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### Instruction: Answer this question truthfully ###Input: Hi doctor,My echocardiogram reveals borderline LVH. My cholesterol is 212 mg/dL and triglyceride is 283 mg/dL. I have been prescribed with Tazloc 40 mg, Nebicard 5 mg, and Rozucor F5. I am very much anxious about my heart. What can I do now? ### Response: Hi, Welcome to Chat Doctor forum. You can have a healthy lifestyle by avoiding fatty, oily, and high-calorie diet. Have a low salt diet and monitor your blood pressure regularly thrice a day for one week. Follow them once or twice a week. If the BP (blood pressure) is persistently more than 140/90 mmHg, then the medicines are needed to get hiked up. Do regular exercises like brisk walking, and jogging according to your capacity for at least 30 minutes a day and five days a week. Take lots of green leafy vegetables, fruits, and fish once or twice a week, and avoid taking meat. Avoid smoking and alcohol. Repeat your lipid profile after eight weeks of a healthy lifestyle and see the response of the healthy lifestyle or else get yourself started with medicines like Rosuvastatin and Fenofibrate combination.

Hi doctor,My echocardiogram reveals borderline LVH. My cholesterol is 212 mg/dL and triglyceride is 283 mg/dL. I have been prescribed with Tazloc 40 mg, Nebicard 5 mg, and Rozucor F5. I am very much anxious about my heart. What can I do now?

Hi, Welcome to Chat Doctor forum. You can have a healthy lifestyle by avoiding fatty, oily, and high-calorie diet. Have a low salt diet and monitor your blood pressure regularly thrice a day for one week. Follow them once or twice a week. If the BP (blood pressure) is persistently more than 140/90 mmHg, then the medicines are needed to get hiked up. Do regular exercises like brisk walking, and jogging according to your capacity for at least 30 minutes a day and five days a week. Take lots of green leafy vegetables, fruits, and fish once or twice a week, and avoid taking meat. Avoid smoking and alcohol. Repeat your lipid profile after eight weeks of a healthy lifestyle and see the response of the healthy lifestyle or else get yourself started with medicines like Rosuvastatin and Fenofibrate combination.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 18, and I had unprotected sex a few times last month using the pull-out method. I thought that I could not get pregnant with that method. I am stressed that I could be pregnant because I had some bleeding a week before my period. The bleeding was less than usual, but I still needed pads for two days. The bleeding was the color of my normal period, but it lasted for only three days and my period usually lasts four days. It happened eight days before my period. But, before the bleeding, I used Vitamin C 6000 mg a day for three days to induce my period. Could it have been implantation bleeding or vitamin C induced period? My period should be due tomorrow, and I am stressed that it will not come. Please help. ### Response: Hi, Welcome to Chat Doctor forum. Rightly said, with ChatDoctor. As the precum or pre-seminal fluid (the clear fluid that comes out before the semen) is rich in active with healthy sperms, it can be enough for you to get pregnant. I cannot tell you conclusively if that was an implantation bleeding as it is variable in different people. In some, it may just a few

Hi doctor,I am 18, and I had unprotected sex a few times last month using the pull-out method. I thought that I could not get pregnant with that method. I am stressed that I could be pregnant because I had some bleeding a week before my period. The bleeding was less than usual, but I still needed pads for two days. The bleeding was the color of my normal period, but it lasted for only three days and my period usually lasts four days. It happened eight days before my period. But, before the bleeding, I used Vitamin C 6000 mg a day for three days to induce my period. Could it have been implantation bleeding or vitamin C induced period? My period should be due tomorrow, and I am stressed that it will not come. Please help.

Hi, Welcome to Chat Doctor forum. Rightly said, with ChatDoctor. As the precum or pre-seminal fluid (the clear fluid that comes out before the semen) is rich in active with healthy sperms, it can be enough for you to get pregnant. I cannot tell you conclusively if that was an implantation bleeding as it is variable in different people. In some, it may just a few

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 26 years old and have been a type-1 diabetic for 24 years. I am considering getting pregnant. Is there a specific A1C number I should aim for before trying to get pregnant? Aside from having a great A1C and taking prenatal vitamins, is there anything else I should be doing to prepare for diabetic pregnancy? Also, is there a chance of delivering vaginally? I have heard that diabetics almost always have to have c-sections, but I would like to avoid it if possible. ### Response: Hello. A diabetic patient like you should have preconception counseling regarding your sugar levels, HbA1c as for conception you need to have your HbA1c below 48 mmol/mol or 6.1 %. Even HbA1C level above 86 mmol/mol or 10 % is strongly against pregnancy. So, try to avoid it if you have this level as more chances of miscarriage, fetal congenital anomalies, etc. A diabetic patient having BMI greater than 27 kg/m2 and want to conceive is advised to reduce weight before trying for conception. For more information consult an obstetrician and gynecologist online Take care.

Hello doctor,I am 26 years old and have been a type-1 diabetic for 24 years. I am considering getting pregnant. Is there a specific A1C number I should aim for before trying to get pregnant? Aside from having a great A1C and taking prenatal vitamins, is there anything else I should be doing to prepare for diabetic pregnancy? Also, is there a chance of delivering vaginally? I have heard that diabetics almost always have to have c-sections, but I would like to avoid it if possible.

Hello. A diabetic patient like you should have preconception counseling regarding your sugar levels, HbA1c as for conception you need to have your HbA1c below 48 mmol/mol or 6.1 %. Even HbA1C level above 86 mmol/mol or 10 % is strongly against pregnancy. So, try to avoid it if you have this level as more chances of miscarriage, fetal congenital anomalies, etc. A diabetic patient having BMI greater than 27 kg/m2 and want to conceive is advised to reduce weight before trying for conception. For more information consult an obstetrician and gynecologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 30 weeks pregnant. Went to doctor with three thrombosed hemorrhoids. Doctor gave me cream and suppositories. I am in agony and cannot move without being in pain so went back to doctor today who said they need to be drained. I spoke with the surgeon in the hospital who advized that because I am 30 weeks pregnant they will not give me general anesthesic to drain them. And instead keep doing the cream and suppositories and also ice packs and rest.My question is that the piles are easily the size of two grapes in one and I cannot even sit down. I have to lay down and cannot do anything. Has anyone experienced this size of piles before and will they just decrease in size and if so what is the normal timeline as I am finding the pain hard. ### Response: Hi, Welcome to Chat Doctor forum. Piles in pregnancy can happen due to increased intraabdominal pressure. For patients who have hemorrhoids before pregnancy they increase more. Now as it is 30 weeks you can wait for another 6 to 7 weeks. They may decrease in size once delivery is over or else you can go for surgery. Now use cream locally. Increase fibre in food.

Hello doctor,I am 30 weeks pregnant. Went to doctor with three thrombosed hemorrhoids. Doctor gave me cream and suppositories. I am in agony and cannot move without being in pain so went back to doctor today who said they need to be drained. I spoke with the surgeon in the hospital who advized that because I am 30 weeks pregnant they will not give me general anesthesic to drain them. And instead keep doing the cream and suppositories and also ice packs and rest.My question is that the piles are easily the size of two grapes in one and I cannot even sit down. I have to lay down and cannot do anything. Has anyone experienced this size of piles before and will they just decrease in size and if so what is the normal timeline as I am finding the pain hard.

Hi, Welcome to Chat Doctor forum. Piles in pregnancy can happen due to increased intraabdominal pressure. For patients who have hemorrhoids before pregnancy they increase more. Now as it is 30 weeks you can wait for another 6 to 7 weeks. They may decrease in size once delivery is over or else you can go for surgery. Now use cream locally. Increase fibre in food.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had a protected oral sex with transgender yesterday. Before we started the oral sex, she showed me her STD and HIV test results and they were negative (I have doubts about the results as it was sent to here by SMS and there was no date on it). At the start of the oral sex, I sucked her cock with a condom (she was wearing a condom) and then she sucked my cock and I was wearing a condom as well. There was no pre-cum, no cums, no transmission of body fluid, nothing, just the scenario above. I have a simple blood clot in the sublingual salivary glands for the past six months and I am still taking medicine for it. Is there any chance to get STDs or HIV based on the scenario above? I need a direct answer to my situation and no general information, please. ### Response: Hi. To be clear, HIV will not transmit through oral sex. No possibility for HIV infection. Coming to STDs, there is no transmission of STDs through a protected act. So, there is no possibility for STDs also (including syphilis, chlamydia, gonorrhoea, herpes). Finally, no chances of transmission of either STDs and HIV.

Hello doctor,I had a protected oral sex with transgender yesterday. Before we started the oral sex, she showed me her STD and HIV test results and they were negative (I have doubts about the results as it was sent to here by SMS and there was no date on it). At the start of the oral sex, I sucked her cock with a condom (she was wearing a condom) and then she sucked my cock and I was wearing a condom as well. There was no pre-cum, no cums, no transmission of body fluid, nothing, just the scenario above. I have a simple blood clot in the sublingual salivary glands for the past six months and I am still taking medicine for it. Is there any chance to get STDs or HIV based on the scenario above? I need a direct answer to my situation and no general information, please.

Hi. To be clear, HIV will not transmit through oral sex. No possibility for HIV infection. Coming to STDs, there is no transmission of STDs through a protected act. So, there is no possibility for STDs also (including syphilis, chlamydia, gonorrhoea, herpes). Finally, no chances of transmission of either STDs and HIV.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I took an I-pill after I had sexual intercourse, a month back. My period came seven days before the expected date. The bleeding was brown in color, and it lasted for two and a half days. After that, I did not get my period next month. I am experiencing tenderness in the breast, frequent urination, and nausea from few days. But now, I feel no tenderness. I took a urine test on the day of my missed period, but it was negative. Am I pregnant? ### Response: Hi. It is unlikely that you are pregnant. This often happens after taking I-pill. Nonetheless, I would suggest you confirm the presence or absence of pregnancy by doing a blood test namely the serum beta hCG and share the reports. If it is negative, then repeat the test after a week, if it is still negative, then no need to do anything. Use protection during sexual intercourse in the meantime, your periods will start eventually, and then your menstrual cycle will become regular. Once your cycle is regularized, I would suggest you think of getting regular oral contraceptives pills, as I-pill is not meant to be used except in an emergency If you have any doubts, please let me know.

Hi doctor,I took an I-pill after I had sexual intercourse, a month back. My period came seven days before the expected date. The bleeding was brown in color, and it lasted for two and a half days. After that, I did not get my period next month. I am experiencing tenderness in the breast, frequent urination, and nausea from few days. But now, I feel no tenderness. I took a urine test on the day of my missed period, but it was negative. Am I pregnant?

Hi. It is unlikely that you are pregnant. This often happens after taking I-pill. Nonetheless, I would suggest you confirm the presence or absence of pregnancy by doing a blood test namely the serum beta hCG and share the reports. If it is negative, then repeat the test after a week, if it is still negative, then no need to do anything. Use protection during sexual intercourse in the meantime, your periods will start eventually, and then your menstrual cycle will become regular. Once your cycle is regularized, I would suggest you think of getting regular oral contraceptives pills, as I-pill is not meant to be used except in an emergency If you have any doubts, please let me know.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had a severe toothache and after getting permanent tooth filling done tiny pieces of tooth started to break. Now completely the tooth is fallen and when consulted a doctor he told dental implant of the tooth must be done because RCT can be done but as there is no root so the cap might come off again and again. Please help. ### Response: Hi, Welcome to Chat Doctor forum. I am unable to understand your question completely. If there was no root then how was the filling done? And which tooth are you concerned about? Answer me with a photograph of the same in your follow up. As far your problem is concerned, permanent fillings do not come out that easily provided it is manipulation and filling and post filling procedures were all done correctly. Secondly, yes you can go for RCT only if there is a healthy supporting root. As far as the implant is concerned, you can opt it will be a perfect choice if you wish you may also go for prosthodontic bridge provided your adjacent teeth are healthy enough to give support. In the bridge, we take the support of one or two adjoining teeth and thus there is a set of 2 to 3 crowns which get fixed on healthy teeth hence your absent teeth gets a crown.

Hello doctor,I had a severe toothache and after getting permanent tooth filling done tiny pieces of tooth started to break. Now completely the tooth is fallen and when consulted a doctor he told dental implant of the tooth must be done because RCT can be done but as there is no root so the cap might come off again and again. Please help.

Hi, Welcome to Chat Doctor forum. I am unable to understand your question completely. If there was no root then how was the filling done? And which tooth are you concerned about? Answer me with a photograph of the same in your follow up. As far your problem is concerned, permanent fillings do not come out that easily provided it is manipulation and filling and post filling procedures were all done correctly. Secondly, yes you can go for RCT only if there is a healthy supporting root. As far as the implant is concerned, you can opt it will be a perfect choice if you wish you may also go for prosthodontic bridge provided your adjacent teeth are healthy enough to give support. In the bridge, we take the support of one or two adjoining teeth and thus there is a set of 2 to 3 crowns which get fixed on healthy teeth hence your absent teeth gets a crown.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Hope this message finds you well. I had 10 cavities and removed them all. But the last cavity I removed, the tooth was so damaged but my doctor kept on drilling as much as he could and he put the dental filling right next to the tooth nerve saying that the tooth is still alive. I did these two days ago. All was fine until now when the tooth gave me one minute of pure pain when I drank cold milk. Please tell me what to do. Thanks in advance. ### Response: Hello, Welcome to Chat Doctor forum. I think the cavity was very deep and so the filling was placed close to the nerve area. This could have given you severe sensitivity with cold items. My suggestion is to just wait for a few more days. If you experience sudden, severe, shooting pain, you need to visit your dentist and get that tooth either root canal treated or extracted. If the filling is too close to the nerve, it causes irritation and thereby pain. You could avoid very hot and very cold food for a few days to just observe the condition of the tooth. In case there is no pain till around two weeks, you can relax and need not visit the dentist. For more information consult a dentist online

Hello doctor,Hope this message finds you well. I had 10 cavities and removed them all. But the last cavity I removed, the tooth was so damaged but my doctor kept on drilling as much as he could and he put the dental filling right next to the tooth nerve saying that the tooth is still alive. I did these two days ago. All was fine until now when the tooth gave me one minute of pure pain when I drank cold milk. Please tell me what to do. Thanks in advance.

Hello, Welcome to Chat Doctor forum. I think the cavity was very deep and so the filling was placed close to the nerve area. This could have given you severe sensitivity with cold items. My suggestion is to just wait for a few more days. If you experience sudden, severe, shooting pain, you need to visit your dentist and get that tooth either root canal treated or extracted. If the filling is too close to the nerve, it causes irritation and thereby pain. You could avoid very hot and very cold food for a few days to just observe the condition of the tooth. In case there is no pain till around two weeks, you can relax and need not visit the dentist. For more information consult a dentist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 16 years old, and I wear contact lenses. I have never really taken them off. I would sleep with the contact lenses in my eyes and I have started wearing them since I was 13 years old. I would change them, but I would not take them off, and I would go days. My vision gets worse when I go to the eye doctor, but I have not had problems with infections. Recently I noticed that my left eye is red without pain or irritation, but red as the color of the pink eye. I do not know if it is the contact lenses which is causing the redness. Please help. ### Response: Hi, Welcome to Chat Doctor forum. It can be an infection, but one thing you must remember is contact lenses should ideally be used 8 to 10 hours a day. If you wear during sleep and for more than 10 hours a day, there is a possibility of the eyes developing infection and transparency of cornea getting decreased over a long time. You must stop wearing contact lenses till your eyes are clear. Start wearing spectacles. Contact lenses related bacterial conjunctivitis or corneal hypoxia. Detailed slit lamp examination. Start using antibiotic eye ChatDoctor.

Hello doctor,I am 16 years old, and I wear contact lenses. I have never really taken them off. I would sleep with the contact lenses in my eyes and I have started wearing them since I was 13 years old. I would change them, but I would not take them off, and I would go days. My vision gets worse when I go to the eye doctor, but I have not had problems with infections. Recently I noticed that my left eye is red without pain or irritation, but red as the color of the pink eye. I do not know if it is the contact lenses which is causing the redness. Please help.

Hi, Welcome to Chat Doctor forum. It can be an infection, but one thing you must remember is contact lenses should ideally be used 8 to 10 hours a day. If you wear during sleep and for more than 10 hours a day, there is a possibility of the eyes developing infection and transparency of cornea getting decreased over a long time. You must stop wearing contact lenses till your eyes are clear. Start wearing spectacles. Contact lenses related bacterial conjunctivitis or corneal hypoxia. Detailed slit lamp examination. Start using antibiotic eye ChatDoctor.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am unable to bear weight on my healed ankle. I had a fracture of the same ankle four years ago. This problem has been there since six months. Climbing stairs is a problem. I get pain inside my bone, sharp stabbing pain and some burning sensation. This stabbing pain stays for a week or so with no movement and goes away after a week of rest, but returns when I climb stairs (put weight on the ankle). The bone is feeling sore all the time. Please advice. The x-ray and MRI reports are normal. ### Response: Hello. You have mentioned that you sustained an ankle fracture around four years ago and now you have persistent symptoms in the same ankle joint. Previous injury. 1. X-rays (digital) of the affected ankle - anteroposterior and lateral views.2. MRI of the affected ankle which you have already done.3. Recent blood tests especially serum vitamin D and B12 levels, serum uric acid levels, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).4. A clinical picture of your affected ankle. Will decide after relevant investigations. Follow up with investigations to an orthopaedician and traumatologist online.- Take care.

