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如果你是醫生，請根據患者的描述回答醫學問題。	2yr son had severe cough. Doctor gave 3 days(day and evening) nebulizer. Then suggested Levolin syrup for 5 days, 2.5 ml, 3 times daily. Cough didn t stop. On the 9th day my son had high fever 103 F and running nose and cough. Took to another doctor...Advised cold water sponging to reduce temperature. Gave 5 days medicine. Syrups: augumentin, levolin, alerid, broncorex, parecetomol. Day 1: temperature shown 102 in morning and reduced to 98 in noon, evening again 102. Gave each time tap water sponging to reduce temp and all the syrup. No improvement.Day 2: same temp. Gave sponging and syrup s. Running nose stopped. Urine was in coffee brown color.Day 3: temp reduced to 101. Gave sponging and syrups. Urine in yellow.Day 4: temp reduced to 99. Maintained same throughout the day. But running nose started again and severe cough. Vomiting in the noon. Urine normal. He is continuously coughing while sleeping. Please advise.	Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of persistent cough despite taking medication which is due to severe upper respiratory tract infection. It seems due to poor immunity of body you are highly susceptible and prone to infections. The infection is probably a strep throat. Need not worry. I would suggest you to start with course of antibiotics and anti-inflammatory Chat Doctor. . For now do warm saline rinses, take rest. Avoid taking cold beverages. You should take mast cell stabilizers to prevent from infection. I would suggest you to consult ENT specialist without any delay. Doctor may order blood test, throat swab test or virus culture test. You should get an x-ray of the chest. Doctor may prescribe antibiotics amoxicillin at least for 10 days along with bucolic agents. Go for complete blood count and platelet count to rule out any hidden systemic pathology. You should avoid hot, sharp and spicy foods. . Hope your concern has been resolved. Get Well Soon. Best Wishes,
如果你是醫生，請根據患者的描述回答醫學問題。	i am a female of 39 yrs height 160 and 56 kg. i have lower back pain since last 2+ months, taken a X-ray , found normal. Pain is not so severe, but it is continue,. it increases, when i change any position, left -right, front - back bending, even continuous sitting or walking. please advise.	Hi, Welcome to Chat Doctor. After going through your query I think you are suffering from chronic backache. Treatment of back pain is exercises and analgesics (diclofenac). Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation (weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk and milk product, fruits and green leafy vegetables daily. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query
如果你是醫生，請根據患者的描述回答醫學問題。	I had a severe abscess on an upper molar which reached my eye socket and caused lump in roof of mouth. Was on antibiotics for 3 weeks during which time the tooth was removed. That was back in mid April. Although I have no pain, the lump is back on the roof of my mouth which when pressed causes blood and fluid to come out where the extraction was done. My ear also feels blocked	Hello, Read your query, as you have swelling at roof of the mouth after removal of tooth this can be due to still infection is present at site of tooth removal this can be due to formation of superlative estates or this abscess can be due to carious tooth present in same upper arch. Do warm saline gargle two - three times a day, Do Betadine mouth rinse. Consult dentist and go for investigations IOWA X-ray if there is infection then go for treatment. Hope it helps you If you have further queried, I will be happy to help.
如果你是醫生，請根據患者的描述回答醫學問題。	I as your previous writer am having frequent subconjuntival hemorrhages every other day. I am female age 60 post LASIK surgery 10 years ago and have chronic dry eye. I have my blood pressure under control with herbal meds (not ones that thin blood) and it works well. This is happening in both eyes, I have normal bleeding profile and have stopped using Aleve, fish oils, flax seed and other heart health vitamins. Please advise. I was told maybe the conjunctival chalasis surgery might help, but I do not have eye pain which I thought was a symptom. Please help!!! thanks	Hi, Thanks for writing in. Subconjunctival hemorrhage happens due to break of small blood vessels in the white part of the eye. The bleed is not absorbed quickly and might take some days to resolve. Isolated subconjunctival hemorrhage requires no specific treatment and heals in 2 weeks time. A subconjunctival hemorrhage changes colors and will fade from often red to orange to yellow over days. Patients often report a scratchy feeling in the eye and using eye Chat Doctor. A conjunctivochalasis surgery might have to be considered only if you do not get relief from using conservative treatment like artificial tears.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a swelling on one side of my neck gland when I eat a meal. Hopefully, I am having a CAT scan tomorrow but I would like some peace of mind for the next 24 hours. With this problem, does it always lead to an operation? I am going overseas in two weeks time for a five week period. I am 63 year old woman with up till now perfect health. I take no medication.	Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the swelling on one side of neck gland-thyroid, especially when you eat, is due to -Sialeadenitis with Sialolithiasis with stone in duct obstructing the submandibular gland, .2-This may need urgent surgery -as it increases with eating a meal, indicating that the swelling is due to the stone obstructing salivary duct of the submandibular gland.3-If you are going out-station-better have an -on-travel -health insurance to cover any emergency -which may need Urgent Surgery if need be.4-Hope this would solve your query.5-Wellcome for any more questions on new or this subject also... Have A Good Day.!!
如果你是醫生，請根據患者的描述回答醫學問題。	I am type one diabetic. I took 9 amoxicillan caps, (two caps per day), for a sinus infection. I then ate a large number of blueberries. I developed bad diarreha for 48 hours. Many undigested blueberries came out in my stool. I took amodium to control it. I no longer take amox or Imodium and do not eat berries but stool is still loose after one week. I quit taking stool softner at night before bed time. I quit eating all bran cereal. I still have loose stool. I am 61 years old and have diabetes under control with an a1c of 6.2. What is your guess as to why I still have loose stool?	Hi, Do you have associated nausea, vomiting or fever? You are having either a Gastrointestinal Tract Infection or Indigestion. You may want to get yourself examined by a Physician and if necessary get a Stool Routine and culture to rule out the infection and the causative Organism. Furthermore, you will require antibiotics and Anti Diarrhea ls. Gradually begin to eat bland, easy to digest foods bananas, rice and chicken. Stop eating if your symptoms return. Avoid dairy products, caffeine, alcohol, smoking and fatty foods until you feel better. Get adequate rest and Chat Doctor. Wish you Good Health.
如果你是醫生，請根據患者的描述回答醫學問題。	A few days ago my front teeth started becoming very very sore...This morning I woke up with my left side of my top lip numb and my left side of my nose completely numb and very sore..my teeth are no longer sore just my to the left side of my nose and right above my lip...help	Thanks for your query, I have gone through your query, the soreness in teeth could be because of the gum infection or tooth infection leading to periapical or periodontal abscess formation, you can take a course of antibiotic.....because of any pressure over the nerve you might be having the numbness particularly over the infraorbital nerve.consult an oral physician and get yourself checked completely to rule out the above said conditions...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 doctor. I got married ten months back. I have been trying to conceive but not yet. I took all the tests and came back normal. My period is irregular. This time my doctor given me duphaston to get my period. Im really afraid. Can you please help me.	Howell come to ChatDoctorI really appreciate your concern, look pregnancy is more natural phenomenon than physiological one, it depends upon some incompatibilities, like presence of ovum and sperm at the time of coitus, it is just 10 months gone since you married, sometimes this may take more time even more than enough, be patience, and keep trying, you would be definitely going to be pregnant, take care and good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here... Sir, my daughter is 15 years old. She is getting her palms twisted, mouth twisted and vibrating, some time goes unconscious, gets irate this she is facing since past 2 years	Hi, Please let me know the symptoms given above in more detail. As I understand your 15-year-old daughter is getting episodes of twisting of her palm and mouth and at times she also becomes unconscious. What to you mean by vibrating. Are they convulsions ? Convulsion is when we see jerky movements of the arms or legs with twitching of the facial muscles. Sometimes they may be more localized. Your daughter may get epileptic seizures. This can be confirmed by an EEG. It will be helpful you can forward a video of the episode. You should also consult a neurologist. 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。	Sometimes I start shaking and Ifeel like I need sugar right away. I asked my doctor if it could be low blood sugar and he says I need to eat protein. This happens at times right after I eat when I have ate protein there is no warning when it is going to happen	Dear user I have gone thought your question can understand you concern Did you feel trembling in your hand or pool body? May I know please if you are diabetic? Did you have gastric bypass surgery? Did you have problems with small intestinal? More commonly trembling in this case is known like reactive hypoglycemia, you have postprandial hypoglycemia. I thought that you have postprandial hypoglycemia:If your blood glucose level that falls below 70 mg/DL will verify this diagnosis. At the same time did you feel :Sweating, dizziness, confusion, or weakness or difficulty with speech? Other causes are Low a Chat Doctor. My advised is to consult with your physician. Test blood glucose at that Monet that you feel trembling. Take a saliva hormone test to check Cortisol levels (maybe your case we have lo a
如果你是醫生，請根據患者的描述回答醫學問題。	I am Nivas My wife and myself are trying to have a child since 9 years. I am 39 and she is 35. My semen test revealed extremely low count (<10 million) and low motility. For that the doctor has prescribed to take oligo care tablet for 2 months.after treatment improve my semen count. My wife underwent laparoscopes and it was found that she had cysts in her ovary and left overy is dry.after aparoscopes some infection in surgery place .we take treatment near general surgen doctor it willcure. After rwe will go another doctor for treayment with all repots she says no problum , give fertil 50 mg tablet,support imupux tablets since 5 months ther was no use what can I do now	Hi, here your sperm count is low. It should be minimum greater than 20 million. After treatment repeat your sperm count. Your wife having cyst in ovary which is usually treated by OC pills. To conceive first 7 day of menstruation and last 5 day of menstruation sex not helpful. Chance of conceiving best at 10 to 17 day of menstruation. TAKE HEALTHY DIET.AVOID FAST FOODS. More protein. More water. If still you not conceive then detailed investigation done. Like, male serum FSLH level, Male s.testes tone, hologram, female thyroid profile, female s.prolactin, hysteroscopy,laparoscopy etc.
