It would be great if you can go for a brief, relaxing walk after dinner.4. Weight reduction (if you are overweight) will help.5. Sleeping in left lateral position or sleeping with head-end of bed elevated also may help. However, if above measures do not help, I would suggest you to consult a physician who will suggest you further investigations after detailed inquiry and examination. Hope this will be helpful to you. Wish you the best of the health. Should you have any query, please feel free to ask at Chat Doctor. Thank you & Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a six year old boy who was diagnosed with ADD but we are not comfortable with putting him on medication. We have begun giving him 1/2 cup of coffee each morning, and is working, according to his teachers. The problem is that after lunch and the coffee has worn off, he is right back to not being able to focus and stay on task. I would like to send chocolate covered coffee beans for him to snack on at lunch time, but not sure how many...	Degree understand your concerns went through your details. I suggest you not to worry much. Attention Deficit Disorder is not as you think. Please understand. A 6-year-old child is supposed to have vibrant and creative mind, and he cannot stick to any task continuously for more than 5 minutes. You cannot diagnose it as ADD. Your child is normal and other child Chat Doctor. You need to give him training, not stimulants. Otherwise, stimulants will be a habit, and it ruins health in the future. Teachers will say so because their task is cut off. They are supposed to train your child. If they don't, you do. Give him enough rewards (non-monetary, no stimulants), appreciations etc. Sit with him. Help him in his attention. Easy and creative tasks are good for improving attention. There are several methods. I shall help you further in this aspect. You can contact me with a direct question in this portal itself. Hope this answers your query. Available for further clarification. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my name is Joseph and for I guess I could say months now Ive been experiencing a discomfort in my left side of chest but its hard to explain first thing is I always from day to day throughout feel a wierd burning feeling under the armpit and goes down inner side of arm today it reached my middle finger and I also notice my heart will beat wierd from time to time Im also a suffer of anxiety attacks havent had an episode in a while and Im really worried that I could be close to a heart attack Ive been check out but yet no results or anything showing that	Hello! Thank you for asking on Chat Doctor! Regarding your concern, your symptoms don't seem to be related to any cardiac disorder. As you refer your cardiac check up has resulted normal too. Your troubles may be probably caused by a articular pain (a pinched nerve or a cervical disk displacement). Anxiety could also cause a similar clinical scenario. I would recommend consulting with a neurologist for a careful physical examination for neurological signs and performing a cervical spine x-ray. Nerve conduction studies (electroneurography) may be necessary to exclude a possible pinched nerve. Hope to have been of help! Greetings!
如果你是醫生，請根據患者的描述回答醫學問題。	Hi i am doing a project on the male reproductive system and i cant find an answer to this one question and that is What are the functions of the male reproductive system and to be specific. When i look it up they dont really give me much. I was wondering if you could help me? Destine	Hi, the function of the Testicles is to form sperms which are then transferred to the Urethra via the Vas Deferens. On their way, the secretions of Seminal vesicles are added to the Sperms and is then called Semen. This secretion provides nutrition to the Sperms. Semen then enters the Penile urethra or the urine tube in the penis and is secreted in spasms caused by the Caverns layers in the Penis. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had a cold about two months ago and I went to the doctor. She said it was allergies. I had a fever, runny nose, scratchy throat, and lots fluid in my ears. They gave me zyrtec d and got a little better but never finished the dosages. A few weeks ago I started having inner ear problems, and a swollen lymph node on the same side of my neck as the infected ear, it s still bothering me a bit and the swollen node is still there. Is it due to the cold? What medicine should I take? When will it go away?(my allergies are still bothering me)	HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that this could be allergic condition and the exact cause of allergy is difficult to find out only the symptomatic medicine alone would give best results and that is only can be taken in seven condition otherwise this is self limiting and would come around on its own, hope this information helps you, have a nice day.
如果你是醫生，請根據患者的描述回答醫學問題。	my doctor thinks I may have a hernia, i did have a c-section 2 years earlier. I found a small knot and thats what took me to the dr., although I have a lot of pain in that area as well mainly during my period which I think may be do to endometriosis in my scar tissue since it only really hurts during my cycle. I am a big worrier, I have a ct scan scheduled for Wed. Could it be ovarian cancer though without prior symptoms or anything coming back on pelvic and yearly exam? I am 37.	Good morning. First you should not be unnecessary worried thinking you have got ovarian cancer. Ovarian cancer is usually not detected in early stage. When it causes symptoms, it has already reached 3rd stage. The symptoms are heaviness in the abdomen distension of the abdomen, bloating sensation vague discomfort or pain.However, these symptoms may or may not be due to ovarian cancer and must not cause undue worry. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	i m concerned for my brother. he has an intermittent low-grade fever, left lower quadrant pain, had a granuloma show up on on his lung xray, and also has elevated liver enzymes from recent bloodwork. our mother is convinced it is cancer. he is being treated for diverticulitis as a result of fever , constipation, pain. the enzymes and nodule showed up during his workup.	Hello and welcome to Chat Doctor, Thank you for your query. First, as he is being treated for diverticulitis, this must mean a diagnosis was made. Let us talk about a granuloma. A granuloma is the bodies response to a foreign substance which it could not eliminate, or throw out, thus a collection of immune cells over this substance takes place, resulting in granuloma formation. The foreign substance could be bacteria, fungus, tumor, etc. This doesn't necessarily mean that this is cancer. Although a granuloma can be seen even with malignant tumors, this is not always so. Further investigation of the granuloma will be required to be able to tell what it is for sure. The liver enzymes are usually elevated during the presence of some abnormality. And again, an elaborate work-up would be required to find the cause for this elevation. As your brother is under a doctors' supervision, it would be best to conduct all the investigations under his care at this moment, and rule out the worst. I hope I have succeeded in answering your questions, you could write back to us anytime for further clarifications. Best wishes.