Hi doctor,I am unable to bear weight on my healed ankle. I had a fracture of the same ankle four years ago. This problem has been there since six months. Climbing stairs is a problem. I get pain inside my bone, sharp stabbing pain and some burning sensation. This stabbing pain stays for a week or so with no movement and goes away after a week of rest, but returns when I climb stairs (put weight on the ankle). The bone is feeling sore all the time. Please advice. The x-ray and MRI reports are normal.

Hello. You have mentioned that you sustained an ankle fracture around four years ago and now you have persistent symptoms in the same ankle joint. Previous injury. 1. X-rays (digital) of the affected ankle - anteroposterior and lateral views.2. MRI of the affected ankle which you have already done.3. Recent blood tests especially serum vitamin D and B12 levels, serum uric acid levels, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).4. A clinical picture of your affected ankle. Will decide after relevant investigations. Follow up with investigations to an orthopaedician and traumatologist online.- Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 13-year-old male. I tried this relatively cheap BleachBright StarBright Dual-Action whitening pen. After using it I noticed white spots forming all over my teeth. It was the weirdest thing. I have always had white spots on and off throughout my life, but after using this, within five minutes I had a bunch of them appearing. Is this an allergic reaction? How do you recommend I get rid of them? Should I consult my dentist? Should I continue using my whitening pen? Of note, I am currently on Guanfacine. ### Response: Hello, Welcome to Chat Doctor forum. As per your symptoms, the white spots on the teeth are due to hypocalcified areas that are areas of poor mineralization. Bleaching makes them more pronounced and they can further stand out on the teeth. It is not an allergic reaction but this has happened due to a more clear appearance of hypocalcified areas. The spots will become less pronounced as the days pass by and teeth will continue to hy ChatDoctor. Please do not use your whitening pen further and for any cosmetic dental treatment, it will be better to consult a cosmetic dentist. Regards. For more information consult a dentist online

Hello doctor,I am a 13-year-old male. I tried this relatively cheap BleachBright StarBright Dual-Action whitening pen. After using it I noticed white spots forming all over my teeth. It was the weirdest thing. I have always had white spots on and off throughout my life, but after using this, within five minutes I had a bunch of them appearing. Is this an allergic reaction? How do you recommend I get rid of them? Should I consult my dentist? Should I continue using my whitening pen? Of note, I am currently on Guanfacine.

Hello, Welcome to Chat Doctor forum. As per your symptoms, the white spots on the teeth are due to hypocalcified areas that are areas of poor mineralization. Bleaching makes them more pronounced and they can further stand out on the teeth. It is not an allergic reaction but this has happened due to a more clear appearance of hypocalcified areas. The spots will become less pronounced as the days pass by and teeth will continue to hy ChatDoctor. Please do not use your whitening pen further and for any cosmetic dental treatment, it will be better to consult a cosmetic dentist. Regards. For more information consult a dentist online

### Instruction: Answer this question truthfully ###Input: Hi doctor,I suffer from anxiety, and I was never diagnosed with any other mental health problems before. I am not taking medication for anxiety due to fear of drugs. My family members present on my maternal side have a generalized anxiety disorder.Recently, my anxiety became high due to some personal events. A few weeks ago, something triggered my mind, and I was harming one of my child in my mind. After that, my thoughts got escalated, and it became like a daily thing. I am unable to forget these thoughts. My doctor prescribed me Zoloft 25 mg for anxiety, and I started taking it. Will Zoloft help me to come out from these thoughts? ### Response: Hi, Welcome to Chat Doctor forum. I can understand your situation. Anxiety disorders are common psychiatric disorders with significant prevalence in the general population. Yes, Zoloft (Sertraline) will help you to beat anxiety, and the thoughts of killing your son come under an obsessive fear, which is again a sort of anxiety disorder. This medicine will help you, and the dosage should be adjusted by your psychiatrist, based on the improvement and the side effects of the ChatDoctor. Do not worry and you will get better.

Hi doctor,I suffer from anxiety, and I was never diagnosed with any other mental health problems before. I am not taking medication for anxiety due to fear of drugs. My family members present on my maternal side have a generalized anxiety disorder.Recently, my anxiety became high due to some personal events. A few weeks ago, something triggered my mind, and I was harming one of my child in my mind. After that, my thoughts got escalated, and it became like a daily thing. I am unable to forget these thoughts. My doctor prescribed me Zoloft 25 mg for anxiety, and I started taking it. Will Zoloft help me to come out from these thoughts?

Hi, Welcome to Chat Doctor forum. I can understand your situation. Anxiety disorders are common psychiatric disorders with significant prevalence in the general population. Yes, Zoloft (Sertraline) will help you to beat anxiety, and the thoughts of killing your son come under an obsessive fear, which is again a sort of anxiety disorder. This medicine will help you, and the dosage should be adjusted by your psychiatrist, based on the improvement and the side effects of the ChatDoctor. Do not worry and you will get better.

### Instruction: Answer this question truthfully ###Input: Hello doctor,This question is about my 36-year-old brother. He was having a fever on and off since one month and lower back ache since last three days. We did his NCCT KUB to rule out stone but the radiologist saw pleural effusion and did a contrast CT abdomen and chest. The radiologist said it is suggestive of TB. Please look at the report and guide us. Also, tell if chances of lymphoma or any cancer. ### Response: Hi. Sorry to hear about your brother\\s symptoms. I have checked the attached reports thoroughly (attachment removed to protect patient identity), the pleural effusion and the enlarged lymph nodes could be due to many causes, although TB is the most likely diagnosis. In order to confirm the diagnosis, we need to take a sample from this effusion and analyze it. Analysing the morning phlegm for TB bacteria is required. In case the diagnosis is confirmed, a combination of antibiotics is required for six months. In case the effusion increased and causes shortness of breath, removal of the fluid by a needle will be required. Lymphoma could be the cause, but less likely. Analysis of the effusion will confirm the diagnosis. For more information consult an internal medicine physician online

Hello doctor,This question is about my 36-year-old brother. He was having a fever on and off since one month and lower back ache since last three days. We did his NCCT KUB to rule out stone but the radiologist saw pleural effusion and did a contrast CT abdomen and chest. The radiologist said it is suggestive of TB. Please look at the report and guide us. Also, tell if chances of lymphoma or any cancer.

Hi. Sorry to hear about your brother\\s symptoms. I have checked the attached reports thoroughly (attachment removed to protect patient identity), the pleural effusion and the enlarged lymph nodes could be due to many causes, although TB is the most likely diagnosis. In order to confirm the diagnosis, we need to take a sample from this effusion and analyze it. Analysing the morning phlegm for TB bacteria is required. In case the diagnosis is confirmed, a combination of antibiotics is required for six months. In case the effusion increased and causes shortness of breath, removal of the fluid by a needle will be required. Lymphoma could be the cause, but less likely. Analysis of the effusion will confirm the diagnosis. For more information consult an internal medicine physician online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a final year medical student. I am suffering from mild to moderate acne for three months. Acne is on my cheeks and chin, and it is papule, pustules, and scars. I am using tea tree oil and BioFade for three weeks but no effect. One doctor prescribed Isotretinoin, but I have not used it because of the side effects. Kindly tell me the effective treatment for this. ### Response: Hello. You mentioned that your acne started only three months ago. Hence there could be triggering factors like stress (you said). Therefore the best remedy to treat your acne is to ad ChatDoctor. In your case, you should try and avoid stress. Stress sometimes leads to harmonal disturbances, which in turn cause acne. If you do not want to use Isotretinoin, you may use Adapalene or Salicylic Acid ointments, which also give effective results. Even before going into the sun, you can use a good sunscreen with Spf 50. Before going to sleep, wash your face and apply a gentle moisturizer with vitamin E. This should help. If you have more questions, please get back to me with a picture. Take care.

Hello doctor,I am a final year medical student. I am suffering from mild to moderate acne for three months. Acne is on my cheeks and chin, and it is papule, pustules, and scars. I am using tea tree oil and BioFade for three weeks but no effect. One doctor prescribed Isotretinoin, but I have not used it because of the side effects. Kindly tell me the effective treatment for this.

Hello. You mentioned that your acne started only three months ago. Hence there could be triggering factors like stress (you said). Therefore the best remedy to treat your acne is to ad ChatDoctor. In your case, you should try and avoid stress. Stress sometimes leads to harmonal disturbances, which in turn cause acne. If you do not want to use Isotretinoin, you may use Adapalene or Salicylic Acid ointments, which also give effective results. Even before going into the sun, you can use a good sunscreen with Spf 50. Before going to sleep, wash your face and apply a gentle moisturizer with vitamin E. This should help. If you have more questions, please get back to me with a picture. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a widower for the last 16 years. At this age, my sex drive is high and being a widower I have no option but to masturbate whenever aroused. However, of late my foreskin turns sore more so after masturbation. Normally, on erection foreskin retracts automatically but in my case, I have to retract the foreskin manually without pain. Presently, due to soreness of the foreskin, retracting manually is slightly painful. Though a diabetic person, sugar is under control with medication. Please suggest some medicines or ointment for an application. Thank you. ### Response: Hello, Welcome to Chat Doctor forum. I went through your post. You seem to have balanitis which means an inflammation of the glans especially the foreskin part. You need to wash the area in the morning and evening with lukewarm water. Apply Candid cream morning and evening for two weeks. I suggest you start capsule Doxycycline 100 mg in morning and evening for 19 days and tablet Fluconazole 150 mg once daily for three days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult an internal medicine physician online

Hello doctor,I am a widower for the last 16 years. At this age, my sex drive is high and being a widower I have no option but to masturbate whenever aroused. However, of late my foreskin turns sore more so after masturbation. Normally, on erection foreskin retracts automatically but in my case, I have to retract the foreskin manually without pain. Presently, due to soreness of the foreskin, retracting manually is slightly painful. Though a diabetic person, sugar is under control with medication. Please suggest some medicines or ointment for an application. Thank you.

Hello, Welcome to Chat Doctor forum. I went through your post. You seem to have balanitis which means an inflammation of the glans especially the foreskin part. You need to wash the area in the morning and evening with lukewarm water. Apply Candid cream morning and evening for two weeks. I suggest you start capsule Doxycycline 100 mg in morning and evening for 19 days and tablet Fluconazole 150 mg once daily for three days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult an internal medicine physician online

### Instruction: Answer this question truthfully ###Input: Hi doctor,My husband has been voluntarily admitted into a mental health hospital for loss of reality, confusion and self-doubt. He has been diagnosed with schizophrenia and bipolar. However, his triggers and signs started eight days ago and they are working with the medication. However, he did not sleep for the last eight days and is deathly concerning me. Am I over reacting? Do I trust that he will be monitored? Even the sleeping pill they are giving him is not working. ### Response: Hi. If he has been diagnosed with schizophrenia and bipolar disorder, then his sleep disturbance is expected. There is reduced need for sleep in bipolar mania. As he is in the admission, I do not think there is a need to worry. They will treat him with proper guidelines and if needed, they can use injectable antipsychotics, which will help him in sleep. He is on Invega or Paliperidone and if the medicine is not resulting in proper improvement, then the best is to change the medicine. Risperidone, Olanzapine, etc., can be used, which are more potent and help in controlling the symptoms with improvement of sleep. You can talk with his doctor for these medicines. Take care.

Hi doctor,My husband has been voluntarily admitted into a mental health hospital for loss of reality, confusion and self-doubt. He has been diagnosed with schizophrenia and bipolar. However, his triggers and signs started eight days ago and they are working with the medication. However, he did not sleep for the last eight days and is deathly concerning me. Am I over reacting? Do I trust that he will be monitored? Even the sleeping pill they are giving him is not working.

Hi. If he has been diagnosed with schizophrenia and bipolar disorder, then his sleep disturbance is expected. There is reduced need for sleep in bipolar mania. As he is in the admission, I do not think there is a need to worry. They will treat him with proper guidelines and if needed, they can use injectable antipsychotics, which will help him in sleep. He is on Invega or Paliperidone and if the medicine is not resulting in proper improvement, then the best is to change the medicine. Risperidone, Olanzapine, etc., can be used, which are more potent and help in controlling the symptoms with improvement of sleep. You can talk with his doctor for these medicines. Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am in the process of getting ready for a dental bridge, a total of seven teeth order of porcelain fused and then a crown, etc. Now, tomorrow I am supposed to get a temporary bridge. I got a call today that they are going to prepare my teeth tomorrow and go ahead and do permanent bridge but the price is still the same. Does this sound correct? I was charged including a temporary bridge but now I am not getting one, just permanent. ### Response: Hi. Your temporary bridge was just for the time being that your dentist might have thought permanent will take time for fabrication, so temporary was only for your comfort and esthetic issues. Temporary is generally given if there is a delay in permanent and to check if the patient will be comfortable with the size, color and all or not. It is good that your permanent bridge has been fabricated before time, you just need to take this much care that when tomorrow before fixing permanent finally you will be asked by fitting it in your mouth if it is proper in size and comfortable or not, so be very fair to yourself and your dentist and do tell him or her whatever you feel so after that it will be their duty to fix it up whatever problem may arise.

Hi doctor,I am in the process of getting ready for a dental bridge, a total of seven teeth order of porcelain fused and then a crown, etc. Now, tomorrow I am supposed to get a temporary bridge. I got a call today that they are going to prepare my teeth tomorrow and go ahead and do permanent bridge but the price is still the same. Does this sound correct? I was charged including a temporary bridge but now I am not getting one, just permanent.

Hi. Your temporary bridge was just for the time being that your dentist might have thought permanent will take time for fabrication, so temporary was only for your comfort and esthetic issues. Temporary is generally given if there is a delay in permanent and to check if the patient will be comfortable with the size, color and all or not. It is good that your permanent bridge has been fabricated before time, you just need to take this much care that when tomorrow before fixing permanent finally you will be asked by fitting it in your mouth if it is proper in size and comfortable or not, so be very fair to yourself and your dentist and do tell him or her whatever you feel so after that it will be their duty to fix it up whatever problem may arise.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I have a few doubts regarding annual flu vaccine. Is it a must to get an annual vaccine shot every year? Is it mandatory for kids? What will be the effect if we miss the dose a year? As all the doctors are not suggesting the vaccine, I am confused whether should I get it for my 5-year-old son or not. He used to get cold and cough often till 4 years. But he is quite fine for the last six months without severe cold or a cough. Please clear my doubts. ### Response: Hi. I understand your concern. Flue vaccines are annual because every season there is change is strains of Virus. WHO notify six monthly which strain to be used for next shot. It is not a mandatory vaccine, but it is optional. I usually recommend to my patients if they have poor immunity. Baby born premature, asthma, recurrent respiratory infections, repeated hospital admissions, on chronic medications, poor immune state (nephrotic syn ChatDoctor. If the baby is healthy, no above risk factor, then you can exercise not to give. As flu is air born disease and kids are in general high-risk population, I would recommend. It will be safer to give.

Hi doctor,I have a few doubts regarding annual flu vaccine. Is it a must to get an annual vaccine shot every year? Is it mandatory for kids? What will be the effect if we miss the dose a year? As all the doctors are not suggesting the vaccine, I am confused whether should I get it for my 5-year-old son or not. He used to get cold and cough often till 4 years. But he is quite fine for the last six months without severe cold or a cough. Please clear my doubts.

Hi. I understand your concern. Flue vaccines are annual because every season there is change is strains of Virus. WHO notify six monthly which strain to be used for next shot. It is not a mandatory vaccine, but it is optional. I usually recommend to my patients if they have poor immunity. Baby born premature, asthma, recurrent respiratory infections, repeated hospital admissions, on chronic medications, poor immune state (nephrotic syn ChatDoctor. If the baby is healthy, no above risk factor, then you can exercise not to give. As flu is air born disease and kids are in general high-risk population, I would recommend. It will be safer to give.

### Instruction: Answer this question truthfully ###Input: Hi doctor,My father is diagnosed with coronary artery disease and triple vessel disease with LM. I have attached the angiogram report for your reference. Is the CABG only solution or partial stenting may work? Or is it fine to give only the medication as there are not much clinical symptoms? His TMT was strongly positive. He is a smoker and also takes alcohol. He is a blood pressure patient and takes Amlopress, Telma and Ecosprin. ### Response: Hi. I have carefully reviewed your health query and feel sorry for your father\\s health issues. It is a concerning disease process. I never recommend to leave it as such and do nothing much for an advanced coronary artery disease. He has got triple vessel involvement and in such circumstances the best next step is to go for CABG surgery (coronary bypass graft) especially if there is no obvious contraindication. No, partial angioplasty is not a solution to the problem. Although he has no obvious signs or symptoms, but you should know well that the disease inside has progressed much and anytime with or without strenuous physical activity he may get a severe heart attack that can be really dangerous and lethal. I would go with the suggestion of CABG right away.