如果你是醫生，請根據患者的描述回答醫學問題。	well to start things off plane I have asthma and endometriosis adhesions and MTHFR chromosomal abnormalityjust to name a few but I have been having problems problems with nasza chest pain and using the bathroomI am tired of going to the doctors and never rinsing any things out was just hoping you might B able to think of some thing that might help thank you for your time.	Hi. I can understand your concern. Possibility of asthma being uncontrolled is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of asthma. It will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I am struggling with the sensation of "floating" and dislocation. I have been awaken from my sleep feeling dislocated and lightheaded. I had a stroke in December 2012. After reading and working on my computer I begin to feel dislocated and sometimes double (shadow) vision. I have a lot of weakness on my left side.	Welcome to Chat Doctor, I had gone through the case and found that it might be due to formation of clot in carotid artery which effect the circulation of blood to brain and causing these symptoms. So Immediate go for Carotid Doppler test to find the exact size and location of clot. Take proper Conspiring dose after diagnosis to dissolve it. Hope my answer will be effective for you. Thanks, Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,My baby is 36 days old. He is passing stool very frequently like 15 times with little or more motion but not very heavy in the last 48 hours. The stool was curdy yellowish color, not like runny or watery, no greenish, no blood, no bubbles. He had the same issue when he was 18 days old, and in between, he was healthy but again he kept going motion and redness spotted in anus area with small spots of skin peel.Baby sleeps well, does not cry, passes urine usually in a good number of times, and only mother breastfeeding every two hours. Please request your advice on how to stop this frequent motion and reason for this happening and is this normal? He also makes a noise like sounding from inside especially more during night time, having trouble while breathing due to a chest cold, so am giving Rinoclear saline drops three to six hours once depending on his nose block. Please advise why baby makes such noise, is it normal?I was feeding breast milk via bottle for four to five days when he was two weeks old since he was unable to suck through mother\s nipple. I stopped bottle when I encountered this frequent motion and with my doctor\s advice.	Hello, Welcome to Chat Doctor forum. I understand your concern. 1. Passing motion too often is a normal phenomenon in neonates (gastrocolic reflex). Make sure baby is passing adequate urine and playful. 2. Redness over the perianal region may be due to prolonged wetness over the part or due to cleaning the area by rubbing. Wear him a napkin and change immediately once wet, the purpose is to keep ChatDoctor. Cleaning not to be done by rubbing, it can peel the skin. 3. Try to keep the perianal region
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,My son hit his mouth on the bathtub while playing when he was 9 months old, causing both top front teeth to be pushed up into his gums. They came back down, and the dentist said they were fine. Now he is 4.5 years old, one of the teeth is ready to fall, and his dentist wants to pull out the other front tooth with a strong root. He says it is best if they both come out at the same time, but did not explain further. Is pulling an absolutely good tooth the best option? I am attaching the x-rays of the teeth.	Hi. I have seen the x-rays that you have attached to the complaint (attachment removed to protect patient identity). Thank you. 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。	My 7 yr old son had a bad toothache, went to Dentist, dx with a cavity and was put on antibiotics. Several days after antibiotics, he was playing and jumping and he fell and his knee came up and hit him on the same side as the bad tooth (upper) Now it has a pea size lump there. What to do?? Been there about 4-5 days now. He says does not hurt now.	Hello! Thank you for posting here. This can be an abscess formed there. A x-ray must be taken to assess if the tooth can be saved with a root canal. Extraction of the tooth or a root canal may be necessary. I suggest you to see your dentist immediately to prevent any further spread of the infection. Excessive usage of antibiotics is also not recommended. Antibiotics only subside the infection. A complete treatment is necessary to eliminate infection. Also, the age and exfoliation of the concerned tooth must be considered. A clinical and radiological examination is necessary. Regards.
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 scrotum on the left side beside shaft. ive been to urologist and he felt and said everything is fine. Also had some test done blood work for a few things, I don t think they were test for anything major just testosterone levels and such. The pain is worst when sitting down its seems to ease up after I stand up and walk around. I feel a slight bump above left testile and that s were pain is coming from.	HelloThanks for query. Based on the facts that you have narrated I would state that pain at the top of the left testicle radiating up to groin and lower abdomen with a bump on the top of testicle is most likely to be due to infection of Epididymis (Epididymitis). Consult qualified Urologist for clinical examination and get following basic tests done to establish diagnosis 1) Urine routine and urine culture 2) Ultrasound Scanning of scrotum 3) Semen examination with Semen culture In the meanwhile start taking broad spectrum antibiotic like Cefuroxime along with anti-inflammatory Chat Doctor. Further treatment will be decided by him based on the results of these tests and final diagnosis.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi i m 35 yrs male stone in gall bladder 14 mm shows in ultrasound.what is the best way to remove it.i think if i follow the procedure of home therepy olive oil and lemon will work on me.i have one more dobt if this came out could this go another place also	Hi.noted history of gallbladder stone. Are you experiencing any symptom related to it? Definitive management for cholelithiasis (gallstone) is surgical removal or cholecystectomy. It may be done laparoscopically (gold standard) or through open technique. It is best if you consult with a doctor, a general surgeon, for physical examination and clinical evaluation. Other diagnostics (liver function tests, alkaline phosphatase, complete blood count) and management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I had an x ray done and it said I have thinning in my lumbar especially on L4-5 and I think L3-4 and L5-S1 or something like that. What exactly does that mean? and what are the best ways to treat it? I m going to a doctor Wednesday but I m kind of nervous about what they will say. I am only 21 years old.	Thinning of vertebra may be loss in height of vertebra or more of translucency as compared to normal bone texture on x-ray. Wonder what your radiologist really implies. It is better to wait till your consulting doctor sees X-ray himself. It is no use pondering before that. Unfortunately this website doesn't allow posting of X-ray, or other reports scans, otherwise things could be easier for us to give opinions on they can however, upload your X-ray after scanning and send me to my e-mail [email protected]
如果你是醫生，請根據患者的描述回答醫學問題。	Ive had some swollen nodes on my neck for around a year now. I consulted 2 doctors and one of them strongly was against biopsy. So we decided against it. Im 18 and since it didnt go away yet. we went for another doctor. He suggested an ultrasound. There was splenomegaly and I think there was some swollen nodes in the abdomen too. I was tested for TB and it came back negative. So, Im guessing when I go in tomorrow for consultation, hed say I have lymphoma. So this is my question. How curable is lymphoma? How much time does it take for it become terminal? Thank you in advance. Id love if you reply fast. Its 1 AM here and oh, Im scared bad.	Hi, thank you posting at Chat Doctor. I can understand very well your concern, I recommend being sure if it is lymphoma malign you should make the following tests:1. Lymph node biopsy(total excision of a lymph node that is then examined under the microscope)2. FISH (fluorescent in situ hybridization).3. Specific blood test(It is realized by laser). The results of the tests will determine the diagnosis and the treatment. You need to make those to test because they are necessary. But is the possibility that you don't suffer from lymphoma, but from an easy form of this disease. Best Wishes.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,I am 24 and having an active sexual life. I have two questions. First I have noticed that my performance is erratic as in there are times when I can last 5-6 minutes and then the very next day it can go to 30-35 minutes. It is different with different partners. Second and more alarming is that I have been experiencing a stinging pain in my scrotum on the left side it usually happens when I stand up while sitting or laying and sometimes while walking. I tried finding the source of the pain by pressing in different regions but could not find one. Also, it happens at the back side of the scrotum. It is limited to the left side and has been increasing with each passing day. I thought of UTI, but my pee does not burn. Can I have some suggestions for my problems? Thank you.	Hello, Welcome to Chat Doctor forum. I can understand your concern. If there is any history of injury to scrotum then most likely it is a hematoma or infection post trauma. The pain could occur because of pressure over testis by tight underpants. This sometimes results in a picture similar to an infection. I would advise you to get USG scrotum done. This will rule out any hematoma or infection. A urine analysis should be done to rule out the cause. Please provide the reports for further assistance. Thanks and take care.
如果你是醫生，請根據患者的描述回答醫學問題。	earlier i suffered from typhoid on sep 2010.i took medicine & injection for that.i was cured.but something i felt like fever it is mild.for 2 days i am suffering from fever i take norflox but still i am not cure i feel sometime hot & sometime cold.am i suffering from typhoid again?	Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible. The kind of symptoms you have mentioned, makes Relapse of the Enteric fever aka typhoid, a most probable diagnosis, however it would have been more appreciable if we had known whether, any history of altered bowel habits, or any suspicion of a concomitant infection, whether urinary or respiratory exist or not? It is quite possible to have relapse of Enteric fever, because it is one of those infections which has notoriously high tendency to go into chronic or relapsing patterns. Also, that partially treated Enteric, or leaving the antibiotic once fever is settled, increases the likelihood of such incidences. The most reliable test would have been a blood culture, even typhoon has also got a lower specificity to the Enteric fever. An associated decrease in WBC count along with some other cell lines in your CBC, can also rise the possibility of typhoid.Also, that, the screening tests like urinalysis, Chest X-ray and other baselines' biochemistry, monitoring your kidney and liver status, to essentially rule out possibility of any other common systemic infection. Here I would also like to suggest, that you may need a repeated Lots monitoring, as enteric fever has got the tendency to have complications like Enteric hepatitis. If you were my patient, I would have recommended you tab. Ciprofloxacin 500 twice daily for 10-14 days, even if the fever subsides, to avoid chronicity of the infection. If no response is achieved in 5-7 days, then addition of azithromycin 250 mg twice daily to the current regimen has shown to increase the efficacy and better clearance rates. Along with that, use of antipyretic, and motility agents, like risperidone would have been more comforting. If god forbid, the infection persists, and there is no other signs or laboratory findings suggestive of any other organ system involvement, based on the history, Indoor treatment with IV ceftriaxone 2g twice daily would have been the next relevant thing to do, but I hope the things will not go to that extent, hopefully. Stay connected to your doctor and keep on seeking regular advice and checkups. I hope this answered your question. If you have more queries I am happy to answer. Otherwise, rate and close the discussion
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, may I answer your health queries right now ? Please type your query here... I have a smalll white worm like thing that I find img vigina and I ussually can find afew at a time. When this happens I touch it with my finger and it wiggles a bit than dies. Its about a cm long. What can this be and should I be alarmed?	Hi, From history it seems that there might be having thread or pin worm in vagina giving this problem. There might be having worm infestation in your intestinal tract and during nighttime these worms come out and might migrate from anal canal to vagina as they are in close connection. Go for stool test for ova and cyst for thread or pin worm. Go for anti-worm medicine course like Albendazole stat. Keep one thing in mind that while cleaning near anal canal after passing stool, clean from front to back so that worms near anal canal can not come near vagina. Ok and take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello Doctor - I DIDNT KNOW YOU NEEDED A CREDIT CARD TO GET AN ANSWER - - CAN I GET AN ANSWER WITHOUT PAYING ? Yes, thank you for answering my question: I have pins and needles sensation constantly on top of the head from the back of the head base of neck - facial pressure pains - so bad that at night - from a scale of 1 to 10 - I m at 15 ! the pins and needles sometimes stay right on top of the head the hissing gets louder and around the eyes there is a goggle pressure feeling - feels like tiny hammers pricking stabbing sensation - I think it starts from the back of the neck top part where the neck bone meets the head bone - sometimes I hear a breaking (like dry wood or the sound that the shifting of the left /right of a car - what do you think it is Doctor?	Hi, I have gone through your question and understand your concerns. In my opinion, most probable cause of your symptoms may be occipital neuralgia, a condition where occipital or upper and back neck nerves are pinched or compressed along their way. Another possibility of your symptoms may be high blood pressure. You need to discuss with your primary care Doctor above-mentioned possibilities and tests needed in order to have a correct diagnosis. 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.