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctors, a very gd mng, I do suffer frequently from sneezing n cold, when it turns to cold n cough , I realise during cough there is discreet in breathing , I went for many test like TFT, CT scan , I dont exactly suffer from asthma but very much prone to cold, in cold place I start sneezing too much, very recently I got this sneezing and cold visited doctor, he gave me Azimax-500, it got cured bt again I got it, now am taking alerid tablet bf bed, I am very confused with this which hampers my daily activity, plz suggest	Hello Aziz, You have persistent rhinitis that could be allergic and a complete allergen (aeroallergen) profile needs to be done (by skin prick test or specific IGE blood test) to arrive at a diagnosis. House dust mite or animal dander allergy would be top on the list reading your symptoms and a long acting antihistamine plus a nasal corticosteroid spray for a minimum of 6 weeks is required as an initial treatment plan (even for non-allergic rhinitis). Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I m 20 years old and have PCOS so my periods are Irregular. Iv been getting pain in my tubes for the past 2 years now and been told by my doctor and gynaecology this is not due to PCO. I keep having scans and blood test and they say nothing is showing but yet still I still suffer with these pains which is horrible. I noticed after not having sex for 3months I had no pain in my tube area and now after sex I can feel the pain is back in my left tube area. Please can you help to why this is?	It is not PCs it is POD (polycystic ovarian disease). Pain during sex and that too in fallopian tube region could be referred pain from vagina, or it could be direct pain at local site, whatever might be as your sonography report shows nothing wrong with your tubes there is something different .you can take minus Albertina 30 4 tabs 3 times in day for 15 days this will help both in reducing pain after intercourse and also regularize your menses, Hope this helps, thanks, jignesh
如果你是醫生，請根據患者的描述回答醫學問題。	I was showering the other morning and my thumb locked up and would not move. It wasn t like a catch or a joint locking up. My arms the night before were numb and tingling. I went to the emergency room and they said I had a seizure. They diagnosed this with out even taking my blood pressure etc. I went to a different doctor, that one said it was an anxiety attack. both are wrong. Not sure what caused this. I m thinking maybe neurological . Thinking I should have a MRI . I m a 24 year old female in excellent health, I work out no less then 3 time a week and I eat very healthy.Jacey	Hi, First, let me tell you that blood pressure reading is not required for the diagnosis of seizure. In my opinion, thumb getting locked up was probably Trigger thumb- a condition where swelling at the base of thumb locks up the thumb in flexion. For this, I would suggest painkillers and if it persists then probably you may need a local steroid injection. 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, My husband has glioblastoma brain cancer and is on alot of meds; seizure, blood pressure, chemo, blood thinner, steroid. He was YYYY@YYYY phospha 250 neutral tab because his potassium level is very low. Is this safe to take with all the other meds?	Hi, dairy have gone through your question. I can understand your concern. Glioblastoma multiform is stage 4 brain tumor. Treatment depends on size, location and spread. In general radiotherapy is the treatment if surgery is not possible. Yes medicine for blood pressure, seizures, and blood thinner are necessary. Consult your doctor and take treatment 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。	hi! it has been a week and i have noticed some bumps on my tongue which are red! i felt my tongue sore but its a lillte bit better now. now there is a bitter taste in my mouth and my tongue is very white but the bumps are still there. am a smoker but i quited since i noticed the bumps...what should i do? thank u	Hi, dear I have gone through your question. I can understand your concern. You may have leukoplakia or some bump. It can be due to benign squamous hyperplasia or squamous cell carcinoma. You should go for biopsy of that area. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Achy feeling in my arms and legs after getting wisdom teeth removed Today (8:20 am) I got two wisdom teeth removed as well as an impacted baby tooth that i still had (I am 22 years old) in my right side. The doctor prescribed me amoxocillin, motrin, and oxycodone, which i have had all in the past. In November of last year I had the left side of my wisdom teeth removed and a baby tooth on that side. Well around 11 pm I started to have a dull ache (tingling and tight feeling) in both my legs and arms. Also my blood pressure was 140/78 pulse 72, my blood pressure is usual right at normal all the time 120/80 or 117/80. I was wondering if this is a side effect of any ofthe medications I am on or the procedure itself or somthing totally different?	Hi, Thanks for asking the query, Wisdom tooth extraction is often associated with past extraction complications like pain, swelling, fever, malaise. You don't worry about the symptoms as they will subside after sometimes. Pain and tingling sensation in the arm can be due to raised blood pressure or can be the side effect of the medications prescribed to you. I would suggest you to avoid anxiety or stress and take complete rest. Follow the post extraction instructions given by the Dentist properly. Take lukewarm saline and antiseptic mouthwash rinses. Maintain a good oral hygiene. Hope this helps out. Regards...
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, i am trying to conceive my first child, i have been montoring my morning temps daily, i have low temps average of 35.8, they peek after ovulation to 36.2 are these temps too low? Im 28 years old, no medical history, periods average 35 to 38 days.Thank you	Hi, I think it is fine to have such body temperatures. Just confirm that you are ovulating or not by repeated ultrasound or ovulation detection kits. If you are ovulating, you can try naturally for 6 months before undergoing any fertility treatment. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Hope I have answered your question. Regards Chat Doctor.

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