Hi doctor,My father is diagnosed with coronary artery disease and triple vessel disease with LM. I have attached the angiogram report for your reference. Is the CABG only solution or partial stenting may work? Or is it fine to give only the medication as there are not much clinical symptoms? His TMT was strongly positive. He is a smoker and also takes alcohol. He is a blood pressure patient and takes Amlopress, Telma and Ecosprin.

Hi. I have carefully reviewed your health query and feel sorry for your father\\s health issues. It is a concerning disease process. I never recommend to leave it as such and do nothing much for an advanced coronary artery disease. He has got triple vessel involvement and in such circumstances the best next step is to go for CABG surgery (coronary bypass graft) especially if there is no obvious contraindication. No, partial angioplasty is not a solution to the problem. Although he has no obvious signs or symptoms, but you should know well that the disease inside has progressed much and anytime with or without strenuous physical activity he may get a severe heart attack that can be really dangerous and lethal. I would go with the suggestion of CABG right away.

### Instruction: Answer this question truthfully ###Input: Hello doctor,So, I have an overbite and I would probably say it is pretty bad. My teeth are not that bad, but I do have large buck teeth.My two front teeth are angled on the outsides and that creates a triangle shape gap in between my top and bottom teeth.I was wondering with the information provided above, do you think I need braces, a retainer, or Invisalign? ### Response: Hi, Welcome to Chat Doctor forum. I have read through your complaint and the relevant details. You have mentioned that your front teeth are protruded, large and that creates a space with the lower teeth. With these, I am pretty much sure that you might need braces (fixed orthodontic therapy). But a proper analysis of your teeth in position along with your skeletal outline are the factors which decide that you need braces. For beauty purpose, you can also discuss with your specialist about lingual braces or ceramic (tooth-colored) braces. Invisalign is chosen only for mild correction and cannot achieve results that as proper braces. Retainer and Invisalign almost serve the same purpose of maintaining the moved or corrected teeth through braces. They cannot be used all in all for co correction in your case I reckon. For more information consult a dentist online

Hello doctor,So, I have an overbite and I would probably say it is pretty bad. My teeth are not that bad, but I do have large buck teeth.My two front teeth are angled on the outsides and that creates a triangle shape gap in between my top and bottom teeth.I was wondering with the information provided above, do you think I need braces, a retainer, or Invisalign?

Hi, Welcome to Chat Doctor forum. I have read through your complaint and the relevant details. You have mentioned that your front teeth are protruded, large and that creates a space with the lower teeth. With these, I am pretty much sure that you might need braces (fixed orthodontic therapy). But a proper analysis of your teeth in position along with your skeletal outline are the factors which decide that you need braces. For beauty purpose, you can also discuss with your specialist about lingual braces or ceramic (tooth-colored) braces. Invisalign is chosen only for mild correction and cannot achieve results that as proper braces. Retainer and Invisalign almost serve the same purpose of maintaining the moved or corrected teeth through braces. They cannot be used all in all for co correction in your case I reckon. For more information consult a dentist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I want to ask you can I get pregnant without penetration or inserting? As I am not comfortable and I am scared to get STD, genital herpes? Even I read masturbating leads to impotecy and infertility. Can I get pregnant on my ovulation time (with clothes) just by stimulating or getting touch for short periods by my partner?Is this possible to get pregnant in this way? My grandmother told me they never did direct penetration stuff but still she got pregnant five times. How is this possible? ### Response: Hi, WeIcome to ChatDoctor. I can understand your concern for your symptoms. Direct penetration is the normal way of sex. Normal sex release serotonin and oxytocin. Happy and trust hormone which is very important in building relationship. If you are not allowing your male partner for normal sex or penetration, he may find other options which will be an issue in your relationship. Your worry about infection is there for every one, if you are so worried you can ask your partner to do a blood work up then have sex. Still you need to get pregnant without penetration, yes you can. It is called artificial insemination. You can meet a gynecologist to do the procedure sterile method. Take care.

Hello doctor,I want to ask you can I get pregnant without penetration or inserting? As I am not comfortable and I am scared to get STD, genital herpes? Even I read masturbating leads to impotecy and infertility. Can I get pregnant on my ovulation time (with clothes) just by stimulating or getting touch for short periods by my partner?Is this possible to get pregnant in this way? My grandmother told me they never did direct penetration stuff but still she got pregnant five times. How is this possible?

Hi, WeIcome to ChatDoctor. I can understand your concern for your symptoms. Direct penetration is the normal way of sex. Normal sex release serotonin and oxytocin. Happy and trust hormone which is very important in building relationship. If you are not allowing your male partner for normal sex or penetration, he may find other options which will be an issue in your relationship. Your worry about infection is there for every one, if you are so worried you can ask your partner to do a blood work up then have sex. Still you need to get pregnant without penetration, yes you can. It is called artificial insemination. You can meet a gynecologist to do the procedure sterile method. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am pregnant without being married. My boyfriend cheated me. I cannot contact him as he blocked me. I feel so ashamed to see my family. Until now, I never told them that I am pregnant. I want to die. I am mentally disturbed. What should I do now? ### Response: Hello. You do not need to die. Be bold and confident. Take a decision for your pregnancy/child. If you are not enough ready to take responsibility of your child, then go for medical abortion. You do not need to ask anyone for it. Take an appointment with your gynecologist. Talk to your close friend or any close family member. Do not be afraid to take help from a close one. It may be possible they may get angry at you but they will surely support you. Suicide is not a solution to your problem. Fight with your situation. Learn from this for your better future. Next time, use proper contraception or do not trust blindly. Every problem has a solution. We just have to work on it. Do not fear to talk. There is a beautiful life ahead to live. You have to talk and do. Take help from a gynecologist and meet her personally. Take care.

Hello doctor,I am pregnant without being married. My boyfriend cheated me. I cannot contact him as he blocked me. I feel so ashamed to see my family. Until now, I never told them that I am pregnant. I want to die. I am mentally disturbed. What should I do now?

Hello. You do not need to die. Be bold and confident. Take a decision for your pregnancy/child. If you are not enough ready to take responsibility of your child, then go for medical abortion. You do not need to ask anyone for it. Take an appointment with your gynecologist. Talk to your close friend or any close family member. Do not be afraid to take help from a close one. It may be possible they may get angry at you but they will surely support you. Suicide is not a solution to your problem. Fight with your situation. Learn from this for your better future. Next time, use proper contraception or do not trust blindly. Every problem has a solution. We just have to work on it. Do not fear to talk. There is a beautiful life ahead to live. You have to talk and do. Take help from a gynecologist and meet her personally. Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I had unprotected sex with my girlfriend and she took I-pill within two hours. She had bleeding for three to six days after having sex and she missed her periods till now.I have heard about the disease amenorrhea, it might also be the side effect of I-pill in some cases. Is this a pregnancy or a disease amenorrhea? If amenorrhea happens, then can it be easily cured or not? How she can have her regular periods? Is it a matter of fear or a common disease?Please help us. ### Response: Hi. Amenorrhea is not a disease. Amenorrhea is simply absence of the menstrual cycle. A lot of females have missed periods for one or two cycles after taking I-pill and this is normal. In most cases cycle resumes after one or two missed periods. So, no need to worry. Within one to two months her periods will resume. So, no need to do anything. As she bled three to six days after taking I-pill, there is no risk of pregnancy. The amenorrhea is the side effect of I-pill only. It is not a matter of fear. No need to do anything. Just remain relaxed and wait for her periods to resume.

Hi doctor,I had unprotected sex with my girlfriend and she took I-pill within two hours. She had bleeding for three to six days after having sex and she missed her periods till now.I have heard about the disease amenorrhea, it might also be the side effect of I-pill in some cases. Is this a pregnancy or a disease amenorrhea? If amenorrhea happens, then can it be easily cured or not? How she can have her regular periods? Is it a matter of fear or a common disease?Please help us.

Hi. Amenorrhea is not a disease. Amenorrhea is simply absence of the menstrual cycle. A lot of females have missed periods for one or two cycles after taking I-pill and this is normal. In most cases cycle resumes after one or two missed periods. So, no need to worry. Within one to two months her periods will resume. So, no need to do anything. As she bled three to six days after taking I-pill, there is no risk of pregnancy. The amenorrhea is the side effect of I-pill only. It is not a matter of fear. No need to do anything. Just remain relaxed and wait for her periods to resume.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a painless red bump on my scrotum. I am uploading some pictures. Kindly let me know what this could be. ### Response: Hello, Welcome to Chat Doctor forum. I have read your query and examined your picture (attachment removed to protect patient identity). From your description and picture, it seems like you have steatocystoma multiplex (a type of sebaceous cyst) or molluscum contagiosum. The pictures do not give me an exact idea because a sebaceous cyst is soft in consistency whereas molluscum is hard. If it is a sebaceous cyst, you should get it removed. A surgical excision by needling or radio frequency cautery is the treatment of choice. Molluscum contagiosum is caused by a virus and this lesion presents with a central umbilication, a depression similar to that of the navel. A white body is present in the bump. It is a contagious and sexually transmitted infection which can spread and form new lesions. The treatment plan will be needling to extrude the material inside and TCA cautery. You will need to rule out immunosuppression by doing certain tests like HBsAg, anti-HCV, V ChatDoctor. For more information consult a dermatologist online

Hello doctor,I have a painless red bump on my scrotum. I am uploading some pictures. Kindly let me know what this could be.

Hello, Welcome to Chat Doctor forum. I have read your query and examined your picture (attachment removed to protect patient identity). From your description and picture, it seems like you have steatocystoma multiplex (a type of sebaceous cyst) or molluscum contagiosum. The pictures do not give me an exact idea because a sebaceous cyst is soft in consistency whereas molluscum is hard. If it is a sebaceous cyst, you should get it removed. A surgical excision by needling or radio frequency cautery is the treatment of choice. Molluscum contagiosum is caused by a virus and this lesion presents with a central umbilication, a depression similar to that of the navel. A white body is present in the bump. It is a contagious and sexually transmitted infection which can spread and form new lesions. The treatment plan will be needling to extrude the material inside and TCA cautery. You will need to rule out immunosuppression by doing certain tests like HBsAg, anti-HCV, V ChatDoctor. For more information consult a dermatologist online

### Instruction: Answer this question truthfully ###Input: Hi doctor,This is on behalf of my partner. She is 51 and has been through the menopause. She has not had a period in 3 years. Last week, she bled quite heavy for a few days. A duty doctor told her to get a blood test done. She had the blood test done today. My partner did not tell the family history of cervical cancer in her mother to the duty doctor on the phone or to the person taking her bloods today. My question is, is the blood testing enough to rule out anything serious? Or should she see a doctor for an internal examination? ### Response: Hello, Welcome to Chat Doctor forum. Postmenopausal bleeding is the vaginal bleeding, which occurs 1 year after attaining menopause. It should be evaluated, particularly in whom with a family history of carcinoma. PMP bleeding patients are at high risk of endometrial cancer. The causes of PMP bleeding include vaginal atrophy (the most common), hormonal replacement therapy for menopause Like Tamoxifen, endometritis or endometrial infection, endometrial hyperplasia, endometrial carcinoma, cervical polyps, cervical carcinoma and any other gynecological carcinoma. Better to go for TVUS (transvaginal ultrasound scan), Pap smear and then endometrial biopsy based on the wall thickness.

Hi doctor,This is on behalf of my partner. She is 51 and has been through the menopause. She has not had a period in 3 years. Last week, she bled quite heavy for a few days. A duty doctor told her to get a blood test done. She had the blood test done today. My partner did not tell the family history of cervical cancer in her mother to the duty doctor on the phone or to the person taking her bloods today. My question is, is the blood testing enough to rule out anything serious? Or should she see a doctor for an internal examination?

Hello, Welcome to Chat Doctor forum. Postmenopausal bleeding is the vaginal bleeding, which occurs 1 year after attaining menopause. It should be evaluated, particularly in whom with a family history of carcinoma. PMP bleeding patients are at high risk of endometrial cancer. The causes of PMP bleeding include vaginal atrophy (the most common), hormonal replacement therapy for menopause Like Tamoxifen, endometritis or endometrial infection, endometrial hyperplasia, endometrial carcinoma, cervical polyps, cervical carcinoma and any other gynecological carcinoma. Better to go for TVUS (transvaginal ultrasound scan), Pap smear and then endometrial biopsy based on the wall thickness.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am suffering from varicocele. I am attaching my ultrasound and semen analysis report. Please clarify me if it is infertility. Can I join the gym? I love to exercise. I feel no pain and all my body functions are good. I have varicocele for almost five years now. I am not on any medication. My age is 23. My height is 5\\7\" and weight is 62 kg. ### Response: Hi, Welcome to Chat Doctor forum. Your reports are not suggestive of infertility (attachment removed to protect patient identity). You have a good sperm count with good progressive motility. Generally, sperm count less than 20 million is an indicative of infertility. You can join a gym and can do exercise. On the contrary, it is better and will benefit to improve your fertility chances. Varicocele does cause infertility as accumulated blood in testes increases temperature in the testes that is detrimental for sperm production. My advice for you is use tight underwear so that testis should not hang down. Also, use loose clothes that will maintain air circulation around the testes and hence will decrease the temperature of the testes. Do not work in hot environments and do regular checkups of sperm count.

Hi doctor,I am suffering from varicocele. I am attaching my ultrasound and semen analysis report. Please clarify me if it is infertility. Can I join the gym? I love to exercise. I feel no pain and all my body functions are good. I have varicocele for almost five years now. I am not on any medication. My age is 23. My height is 5\\7\" and weight is 62 kg.

Hi, Welcome to Chat Doctor forum. Your reports are not suggestive of infertility (attachment removed to protect patient identity). You have a good sperm count with good progressive motility. Generally, sperm count less than 20 million is an indicative of infertility. You can join a gym and can do exercise. On the contrary, it is better and will benefit to improve your fertility chances. Varicocele does cause infertility as accumulated blood in testes increases temperature in the testes that is detrimental for sperm production. My advice for you is use tight underwear so that testis should not hang down. Also, use loose clothes that will maintain air circulation around the testes and hence will decrease the temperature of the testes. Do not work in hot environments and do regular checkups of sperm count.

### Instruction: Answer this question truthfully ###Input: Hello doctor,It has been four months since I have been suffering this problem. I have been to the sexual clinic. They say that all my tests were negative. They keep saying it is a non-sexual rash. I have had this white spot near my urethral opening for three months which is what is worrying me. What is it? On the corona, I also have this rash which seems to be spreading around the penis head. What is it? I have attached the images. All the STD and HIV tests were negative. ### Response: Hello. The spots near the tip are a normal variation perhaps due to the keratinized mucous membrane near the tip as it is exposed and therefore it has a slightly rough texture. They are not warts. I am more concerned about the rash on the corona of the glans. It looks like eroded skin along the circumference of glans. I would like to rule out the possibilities of either candida or yeast infection or STDs (sexually transmitted diseases) like genital herpes. Do you have any associated symptoms of pain, burning, or itching? Are you sexually active? When was your last sexual contact? Was it protected or unprotected? For more information consult a dermatologist online Take care.

Hello doctor,It has been four months since I have been suffering this problem. I have been to the sexual clinic. They say that all my tests were negative. They keep saying it is a non-sexual rash. I have had this white spot near my urethral opening for three months which is what is worrying me. What is it? On the corona, I also have this rash which seems to be spreading around the penis head. What is it? I have attached the images. All the STD and HIV tests were negative.

Hello. The spots near the tip are a normal variation perhaps due to the keratinized mucous membrane near the tip as it is exposed and therefore it has a slightly rough texture. They are not warts. I am more concerned about the rash on the corona of the glans. It looks like eroded skin along the circumference of glans. I would like to rule out the possibilities of either candida or yeast infection or STDs (sexually transmitted diseases) like genital herpes. Do you have any associated symptoms of pain, burning, or itching? Are you sexually active? When was your last sexual contact? Was it protected or unprotected? For more information consult a dermatologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 35 year old with no heart problems, not taking any medications, no known inflammation, no abnormal body temperature, no allergies ever. Overnight, I only sleep 3 and a half hours maximum, and when I wake up my t-shirt is all wet like I was running a marathon. My eyes are red in the morning too. This has been going on for the past 30 days. Any idea what that could be? Thank you so much. ### Response: Hello, Welcome to Chat Doctor forum. Increased sweating without any predisposing factors such as cardiac problems or any medication-overuse, but associated with eyed issues, can be a sign of increased thyroid gland activity known as hyperthyroidism. Associated symptoms include increased appetite, loss of weight, diarrhea, intolerance to high temperature, tremors of hands, etc. There may be increased pulse rate in this condition. You may need to get thyroid function tests which assess thyroid hormone levels which can diagnose the condition. If thyroid function test is normal then anxiety can also present similarly. You need to consult a physician or an endocrinologist for detailed clinical evaluation to identify the exact cause of your symptoms. For more information consult an ENT otolaryngologist online

Hi doctor,I am a 35 year old with no heart problems, not taking any medications, no known inflammation, no abnormal body temperature, no allergies ever. Overnight, I only sleep 3 and a half hours maximum, and when I wake up my t-shirt is all wet like I was running a marathon. My eyes are red in the morning too. This has been going on for the past 30 days. Any idea what that could be? Thank you so much.