如果你是醫生，請根據患者的描述回答醫學問題。	My gynecologist prescribed vitamin d 50,000 unit to take every two weeks, but my regular MD advised me not to take it because it could cause calcium build up around my heart. I have a family history of heart problems in my family. I do not know where to take it or not.	I would suggest you get a vitamin D done, if on the lower side you should supplement it without a doubt, generally they are available in 60000 U, which you should take 1/week for 6 weeks and then once a month for 6 months. After that retest. It's a completely false nothing that it will cause calcium deposition around your heart and I would assure you it wouldn't. However, without testing long term supplementation is not what I would recommend Regards
如果你是醫生，請根據患者的描述回答醫學問題。	I have a white hard bump on the bottom of my gum line. It has been there for almost a year. The size has not really grown much. I am starting to get another one right beside it. I went to my dentist who said that its fine and he did do a bit wing xray and said he didn t see anything that showed it to be abnormal. I am just a worry wart and wanted to know what you thought this hard bump could be on my gum. Thanks	HelloWelcome to ChatDoctorI would like to tell you that there can be various reasons for this painless growth like it can be fibrous i.e. painless growth firm in consistency due to some injury or trauma. It can be torus i.e. bony outgrowth. It can also be an abscessed tooth that will be ruled out after getting an IOP AR done because bite wing X-Ray is for interdental caries. Get it diagnosed properly & treated after consulting your dentist. Take Disregards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	My husband has bone cancer, PSA has started rising. I would like to have an idea of what to expect from here. What about this type of cancer actually causes death.He is 70 yrs old, very overweight, treated for high blood pressure, high colesterol, Diabetis, has polycistic kidneys, depression	Hi, Thanks for writing in. It is important to know what type of bonce cancer your husband is having. There are many bone cancers in appearance and types. Some are locally aggressive while others can be highly metastatic and destructive. If bone cancer is detected in stage 1 and 2 then patient survival chance is more. In stage 3 and 4 bone cancer the survival chances are less however some patients might survive with aggressive treatment. Your husband has some co morbid factors like overweight, treated for high blood pressure, high cholesterol, diabetes, has polycystic kidneys, depression and that might play a role in recovery. Please discuss with your doctors concerning the stage and treatment. PSA has no isolated predictive value is bone cancer but if more than 10 NG/ DL then his prostate must also be evaluated and treated for any condition. Please do not worry.
如果你是醫生，請根據患者的描述回答醫學問題。	I have a bump on outside of my left big toe...The bump is about 1" long and 3/4" wide and red and hot and in the middle is a white bump and looks like something stuck me there..a dark spot in the middle of the white bump...it hurts when walk..so my question is..is it infected or is there something in there and what to do abou it	Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from Gouty arthritis of the left big toe with white gouty tofu with dark spot of damaged toe tissue from the gouty tofu inflammatory process involved with it.Thus, this is not an infected lump but a lump with a Gouty arthritis with acute redness due to inflammation of the big toe joint cartilages and bones. They are caused by monosodium rate crystal deposition in joint cartilage of the big toe and are basically due to very high levels of Blood Uric Acid. Treatment-Investigation-and confirm-Would be by Ortho-Surgeon who would fix the cause from above possibilities and would get USG / CT to understand the nature of the painful lump of the left big toe. Blood Uric Acid levels need to be done. Xray of the left foot with big toe would fix primary diagnosis. Medicines to Reduce Uric Acid levels-Medicines like-Probensisn(to increase urinary exception) and Eurostat(to reduce the production of Uric Acid) are used to treat Gout to bring its levels to 6 mg/high fluid intake with Furosemide(lasix) to help increased excretion of Uric acid through urine.-Low Purine Diet-with avoidance of red meat/seafood and alcohol, which increase Uric Acid levels.-NSAID like Naproxen/Motrin to reduce pain and redness-IF Gout is advanced -Surgical Removal of the Gouty arthritis may be needed this treatment initially Physician and later on Ortho-Surgeon team would be needed to treat your case. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I am recommended the injection Fondum based upon the ECG. The ECG report says the blood supply to one valve is less other all is fine, already taken one. Also, other medicines as Rosumac gold (Aspirin, Rosuvastatin, Clopidogrel), Sorbitrate. Should I take balance two injections of Fondum or consult a cardiologist. Had done an Echo two years back and that was normal.	Hello, Welcome to Chat Doctor forum. These medicines are given for acute coronary syn ChatDoctor. Please send me ECG so that I can guide you accordingly that what to do next. Please tell about the age of patient, symptoms, and any blood tests performed.
如果你是醫生，請根據患者的描述回答醫學問題。	hi am tarun jain from mumbai age 37 suffering from HLAB27 DOTORS SAY ITS ANKOLYSING SPONDLYSIS THERE IS SOMETIME RARE PAIN IN BACK, JOINT OF SHOLDERS NAD SOMETIME NECK AND RECENTLY HAD SWEELING IN ANKLE ON MECINE SAAZ DS ANS PAIN KILLER DONICA SR PLS HELP	Hi Welcome to Chat Doctor After going through your query I concluded that you may be having ankylosing spondylitis as you are having HLA B27. If you are more pain during rest period as compared to activities then it is more likely that you are suffering from this disease. You have already started its treatment, it's okay. Rest is contraindicated in this and exercises are promoted. You can discuss your doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to answer your queries. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 43 year old female with a history of recurrant UTI s and kidney infections. I have recently treated a urinary tract infection several times and still have problems. I am nauseated, fatigued, unable to gain weight and my urine smells like hot dogs and it hurts to pee. Both my parents are diabetics and I may be there. I have decreased the amount of protein in my diet, increased water intake and take a cranberry supplement. What else can I do? I have no job or health insurance.	Hello and welcome to ChatDoctorI have read your query hope this will helpRecurrent UTI is a common problem especially in females. You should have a URINE culture sensitivity test and ABDOMINAL ULTRASOUND. As your parents are diabetic you should be investigated for diabetes. As diabetes is commonly associated with recurrent UTI.Meanwhile, keep on using cranberry juice and once reports are available to discuss with your physician to prescribe you appropriate antibiotic according to the C/S report for at least 2 weeks. I hope I have answered your queryRegards Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	39 year old male - just discovered red spots/sores on the head and shaft of my penis as well as my scrotom. Round with a small crater in the middle, varying sizes. Also have red spots on palms and soles of my feet: dark red, raised and hard on palm, lighter and more rash-like on feet. Help!	Hello Dear User, Thanks for using our service. As I always say, Physical evaluation is needed in order to give an exact diagnosis. However, given those symptoms, here is a conclusion about them. It can be:1. Secondary Syphilis: is a sexual transmission disease, caused by Treponema Pallidum, characterized by fever, rash Cutaneous multiform, British, alopecia, and severe pain in the head and joints. I encourage you to evaluate yourself looking for lymphatic nodes affected, near genital area, and be attentive to any other symptoms. I strongly recommend you, to do a V Chat Doctor. 2. Contact Dermatitis: Some irritant substances, can produce this type of lesions, however, it is a non-common patron, because of distribution. Unless you had contact with an irritant substance in all your body. In any case, these conclusions must be confirmed with studies, and you should visit your specialist (dermatology or Clinician), to have a physical evaluation, with adequate anamnesis (interrogation), and for evaluation on laboratory tests. I hope to be giving you helpful information. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,I am 27 years old. My weight is 65 kg. Height is 1\6". At 9 AM I took three tablets of Cytotec drugs orally and inserted one. But have been having cramp and diarrhea but no bleeding just sign of small blood when I urinate. Please can I insert another one this night?	Hello, Welcome to Chat Doctor forum. The abortion procedure depends on the age of gestation. Cytotec contains Misoprostol and it is used for the abortion procedure. For the first trimester, abortion Mifepristone should be given orally as 600 mg dose and than Misoprostol orally or vaginally inserted after 72 hours. If no induced bleeding, then repeat the dose if needed. You have no induced bleeding, so the abortion process might be incomplete. According to my opinion, you have to consult your gynecologist for examination and transvaginal ultrasonography (TVS) will confirm whether the pregnancy is intrauterine or extrauterine. In only intrauterine pregnancy, abortion procedure is carried out in this way through medication. So do not try any self-medication for abortion. Consult the gynecologist for examination and discuss your further management plan for carrying out abortion. Take care. For more information consult an obstetrician and gynaecologist online
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,Two days ago, I was eating some food, and afterward, I noticed the back of my throat was hurting. I did not think anything of it, and as I went on, it got worse. I took a picture of it which is on my palatoglossal arch right below my tonsil. There are two whites spots, and they are inflamed. I went and got a streptococcus test, and it is negative. But it still hurts, but the pain goes away with oral mouth wash and when I have put tea tree oil on it. What could this be?	Hello, Welcome to Chat Doctor forum. It seems to be a simple inflammation. Continue the mouth wash and the analgesic plus an antibiotic as Amoxicillin 500 three times daily for a week. Do you have reflux? Or any other chronic diseases?