Hello, Welcome to Chat Doctor forum. Increased sweating without any predisposing factors such as cardiac problems or any medication-overuse, but associated with eyed issues, can be a sign of increased thyroid gland activity known as hyperthyroidism. Associated symptoms include increased appetite, loss of weight, diarrhea, intolerance to high temperature, tremors of hands, etc. There may be increased pulse rate in this condition. You may need to get thyroid function tests which assess thyroid hormone levels which can diagnose the condition. If thyroid function test is normal then anxiety can also present similarly. You need to consult a physician or an endocrinologist for detailed clinical evaluation to identify the exact cause of your symptoms. For more information consult an ENT otolaryngologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have developed anxiety problems due to severe work-related stress. I work in the IT services with timings from 2 PM to 11 PM. So, I go to bed by 1 AM and wake up around 6.45 AM every day. Due to stress, I am having palpitations. I had a full echo, ECG, and a treadmill test to rule out cardiac problems and the results were normal. I was advised Betacap 20 mg and Restyl 0.25 each once a day. I have been taking these medications for close to one and a half years now. However, during a Siddha camp in our office for stress, they reviewed my medications and have advised me to take Ashwagandha 400 mg twice, one in morning and night each along with my allopathy medications. Also, I have lost my sex drive due to stress. I would like to take advice on this medication and dosage. Will these ayurvedic supplements cause any interactions? ### Response: Hello, Welcome to Chat Doctor forum. I have prescribed you the yogic ChatDoctor. After three months, you can stop Betacap. For more information consult an ayurveda specialist online

Hello doctor,I have developed anxiety problems due to severe work-related stress. I work in the IT services with timings from 2 PM to 11 PM. So, I go to bed by 1 AM and wake up around 6.45 AM every day. Due to stress, I am having palpitations. I had a full echo, ECG, and a treadmill test to rule out cardiac problems and the results were normal. I was advised Betacap 20 mg and Restyl 0.25 each once a day. I have been taking these medications for close to one and a half years now. However, during a Siddha camp in our office for stress, they reviewed my medications and have advised me to take Ashwagandha 400 mg twice, one in morning and night each along with my allopathy medications. Also, I have lost my sex drive due to stress. I would like to take advice on this medication and dosage. Will these ayurvedic supplements cause any interactions?

Hello, Welcome to Chat Doctor forum. I have prescribed you the yogic ChatDoctor. After three months, you can stop Betacap. For more information consult an ayurveda specialist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 19-year-old female. I had unprotected sex three days ago. He did not ejaculate inside me. He was having precum on his penis and it was his second ejaculation. He had washed and urinated before having the second session of intercourse. I am a bit scared to take Unwanted 72 because of its side effects mentioned on the website as I am having various skin and liver problems.My periods get delayed by five to seven days every month normally but last month it got delayed by 12 days. I had intercourse the very next day of the end of my period. What is the chance of me getting pregnant? Can I take Unwanted 72 now? I am really scared. ### Response: Hello, Welcome to Chat Doctor forum. Sexual intercourse done the very next day after the end of periods is unlikely to lead to pregnancy. This is considered to be the safe period for intercourse. Moreover, pregnancy occurs only when there are ejaculation and deposition of the semen inside the vagina. The chances of pregnancy are nil in your case. You can simply avoid taking Unwanted 72. For more information consult an obstetrician and gynaecologist online

Hello doctor,I am a 19-year-old female. I had unprotected sex three days ago. He did not ejaculate inside me. He was having precum on his penis and it was his second ejaculation. He had washed and urinated before having the second session of intercourse. I am a bit scared to take Unwanted 72 because of its side effects mentioned on the website as I am having various skin and liver problems.My periods get delayed by five to seven days every month normally but last month it got delayed by 12 days. I had intercourse the very next day of the end of my period. What is the chance of me getting pregnant? Can I take Unwanted 72 now? I am really scared.

Hello, Welcome to Chat Doctor forum. Sexual intercourse done the very next day after the end of periods is unlikely to lead to pregnancy. This is considered to be the safe period for intercourse. Moreover, pregnancy occurs only when there are ejaculation and deposition of the semen inside the vagina. The chances of pregnancy are nil in your case. You can simply avoid taking Unwanted 72. For more information consult an obstetrician and gynaecologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,My vision was crystal clear this morning. I just woke up from a nap, and the vision in my left eye is blurry. It has not cleared up in the past half an hour. Twice over the years, this has happened, and it normalized over a few hours, but I am in a jungle now. So, I would like to err on the side of caution. I have had previous retinal detachments. ### Response: Hello. Did you get any surgery done for retinal detachment earlier? It may be a recurrent episode of retinal detachment. If you have diabetes or hypertension that may be a cause of this detachment. It can also happen in vitreous hemorrhage in which you will see a slightly reddish vision and will not clear up. If this is the case, then it will clear up in few weeks. What is the exact cause can be told only on examination. You should rush to the emergency asap. If detachment surgery is required then visual prognosis depends on the time elapsed between episode and surgery. So, you should not delay. There is not much you can do at the moment by yourself. Just seek help from someone to reach a hospital. For more information consult an eye care ophthalmologist online Take care.

Hello doctor,My vision was crystal clear this morning. I just woke up from a nap, and the vision in my left eye is blurry. It has not cleared up in the past half an hour. Twice over the years, this has happened, and it normalized over a few hours, but I am in a jungle now. So, I would like to err on the side of caution. I have had previous retinal detachments.

Hello. Did you get any surgery done for retinal detachment earlier? It may be a recurrent episode of retinal detachment. If you have diabetes or hypertension that may be a cause of this detachment. It can also happen in vitreous hemorrhage in which you will see a slightly reddish vision and will not clear up. If this is the case, then it will clear up in few weeks. What is the exact cause can be told only on examination. You should rush to the emergency asap. If detachment surgery is required then visual prognosis depends on the time elapsed between episode and surgery. So, you should not delay. There is not much you can do at the moment by yourself. Just seek help from someone to reach a hospital. For more information consult an eye care ophthalmologist online Take care.

### Instruction: Answer this question truthfully ###Input: I\\m having ache in lower jaw.Last time i visited dentist...i had a root canal same sideAfter a month i started experiencing pain in that jaw sometimes...Doctor said root canal is fine and that i have impacted wisdom tooth after a quick x ray.I am having pain now again in that jaw after 3 months.What should i do?Due to covid 19 I\\m not sure i should visit a dentist ### Response: Hello, welcome to ChatDoctor. This may be the pain from the same reason you had previously. If you have an impacted wisdom tooth, then that can cause you this kind of problem repeatedly. But if you have pain on biting, that may be from the root canal treated tooth. Do you have the xray? Can you send me a picture of the affected area and the xray ? In the meantime, you can rinse mouth with warm saline water 5-7 times daily. If the pain doesn\\t subside, you can take painkiller... Tab Ibuprofen (400mg) two times daily for 2/3 days (after meal) Please send me the pictures for proper diagnosis and better treatment plan. Thank you for contacting us. Take care.

I\\m having ache in lower jaw.Last time i visited dentist...i had a root canal same sideAfter a month i started experiencing pain in that jaw sometimes...Doctor said root canal is fine and that i have impacted wisdom tooth after a quick x ray.I am having pain now again in that jaw after 3 months.What should i do?Due to covid 19 I\\m not sure i should visit a dentist

Hello, welcome to ChatDoctor. This may be the pain from the same reason you had previously. If you have an impacted wisdom tooth, then that can cause you this kind of problem repeatedly. But if you have pain on biting, that may be from the root canal treated tooth. Do you have the xray? Can you send me a picture of the affected area and the xray ? In the meantime, you can rinse mouth with warm saline water 5-7 times daily. If the pain doesn\\t subside, you can take painkiller... Tab Ibuprofen (400mg) two times daily for 2/3 days (after meal) Please send me the pictures for proper diagnosis and better treatment plan. Thank you for contacting us. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had braces years ago due to my bite being the wrong way round. I then have had retainers to wear at night for a few years. I think the retainers are giving me ulcers. I want to stop wearing them. Will my bite go back the wrong way if I do not wear them? ### Response: Hi. Yes, your bite may go back to a previous alignment if you will not wear retainers properly. This will cause your whole treatment to relapse and it would be bad. Things you can do is you can put some oral gel at ulcer in the daytime and at least wear for 2 to 3 hours for a week so that ulcer may heal up and then come back to 14 hours of wearing from the next week. If some wire is hurting you and creating ulcer, get it fixed from your dentist and then start wearing. If you cannot go to dentist urgently chew some chewing gum and put it on the point where it is causing the ulcer and wear it. Or you may put a tiny piece of moldable wax too at that point. It will not hurt that bad then and you can wear it. But do wear it somehow. Take care. Stay happy and blessed.

Hello doctor,I had braces years ago due to my bite being the wrong way round. I then have had retainers to wear at night for a few years. I think the retainers are giving me ulcers. I want to stop wearing them. Will my bite go back the wrong way if I do not wear them?

Hi. Yes, your bite may go back to a previous alignment if you will not wear retainers properly. This will cause your whole treatment to relapse and it would be bad. Things you can do is you can put some oral gel at ulcer in the daytime and at least wear for 2 to 3 hours for a week so that ulcer may heal up and then come back to 14 hours of wearing from the next week. If some wire is hurting you and creating ulcer, get it fixed from your dentist and then start wearing. If you cannot go to dentist urgently chew some chewing gum and put it on the point where it is causing the ulcer and wear it. Or you may put a tiny piece of moldable wax too at that point. It will not hurt that bad then and you can wear it. But do wear it somehow. Take care. Stay happy and blessed.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 26-year-old female. I recently found out via online test results that I have an enlarged heart, but no reason was given for why it is enlarged or how enlarged it is? The impression is Cardiomegaly with no evidence of focal infiltrate.I am currently obese but in good health with the exception of this enlarged heart and insulin resistance (not diabetic or insulin-dependent). Is it too late to reverse this heart enlargement with diet, weight loss, and lifestyle changes?I am currently on Metformin, Xanax and Provera. ### Response: Hi, Welcome to Chat Doctor forum. Enlarged heart only on chest x-ray is not reliable. X-ray is just like a shadow, the farther you stand from the wall, the larger will be your shadow. In the same way, if you stand away from x-ray film even a few centimeters, it will give an enlarged shadow of heart on the film. Best way to assess the size of the heart is via echocardiography. Echocardiography is indicated if you have symptoms of shortness of breath not explained from other causes. If you have such symptoms, have echocardiography and ECG done. I hope these will be normal.

Hello doctor,I am a 26-year-old female. I recently found out via online test results that I have an enlarged heart, but no reason was given for why it is enlarged or how enlarged it is? The impression is Cardiomegaly with no evidence of focal infiltrate.I am currently obese but in good health with the exception of this enlarged heart and insulin resistance (not diabetic or insulin-dependent). Is it too late to reverse this heart enlargement with diet, weight loss, and lifestyle changes?I am currently on Metformin, Xanax and Provera.

Hi, Welcome to Chat Doctor forum. Enlarged heart only on chest x-ray is not reliable. X-ray is just like a shadow, the farther you stand from the wall, the larger will be your shadow. In the same way, if you stand away from x-ray film even a few centimeters, it will give an enlarged shadow of heart on the film. Best way to assess the size of the heart is via echocardiography. Echocardiography is indicated if you have symptoms of shortness of breath not explained from other causes. If you have such symptoms, have echocardiography and ECG done. I hope these will be normal.

### Instruction: Answer this question truthfully ###Input: Hello doctor,One of my front bottom teeth feels ever so loose. I give it a gentle push with my tongue and feel a movement sensation. However, when I look at it in a mirror and try to wiggle it to check if it is definitely loose, you cannot see it moving at all, nor can I feel the sensation mentioned above. Is what I have just a loose sensation or is the tooth actually loose? I brush twice daily and use mouthwash once a day. If I continue my current cleaning regime, will the tooth tighten back into place? ### Response: Hello. I understand your concern. Unless the tooth is visibly moving there is less to worry. The sensation you are feeling could be due to a number of reasons like less space for the tooth to be in position (crowding), excessive force from the opposing teeth (trauma from occlusion) which leads to swelling of the structures supporting the tooth, an infection to the minute fibers which holds the tooth in position or certain habits (grinding). A consultation with your local dentist is recommended. The treatment depends on the underlying cause and needs an in-person consultation. You may practice the oral hygiene you have been following. For more information consult a dentist online Take care.

Hello doctor,One of my front bottom teeth feels ever so loose. I give it a gentle push with my tongue and feel a movement sensation. However, when I look at it in a mirror and try to wiggle it to check if it is definitely loose, you cannot see it moving at all, nor can I feel the sensation mentioned above. Is what I have just a loose sensation or is the tooth actually loose? I brush twice daily and use mouthwash once a day. If I continue my current cleaning regime, will the tooth tighten back into place?

Hello. I understand your concern. Unless the tooth is visibly moving there is less to worry. The sensation you are feeling could be due to a number of reasons like less space for the tooth to be in position (crowding), excessive force from the opposing teeth (trauma from occlusion) which leads to swelling of the structures supporting the tooth, an infection to the minute fibers which holds the tooth in position or certain habits (grinding). A consultation with your local dentist is recommended. The treatment depends on the underlying cause and needs an in-person consultation. You may practice the oral hygiene you have been following. For more information consult a dentist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 19 year old girl, currently suffering from lumbar/lower back pain. The pain started suddenly two months back and I have never had a history of back pain. There is intense pain in my lower back. Currently, I cannot bend down, sit for a long time, squat properly and carry heavy things amongst many things. Sometimes, I feel a sharp pain and a numbing sensation on the side of my hip. I have consulted several doctors and done an MRI scan of my lumbar spine but I am not getting a proper diagnosis for my problem. I would appreciate it if I could get a second opinion on what could be the problem. Thank you. ### Response: Hello, Welcome to Chat Doctor forum. I have seen the reports (attachment removed to protect patient identity). The MRI diagnosis is of a disc bulge L4-L5 and a mild disc prolapse L5-S1 but both the discs are currently hy ChatDoctor. Primarily, L5-S1 is the source of back pain. Your symptoms could also be coming from core weakness (or muscular) or could be SI joint in origin. I need more clinical information and examination findings to confirm one from the other.

Hello doctor,I am a 19 year old girl, currently suffering from lumbar/lower back pain. The pain started suddenly two months back and I have never had a history of back pain. There is intense pain in my lower back. Currently, I cannot bend down, sit for a long time, squat properly and carry heavy things amongst many things. Sometimes, I feel a sharp pain and a numbing sensation on the side of my hip. I have consulted several doctors and done an MRI scan of my lumbar spine but I am not getting a proper diagnosis for my problem. I would appreciate it if I could get a second opinion on what could be the problem. Thank you.

Hello, Welcome to Chat Doctor forum. I have seen the reports (attachment removed to protect patient identity). The MRI diagnosis is of a disc bulge L4-L5 and a mild disc prolapse L5-S1 but both the discs are currently hy ChatDoctor. Primarily, L5-S1 is the source of back pain. Your symptoms could also be coming from core weakness (or muscular) or could be SI joint in origin. I need more clinical information and examination findings to confirm one from the other.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I would like to know the benefits of using mineral sunscreen. What is a mineral sunscreen? How does mineral sunscreen differ from the chemical kind? What are the biggest benefits of using mineral sunscreen? What should you look for in a mineral sunscreen if you want to ensure you are getting a formula that is going to be both protective and cosmetically elegant? ### Response: Hello. Sunscreen are agents that give protection to the skin against harmful ultraviolet radiation. Of the sun especially UVB (ultraviolet B) radiation that is more harmful. Sunscreen are of two types. Physical sunscreen and chemical sunscreen or sunblocks. Mineral sunscreen is another name for physical sunscreen. Physical sunscreen physically blocks sun ultraviolet radiations and chemical sunscreen absorbs UV radiations and chemically disperse them. Physical sunscreen are zinc oxide, titanium oxide and iron oxide. They are cosmetically unfavorable because they have to be applied thickly and evenly so they are visible on the applied skin whereas chemical sunscreen like octocrylene, etc., are not visible. Mineral sunscreen gives better protection than chemical ones. They reflect the UV light whereas chemical sunscreen absorbs light and has more chance of photoallergy and contact dermatitis. Mineral sunscreen are better in this regard. Various cosmetics are using these mineral sunblock ingredients.