如果你是醫生，請根據患者的描述回答醫學問題。	I was punched in my left cheek about 6 weeks ago. Most of the swelling has gone down except I have a bean sized lump in my cheek & the crease that use to go from my nose to outter lip now goes out more to a dimple on the outside of my cheek where the lump is. Will this go away in time? Is the lump a blood clot or muscle that has been tightened into the lump?	Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that due getting lunched on cheek there has been soft tissue injury leading to inflammation of the tissues well as ruptured blood vessels leading to Hematoma formation. Swelling is due to Hematoma formation as well as accumulation of inflammatory exudate in the soft tissues. The lump that is present seems to be Hematoma that atbtimesvgets becomes encapsulated and firm and can take for month to regress completely in size. You can do alternate warm and cool compresses. Apply Heparin gel as it helps in regression of the lump. You can take anti-inflammatory painkillers like Ibuprofen. In case of no improvement in a month consult a General Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Please give me a meaningful response as i cant aford to reply and i am scared that i am slowly losing my hearing or something. I have had tinnitus in my ears for about 7 months now and it sounds kind of like T.V. static and its not loud so its okay, but today my phone emited a very high pitch sound and i closed one ear and then opened it and closed the other ear and noticed that i could hear the high pitch sound much better in one ear then the other. Could this mean im slowly losing my hearing. About months ago i got a hearing test done, but i dont have the results, but they said my hearing was amazing. Even now i have no trouble hearing at all. So what is happeing with the high pitch noise. Why can i hear it better in one ear then the other?	Hi. Welcome to ChatDoctor. There are different causes of Tinnitis (ringing in ears) like Infections, loss of cells, inflammation, advancing age or few other diseases of inner ear. At your age hearing loss is less common unless having a disease. there are two possibilities So, to two differentiate which ear is abnormal few test are done by Audiometerist/ENT specialist to make final diagnosis. i would suggest you to get examined by an ENT specialist and he will perform necessary test and manage appropriately. You are welcome for any further queries. Have a blessed day. GOD BLESS YOU Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	I have recently found out that i do not ovulate naturally and i also have irregular period patterns ie... i come off my period for 1 week then have brown discharge for 1 week then i have a proper period for 1 week. This pattern has been consistant for around 6-8 months.i was previously on the contraceptive pill for 7 years which i stopped taking two years ago and have used no futher contraceptives since. My doctor advised me i would have to wait a year before she would even refer me to the hospital for any fertility treatment so i ordered Clomid online and have taken two courses so far and havent conceived as of yet.It has made me ovulate both times on day 5-6 after my period stopped but i start the brown discharge on the 7-8th day after my period has stopped, so is it even possible for me to conceive with this happening?	Hi, Persistent spotting throughout the month could mean that you could have some other problem. It could be a cervical/ uterine polyp which is constantly causing discharge and bleeding. You need to rule out these before you plan for pregnancy. A detailed clinical examination by a Gynecologist to rule out any problem on the cervix. Also, an ultrasound to see for any problems with the lining of the womb. Taking closed without ultrasound monitoring of follicles will not be very beneficial. Do rule out other problems before taking closed. Hope this helps. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Last Night I had wheezing while laying down to the point where I couldnt sleep, What triggered it is that I worked out for about 15 minutes after eating last night. The only remedy I could use to get any sleep was to sleep at the end of a couch elevated. any ideas?	Hi, You have not mentioned your age and any comorbidities. The chances for the breathlessness may be due to cardiac or respiratory problem. Since this is the first time and the breathlessness relieved sleeping at the end of a couch elevated, this suggests more due to cardiac causes. You are required to get checked for ECG, Echo cardiogram and chest X-ray to diagnose/rule out any systemic cause. Based on the report we can decide the right treatment as the line of management differ in each pathological condition. Hope this helps you. Regards
如果你是醫生，請根據患者的描述回答醫學問題。	Hi..i am 26 yrs old male (from India). I am having fever since last 10 days..it mostly occurs at nite (temp around 100-102F).My Lymphocite count is 15 (normal range is 20 -40) is it ok?? I have general body fatigue and muscle aches.I also have head n neck pain..pls advice me..I dont have malaria (tests already done)	Hi, dear. I have gone through your question. I can understand your concern. You have slightly low lymphocytes count. You may have some bacterial infection leads to necrophilia. Or you may have some viral infection. Don't worry about your lymphocytes. Just be relaxed. Take treatment of your fever. It will become normal within few days. 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 had pain above my belly button for 5 days now and it keeps getting worse... the sikin is pink in color warm to the touch and feels like there is a lump under the skin... I just bumped it and now there is clear drainage from it... what is wrong with me?	Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. It seems you have got local infection of hat area, causing a pus formation there. You might require antibiotic therapy for the same. I advise you to see a doctor soon, and to get antibiotics prescribed after local examination. In case pain is severe, you may take Acetaminophen in moderated doses. I hope this would help you. This is my personal opinion based on details available here. If you still have any query you may please ask me. Stay Healthy. Chat Doctor, MD
如果你是醫生，請根據患者的描述回答醫學問題。	I have been having pain in my lower back, hips, and glutes (which is not unusual for me--I have been dealing with lower back pain for several years). For the past two weeks my pain level has been higher and I also have occasional stabbing pain in my left knee and ankle. Today I suddenly developed freckles on my legs for the first time ever. I had some sun exposure 2 days ago but did not get them on my chest or back, just my legs, where there was no significant reddening or sunburn. A month ago I traveled to Africa. Two weeks ago I pulled a tick off myself. Could this be more than just my typical back pain?	HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be due to intervertebral disc herniation or osteocyte Chat Doctor. It will radiate to knee and leg. You should get an examination with orthopedic which will give clue for that and an X-ray followed by MRI of lumbosacral spine might be needed to confirm that. For such condition i advice NSAIDs like diclofenac muscle relaxants like cyclobenzaprine and neurotrophic
如果你是醫生，請根據患者的描述回答醫學問題。	I am a 58 year old healthy woman. My HDL has been in the high 50s for years. The last time it was checked was 10 months ago. Today it is 35. What caused this huge drop and how serious is it. My doctor has told me to take huge amounts of non-flushing niacin.	Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. HDL is the protective lipoprotein present in the body. Its high value is protective, as your value is gone down it is quite risky. Niacin is protective for high lipid level, so taking niacin is helpful for low HDL. As your HDL gone down there must be simultaneous rise in LDL and VLDL. This both lip protein is dangerous. I advise you should investigate the case. Start doing exercise. Also stop taking high fat diet. Increase high protein diet. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello. I Had unprotected sex with my boyfriend a day before my ovulation can I get pregnant? How much of a percent is there ?	Hi;welcome to Chat Doctor Ovulation is the most fertile period in a menstrual cycle. The most fertile period is from 10th -21st day of a normal 28-day menstrual cycle;so if you have sex during this period then there are high chances of getting pregnant. As far as the percentage you asked it is difficult to say. Now the mistake is committed only thing is to wait & watch till the date of your regular period if it is delayed you can get a pregnancy test done. If it is negative fine ;but if it is positive you can consult a GAEC for further opinion. But next time please don't do unprotected sex;try to be safe. Take care. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	hii.my mame is lizette. a new tooth grew on my top lower back but it is not the wisdom tooth. it had been poking my bottom lower gum . at first I ignored it but then I noticed little white tip so I poped it and something white came out (kind of like a pimple.) the next day (today) I pressed it again and it kind of looked like pus. I was wondering it it is just irritation from the top tooth or something else? please help me I want to know what it is and if I can cure or I have to go to the dentisnt. thanks.	Dear friend. Thanks for sharing your concern. How do you know that it is not wisdom tooth?please mention your age. The new tooth like growth could be a bony outgrowth, a supernumerary(extra)tooth, or it could be a site of infection too, as you have mentioned a white tip there. Please do not worry, but visit your dentist and get it examined clinically or if required radiographically. This will give you exact picture of the underlying pathology.Meanwhile, do warm saline rinses three to four times daily. Hope it helps. Thanks. Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi I just started the depo shot on September 8th. I had a period on the 1st of august and I I was on birth control up until the 10th of august and started another period on the 14th of august. So I got on the depo on the 8th dof september which I took a preg test that day and it was negative. At the end of august nad beginning if sept I had unprotected sex. Is there a possibility that I may be pregnant?	Hiii, Welcome to Chat Doctor. Your last period was on 1st August and took pill up to the 10th august after that you got another period on 14th August. It was with Chat Doctor. You did unprotected sex at the end of August & beginning of Sept and started Depot Shot on 8th Sept after getting negative pregnancy test. Depot shot contains MPA and is very effective birth control method. Effectiveness is up to 3 months. Chance of pregnancy is very low more likely less than 1% per year. You may confirm your pregnancy by doing blood test for Chat Doctor after 7 days of your missed period date.Also, you have to concern about several side effects like irregular vaginal bleeding for first 6 to 12 months, sore breasts, change in appetite or wt gain etc. Always consult with your doctor if serious problem persists. Be well.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I m a bit concerned as I have been trying to conceive naturally for nearly 4 years now still with no success, I have consulted my doctors and don t seem to get any help. Recently I have been having what appears to be two periods a month and also signs of what I believe is ovulation on the same week as the first period. I m worried as I have been told ovulating on the same week as your period is a bad sign of infertility . Can someone please help me	Subfertility is a condition that should not be dealt in this way. You and your partner should consult a specialist fertility clinic together, so that you as a couple can be evaluated, to find out any problem after taking a detailed history, a detailed examination and relevant investigations. Only then can anybody label a specific factor as a cause. Your feelings alone as far as ovulation is concerned can not be relied upon. Your menstrual problem although you need investigation. God bless you