Hello doctor,I would like to know the benefits of using mineral sunscreen. What is a mineral sunscreen? How does mineral sunscreen differ from the chemical kind? What are the biggest benefits of using mineral sunscreen? What should you look for in a mineral sunscreen if you want to ensure you are getting a formula that is going to be both protective and cosmetically elegant?

Hello. Sunscreen are agents that give protection to the skin against harmful ultraviolet radiation. Of the sun especially UVB (ultraviolet B) radiation that is more harmful. Sunscreen are of two types. Physical sunscreen and chemical sunscreen or sunblocks. Mineral sunscreen is another name for physical sunscreen. Physical sunscreen physically blocks sun ultraviolet radiations and chemical sunscreen absorbs UV radiations and chemically disperse them. Physical sunscreen are zinc oxide, titanium oxide and iron oxide. They are cosmetically unfavorable because they have to be applied thickly and evenly so they are visible on the applied skin whereas chemical sunscreen like octocrylene, etc., are not visible. Mineral sunscreen gives better protection than chemical ones. They reflect the UV light whereas chemical sunscreen absorbs light and has more chance of photoallergy and contact dermatitis. Mineral sunscreen are better in this regard. Various cosmetics are using these mineral sunblock ingredients.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I injured my lower back while squatting about one and a half month back. I have difficulty in bending backwards. A sharp pain was felt when I used to bend backward. But, no pain in forward bending or sideway bending. Neither any pain was felt on touching the region. So, I started physiotherapy and the situation is improving. Recently, when I was playing badminton again I felt the similar pain whenever I tried to bend backward. So, I consulted a doctor. He viewed my x-ray report and said there is no such problem in it. He advised me to stay away from sports for the next 10 days. But, the pain has worsened now. I feel pain in a different region that is just above the right hip. The pain is felt on touching that part and now I have even problem in bending forward. Even sitting increases the pain now. Standing and walking makes it better. As advised by the doctor I regularly do muscle strengthening and stretching exercises, but no improvement can be seen. Please help. ### Response: Hi. The x-ray is not very clear (attachment removed to protect patient identity), but your pain will surely reduce. So, do not worry. Instructions to reduce back pain

Hello doctor,I injured my lower back while squatting about one and a half month back. I have difficulty in bending backwards. A sharp pain was felt when I used to bend backward. But, no pain in forward bending or sideway bending. Neither any pain was felt on touching the region. So, I started physiotherapy and the situation is improving. Recently, when I was playing badminton again I felt the similar pain whenever I tried to bend backward. So, I consulted a doctor. He viewed my x-ray report and said there is no such problem in it. He advised me to stay away from sports for the next 10 days. But, the pain has worsened now. I feel pain in a different region that is just above the right hip. The pain is felt on touching that part and now I have even problem in bending forward. Even sitting increases the pain now. Standing and walking makes it better. As advised by the doctor I regularly do muscle strengthening and stretching exercises, but no improvement can be seen. Please help.

Hi. The x-ray is not very clear (attachment removed to protect patient identity), but your pain will surely reduce. So, do not worry. Instructions to reduce back pain

### Instruction: Answer this question truthfully ###Input: Hi doctor,My sperm count is low; it has dropped from 18 million to 3 million within a period of five months time. I have been diagnosed with bilateral varicocele. I have consulted three urologists. The first doctor advised me to go for ART (artificial reproductive technology) second one prescribed medicine to boost my sperm count and motility and the third one advised to get the varicocele corrected by surgery. According to him, surgical correction will certainly increase the sperm count. In case it does not work, then he asked me to go with ART. Please suggest, as to which one I should opt for? Thank you in advance. ### Response: Hi. After going through your report (attachment removed to protect patient identity), I am aware that you are suffering from severe oligozoospermia (oligospermia). After four days of abstinence, please repeat the semen analysis. Even after repeating the tests, if the sperm count does not change, then I would suggest you go with either of these options. In severe cases of oligospermia, medicine will not help. Some of the factors to be taken into consideration are the period of infertility, the sperm motility and the grade of varicocele.

Hi doctor,My sperm count is low; it has dropped from 18 million to 3 million within a period of five months time. I have been diagnosed with bilateral varicocele. I have consulted three urologists. The first doctor advised me to go for ART (artificial reproductive technology) second one prescribed medicine to boost my sperm count and motility and the third one advised to get the varicocele corrected by surgery. According to him, surgical correction will certainly increase the sperm count. In case it does not work, then he asked me to go with ART. Please suggest, as to which one I should opt for? Thank you in advance.

Hi. After going through your report (attachment removed to protect patient identity), I am aware that you are suffering from severe oligozoospermia (oligospermia). After four days of abstinence, please repeat the semen analysis. Even after repeating the tests, if the sperm count does not change, then I would suggest you go with either of these options. In severe cases of oligospermia, medicine will not help. Some of the factors to be taken into consideration are the period of infertility, the sperm motility and the grade of varicocele.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had unprotected sex with a sex worker 16 years ago. Two years after that I got sick with IBS and loss of appetite. I got tested for HIV by ELISA, combo test, tri-dot, RNA PCR all from different labs. My wife also got HIV tests done. I am very depressed. My question is HIV is not showing in my blood. What do I do? ### Response: Hello, Welcome to Chat Doctor forum. Firstly, the tests which you had undergone for HIV diagnosis are highly sensitive and specific and gives accurate results. It is really good that your test result is negative, which had been done under varying time periods. The p24 combo is a highly sensitive and specific test and can detect both antigen and antibodies against HIV. If you have had no further exposure other than the one you mentioned, you do not require any more tests for HIV. You are HIV negative.The test will be negative, as you are not infected with HIV. No other test is required. Relax. Hope your query is answered, but if you have any questions please do not hesitate to ask or call anytime. You can also book an appointment with me. For more information consult an HIV AIDS specialist online

Hello doctor,I had unprotected sex with a sex worker 16 years ago. Two years after that I got sick with IBS and loss of appetite. I got tested for HIV by ELISA, combo test, tri-dot, RNA PCR all from different labs. My wife also got HIV tests done. I am very depressed. My question is HIV is not showing in my blood. What do I do?

Hello, Welcome to Chat Doctor forum. Firstly, the tests which you had undergone for HIV diagnosis are highly sensitive and specific and gives accurate results. It is really good that your test result is negative, which had been done under varying time periods. The p24 combo is a highly sensitive and specific test and can detect both antigen and antibodies against HIV. If you have had no further exposure other than the one you mentioned, you do not require any more tests for HIV. You are HIV negative.The test will be negative, as you are not infected with HIV. No other test is required. Relax. Hope your query is answered, but if you have any questions please do not hesitate to ask or call anytime. You can also book an appointment with me. For more information consult an HIV AIDS specialist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I received an electrical shock last night. The shock did not hurt, just felt it go up my arm and across my chest. I dropped the probe right when I felt it. No burn marks. Afterward, I was having sharp pains in my chest. I went to the ER, docs did EKG, took blood and urine, said everything was good. Yesterday, my left tricep started twitching like crazy. The twitching comes and goes. Could it be possible nerve damage or just something else? They did have an IV in that arm for like four hours. ### Response: Hello, Welcome to Chat Doctor forum. Your symptoms could be related to an irritated nerve or muscle. For this reason, if the problems persist, I would recommend consulting with a neurologist and performing a nerve conduction study to examine your nerves. Meanwhile, I suggest having some rest and taking painkillers (Acetaminophen or Ibuprofen) and a muscle relaxant like Flexeril (Cyclobenzaprine) for the pain. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. I remain at your disposal for any further questions whenever you need. Kind regards. For more information consult a neurologist online

Hello doctor,I received an electrical shock last night. The shock did not hurt, just felt it go up my arm and across my chest. I dropped the probe right when I felt it. No burn marks. Afterward, I was having sharp pains in my chest. I went to the ER, docs did EKG, took blood and urine, said everything was good. Yesterday, my left tricep started twitching like crazy. The twitching comes and goes. Could it be possible nerve damage or just something else? They did have an IV in that arm for like four hours.

Hello, Welcome to Chat Doctor forum. Your symptoms could be related to an irritated nerve or muscle. For this reason, if the problems persist, I would recommend consulting with a neurologist and performing a nerve conduction study to examine your nerves. Meanwhile, I suggest having some rest and taking painkillers (Acetaminophen or Ibuprofen) and a muscle relaxant like Flexeril (Cyclobenzaprine) for the pain. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. I remain at your disposal for any further questions whenever you need. Kind regards. For more information consult a neurologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I got a fever with a chill. So, got my CBC done in which hemoglobin is 14.5. TIC is 6800,neutrophil is 65, lymphocyte is 29, monocyte is 0, RBC count is 4.67, hematocrit is 46.8, MCV is 100.2, MCH is 31.0, MCHC is 31.9, and platelets count are 113.0. Malaria test is negative. Two years before, I already had a dengue and my platelets are usually 140,000 in number. What to do? Fever is 99.5. No vomiting and loose motions. Earlier i used to drink and also smoke five years back. Now, I have minimized a lot. I am a little worried. Kindly guide. ### Response: Hello, Welcome to Chat Doctor forum. CBC seems to be good except for a mild decrease in platelet count. You need to do a dengue serology again but as of now there is nothing to worry about. Please let me know since when you are having the fever.

Hello doctor,I got a fever with a chill. So, got my CBC done in which hemoglobin is 14.5. TIC is 6800,neutrophil is 65, lymphocyte is 29, monocyte is 0, RBC count is 4.67, hematocrit is 46.8, MCV is 100.2, MCH is 31.0, MCHC is 31.9, and platelets count are 113.0. Malaria test is negative. Two years before, I already had a dengue and my platelets are usually 140,000 in number. What to do? Fever is 99.5. No vomiting and loose motions. Earlier i used to drink and also smoke five years back. Now, I have minimized a lot. I am a little worried. Kindly guide.

Hello, Welcome to Chat Doctor forum. CBC seems to be good except for a mild decrease in platelet count. You need to do a dengue serology again but as of now there is nothing to worry about. Please let me know since when you are having the fever.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My age is 26 and I had unprotected oral sex. I licked a sex worker\\s vagina with a lotion. I had protected vaginal sex. Performed HIV tests on 25th, 42nd, and 70th days. I also did HIV1 PCR RNA qualitative on 76th day. CMIA antibodies on 70th day. Now, we will get the result of p24 on 86th day. All my reports are negative. But, I have rashes and recently got a cold. Are my tests results conclusive? I feel each and every symptom to be related to HIV. ### Response: Hi. HIV can never be diagnosed based on clinical symptoms. Moreover, symptoms of HIV include a generalized lymphadenopathy, weight loss of more than 10 % in short duration, long term diarrhea more than one month, etc. You have done CMIA test after 70 days that detect both antigen and antibody. It gives conclusive result after six weeks. So you may need not worry. However, the guideline says that you should repeat your HIV test after three months of exposure and that too after 85 to 90 days of exposure.

Hello doctor,My age is 26 and I had unprotected oral sex. I licked a sex worker\\s vagina with a lotion. I had protected vaginal sex. Performed HIV tests on 25th, 42nd, and 70th days. I also did HIV1 PCR RNA qualitative on 76th day. CMIA antibodies on 70th day. Now, we will get the result of p24 on 86th day. All my reports are negative. But, I have rashes and recently got a cold. Are my tests results conclusive? I feel each and every symptom to be related to HIV.

Hi. HIV can never be diagnosed based on clinical symptoms. Moreover, symptoms of HIV include a generalized lymphadenopathy, weight loss of more than 10 % in short duration, long term diarrhea more than one month, etc. You have done CMIA test after 70 days that detect both antigen and antibody. It gives conclusive result after six weeks. So you may need not worry. However, the guideline says that you should repeat your HIV test after three months of exposure and that too after 85 to 90 days of exposure.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Is having a filling material applied to the gumline where it is receding a good solution? What are the risks with such a procedure? I have receding gums on three upper teeth and three lower teeth on the left. I have no pain or problems. I have all my teeth and they are generally healthy. ### Response: Hi. I have read through your medical history and the present complaint as well. First of all, I would like you to know that receding gums is such a normal thing to happen especially at your age. You have also mentioned that there is no pain or decay in those teeth you point out. Ideally, filling procedures do not work for gum recession problems but only for decay or abrasions close to the gum lines. The reason why fillings are not recommended is that you lose normal shiny tooth surface and the bulk while the cavities are prepared and there are many chances that the filling material might show microleakage hence paving way for tooth decay. There are as such no particular risks for this kind of procedures with your medical history kept in mind. But I also would like to take a look at those teeth which are of concern in order to help you with a better treatment plan. For more information consult a dentist online

Hello doctor,Is having a filling material applied to the gumline where it is receding a good solution? What are the risks with such a procedure? I have receding gums on three upper teeth and three lower teeth on the left. I have no pain or problems. I have all my teeth and they are generally healthy.

Hi. I have read through your medical history and the present complaint as well. First of all, I would like you to know that receding gums is such a normal thing to happen especially at your age. You have also mentioned that there is no pain or decay in those teeth you point out. Ideally, filling procedures do not work for gum recession problems but only for decay or abrasions close to the gum lines. The reason why fillings are not recommended is that you lose normal shiny tooth surface and the bulk while the cavities are prepared and there are many chances that the filling material might show microleakage hence paving way for tooth decay. There are as such no particular risks for this kind of procedures with your medical history kept in mind. But I also would like to take a look at those teeth which are of concern in order to help you with a better treatment plan. For more information consult a dentist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 32-year-old man. I had gay encounters with three men in a massage parlor on three different days. In all the three cases, we have used condoms. In my second and third encounter, I got a lot of blood and that too very dark colored blood and something else also came. I had a word with my doctor. He has asked me to get it tested. Three weeks after my encounter, I have taken tests for HIV 1 and 2. Both antibodies screening test (serum) and VDRL-RPR (serum) were nonreactive. Now it is more than 16 days. I am not feeling well. I cannot sleep during the nights thinking about the possibility of AIDS. My company has laid our entire team. So, I am free nowadays. From today, I started feeling weakness. From the past two to three days, I am also suffering from indigestion. Please help me. ### Response: Hello. I read your query and understand your concerns. To conclude, I like to state that your current problem is psychological and there is a need to take the right approach to manage it. For more information consult a sexologist online Take care.

Hello doctor,I am a 32-year-old man. I had gay encounters with three men in a massage parlor on three different days. In all the three cases, we have used condoms. In my second and third encounter, I got a lot of blood and that too very dark colored blood and something else also came. I had a word with my doctor. He has asked me to get it tested. Three weeks after my encounter, I have taken tests for HIV 1 and 2. Both antibodies screening test (serum) and VDRL-RPR (serum) were nonreactive. Now it is more than 16 days. I am not feeling well. I cannot sleep during the nights thinking about the possibility of AIDS. My company has laid our entire team. So, I am free nowadays. From today, I started feeling weakness. From the past two to three days, I am also suffering from indigestion. Please help me.

Hello. I read your query and understand your concerns. To conclude, I like to state that your current problem is psychological and there is a need to take the right approach to manage it. For more information consult a sexologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am afraid that my 10-year-old daughter might have Asperger\\s syndrome. She obsesses over spankings all day long. She watches videos of spankings all day long also, and she fantasizes of getting hit. She even spanks her brothers and sisters. I can tell it gives her some pleasure. She has no friends, and she wants to sit fantasizing about it if she does not have an iPad to look it up. She also obsesses a specific type of people. Does she have Asperger\\s? Is this a symptom of it or something? ### Response: Hello. Your daughter is into the screen most of the time, and hence, it will be her primary advisor. She is just modeling what she sees and is quite common at this age. Try to minimize her interaction with the screen. She requires more human interaction. Put her in extracurricular activities to the maximum. Spend time with the child talking to her, and she will like it. Do not punish her, as it will have a negative impact, and the behavior can increase because of scolding. She will slowly get out of it. You can review with me for further follow-up.

Hello doctor,I am afraid that my 10-year-old daughter might have Asperger\\s syndrome. She obsesses over spankings all day long. She watches videos of spankings all day long also, and she fantasizes of getting hit. She even spanks her brothers and sisters. I can tell it gives her some pleasure. She has no friends, and she wants to sit fantasizing about it if she does not have an iPad to look it up. She also obsesses a specific type of people. Does she have Asperger\\s? Is this a symptom of it or something?

Hello. Your daughter is into the screen most of the time, and hence, it will be her primary advisor. She is just modeling what she sees and is quite common at this age. Try to minimize her interaction with the screen. She requires more human interaction. Put her in extracurricular activities to the maximum. Spend time with the child talking to her, and she will like it. Do not punish her, as it will have a negative impact, and the behavior can increase because of scolding. She will slowly get out of it. You can review with me for further follow-up.

### Instruction: Answer this question truthfully ###Input: Hi doctor,My question is regarding WPW syndrome. I suffer from WPW syndrome, I just came to know about it. I am a mining engineer and work for a mining company, my day to day work involves blasting and exposure to heat, dust, and low oxygen environment. The blasts are severe, the peak particle velocity (a measure of vibration in rock after blast) is around 150 mm/sec. Can this working environment be harmful to me as it may increase my chances of ill health happening due to WPW syndrome? ### Response: Hi, Welcome to Chat Doctor forum. Thanks for the query. The working environment has nothing to do with increasing the chances of WPW (Wolff-Parkinson-White syn ChatDoctor. However, some patients could collapse and have a brief loss of consciousness with WPW episode. It is recommended that those patient work in as safe as possible environment like avoiding the situation that requires being on ladders, and it is better in your condition to avoid areas with low oxygen and where ambulance and emergency help might be difficult to get to. The risk of WPW is if the patient develops atrial fibrillation that could end up with fatal VF. Have you thought about WPW ablation?

Hi doctor,My question is regarding WPW syndrome. I suffer from WPW syndrome, I just came to know about it. I am a mining engineer and work for a mining company, my day to day work involves blasting and exposure to heat, dust, and low oxygen environment. The blasts are severe, the peak particle velocity (a measure of vibration in rock after blast) is around 150 mm/sec. Can this working environment be harmful to me as it may increase my chances of ill health happening due to WPW syndrome?

Hi, Welcome to Chat Doctor forum. Thanks for the query. The working environment has nothing to do with increasing the chances of WPW (Wolff-Parkinson-White syn ChatDoctor. However, some patients could collapse and have a brief loss of consciousness with WPW episode. It is recommended that those patient work in as safe as possible environment like avoiding the situation that requires being on ladders, and it is better in your condition to avoid areas with low oxygen and where ambulance and emergency help might be difficult to get to. The risk of WPW is if the patient develops atrial fibrillation that could end up with fatal VF. Have you thought about WPW ablation?

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had an umbilical hernia repair 11 days ago. It went fine, but 10 days later when I laid down my belly button pup out one inch then went back down. The next morning my belly button is out half an inch. My surgeon said just wait for a couple of days to see if it goes back down. I need to know if I should wait or get in right away. The belly button is a little tender. ### Response: Hi, Welcome to Chat Doctor forum. As it has been only 10 days since your surgery, I suggest you wait for a few more days and see your surgeon if necessary. It is quite likely that there may be a small collection of fluid in the region which may get absorbed or may need aspiration. It is quite unlikely to have a recurrence so soon unless the surgery did not go well. If the swelling appears on coughing or straining it may suggest a recurrence. It is best tested by the surgeon as attempting the same at home may precipitate a recurrence. Take adequate rest. Be active. Take a good diet. Avoid straining or lifting weight for at least six months. See your surgeon if it still persists next week. I hope this helps.

Hello doctor,I had an umbilical hernia repair 11 days ago. It went fine, but 10 days later when I laid down my belly button pup out one inch then went back down. The next morning my belly button is out half an inch. My surgeon said just wait for a couple of days to see if it goes back down. I need to know if I should wait or get in right away. The belly button is a little tender.

Hi, Welcome to Chat Doctor forum. As it has been only 10 days since your surgery, I suggest you wait for a few more days and see your surgeon if necessary. It is quite likely that there may be a small collection of fluid in the region which may get absorbed or may need aspiration. It is quite unlikely to have a recurrence so soon unless the surgery did not go well. If the swelling appears on coughing or straining it may suggest a recurrence. It is best tested by the surgeon as attempting the same at home may precipitate a recurrence. Take adequate rest. Be active. Take a good diet. Avoid straining or lifting weight for at least six months. See your surgeon if it still persists next week. I hope this helps.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My mother has knee joint pain issue. We consulted a specialist a month back, he said that the cartilage in the knee joint has become less in one side of the joint and he suggested few medicines for pain relief and cartilage renewal namely, Calcium (Celedol -100, Jointac C2, and Osteodon). I read about Cartilage type-II that it helps very well in cartilage improvement and pain relief. I just want to ask you whether we can use this Cartilage type-II capsules along with the above-mentioned medicines for fast recovery of the cartilage? Or should we use only Cartilage type-II capsules without using \\ Jointac C2? ### Response: Hello. Whatever you use, whether cartilage supplements or Glucosamine, it will not help in moderate to severe osteoarthritis. Only in the very early stages of OA, it helps. \\ If she is not diabetic, I suggest she can take intra-articular steroids or if affordable, intra-articular viscosupplementation. Continue qua ChatDoctor. Weight reduction also helps. If X-ray shows advanced stage, only joint replacement helps. For more information consult an orthopaedician and traumatologist online

Hello doctor,My mother has knee joint pain issue. We consulted a specialist a month back, he said that the cartilage in the knee joint has become less in one side of the joint and he suggested few medicines for pain relief and cartilage renewal namely, Calcium (Celedol -100, Jointac C2, and Osteodon). I read about Cartilage type-II that it helps very well in cartilage improvement and pain relief. I just want to ask you whether we can use this Cartilage type-II capsules along with the above-mentioned medicines for fast recovery of the cartilage? Or should we use only Cartilage type-II capsules without using \\ Jointac C2?

Hello. Whatever you use, whether cartilage supplements or Glucosamine, it will not help in moderate to severe osteoarthritis. Only in the very early stages of OA, it helps. \\ If she is not diabetic, I suggest she can take intra-articular steroids or if affordable, intra-articular viscosupplementation. Continue qua ChatDoctor. Weight reduction also helps. If X-ray shows advanced stage, only joint replacement helps. For more information consult an orthopaedician and traumatologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,On one of the molar bumps of a wisdom tooth, there is a fade to white with a hole at the top that is not discolored at all. It almost looks like an animated drawing of a volcano. What is this? Could it be a cavity and if so how can you tell whether it is or is not reversible? ### Response: Hi, Welcome to Chat Doctor forum. I have gone through your question. I can understand your concern. It is mostly reversible (attachment removed to protect patient identity) and depends upon your oral higeine. We can arrest the carries at till this stage only on the smooth surface because the plaque does not get accumulated on it. For that fluoridated tooth paste is sufficient. In your case, we cannot arrest it only by using fluoride supplements because there is a shallow depression. So you have to get it filled. Make sure there must not be any high point after filling. So you need to visit a nearest dentist to get it filled, there is nothing to worry about. Your oral hygiene is good and I think this had happened because of the malocclusion of this cusp in relation with the upper one. It is getting too long and we have to manage time too.

Hello doctor,On one of the molar bumps of a wisdom tooth, there is a fade to white with a hole at the top that is not discolored at all. It almost looks like an animated drawing of a volcano. What is this? Could it be a cavity and if so how can you tell whether it is or is not reversible?

Hi, Welcome to Chat Doctor forum. I have gone through your question. I can understand your concern. It is mostly reversible (attachment removed to protect patient identity) and depends upon your oral higeine. We can arrest the carries at till this stage only on the smooth surface because the plaque does not get accumulated on it. For that fluoridated tooth paste is sufficient. In your case, we cannot arrest it only by using fluoride supplements because there is a shallow depression. So you have to get it filled. Make sure there must not be any high point after filling. So you need to visit a nearest dentist to get it filled, there is nothing to worry about. Your oral hygiene is good and I think this had happened because of the malocclusion of this cusp in relation with the upper one. It is getting too long and we have to manage time too.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My parents are diabetic and living in a village where non-treated water is consumed daily for everything other than drinking which is rich in minerals, algal blooms, dirt, etc. Suggest me a toothpaste which is better considering this kind of locality. Their gums are bleeding and experiencing spongy gums. ### Response: Hello, Welcome to ChatDoctor.om. Frankly speaking, toothpaste is just an external application, and it does not make any difference based on the brand. Toothpaste does not have any therapeutic effects as portrayed in advertisements. When you say they have spongy gums that bleed easily, it might be an indication of vitamin C deficiency. If they do not have any allergies or any other health conditions or medications, they can take a course of Vitamin C 100 mg tablets once a day for one month and see if it helps. If not, please consult a doctor in their locality, who can suggest appropriate treatment after examination. If they have any other health conditions or allergies or if they are taking any other medications, they need to talk to their doctor before starting Vitamin C therapy. In the meantime, I suggest they use soft toothbrushes. For more information consult a diabetologist online Take care.

Hello doctor,My parents are diabetic and living in a village where non-treated water is consumed daily for everything other than drinking which is rich in minerals, algal blooms, dirt, etc. Suggest me a toothpaste which is better considering this kind of locality. Their gums are bleeding and experiencing spongy gums.

Hello, Welcome to ChatDoctor.om. Frankly speaking, toothpaste is just an external application, and it does not make any difference based on the brand. Toothpaste does not have any therapeutic effects as portrayed in advertisements. When you say they have spongy gums that bleed easily, it might be an indication of vitamin C deficiency. If they do not have any allergies or any other health conditions or medications, they can take a course of Vitamin C 100 mg tablets once a day for one month and see if it helps. If not, please consult a doctor in their locality, who can suggest appropriate treatment after examination. If they have any other health conditions or allergies or if they are taking any other medications, they need to talk to their doctor before starting Vitamin C therapy. In the meantime, I suggest they use soft toothbrushes. For more information consult a diabetologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have been suffering from urge and incontinence of urine for the past four years. My USG is showing first grade BPH with about 50 ml to 75 ml of PV retention of urine. PSA is within normal range. The routine urine examination also reveals nothing abnormal and on culture sample, found sterile. I have been taking Tamsulosin 0.4 mg and Dutasteride 0.05 mg tablets OD as per doctor's prescription. There is relief in the passage of urine but the urge and incontinence still persist. At times I feel irritation in the pelvic region. Please help me with your valuable guidance in this context. ### Response: Hi. I have gone through your query. It is usual to have some degree of urgency in BPH (benign prostatic hyperplasia), but if it continues to persist even after your urinary stream improves, then one should make sure that there is no UTI or chronic prostate infection causing the symptoms. If both are negative, a urodynamic study will show whether you actually have an irritable bladder. If yes, then bladder relaxants can be added provided that your residual urine on ultrasound is not more than 50 to 60 ml.

Hello doctor,I have been suffering from urge and incontinence of urine for the past four years. My USG is showing first grade BPH with about 50 ml to 75 ml of PV retention of urine. PSA is within normal range. The routine urine examination also reveals nothing abnormal and on culture sample, found sterile. I have been taking Tamsulosin 0.4 mg and Dutasteride 0.05 mg tablets OD as per doctor's prescription. There is relief in the passage of urine but the urge and incontinence still persist. At times I feel irritation in the pelvic region. Please help me with your valuable guidance in this context.

Hi. I have gone through your query. It is usual to have some degree of urgency in BPH (benign prostatic hyperplasia), but if it continues to persist even after your urinary stream improves, then one should make sure that there is no UTI or chronic prostate infection causing the symptoms. If both are negative, a urodynamic study will show whether you actually have an irritable bladder. If yes, then bladder relaxants can be added provided that your residual urine on ultrasound is not more than 50 to 60 ml.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am about to have sex for the first time, are there any suggestions on what to do? And how to do it? I want to know more before it happens. Kindly advice. ### Response: Hello. I can understand your concern, 1. Make sure your partner is STD (sexually transmitted disease) free. 2. Use a condom if you do not want to get pregnant. 3. 1st-time sex will be painful. Make sure your partner understands it and go slow on you. 4. Do not try rough sex. 5. Having sex can change your hormonal level, so expect changes in your body too. 6. Virgin is not an important thing in life, no need to make a big deal about your hymen. 7. Real sex will not be like a porn movie, in reality, it smells, tired, sweat, no background music, do not expect light effects, do not expect two hours duration usually it will be few minutes, no continuous erotic sounds from partners. 8. Post sex people feel guilty and weird. I Hope I have answered your query. If you have further doubts, I would be happy to help you.

Hello doctor,I am about to have sex for the first time, are there any suggestions on what to do? And how to do it? I want to know more before it happens. Kindly advice.

Hello. I can understand your concern, 1. Make sure your partner is STD (sexually transmitted disease) free. 2. Use a condom if you do not want to get pregnant. 3. 1st-time sex will be painful. Make sure your partner understands it and go slow on you. 4. Do not try rough sex. 5. Having sex can change your hormonal level, so expect changes in your body too. 6. Virgin is not an important thing in life, no need to make a big deal about your hymen. 7. Real sex will not be like a porn movie, in reality, it smells, tired, sweat, no background music, do not expect light effects, do not expect two hours duration usually it will be few minutes, no continuous erotic sounds from partners. 8. Post sex people feel guilty and weird. I Hope I have answered your query. If you have further doubts, I would be happy to help you.

### Instruction: Answer this question truthfully ###Input: I have always had trouble with my tonsils. I get tonsil stones frequently and snore. For the past month I have had a mild sore/scratchy throat. I can tell my left tonsil is swollen, and it is causing some pain. Sometimes the pain reaches my ear, but not often. My doctor did a swab to check for infections but it came back clean. Could this be allergies? I have never had allergies before, except for asthma as a child. I have no other symptoms. ### Response: Hi, I understand that you are worried about your long term tonsil problem.. Tonsil enlargement could be due to infection or as a part of some other disease If your swab is negative, we need to investigate for other possibilities also I would suggest you some investigations for the same Meanwhile also take the tablets as prescribed CBC, ESR, PERIPHERAL SMEARCT NECK CHEST XRAY Tonsillar enlargement inder evaluation T. Cefuroxime 500mg 1tab twice daily for 1week after foodT. Aceclofenac + Serratiopeptidase 1tab twice daily agter foof for 5dayBetadine throat gargle thrice daily Review with investigations

I have always had trouble with my tonsils. I get tonsil stones frequently and snore. For the past month I have had a mild sore/scratchy throat. I can tell my left tonsil is swollen, and it is causing some pain. Sometimes the pain reaches my ear, but not often. My doctor did a swab to check for infections but it came back clean. Could this be allergies? I have never had allergies before, except for asthma as a child. I have no other symptoms.

Hi, I understand that you are worried about your long term tonsil problem.. Tonsil enlargement could be due to infection or as a part of some other disease If your swab is negative, we need to investigate for other possibilities also I would suggest you some investigations for the same Meanwhile also take the tablets as prescribed CBC, ESR, PERIPHERAL SMEARCT NECK CHEST XRAY Tonsillar enlargement inder evaluation T. Cefuroxime 500mg 1tab twice daily for 1week after foodT. Aceclofenac + Serratiopeptidase 1tab twice daily agter foof for 5dayBetadine throat gargle thrice daily Review with investigations

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am taking Nexito Forte and Skizoril 12.5 mg daily for the past three to four years. I am under psychiatric medication for the past 10 years. I was diagnosed with schizophrenia and ADHD. I have also been diagnosed to be suffering from hypertension and have been given Nebimac 5 mg and Telma 40 for the past six months. Now, my life is back on track and I have a good job in hand. But, I feel that my life is going on just because of the medicines and fear for the worst when I stop taking medicines. I have had a talk with my doctor who said the dosage would be reduced gradually. What would you advise regarding this? ### Response: Hi. If you are doing well with Skizoril (Clozapine) and Nexito forte (Escitalopram), I think you must continue with the same. Schizophrenia is a terrible psychiatric illness. If it reoccurs, then it will be difficult to manage. Skizoril 12.5 mg is a minimal dose of the ChatDoctor. You can talk to your doctor about gradually reducing Nexito forte. Take care.

Hello doctor,I am taking Nexito Forte and Skizoril 12.5 mg daily for the past three to four years. I am under psychiatric medication for the past 10 years. I was diagnosed with schizophrenia and ADHD. I have also been diagnosed to be suffering from hypertension and have been given Nebimac 5 mg and Telma 40 for the past six months. Now, my life is back on track and I have a good job in hand. But, I feel that my life is going on just because of the medicines and fear for the worst when I stop taking medicines. I have had a talk with my doctor who said the dosage would be reduced gradually. What would you advise regarding this?

Hi. If you are doing well with Skizoril (Clozapine) and Nexito forte (Escitalopram), I think you must continue with the same. Schizophrenia is a terrible psychiatric illness. If it reoccurs, then it will be difficult to manage. Skizoril 12.5 mg is a minimal dose of the ChatDoctor. You can talk to your doctor about gradually reducing Nexito forte. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My wife is 20 weeks pregnant, and we got an ultrasound done. The report shows a small myoma measuring 49x26 mm in the anterior wall of the uterus. Can you please see the attached report and evaluate her problem to me? What to do next? Are there any chances of complication during delivery? Will she stay in good health after the delivery? Can she deliver the child safely? Will both the mother and child be safe? Is there anything to worry about as such? Please suggest. ### Response: Hello. I have seen the ultrasound report (attachment removed to protect patient identity). Myoma or fibroid are sometimes seen along with pregnancy. It is very tricky how myoma reacts with the pregnancy. The thing is that the chances of it increasing in size during pregnancy are high, and sometimes it may cause pain. And very rarely, abortion can happen due to severe pain. But, some patients have uninterrupted pregnancy and do not have any symptoms due to myoma. So, it will depend on the size, position, and its blood supply. You need to continue all medication regularly and take adequate rest. For more information consult an obstetrician and gynaecologist online

Hello doctor,My wife is 20 weeks pregnant, and we got an ultrasound done. The report shows a small myoma measuring 49x26 mm in the anterior wall of the uterus. Can you please see the attached report and evaluate her problem to me? What to do next? Are there any chances of complication during delivery? Will she stay in good health after the delivery? Can she deliver the child safely? Will both the mother and child be safe? Is there anything to worry about as such? Please suggest.