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, Two days ago I was bitten by a dog where I work. I work at a kennel. It is only a little wound on my hand in between knuckles. Last night I started to see a little bumps that itch on my wrist going up the arm. If this is related to the bite what can it be and what can I do. I have taken benedryl but I want to know if it could be serious.	Hello there, Sometimes a dog bite may be complicated by microorganisms growing in the would that are introduced by the dogs teeth into your skin. The little bumps are your bodies defenses reacting to fight the microorganisms. Ideally you should go to a doctor and get it checked. He would prescribe you a course of antibiotics and give you a solution to clean and sterilize the wound. Hope this helps, Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	A recent CBC shows that I am anemic. RBC of 4.17, Hemoglobin of 10.9, Hematocrit of 34.0. My doctor says these values are fine and does not plan on treating. I am exhausted, cold, etc. I am taking oral Iron and eating more iron rich foods. What more can I do?	Hello and welcome to Chat Doctor, Iron deficiency can lead to iron deficiency anemia. Anemia can cause fatigue, weakness, tiredness and exhaustion. Replacement of iron is the treatment of iron deficiency anemia. You have been prescribed iron by your doctor. The iron replacement has to be continued for at least 3 months. Take iron for 3 months and thereafter get hemoglobin levels and iron levels done. Thanks and take care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	hello sir/mam,im 21 years old.i wont get periods regulary.i had gotmy last period on april 1st.i had participated in sex on last month(june 7th).i was first time for me and that guy.his cock was not completely in my vagina.now i was worried whether ill get pregant.plz........help me..	Hello...thanks for trusting the Chat Doctor doctors for your health related queries. As u told that u had unprotected sex but your guy cock doesn't enter completely in your vagina...right.for getting pregnant penis should be completely inside the vagina, ejaculation should be inside the vagina and female should be in the fertile period (that is 10-16 day of period).as u already told that u had irregular menses and complete penetration of cock happened, so there is very less chance of pregnancy. With the above discussion u can try out my suggestions-1. Relax... Don't worry, there is rare chance of getting pregnant.2. Wait till the next period occurs. If period came then nothing to worry.3. If period not happen then do urinary pregnancy test. If it comes positive then rush to nearby gynecologist. He/she can help you. Good luck. Free to ask for further queries. Regards- Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello,I am 28 yrs old,my height is 5.1 and weight is 60.5kg.I am suffering from irregular periods and so i consulted a gynac .She suggested me to go for an hormonal test.The test showed my LH level as 16.42mlU/ml,which is high as per my doctors knowledge.She had given me dimet 500 and asked to take it twice a day and also asked me to reduce my weight.I want to know whether my hormonal problem will be solved and can i conceive without any complications?	Hi, your problem can be solved through medicines. You can have a normal pregnancy. For that, you will have to take some medicines apart from diet. You can take some medicines for growth of your eggs like camphene. You can keep a track of your follicles growth and be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. You may need an injection for rupturing the follicles. Hope I have answered your question. If you have any other query I will be happy to help. Regards 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 experience a burning sensation while urination. I have taken the antibiotic course. It is still not relieved completely. It has been four to five months now. I have indulged in oral sex in this period. So, it is a UTI or STD/STI?	Hello. As per your reports (attachment removed to protect patient identity), urine culture is sterile. You can repeat urine routine and urine culture with midstream urine sample. Take a urinary alkalizer for three to five days. That will relieve you of burning sensation. For more information consult a urologist online
如果你是醫生，請根據患者的描述回答醫學問題。	campylobacter relapse. I am now getting the syptoms of campylobacter for the 4th time. Every 3 weeks its starts I am bad for 10 days, have a good week then am back to square one. The first 2 times I had postive stool tests, the 3rd time given erythrymyacin which I was unable to tolerate after 2 days. Now it seems it is back again.I also have CFSany advice, is this normal to keep relapsing?regards Maxine	Hello Maxine, I read your message carefully, and I understand your medical problem. You are going througChatDoctorpylobacter infection for the fourth time now. You mention positive stool test and intolerance to erythromycin. Azithromycin is the first choice in Campylobacter infection. Erythromycin is a Chat Doctor. You are sensitive to Erythromycin, so you can not take it. Other alternatives are ciprofloxacin, tetracycline and clindamycin in adults, but in a combination therapy. Actually, there is a schedule for the treatment of campylobacter involving antibiotics, anti-H2 antagonists (sanitizing, cimetidine, etc.) and proton-pump inhibitors (omeprazole, pantoprazole, etc.). You are experiencing antibiotic resistance. Campylobacter is a bacterium which is able to develop mechanisms to protect itself from
如果你是醫生，請根據患者的描述回答醫學問題。	My husbands blood pressure has been going from the low 140s over 80 to90 in the morning to 160-170 over 80-90. He is not on blood pressure meds. He has an appointment for a physical in May. Should I make him go to the doctor now. He is not over weight and we eat pretty healthy most of the time. He is 63 years old	Hi, Thanks for your question. If your husband has no complaints like chest discomfort, dizziness, palpitation, sweating, giddiness, tingling, numbness you can wait for till his appointment otherwise he should visit ER immediately. For the age of 63 targeted blood pressure control should be below 150/90. It may be advisable to your husband.1) Salt restricted diet: avoid taking top up salt, avoid bakery products.2) Avoid spicy, fatty, fried food.3) Regular exercise as tolerated at least 30 min risk walk daily.4) Take fruits, green leafy vegetables, salad in diet. There may be need to evaluate effect of high blood pressure on heart, kidney and other organs of body. For which following investigations may be advisable.1) Blood tests like CBC, Kidney function test.2) Urine examination for proteins.3) ECG, 2DEcho of heart.4) Ultrasound for kidneys.5) Endoscopy for retinopathy. Hope this helps you, if so do vote.
如果你是醫生，請根據患者的描述回答醫學問題。	My mother is 73 and has a heart problem, is diabetic and suffers with high blood pressure. She had a fall two months back and luckily nothing was broken. After a month she started suffering with shoulder pain. We have done an x-ray. Nothing is showing. Can you please suggest some remedy for treatment	Hi... Sorry to hear about the fall of your mother... The pain in her shoulder could be due to spasm around the shoulder...that would have caused due to fall... I suggest here to... Keep icing In the painful area frequently...shoulder can be wrapped with ice gel pack if you have one... She has to refrain from lying on that side...lifting any weights on that side... She can have her shoulder gently massaged to reduce the stress on the joint and muscle spasm... Icing can be applied to her neck also... Hope this is helpful for you. Kindly revert in case you need any further clarification....
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my husband is experiencing bleeding when going to the toilet? ive asked him if its in his stools or just on the toilet paper? he thinks just the paper but, cant be sure. He went to the doctors yesterday and the doctor has done blood tests and sent for a camera examination, he did an internal examination and found nothing irregular but, is looking on the chance of bowl cancer? He has had no pain?	Hi, Thanks for query,First we have to decide that blood in stool is there or not? You need stool examination to confirm it. As camera & internal examination does not reveal any abnormality the chances of blood coming from Large intestine arises. There were several condition causes bleeding from large intestine like IBS, Amoebas, Enteritis any pathological lesion etc. So go for stool examination first.thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Im 61 year male and had MRI for dizziness. Findings are consistent with mild microvasular disease with a tiny old infarct of the left corona radiata that is likely of the same etiology. (diabetic for 46 years) What does this mild microvasular disease and how serious or is this normar for my age.	HelloSign microvascular disease may be indicated as ischemic changes(due to compromised blood supply). These are generally due to involvement of small blood vessels. It is generally due to conditions like hypertension, diabetes mellitus, altered lipid profile etc. So, you may need clinical correlation and screening for these conditions. This is not a very serious finding, and it only needs treatment of underlying cause. It is seen more with aging. Get well soon. Take Care Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello, I sprained my ankle two days ago and it became very painful and swollen. I have treated it with ice, a bandage and ibuprofen but it has become more swollen and I am not experience pins and needles in the foot. It is not painful and is not painful to touch. Any advise?	you may have an x-ray taken for ankle and foot and consult orthopedics doctor. Keep foot and leg elevated and try hot fomentation now. The ankle should be properly strapped by Pleistocene bandage after applying anti-inflammatory gel and fermentation. Even if its sprain only, differ standing or walking for 10 days unless your orthopedic doctor finds minor sprain and permits weight-bearing. Best wishes. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I have been diagnosed with Syncope and want to know exactly what it is. I also suffer from kidney disease and was on dialysis for 2 1/4 years. Now my creatine level is at 1.9. What is a normal level? I lost both legs and the majority of fingers on my dominate left hand due to Thrombotic Thrombocytopinia Purpura. (T.T.P. in 2003	Hello! Thank you for the question! I understand your clinical situation. A syncope is a sudden loss of body tone, with loss of conscience which lasts for some seconds. As a result the person falls sown immediately without understanding what happened. This is caused by a disorder called autonomic dysfunction which causes episodes of low blood perfusion to the brain. Have you had Chat Doctor? Renal failure is a common complication of these disorders. Syncope too. Renal failure can also cause syncope. So you have two RISC factors for syncope. The normal levels for creatinine are 0.5-1.5 mg/dl for men and 0.6-1.2 mg/ml for women. Your level is not too high. Hope to have helpful. Thank you for using Chat Doctor! Best wishes
如果你是醫生，請根據患者的描述回答醫學問題。	a couple months ago I have been not feeling well I am 41 female my question is my doctor said to me that I might have lupus they schedule app with rheumatologist my ANA Titer is1:160 Ana pattern is speckled Ana positive 1:40 my other feeling is pins and needles from head to toe ,fog memory ,pain of joints ,herniated disc L5 my rheumatologist said there a couple of family like disease I said to her my sister has fibromyalgia she said I have the same I feel a lot worst then my sister I know I need a second opinion I do get tumors on my hand	Hi, dairy have gone through your question. I can understand your concern. You have ANA positive with speckled pattern. You may have SHE, Chat Doctor. Furthermore, you should go for complete ANA profile. Treatment of most of the autoimmune disease is steroid. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. 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。	Does accutret cause bone diseases, i had a history of using acutret for 2 months prescribed by doctor 1 year ago, and i had juvinile rhematoid arthritis at the age of 12, now i am suffering from severe pain in my hip joint. what must be the cause, is this bcos Acutret? now again i got severe pimples and acne , i want to use acutret now. please advise.	Hi, No. Acute is not known to cause bone disease, as per your history since you are a known case of juvenile rheumatoid arthritis there are chances of your hip joint being involved, you need to get an X-ray pelvic to rule out that possibility and yes, you can take Acute again as it is not related to your bone disease but only under medical supervision as Acute has other side effects as well. Take care. Hope I have answered your question. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello My husband a hemmoragic stroke on march 7, they said it was a 6.7ml and he is very lucky to be alive. He is paralized on his left side and has basically no short term memory. What does the 6.7 mean? is this as good as he will probably will get?	Hi, Thank you for posting your query. I have noted your husbands symptoms and diagnosis. I agree that brain hemorrhage is a serious condition with high disability and heath rate. The survival depends not only on the volume of hematoma (volume of brain bleed), but also the location of bleeding, age of patient, presence of comorbid factors such as diabetes, high BP, etc. and the treatment given.6.7 ml probably refers to hematoma volume and as I said there are other factors that could determine his survival and extent of improvement. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/