Hello. I have seen the ultrasound report (attachment removed to protect patient identity). Myoma or fibroid are sometimes seen along with pregnancy. It is very tricky how myoma reacts with the pregnancy. The thing is that the chances of it increasing in size during pregnancy are high, and sometimes it may cause pain. And very rarely, abortion can happen due to severe pain. But, some patients have uninterrupted pregnancy and do not have any symptoms due to myoma. So, it will depend on the size, position, and its blood supply. You need to continue all medication regularly and take adequate rest. For more information consult an obstetrician and gynaecologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,My doctor suggested me to have cognitive testing for my problems with memory and concentration. I also cry for no reason. I was let go from work for making too many mistakes and forgetting tasks. I cannot get over that. I feel I will not be able to find other work because I have Lupus SLE arthritis and fibromyalgia. I am really depressed and crying constantly. Currently I am on Wellbutrin for anxiety, Plaquenil for lupus, Procardia for Raynaud\\s, Lialda for colitis, Lisinopril for high blood pressure and Alendronate for arthritis. I have been taking the same medication for the past six years. Please help me. ### Response: Hello. I can understand your concern. The symptoms like forgetfulness, lack of focus, poor concentration, memory issues, etc., are seen commonly in depression and should be evaluated properly. You have mentioned that you also cry for no reasons and you are 53 years old. It is not very common to have dementia at this age. Secondly, memory impairment in dementia start with memory issues in day-to-day thing. Mood symptoms, crying, focus issues, etc., are seen commonly in late stage of dementia.

Hello doctor,My doctor suggested me to have cognitive testing for my problems with memory and concentration. I also cry for no reason. I was let go from work for making too many mistakes and forgetting tasks. I cannot get over that. I feel I will not be able to find other work because I have Lupus SLE arthritis and fibromyalgia. I am really depressed and crying constantly. Currently I am on Wellbutrin for anxiety, Plaquenil for lupus, Procardia for Raynaud\\s, Lialda for colitis, Lisinopril for high blood pressure and Alendronate for arthritis. I have been taking the same medication for the past six years. Please help me.

Hello. I can understand your concern. The symptoms like forgetfulness, lack of focus, poor concentration, memory issues, etc., are seen commonly in depression and should be evaluated properly. You have mentioned that you also cry for no reasons and you are 53 years old. It is not very common to have dementia at this age. Secondly, memory impairment in dementia start with memory issues in day-to-day thing. Mood symptoms, crying, focus issues, etc., are seen commonly in late stage of dementia.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I found out that I am nine weeks pregnant and I tried to have an abortion. In the first day, I took three tablets of Cytotec and two I put in my vagina. I felt some cramps but only light bleeding I experienced. On the second day, I took again four tables of Cytotec, no insertion happened. Still, light bleeding was there. On the third and last day, I followed up with three tablets and inserted two. No heavy flow occurred but only light bleeding.This morning I tried to have my pregnancy test and still, it shows positive. I went to a gynecologist but did not tell her about the tablets. I only mentioned that I have light bleeding. I never told her because I was afraid. I had a transvaginal ultrasound today. Can you help me understand the result please? Is there any possibility that my baby formation will not normal? I am so depressed right now. ### Response: Hello. I have gone through the reports attached by you (attachment removed to protect patient identity). The ultrasound clearly depicts that you failed in inducing miscarriage and the fetus is live and healthy with good somatic activities. For more information consult an obstetrician and gynaecologist online

Hello doctor,I found out that I am nine weeks pregnant and I tried to have an abortion. In the first day, I took three tablets of Cytotec and two I put in my vagina. I felt some cramps but only light bleeding I experienced. On the second day, I took again four tables of Cytotec, no insertion happened. Still, light bleeding was there. On the third and last day, I followed up with three tablets and inserted two. No heavy flow occurred but only light bleeding.This morning I tried to have my pregnancy test and still, it shows positive. I went to a gynecologist but did not tell her about the tablets. I only mentioned that I have light bleeding. I never told her because I was afraid. I had a transvaginal ultrasound today. Can you help me understand the result please? Is there any possibility that my baby formation will not normal? I am so depressed right now.

Hello. I have gone through the reports attached by you (attachment removed to protect patient identity). The ultrasound clearly depicts that you failed in inducing miscarriage and the fetus is live and healthy with good somatic activities. For more information consult an obstetrician and gynaecologist online

### Instruction: Answer this question truthfully ###Input: Hi doctor,This query is with regard to one of my friends. He got an accident five months back. He was hospitalized in ICU. Blood came from his ear and so had a CT scan done.An ENT doctor said that his ear is fine and no hearing problem. Later he was shifted to his native. He was in ICU there. His oxygen level is up to 97% and heart beat 50 bpm.He is in conscious state of mind and understands everything. He recognized everyone. Also all kind of bleeding has stopped. He is with saline and local antibiotics only. A neurosurgeon advised for an operation now. So, I need a second opinion here. Thanks in advance. ### Response: Hi, Welcome to Chat Doctor forum. We are here to help you. Probably your friend has got head injury that is causing the brain edema which is causing the low heart rate known as bradycardia. He should get a repeat CT done. We usually give saline, antibiotics and Mannitol to reduce the swelling that is in brain edema. If no relief or edema increases that is determined by clinical signs including both the pupils we go ahead for surgery. Revert back after the repeat CT scan to a neurologist online

Hi doctor,This query is with regard to one of my friends. He got an accident five months back. He was hospitalized in ICU. Blood came from his ear and so had a CT scan done.An ENT doctor said that his ear is fine and no hearing problem. Later he was shifted to his native. He was in ICU there. His oxygen level is up to 97% and heart beat 50 bpm.He is in conscious state of mind and understands everything. He recognized everyone. Also all kind of bleeding has stopped. He is with saline and local antibiotics only. A neurosurgeon advised for an operation now. So, I need a second opinion here. Thanks in advance.

Hi, Welcome to Chat Doctor forum. We are here to help you. Probably your friend has got head injury that is causing the brain edema which is causing the low heart rate known as bradycardia. He should get a repeat CT done. We usually give saline, antibiotics and Mannitol to reduce the swelling that is in brain edema. If no relief or edema increases that is determined by clinical signs including both the pupils we go ahead for surgery. Revert back after the repeat CT scan to a neurologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a teenager. My problem is that I am having pain below my stomach and it is happening on a daily basis. I thought maybe it is happening because of masturbation. So, I stopped doing it but it is still paining. I am not taking any medication. ### Response: Hello, Welcome to Chat Doctor forum. The history you have provided is not sufficient to conclude the cause of your problem. But I will try to give some solution. Is the pain in the scrotum or in the inguinal area? Is it in the suprapubic region? If you have pain in the right inguinal, there is a possibility of ureteric colic or appendicitis or ilium or cecal pain. If you have pain in the center suprapubic, it is most commonly bladder infection. Sometimes pain around other organs may radiate here. If you have pain in the left inguinal region, it may be colitis, large bowel infection, obstruction or left ureteric colic etc. Scrotal pain like orchitis, epididymitis, torsion, varicocele etc. Consult your general surgeon and get one ultrasound of the abdomen and get treated accordingly. For more information consult an internal medicine physician online

Hello doctor,I am a teenager. My problem is that I am having pain below my stomach and it is happening on a daily basis. I thought maybe it is happening because of masturbation. So, I stopped doing it but it is still paining. I am not taking any medication.

Hello, Welcome to Chat Doctor forum. The history you have provided is not sufficient to conclude the cause of your problem. But I will try to give some solution. Is the pain in the scrotum or in the inguinal area? Is it in the suprapubic region? If you have pain in the right inguinal, there is a possibility of ureteric colic or appendicitis or ilium or cecal pain. If you have pain in the center suprapubic, it is most commonly bladder infection. Sometimes pain around other organs may radiate here. If you have pain in the left inguinal region, it may be colitis, large bowel infection, obstruction or left ureteric colic etc. Scrotal pain like orchitis, epididymitis, torsion, varicocele etc. Consult your general surgeon and get one ultrasound of the abdomen and get treated accordingly. For more information consult an internal medicine physician online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have had the rash for about a week and taken antihistamines. I saw a pharmacist today who said she had never seen something like this before so I was sent to a minor injuries unit who told me to come back in two days if it had not gone. It leaks straw colored liquid and is very itchy and swollen with raised bumps almost like blisters. I do not really have fever symptoms. I am just very tired. ### Response: Hello, Welcome to Chat Doctor forum. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). It is infected eczematous dermatitis (IED). I suggest you take an oral antibiotic like either Amoxycillin 500 mg or Cephalexin 500 mg, thrice daily for a week. In addition, I suggest you take an oral antihistamine like tablet Cetirizine 10 mg once a day for a few days. I also suggest you apply a potent topical steroid like either Mometasone furoate 0.1 % cream or Clobetasol propionate 0.05 % cream, twice daily for a few days. For more information consult a dermatologist online

Hello doctor,I have had the rash for about a week and taken antihistamines. I saw a pharmacist today who said she had never seen something like this before so I was sent to a minor injuries unit who told me to come back in two days if it had not gone. It leaks straw colored liquid and is very itchy and swollen with raised bumps almost like blisters. I do not really have fever symptoms. I am just very tired.

Hello, Welcome to Chat Doctor forum. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). It is infected eczematous dermatitis (IED). I suggest you take an oral antibiotic like either Amoxycillin 500 mg or Cephalexin 500 mg, thrice daily for a week. In addition, I suggest you take an oral antihistamine like tablet Cetirizine 10 mg once a day for a few days. I also suggest you apply a potent topical steroid like either Mometasone furoate 0.1 % cream or Clobetasol propionate 0.05 % cream, twice daily for a few days. For more information consult a dermatologist online

### Instruction: Answer this question truthfully ###Input: Hi Doctor,I had done antibody for HIV1 &2 Rapid Screening Test at 63 days which was negative and then I did HIV RNA Realtime PCR Quantitative test at 69 days which was also negative \\x80\\x9cTarget Not Detected\\x80\\x9d. I heard PCR is very sensitive and conclusive. Is that true at 70 days as well? Should I be concerned or am I risk free? Although I am having diarrea from a few days.Thank you ### Response: Hi welcome to ChatDoctor. As the test are negative at 69 days , so you are free from HIV infection and need not to repeat the test. PCR test is usually not used routinely . Antigen antibody test can detect almost all cases after 4 weeks. If you can tell me about thest rapid test for HIV 1and 2 you have done then I can give more detail ? which generation test you have tested, was it 4th generation test ? 4th generation test can pick up more than 95 percent case at 4 weeks , and you have tested after 69 days and the results are negative. So just relax. Thanks and regards.

Hi Doctor,I had done antibody for HIV1 &2 Rapid Screening Test at 63 days which was negative and then I did HIV RNA Realtime PCR Quantitative test at 69 days which was also negative \\x80\\x9cTarget Not Detected\\x80\\x9d. I heard PCR is very sensitive and conclusive. Is that true at 70 days as well? Should I be concerned or am I risk free? Although I am having diarrea from a few days.Thank you

Hi welcome to ChatDoctor. As the test are negative at 69 days , so you are free from HIV infection and need not to repeat the test. PCR test is usually not used routinely . Antigen antibody test can detect almost all cases after 4 weeks. If you can tell me about thest rapid test for HIV 1and 2 you have done then I can give more detail ? which generation test you have tested, was it 4th generation test ? 4th generation test can pick up more than 95 percent case at 4 weeks , and you have tested after 69 days and the results are negative. So just relax. Thanks and regards.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have been on my birth control Yaz for 10 to 11 months. Last month, I went on a holiday which collapsed with my placebo pill days with period days. So I started the second pack skipping the placebo pills from the previous pack to skip the period. However, ever since I started the second pack, I have been having spotting and later with breakthrough bleeding.So I decided to stop my second pack at the 11th pill to have my period (so together with the previous pill pack, I took 34 active pills before I stopped taking for a period). I took a four-day break as instructed from the pill pack instruction and started a new pack afterward as usual. It has been seven days from now in this new pack, and I had sex with my partner without extra contraception (condom), is it safe? ### Response: Hello, Welcome to Chat Doctor forum. As you were on pill regularly so that ovulation did not occur possibly. This means you are safe most probably, but 100 % accuracy is not there. But for practical purposes, it is almost safe. Take a urine pregnancy test after two to three weeks, and that will confirm it.

Hello doctor,I have been on my birth control Yaz for 10 to 11 months. Last month, I went on a holiday which collapsed with my placebo pill days with period days. So I started the second pack skipping the placebo pills from the previous pack to skip the period. However, ever since I started the second pack, I have been having spotting and later with breakthrough bleeding.So I decided to stop my second pack at the 11th pill to have my period (so together with the previous pill pack, I took 34 active pills before I stopped taking for a period). I took a four-day break as instructed from the pill pack instruction and started a new pack afterward as usual. It has been seven days from now in this new pack, and I had sex with my partner without extra contraception (condom), is it safe?

Hello, Welcome to Chat Doctor forum. As you were on pill regularly so that ovulation did not occur possibly. This means you are safe most probably, but 100 % accuracy is not there. But for practical purposes, it is almost safe. Take a urine pregnancy test after two to three weeks, and that will confirm it.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My dad underwent echocardiography. The LVEF % which used to be in the range of 45 % earlier has dropped to 30 % to 35 % range. He had an episode of VT before two years and had ICD embedded. I am attaching his earlier and latest report. Please explain. ### Response: Hi. I have gone through his reports (attachment removed to protect patient identity). Wall motion abnormality is seen in the echo report of your father. The heart is supplied by three arteries LAD, RCA, and LCX that is, left anterior descending artery, right coronary artery and left circumflex artery respectively. Any obstruction in blood supply in these vessels will cause decreased blood supply to a particular area of heart (which is supplied by that artery). As blood supply is compromised the muscles in that part of heart will not get proper nutrition and will start degenerating, which is medically termed as regional wall motion abnormality (RWMA). A coronary angiogram should be done to rule out coronary artery disease (blockage in the coronary artery), which is the main reason for RWMA and decreased ejection fraction. My advice is to get a coronary angiogram to rule out the blockage in the coronary artery.

Hello doctor,My dad underwent echocardiography. The LVEF % which used to be in the range of 45 % earlier has dropped to 30 % to 35 % range. He had an episode of VT before two years and had ICD embedded. I am attaching his earlier and latest report. Please explain.

Hi. I have gone through his reports (attachment removed to protect patient identity). Wall motion abnormality is seen in the echo report of your father. The heart is supplied by three arteries LAD, RCA, and LCX that is, left anterior descending artery, right coronary artery and left circumflex artery respectively. Any obstruction in blood supply in these vessels will cause decreased blood supply to a particular area of heart (which is supplied by that artery). As blood supply is compromised the muscles in that part of heart will not get proper nutrition and will start degenerating, which is medically termed as regional wall motion abnormality (RWMA). A coronary angiogram should be done to rule out coronary artery disease (blockage in the coronary artery), which is the main reason for RWMA and decreased ejection fraction. My advice is to get a coronary angiogram to rule out the blockage in the coronary artery.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I feel like somebody else is there within me. I am feeling like this because some words are coming in mind like somebody is saying within me. These words are horrible and hurt me a lot. And things are being done which I do not want to do in mind without my control. Time after time, problems are increasing.During the starting stage, I heard vulgar words. But after some days other problem which is more horrible. Due to this, I cannot concentrate on my studies. Please tell me what the problem is? Give me a clear idea of the issue. And how to diagnose it? Please help. ### Response: Hello, Welcome to Chat Doctor forum. You might be having hallucinations (auditory) which happen due to imbalance in your brain neurotransmitters. It is a good thing that you can understand at an early stage that this is not normal, first treatment gives better results. I would suggest meeting a psychiatrist as soon as possible who will start you on some medicine. Please do not worry, and it is manageable with medicines. Do you have any family history of psychiatric disorders? I would suggest mentioning it to the doctor as well. I hope this helps. Let me know if you need anything else.