如果你是醫生，請根據患者的描述回答醫學問題。	My 2D-EchoTest showed that I have a mild concentric LV hypertrophy. What precautions I should take. At present, I am taking the following medicine. 1. Co-Diavon. 2.Stalo-10 3. Ravelol-XL-50. 4. Ecosprin. 5.Riomet-Tio-2mg. 6.Tonnect-Tg. 7. Biostar Gold. Kindly advise. Shankar Pillay Patient e-mail: YYYY@YYYY	Hi welcome to Chat Doctor. I understand your query and concern. Concentric left ventricular hypertrophy in your case is due to Hypertension. The Chat Doctor. Monitor your blood pressure and heart regularly. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. These
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,I am almost 22 and I am pretty sure I have rosacea. My face gets flushed frequently around my nose, a small part of my forehead and chin, particularly during summers. I also get small pimple-like bumps on the red areas, especially my nose. Sometimes the tip of my nose also swells up a little. And a small part of my chin is bumpy almost all the time. I have also noticed that my skin has become a little leathery. Like it has aged. This has been happening since two years now. Although it was more noticeable last summer. It seems to go away during winters. I went to two different doctors, two times to each. One of them said it is age-related. And the other one just gave me an allergy medication. Which did cure my condition. But the symptoms started to appear again once I stopped taking the medication. What should I do?	Hello. I would suggest you attach your clinical picture along with your query so that it is convenient for me to comment on your condition. However, if it is rosacea, I would like to mention few skin care tips here: Take care.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello! So earlier, I was standing on a chair and tripped on my shoelace. My calves smashed into the chair in front of me, sending at first shooting pains up my legs, then when I stood up I could ve sworn my legs were broken. My right leg was very weak, and I could hardly stand on it. This was about two hours ago, now I have a large bump on my right leg. I feel fine now, but I just wanted to assure that I d be okay? I ve heard that weakness could mean nerve damage, so I was concerned about that... thank you!	Hi, Apply cold pack immediately as it will decrease the pain and swelling. Don't walk, just lie down. If tomorrow also is you feel pain, swelling and tenderness (pain in touching), then visit an orthopedic. You may require medical attention as hairline fractures and third grade sprain require medical attention and ignoring them can make things go worse. Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	My baby(female) is 11 months & suffering from measles for last few days.Right now she is ok.But consulted with a doctor & he advised to examine stool.I did the same & the apparent result is everything shows nil except reaction is acidic.What does the report say?	Hello, The stool being acidic is not a cause for concern. Measles is a viral illness that is usually self-limiting and supportive, symptomatic treatment is the way to go forward. Take paracetamol for fever and things like that. Do ensure that your child receives all his vaccinations as per the Universal Immunization Program. So, at 12 months, one could take MMR vaccine and thereafter at 1 1/2 years, Pentagon (DPT, His, Herb). Hope I have answered your query. Let me know if I can assist you further.
如果你是醫生，請根據患者的描述回答醫學問題。	i found a lump in my left breat a year ago,I had a scan and they said it was just compressed fat cells,and not malignant.I recently noticed that the same breast that it itches inside, under the skin, and the shape and texture of the aureole has changed, and the skin has darkened.Should I be worried?Is this cancer? My sister was diagnosed with breats canbcer when she wa 26, she had 2 lumpectomy s and was on kimo, and has survived.She is 41 now, but i am always worried. Can you advise?	Hi.based from your description, it could possibly be a cyst, a fibrous (fibrous tissue formation) or fibrotic changes of the breast, which are all benign breast lesions. It is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. Diagnostics such as breast ultrasound and mammography may be recommended. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Yea. I bent my head now and my neck started hurting and i felt heavyness start in my sholder and travel down my left arm to my bysept and continue to travel into my forearm. i stayed in that possition for a second to see what else would happen then it started traveling from the back of my neck into the back of my head then i started feeling dizzy like i was gona pass out to i lifted up my head from that posission and took a breath and it started going away? and my left arm still feels a bit heavy? what do you think this is?	Hi I am Chat Doctor. . In my opinion I think you have cervical radiating pain due to nerve compression, I suggest you do an MRI to exclude disc herniation. For now, you may use painkillers like Advil tabs when needed, hot massages with topical gels, B12 vitamin supplements, muscle relaxants will be fine for most of the cases. If pain persists I recommend you visit your physician for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.
如果你是醫生，請根據患者的描述回答醫學問題。	Today i had checked my SGOT and Sgpt levels and they are 114 and 63 respectively.........Is there any problem for me and i also have had severe jaundice around 15 years back............does that jaundice s effect continue till now??? and also give me solution to decrease the levels???	Hi, dairy have gone through your question. I can understand your concern. Your GOT and SGPT levels are high. They are liver enzymes and their levels increase in liver damage. You may have some liver disease caused by alcohol, viral infection, Chat Doctor. You should go for complete liver function test with ultrasound abdomen. It will give you exact diagnosis. Then you should take treatment accordingly. Your previous jaundice has no relation with current rise in liver enzymes. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
如果你是醫生，請根據患者的描述回答醫學問題。	hi.i m rohit........i m 17 years...........long time ago i ejaculated frequently.......but for time i left it.............some times during my sleep my pants get wet ......i dont know wats dat urine or sperm..........i am thin and skinny..........pls suggest ma what to do nd how to get healthy	Dear user, Thank you for writing to us. I can understand that you have night emissions. Semen gets expelled during sleep. This is not a disease. Semen is produced by sex organs constantly in body and if it is not utilized by sexual intercourse, masturbation, it will be expelled. This is similar to a glass of milk, if glass is full, it will overflow if you add more milk. When you will indulge in sexual activity regularly, this will automatically disappear. Wish you good health.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi sir, I am so happy with this website. First of all thanks for giving this opportunity. I am the Software employee.My age is 24. My height is 169cm .Recently I got back pain and some pain in chest. How can i get relief from those pains.How i improve my health and which type of diseases will attack to my life in future. Please give Some health tips for heart and kidneys protection	Hi, At this age there can not be having any bone or spinal problem. But as you are in computer business there might be having long time sitting in front of computer giving rise this problem. There might be having lack of physical exercise as well. During work sit straight and have some nap in between work frequently. Go for regular exercises like walking, swimming, running about 30-35 minutes daily for 5 days in a week. Ok and take care.
如果你是醫生，請根據患者的描述回答醫學問題。	A friend s son experienced a diabetic coma for a lenghty period before discovery, he now suffers from memory loss for the past six years. Before that is normal...any reading material to look for help??? He is in hospital rehab but the memory thing may be permanent. Prognosis seems negative...but mother wonders what if anything she can do, read, to contribute to his recovery.	Hi, Thanks for writing in. Diabetic coma might have affected his long term memory functions severely. Recovery of memory and cognitive functions takes time and the patient requires a lot of support and perseverance from friends and family. It will be nice if he can get himself in to neurological rehabilitation clinics and take intensive lessons to improve his memory and cognitive learning. He can be helped by doing crossword puzzles, reading books, playing word games and using the brain in doing tasks which require teaching concepts newly. He might not be able to get back his old memory, but he can be taught cognitive behavior therapy methods to store and process new information in his daily life. Furthermore, he should be taught few things each day and his progress in to be monitored regularly.
如果你是醫生，請根據患者的描述回答醫學問題。	I have two lumps in my armpit. 1 about the size of a quarter. I squeezed it and white puss and whiteish clear liquid came out. The other is alittle bigger than a pea and I squeezed it and nothing came out, I am 19 and have been breastfeeding for almost 8 months.	Hello! Thank you for the query. The most probable reason of these lumps is hair follicle infection. Such infection is usually caused by shaving with non-sterile razors. If you use an antiperspirant in this area, this might be also a reaction for this agent. The lumps if are painful and swollen, most likely contain pus. The best treatment for it would be an incision and Chat Doctor. I suggest you to consult general surgeon or dermatologist with this issue. Next time you will be shaving, please try to use sterile razors. Hope this will help. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	i am taking this medicine and i am having a hard time breathing. i am also taking doxycycl hyc 100mg cap mutual.cats these were given to me by my dr. for bronchitis. i am on about 10 other meds for different problems, but the same dr. has prescribed them all.. i say i am having panic attacks my husband says i am hypro ventulating. i just knoew something is not right and it is scaring me very badly and of course it is the week-end. please help. thanks	Thanks for your question on Chat Doctor. I can understand your concern. No, doxycycline can not cause breathing difficulty or panic attacks. In my opinion, you are not improving because you are not taking correct treatment for bronchitis. Ideal treatment for bronchitis is inhaled bronchodilators and inhaled corticosteroid (ICS). Without these Chat Doctor. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. So consult pulmonologist and start appropriate treatment. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	I get the depo medrol 80 mg injection for my allergies, and i got one recently a day before my cycle was due to start, which is always on time, and my cycle came a week late, and its been on every since for almost 3 weeks. Is this a side effect? Im 44 years old, no fibroids never had any complicatios with my cycle, no chances of pregnancy.	Hello, Thanks for using Chat Doctor. I read your query and understand your concerns about delayed periods. Although delay in periods is not a prominent side effect of steroid use, but it is one of the side effects commonly observed among middle-aged women. This happens because the menstrual cycle is regulated by hormones which are steroidal in nature. The use of demo me Chat Doctor. I hope this answers you. Thanks and regards.
如果你是醫生，請根據患者的描述回答醫學問題。	Sir, Gud mng, my daughter 7 years old suffering from high grade fever, Urine R/ E shows Pus cells 15-20/hpf and all other investigation viz CBC,MP,Widal,Msntoux are normal. She is on Inj Netilmicin 50 mg I.V B.D from 16/06/2015, seven doses already given but her fever (102-103.8 F) is still recurring every 8-9 hours. Is any further investigation & treatment required? Please give your best advice.	Hi... I understand your concern. It could be a viral illness or a typhoid fever or urinary tract infection. I suggest you do - 1. Blood culture.2. Tidal test in tube method.3. Urine culture.4. Ultrasound abdomen to rule out upper Urinary tract infection. I suggest you get back to me about the kid status. I even suggest changing of antibiotics to Ceftriaxone instead of Netilmicin. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	I hit the inside of my leg below the knee 2 weeks ago against the side of the bath. I developed a large, dark bruise rougly the size of a piece of steak. Now, my big toe is numb - very disconcerting - could I have a pinched nerve?I also suffer from hip pain if Im on my feet too often (has been happening for awhile) with reduced mobility in the hip. I fave insertional achilles tendonitus and my knee crunches when I walk or use stairs.I am 46, female and 115kg.	Hi, The large dark bruise suggest a swelling from the injury. Due to the swelling the nerve in that area of your leg is compressed that is leading to our big toe going numb(provided you do not have back pain). Application of ice over the bruise will relieve the symptoms. As per your BMI you are overweight. You need to visit doctor to rule out underlying hip condition. It is advisable to reduce weight to prevent problems in the future. Hope this helps. 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。	hy sir......... i was having pimple on my face from my childhood means teenage.. i tried everything to get rid om pimple and now pimple not there and my face has so many big pores and blackheads.... i jst want to know what are the techniques available for filling up my pores and how much does it cost for my treatment. thank u	Hi, You have developed atrophic acne scars. These atrophic scars are broadly classified as rolling, ice pick and boxcar type. The treatment modalities will depend on the type of scars you have. Various techniques are: CROSS (chemical reconstruction of skin scar - done by using various chemicals), different types of dermatosurgeries like subdivision. Even Lasers may be used. The cost depends on the type of modality chosen and also on the number of sittings. Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	me and my girl friend were messing around and i rubbed my penis on her vergina hole,we both naked and i didnot penetrate or ejacuate. but i have noticed precum on the tip my penis.so can she get pregnent with this???please reply me...also my GF is still vergin,	Hallow Dear, If you have ejaculated your pre-cum at the vaginal outlet, there is chance that she can become pregnant. Pre-cum contains some sperms. The sperms are active and forward moving. They can swim through the vagina towards the egg if it is present that time. They are active for 72 hours. If it is under 72 hours of this incidence, better give her post-coital pill. Else, wait for her menses to appear. If she misses her period, then after 8-10 days you can test her urine for evidence of pregnancy. In the event of pregnancy, she can undergo termination of pregnancy up to 9 weeks. I hope this helps you.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi. I am 51 years old, 5 feet 4 and 195 lbs. I have been sick with what I believe to be a cold. Today I am having a tightness in the center of my chest and a cough. My cough is not productive. I thought that I was feeling better then this came on suddenly. I don t know if I should go to the dr or not.	Thanks for your question on Chat Doctor. Since your age is more than 50 years., we should first rule out cardiac cause for your central chest tightness. So get done ECG to rule out cardiac cause. If ECG is normal than HERD (gastroesophageal reflux disease) can be the cause. Cough and central chest tightness can be seen in HERD due to acid reflux in esophagus. It is due to laxity of gastroesophageal sphincter. So start proton pump inhibitor for HERD. Central chest tightness is less common in cold. So control of HERD is needed in your case. Consult doctor and discuss all these. You may require antihistamine too. Avoid smoking and alcohol if you have these habits. Lifestyle modifications like avoid large meals, avoid hot and spicy food, avoid stress and tension etc. are needed for better control of HERD.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi my baby is 5 months old. She is suddenly caught fever and seems to have high body temperature. Can I give the Dolo drops for the night and take her to the doctor tomorrow morning? Is it safe to give dolo drops without consulting doctor just for the night and see if temperature reduces? A very quick response would be appreciated as it s mid night for me and would need help immediately. Thanks in advance.	Hi.... Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (Calculate according to weight please - Solo Chat Doctor. 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。	Hello, one week ago my boy(22 years old) had abdomen ache.We went to a hospital. They found that esr (35) and kreatinin (4.0)is high. Kreatinin decreased gradually after one week to 1.6. The doctors said that it may be from pain killer(majezic). Every check-up has done but nothing find. There is still abdomen ache.	Hi. Thanks for your query. Understood that your son is still having pain in abdomen in spite of treatment and Creatinine coming down from 4 to 1.6. This is a good sign of recovery in kidney disorder. Repeat ESR reading to see the prognosis, it is good if ESR is also reduced. Yes, the painkiller Majestic can cause deranged kidney functions. The cause of the pain in such a case can be due to the following reasons:Due to high creatinine in the blood the intestines may not be moving in the correct speed and causes partial paresis of the intestines causing stagnation. Since the body tries to push the contents forward, the spasms thereupon can cause the pains. Secondly, this all predisposes the intestines to more intestinal infection which in turn can cause pain in abdomen. I would advise you the following :CT scan of the abdomen after kidney functions reach the normal levels. Till then ultrasonography, a course of an antibiotic which does not disturb the kidney function.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I suffer from premature ejaculation. Kindly help.	Hi. Premature ejaculation can be managed by two approaches: It is advisable that you first try the behavior method to manage premature ejaculation. It is difficult initially to practice them but over the period you can learn them, and the effect of these techniques are longer lasting. Also, ChatDoctor. Also, try to spend enough time during foreplay. For more information consult a sexologist online
如果你是醫生，請根據患者的描述回答醫學問題。	Was wondering what might be causing a rash that is very similar to the malar-rash: flaky itchy/burning brows and cheeks, the rash seems to be at the top of my scalp as well and has trailed to the upper lip. The rash is slightly raised and almost always leaves it feeling tender.	Hello, Thank you for posting on Chat Doctor. From your history, it looks like you have got seborrhea dermatitis. Sebaceous hyperplasia is enlarged and swollen sebaceous glands which produces excessive sebum and this in turn can lead to dermatitis of skin called Seborrhea dermatitis. Excess sebum production promotes fungal growth and these in turn eventually contributes to seborrhea dermatitis. I would suggest you a course of oral antifungal Chat Doctor. Fluconazole 150 mg tablet should be taken once a week for at least 6 weeks. Apply a cream containing mometasone and terminating twice a day and a salicylic acid 1% based gel in evening over affected areas gently. Use ketoconazole based shampoo on regular basis for hair wash. I am sure you will be fine with this treatment. Let me know if you require any more assistance from my side. Wish you best of health. Thank you
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, I have had really bad constipation problems, acid reflux, and also stomach the last year. Ive noticed that my stools from time to time have been very narrow, and at others it could be normal or little hard pebbles. I also have small red dots on my stomach that short of resemble pimples, but are not popable and do not go away. And I have noticed more and more appear over the last four to five months. My question is, could this be related to colon cancer? Or does it sound like it might be?	Hello! Thank you for the query. Symptoms which can point to colon cancer are constipation and narrow stools. Pimples on the stomach are rather not related to colon cancer. You should be aware of colon cancer if you are older than 50, have had colon cancer in the family. If you are quite young person, colon cancer is rather unlikely. Other symptoms of colon cancer are: weight lost, blood in stool, nausea, vomiting, bloating, constipation and diarrhea alternately, weakness, low hemoglobin level. Other diseases which can cause constipation are chronic bacterial infection, bad diet (lack of fiber rich products and mineral water intake), medicines (Ca-blockers, antidepressants), thyroid disease. I suggest you to visit your doctor and have some diagnostics performed. If you are around 50, colonoscopy should be done. If you are young person, FOOT (fecal occult blood test) should be fine. Blood work, abdominal ultrasound, thyroid tests should be also done. Hope this will help. Regards.
如果你是醫生，請根據患者的描述回答醫學問題。	My 4 yr old son has recently gotten over a cold/ upper respiratory infection and was complaining about his ear hurting him. After his bath I noticed blood/discharge from the same ear. He also snores heavily when he sleeps. I have an appointment scheduled with an ENT doctor 2 wks from now. Will it be ok to wait till then or should I see if they can get him in sooner? I m just concerned about seeing the blood discharge.	Thanks for consulting at Chat Doctor. Infections of upper respiratory tract may cause infection of ears (Otis media). Blood/discharge from ear suggest ear infection. You should not wait two weeks for ENT appointment and start treatment as early as possible by consulting your family physician. Ask your doctor for medications like Amoxicillin (antibiotic), Paracetamol and Ibuprofen for pain relief, Decongestants for relieving nasal congestion.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi doctor,10 days ago I had oral sex with CSW while drunk. I visited the GP the next day who gave me PEP, now nine days. Yesterday, I saw a hairy black tongue and freaked out. Visited local clinic, was prescribed mouthwash and Miconazole cream and did HIV 1 and 2 antibodies, due, hep B and VDRL- all negative.Also saw a small purple patch on the right forearm. I am not sleeping, worried sick.I want to know the risk of HIV and if confirmed very low, what is probably going on with black tongue and a purple patch on the skin. Intend to get the HIV PCR test done in RSA on day 13. Please advise.	Hi, Welcome to Chat Doctor forum. First, as per the history of 10 days contact, you will not possibly have HIV related symptoms. Second, the rash appears to be localized and not related to HIV or contact, it indicates local allergic reaction (attachment removed to protect patient identity). It resolves automatically or uses tablet Cetirizine. Third, black tongue, not sure by pictures, if any, can be due to Nevirapine, which can give that and please specify the ChatDoctor. Finally, using PEP after exposure is very good and it nullifies any risk. There are no known cases of getting HIV, post PEP use. So, continue PEP as advised. You are negetive and have very low chances but they are nullified by using PEP. So, worry not regarding HIV.
如果你是醫生，請根據患者的描述回答醫學問題。	2 days ago my latissimus dorsi (both sides of the middle of my back), sides, and abdominal muscles would contract every minute for about 5-10 seconds. After the first day the contractions stopped, but I have severe pain in the middle of my back. I tried to do stretches, but the pain is severe so I stopped. What could cause this, and should I be seen by my doctor because it could be something bad?	HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be due to injury to spine or muscle strain. A physical examination by an orthopedic will give clue for this and an X-ray followed by MRI if needed will rule out this problem. In case of any fracture to spine immobilization by using corsets is necessary. If that is clear then I usually advise muscle relaxants like cyclobenzaprine, NSAIDs like Diclofenac and neurotrophic Chat Doctor. I advise a short period of rest followed by physiotherapy and muscle strengthening exercise also. Hope this may help you. Let me know if you have any further query. Thanks.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi, Im sorry to bother you but I have fpund a lump on the inside of my right forarm. It is about the size of a pea and hard. My arm keeps going tingley - simular to having your blood taken and the doc releasing the band and the blood rushing back. My arm looks slightly swollen and I can see slight brusing - however I havent bashed it at all. Could you please give any info? Kind regards Louise	Welcome to Chat Doctor .1. The history suggest a painless lump in forearm - if it is at the joint place the possible cause will be ganglia which are seen after a mild trauma or inflammatory reaction. 2. Which needs to monitor, if symptomatic needs a small incision and Chat Doctor. 3. If the lump seen in the middle of the arm in the muscle area - it could be lipoma - fat containing lesion.4. Needs to confirm with ultrasound in both case and a needle sample will be taken if necessary.5. Excision is treatment of choice if symptomatic. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	since one month my right wrist is paining i cant twist my hand. 2nd thing is that my whole body seems too heavy while walking and specially after having my meals. kindly suggest what to do. and since 3 days i had swelling on both my legs and on my face	Hello Thank you for trusting Chat Doctor Dear pain in wrist may due simple features of radius or ulna, other causes like carpal-tunnel-syn Chat Doctor. Patients with hypothyroidism, diabetes, obesity, renal failure etc. may present with generalized weight gain with wrist pain. Please consult your doctor he will take X-ray to wrist and examine the cause for swelling of the body and treat you accordingly.
如果你是醫生，請根據患者的描述回答醫學問題。	My mom was just notified by her Dr that she has high white blood cell counts and fluctuating platelets......what does this mean? She has been ordered for more blood work and being sent to a blood specialist next week, I just want to know what the drs could be thinking as a diagnosis?!??Thanks	These particular lab findings are not specific, but can be seen in many categories of bone marrow disorders. Also, this profile can be seen in response to acute infection. Thus, the best plan of action right now is to await the consultation with the hematologist who can best assess the overall past medical history and may order other studies or suggest a procedure such as a bone marrow biopsy if deemed necessary.
如果你是醫生，請根據患者的描述回答醫學問題。	Hello I have a 15 and a half month baby girl. We are slowly taking away her bottle and she only drinks one at night and one in the morning. After her last bottle last night she got very fussy and started crying, my husband picked her up and she threw up very white and chunky. Now this morning she did it again. She has no known food allergies or a fever or nothing else and she only seem to do it after she drank milk. What could this be???	Hi, welcome to this forum. Can understand your concern.- Vomiting in 15-month-old child can be due to stomach infection, overfeeding or inadequate burping.- Stomach infection can occur in vomiting because the child usually takes everything in mouth, and it can also occur due to teething. Due to teething, there is irritation in mouth and as a result child usually takes everything in mouth. This results in infection and vomiting in child Chat Doctor. - Overfeeding can be a cause of vomiting. If child is not taking milk then the child should not be over fed. The child usually vomits the extra milk. - Inadequate burping can also be a cause of vomiting. Child should be burped for at least 10 minute after every feed.- An examination by doctor should also be done so that we may not miss any important finding. I hope this will help 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 Thankyou I am a 56 year old extremely healthy male. All of a sudden I started to develop skin discolouration on my penis shaft and also scotum sack. It is a darkish colour and looks sort oof identical to a giraffes body colouring (patchy) Gosh I would love to know what reason- it has never happened before- It developed 4 months ago - and does not seem to be fading back to normal, thanks heaps. Patrick	Hello really appreciate your concernLooking at your description this could be suggestive of STI, other infection or an allergic reaction or may be penile cancer (very rare)I would like further information to help you better relevant medical history like diabetes or history of unprotected sex? Are you having any kind of dischargeSince how long you have this problem In my opinion you should keep it clean and apply antiseptic ointment If it gets worsen or doesn't improve than you should consult your doctor for physical check up and detailed evaluationMaintain good hygiene use condoms during sex until it heals completely Hope this answers your question if you have any more doubts please feel free to write back to me, I will be happy to help you Best wishes
如果你是醫生，請根據患者的描述回答醫學問題。	Hello doctor,I have a lot of black spots on my face and upper back due to the popping of pimples. To where it is darkening my skin making me uncomfortable with myself. I have been clueless about the medication I should use that would help my situation.	Hi. I have gone through your case. The pigmentation which you are having will take at least 2 to 3 months to recover (attachment removed to protect patient identity). Please mix Azelaic acid and Vitamin C cream in equal amount and apply on lesion at night for two hours only. Do not rub on your whole face. Take both creams in a small amount. Each one about the size of a pea will be enough for the whole face.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi with stage 4 aids which it has been only discovered when the toxoplasmosis and tumors in the nose and pancreas were found, the cd4 cells are now at 150. will they go up again once in one month they will operate on the pancreas cancer? the nose tumor has been removed alreadyand its fine. the lesions provocked by the toxo are still there they menaged to get rid of the infection but the demages are hard to cure , will they cure? without medications, dementia takes over the mind, will that cure? movements walking is very slow. will this go back to normal?? thank you in advance. i know it is a lot of questions i hope u can help me	Degree understand your concerns went through your details. I suggest you not to worry much. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.
如果你是醫生，請根據患者的描述回答醫學問題。	weight fell on my head and from this I have some pain in my shoulder blades or middle of my upper back and depending on the position of my body its hard to take a deep breath. funny thing is before this I seemed to always have pain in back of my neck shoulder and head but now its gone	Hi, Thanks for asking. Based on your query, my opinion is as follows.1. It could be muscle sprain or fracture.2. Get an x-ray of neck done to rule out any fractures. If no fractures, you might require a cervical collar support for few days. Later on physiotherapy and neck exercises are necessary.3. If pain is severe, you can take NSAID painkillers. Hope it helps. Any further queries, happy to help again.
如果你是醫生，請根據患者的描述回答醫學問題。	40 yr old male had heart cath 2 weeks ago. heart cath ruptured 2 times within 24 hrs post cath.am still having pain in groin and left side of penis. have not had an erection since having the heart cath done. is there any correlation between the two.	Hi pain in the groin is very common after catheterization, you can ask your cardiologist to prescribe you with non-steroidal anti-inflammatory medicines like diclofenac and seratiopeptidase for a few days. If erection does not happen after 5 days of treatment also then pudenda nerve injury can be suspected, in that case test have to be done for investigating damage to pudenda nerve supplying the penis. Thanks
如果你是醫生，請根據患者的描述回答醫學問題。	My sister is suffering of shortness of breath that gets worse when she walks or bends down. She has an enlarged heart and is functioning at 60 percent according to recent tests, had a cath of the heart that came back normal. Had an exray last night showing no fluid in lungs and no swelling of legs and feet. She recently overcame an infection of the right lung that finally got treated five months later ( I guess it got worse with time and created scarring of the right lung as a result). She takes med for CHF and is on a diuretic . She is like 20 lbs overweight . Please advise on what can be done to help her because they keep sending her back home from the hospital and she cannot work feeling this way as her job is physical. Please help. Thanks	Hello, I have gone through your question .for guiding you properly I need exact reports of echo n path. As you have mentioned that functioning is 60%, that does not match with CHF.as per your information cat his normal. There is some paradoxical information .so if you can send me proper details I can guide you precisely. She may have cardiomyopathy and diastolic dysfunction. But please provide full details. My best wishes Chat Doctor.
如果你是醫生，請根據患者的描述回答醫學問題。	Hi Doctor, My son is 11 years old. Few months back his pediatrician prescribed noworm suspension though he did not seem to have any symptoms of worms..... Only thing is he looks lean and was falling sick frequently at that time. But now he is OK. But I feel I should give him NOWORM as he is not eating well. Please advise. Can there be any side affects in case I give him this even if he did not have worms.	Hello, If deforming medication is given in the past 6 months there is no need to repeat. If he is not active and repeatedly falling sick with pneumonia or ear infections, with growth faltering child needs blood investigations. If he is active otherwise no need to do anything. Just give him a protein-rich diet. 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 have developed a lump just smaller than a golf ball on the lower left are of my knee below the knee cap. I can ony feel the lump when I straighten my leg. It is painless and feels hard. It flared up after I had a holiday 5 weeks ago where I did alot of walking. I have plantar fasciitis could this be linked?	Welcome to Chat Doctor. 1. The features with history suggest that most possible cause would be ganglion (a fluid collation cystic structure). 2. Which arises from the joint space entities - tendon, bursa, nerve sheet, cartilage, ligament.3. The next step in this is they are general slow growing pain less lumps - one has to monitor the growth.4. If any discomfort or pressure effect seen at the joint area - a small incision and Chat Doctor. 5. An ultrasound scan will be good to evaluate the nature of the lesion and its source and extension, But best tool will be MRI for knee joint and adjacent structures - good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you.
如果你是醫生，請根據患者的描述回答醫學問題。	My thirteen year old son had two larger kidney stones removed in March. Follow up appointments and test have shown his Calcium and Salt levels have soared. We have been refered to an endocrinologist, what could this mean? Is this normal for a teenager?	Hi, Thanks for your question. Noted your concern. Kidney stones with low calcium and salt levels in teenagers denotes possibility of metabolic disorders. One common form of metabolic disorder with this type of presentation requiring endocrinological evaluation is Renal Tubular Acidosis (RTS). In which kidneys fail to excrete acids (H+) from blood in urine. There are different type of RTS - Type 1, Type 2, Type 4. Type 1 & 2 are common in teenagers which are present with low potassium, low calcium, renal stones, developmental abnormalities, other nutrients' deficiency. In such cases there is a need for detailed clinical examination, blood tests to evaluate blood and urine pH along with electrolytes, other nutrients' deficiency, acid load challenge test. Treatment will depend upon underlying cause. Usually there is a need for salt supplement. Hope this helps you in taking appropriate decision. If so do vote as helpful.

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