Hello doctor,I feel like somebody else is there within me. I am feeling like this because some words are coming in mind like somebody is saying within me. These words are horrible and hurt me a lot. And things are being done which I do not want to do in mind without my control. Time after time, problems are increasing.During the starting stage, I heard vulgar words. But after some days other problem which is more horrible. Due to this, I cannot concentrate on my studies. Please tell me what the problem is? Give me a clear idea of the issue. And how to diagnose it? Please help.

Hello, Welcome to Chat Doctor forum. You might be having hallucinations (auditory) which happen due to imbalance in your brain neurotransmitters. It is a good thing that you can understand at an early stage that this is not normal, first treatment gives better results. I would suggest meeting a psychiatrist as soon as possible who will start you on some medicine. Please do not worry, and it is manageable with medicines. Do you have any family history of psychiatric disorders? I would suggest mentioning it to the doctor as well. I hope this helps. Let me know if you need anything else.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have been recently suffering from extreme burning back pain on my shoulder blade area. For a few months, I have had this strange clicking feeling in my neck, on the same side where my shoulder blade pain is happening. Not a normal joint crack, it felt weird, bothersome. It was infrequent, but now, the weird clicking happens almost every day. A few months before I was vitamin D deficient but am taking supplements. Maybe the deficiency contributed to this? I am wondering if it could be my neck or if they are just knots from stress, but I have never had this bad of a burning sensation before. What I could do? Is this common? ### Response: Hello, Welcome to Chat Doctor forum. As you have a burning sensation and unlocking sound in the cervical spine, it could be related to the nerve entrapment. I will advise you to take a neck collar and do hot water fermentation for a week post which you can update me so we can plan the exercise for strengthening the muscle. Meantime, please take an MRI of the cervical spine. It is common in cervical spine degenerative changes that people tend to have nerve entrapment and with conservative management, they respond well. Waiting for your reports.

Hello doctor,I have been recently suffering from extreme burning back pain on my shoulder blade area. For a few months, I have had this strange clicking feeling in my neck, on the same side where my shoulder blade pain is happening. Not a normal joint crack, it felt weird, bothersome. It was infrequent, but now, the weird clicking happens almost every day. A few months before I was vitamin D deficient but am taking supplements. Maybe the deficiency contributed to this? I am wondering if it could be my neck or if they are just knots from stress, but I have never had this bad of a burning sensation before. What I could do? Is this common?

Hello, Welcome to Chat Doctor forum. As you have a burning sensation and unlocking sound in the cervical spine, it could be related to the nerve entrapment. I will advise you to take a neck collar and do hot water fermentation for a week post which you can update me so we can plan the exercise for strengthening the muscle. Meantime, please take an MRI of the cervical spine. It is common in cervical spine degenerative changes that people tend to have nerve entrapment and with conservative management, they respond well. Waiting for your reports.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My blood pressure is 140/90 since one year and I am using Telmikind 40 tablet in the morning. Today, I visited the cardiologist and he suggested 2D echo and ECG. The reports show mitral valve has AML prolapse and no MR. Kindly clarify this. Is something wrong? I am attaching the reports. ### Response: Hello. I have gone through your reports (attachment removed to protect patient identity). Your ECG is normal. In the echo, there is AML (anterior mitral leaflet) prolapse, which means there is slight backward bulging of the valve leaflet. This is mild and there is no leakage in the valve. The risk associated with this is of valve leakage called as mitral regurgitation and it is not there. In most of the individuals, it is benign and does not lead to any complications and some may develop leakages. In you, it less likely to develop leakage as it is not there at present. So, nothing to worry about it now, but get an echo once in three to five years just to keep a check over it. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online

Hello doctor,My blood pressure is 140/90 since one year and I am using Telmikind 40 tablet in the morning. Today, I visited the cardiologist and he suggested 2D echo and ECG. The reports show mitral valve has AML prolapse and no MR. Kindly clarify this. Is something wrong? I am attaching the reports.

Hello. I have gone through your reports (attachment removed to protect patient identity). Your ECG is normal. In the echo, there is AML (anterior mitral leaflet) prolapse, which means there is slight backward bulging of the valve leaflet. This is mild and there is no leakage in the valve. The risk associated with this is of valve leakage called as mitral regurgitation and it is not there. In most of the individuals, it is benign and does not lead to any complications and some may develop leakages. In you, it less likely to develop leakage as it is not there at present. So, nothing to worry about it now, but get an echo once in three to five years just to keep a check over it. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have these marks which were initially boils. I have had these marks on my chin before but was not so bad, but the other day I had three boils and it made the marks on my face look more standing out as before they were not noticeable. I used hot water on my boils and I think that it brought out the marks on my face. Will they fade? As they are depressing me as they look like spots or a scar when they are not a spot. How do I get rid of it? Please help. ### Response: Hi, Welcome to Chat Doctor forum. I have seen your query and concern and examined your picture (attachment removed to protect patient identity). With your descriptions and given picture, it seems you have a hypertrophic scar (raised scar due to excess collagen deposits). If you will not treat them, it will remain as such, but rarely can it subside too. It is a reaction pattern of the body to injury. It can be treated by intralesional steroid injection like Kenokort (Triamcinolone acetonide) 10 mg/ml, 0.1ml/cm2 intralesional at the gap of three weeks interval, given by a dermatologist.

Hello doctor,I have these marks which were initially boils. I have had these marks on my chin before but was not so bad, but the other day I had three boils and it made the marks on my face look more standing out as before they were not noticeable. I used hot water on my boils and I think that it brought out the marks on my face. Will they fade? As they are depressing me as they look like spots or a scar when they are not a spot. How do I get rid of it? Please help.

Hi, Welcome to Chat Doctor forum. I have seen your query and concern and examined your picture (attachment removed to protect patient identity). With your descriptions and given picture, it seems you have a hypertrophic scar (raised scar due to excess collagen deposits). If you will not treat them, it will remain as such, but rarely can it subside too. It is a reaction pattern of the body to injury. It can be treated by intralesional steroid injection like Kenokort (Triamcinolone acetonide) 10 mg/ml, 0.1ml/cm2 intralesional at the gap of three weeks interval, given by a dermatologist.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I had unprotected sex last week, and within three hours, I took Unwanted 72. It was the 11th day of my period. I usually have a 28 to 30 days cycle. Even after five days, I do not have a sign of withdrawal bleeding. What should I have to do if I do not get withdrawal bleeding? ### Response: Hi. If you have taken Unwanted 72 (Levonorgestrel) within 48 to 72 hours of unprotected sex, with a proper dosage without vomiting, then you can have bleeding within one to two weeks. If these requirements are fulfilled, then there is no need to worry, and you can wait for bleeding. If you do not observe bleeding even after three weeks, then it is better to have hormonal induction after doing a pregnancy test (beta hCG). If the pregnancy test comes negative, after two to three weeks, you take tablet Primolut N 10 mg (Norethisterone) twice daily for seven days and then again wait for bleeding for one to two weeks. Menstrual cycle usually gets disturbed due to externally induced hormones and until it gets rid of the body.

Hi doctor,I had unprotected sex last week, and within three hours, I took Unwanted 72. It was the 11th day of my period. I usually have a 28 to 30 days cycle. Even after five days, I do not have a sign of withdrawal bleeding. What should I have to do if I do not get withdrawal bleeding?

Hi. If you have taken Unwanted 72 (Levonorgestrel) within 48 to 72 hours of unprotected sex, with a proper dosage without vomiting, then you can have bleeding within one to two weeks. If these requirements are fulfilled, then there is no need to worry, and you can wait for bleeding. If you do not observe bleeding even after three weeks, then it is better to have hormonal induction after doing a pregnancy test (beta hCG). If the pregnancy test comes negative, after two to three weeks, you take tablet Primolut N 10 mg (Norethisterone) twice daily for seven days and then again wait for bleeding for one to two weeks. Menstrual cycle usually gets disturbed due to externally induced hormones and until it gets rid of the body.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 46 and a mother of three children. I have been diagnosed with multiple fibroids a few in the anterior wall intramural and a few on the posterior wall and a bulky 134 x 74 x 87 mm uterus. The endometrium is displaced posteriorly. The symptom is mainly heavy menstrual bleeding that lasts for eight to nine days. The symptoms began not more than a year ago. Ultrasound with an interval of two months shows slight growth. My doctor advised hysterectomy. Is it absolutely necessary for my condition? If so, then how quickly should I undergo the surgery? Is there any medication or alternative treatment that can be relied long term to avoid surgery? What are the possible consequences that I shall expect if I decide against hysterectomy? ### Response: Hi, Welcome to Chat Doctor forum. You are having symptomatic uterine fibroid. Since it is symptomatic and you have had chil ChatDoctor. This will make you to have peace of mind. If you do not get surgery, then there is a tendency of recurrent heavy menstrual bleeding resulting in fatigue and weakness. Then there is a chance of recurrent blood transfusion with all the complications associated with blood transfusion. The alternative is the use of

Hi doctor,I am 46 and a mother of three children. I have been diagnosed with multiple fibroids a few in the anterior wall intramural and a few on the posterior wall and a bulky 134 x 74 x 87 mm uterus. The endometrium is displaced posteriorly. The symptom is mainly heavy menstrual bleeding that lasts for eight to nine days. The symptoms began not more than a year ago. Ultrasound with an interval of two months shows slight growth. My doctor advised hysterectomy. Is it absolutely necessary for my condition? If so, then how quickly should I undergo the surgery? Is there any medication or alternative treatment that can be relied long term to avoid surgery? What are the possible consequences that I shall expect if I decide against hysterectomy?

Hi, Welcome to Chat Doctor forum. You are having symptomatic uterine fibroid. Since it is symptomatic and you have had chil ChatDoctor. This will make you to have peace of mind. If you do not get surgery, then there is a tendency of recurrent heavy menstrual bleeding resulting in fatigue and weakness. Then there is a chance of recurrent blood transfusion with all the complications associated with blood transfusion. The alternative is the use of

### Instruction: Answer this question truthfully ###Input: Hi doctor,I had a missed abortion one year back and we have been trying for about eight months for the next pregnancy. My period lags regularly for three to four weeks after the abortion.An ultrasound scan showed typical PCOD on both ovaries with 9 mm follicles and have 5 mm endometrial thickness. My doctor advised taking Glucophage 500 mg for two months.Can I get pregnant soon? How many months should it take to correct my problems and to conceive? ### Response: Hello, Welcome to Chat Doctor forum. You have been prescribed Metformin ChatDoctor. If needed, a hormonal pill also can be prescribed. Clomiphene citrate helps in inducing ovulation. So, continue taking the prescribed medication and try to reduce weight if you are obese. Regular exercise will also be beneficial in your case. Take a healthy diet and more fruits. Try to have intercourse especially around ovulation time at around 14 days of menstruation cycle. If you do not get pregnant in a few months, then a USG scan study should be done to detect ovulation and Clomiphene can be prescribed If needed. If no medication helps then assisted reproductive techniques (ART) may be used. For more information consult a family physician online

Hi doctor,I had a missed abortion one year back and we have been trying for about eight months for the next pregnancy. My period lags regularly for three to four weeks after the abortion.An ultrasound scan showed typical PCOD on both ovaries with 9 mm follicles and have 5 mm endometrial thickness. My doctor advised taking Glucophage 500 mg for two months.Can I get pregnant soon? How many months should it take to correct my problems and to conceive?

Hello, Welcome to Chat Doctor forum. You have been prescribed Metformin ChatDoctor. If needed, a hormonal pill also can be prescribed. Clomiphene citrate helps in inducing ovulation. So, continue taking the prescribed medication and try to reduce weight if you are obese. Regular exercise will also be beneficial in your case. Take a healthy diet and more fruits. Try to have intercourse especially around ovulation time at around 14 days of menstruation cycle. If you do not get pregnant in a few months, then a USG scan study should be done to detect ovulation and Clomiphene can be prescribed If needed. If no medication helps then assisted reproductive techniques (ART) may be used. For more information consult a family physician online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had an oral sex with a girl without protection, and I licked her vagina too, later I came to know she has PSV which she had undergone treatment and she was cured, I came to know risks of the STD\\s via oral sex and I was suggested to have test after four weeks, but they did not tell what test I have to go through in detail. My query is, what is the list of a test I have to go through? Please give me the names of the test in detail, so that I can approach a lab for testing. ### Response: Hello. There are many tests, but the below mentioned are usually done to rule out the infection. These are a screening test. 1. Test for HIV. Tridot test. 2.Test for gonorrhea (urine or oral swab) and chlamydia. 3. Test for Hepatitis B (HBsAg) and C virus. 4. Test for syphilis such as V ChatDoctor. 5. Test for HPV (human papilloma virus). Herpes virus test is usually not required if no symptoms are present or there is no outbreak of it. I hope this clarifies your concern. Ask again if anything unanswered,

Hello doctor,I had an oral sex with a girl without protection, and I licked her vagina too, later I came to know she has PSV which she had undergone treatment and she was cured, I came to know risks of the STD\\s via oral sex and I was suggested to have test after four weeks, but they did not tell what test I have to go through in detail. My query is, what is the list of a test I have to go through? Please give me the names of the test in detail, so that I can approach a lab for testing.

Hello. There are many tests, but the below mentioned are usually done to rule out the infection. These are a screening test. 1. Test for HIV. Tridot test. 2.Test for gonorrhea (urine or oral swab) and chlamydia. 3. Test for Hepatitis B (HBsAg) and C virus. 4. Test for syphilis such as V ChatDoctor. 5. Test for HPV (human papilloma virus). Herpes virus test is usually not required if no symptoms are present or there is no outbreak of it. I hope this clarifies your concern. Ask again if anything unanswered,

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 25-year-old male. I have only one testis. I have sexual feelings as a normal man would do. I am masturbating about once every week. Will a single testis cause any problem in the future? Recently, I had my first sex with my partner. At that time I was tensed and also had difficulty while penetrating her vagina. Please help. ### Response: Hello, Welcome to Chat Doctor forum. It appears you are having a condition called cryptorchidism in which one of the testes is not present in the scrotum. There could be one of the two possibilities, either your testis has not developed at all or it has developed normally but has failed to move into the scrotum. At your age, if your sexual desire is normal and your secondary sexual characteristics like facial hair, pubic hair growth is normal then your testosterone production is normal. Your reproductive ability will depend on the number of sperms produced by your normal testis. I would suggest you visit your local urologist for a complete evaluation and identify the type of cryptorchidism you have. For more information consult an an ChatDoctor. ChatDoctor/ask-a-doctor-online/an

Hello doctor,I am a 25-year-old male. I have only one testis. I have sexual feelings as a normal man would do. I am masturbating about once every week. Will a single testis cause any problem in the future? Recently, I had my first sex with my partner. At that time I was tensed and also had difficulty while penetrating her vagina. Please help.

Hello, Welcome to Chat Doctor forum. It appears you are having a condition called cryptorchidism in which one of the testes is not present in the scrotum. There could be one of the two possibilities, either your testis has not developed at all or it has developed normally but has failed to move into the scrotum. At your age, if your sexual desire is normal and your secondary sexual characteristics like facial hair, pubic hair growth is normal then your testosterone production is normal. Your reproductive ability will depend on the number of sperms produced by your normal testis. I would suggest you visit your local urologist for a complete evaluation and identify the type of cryptorchidism you have. For more information consult an an ChatDoctor. ChatDoctor/ask-a-doctor-online/an

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 33-year-old male, healthy, and have no current or previous skin conditions.1) I am about to start utilizing Tretinoin 0.025 % to apply to my face to get a head start and keep fine lines and wrinkles at bay. There is a product that is a moisturizer that comes with Vitamin C and has glycolic acid, would that be ok to use after applying Tretinoin at nights. ### Response: Hello. Both Tretinoin and glycolic acid work by exfoliating the superficial layers of skin. When applied together, they have the potential to irritate the surface for the same reason. But obviously, it also matters glycolic acid is in what concentration 1 or 2 % should not increase irritation as Tretinoin you are using is of low concentration. But a higher concentration might irritate the skin. If you do not feel any anger or extreme stinging or burning sensation, it is an indication that you should not use them together. If no such problem with the usage you can continue. But be sure to use photoprotection while you are on Tretinoin or glycolic acid. Take care.

Hello doctor,I am 33-year-old male, healthy, and have no current or previous skin conditions.1) I am about to start utilizing Tretinoin 0.025 % to apply to my face to get a head start and keep fine lines and wrinkles at bay. There is a product that is a moisturizer that comes with Vitamin C and has glycolic acid, would that be ok to use after applying Tretinoin at nights.

Hello. Both Tretinoin and glycolic acid work by exfoliating the superficial layers of skin. When applied together, they have the potential to irritate the surface for the same reason. But obviously, it also matters glycolic acid is in what concentration 1 or 2 % should not increase irritation as Tretinoin you are using is of low concentration. But a higher concentration might irritate the skin. If you do not feel any anger or extreme stinging or burning sensation, it is an indication that you should not use them together. If no such problem with the usage you can continue. But be sure to use photoprotection while you are on Tretinoin or glycolic acid. Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 24-year-old male with no health problem except for my problem with premature ejaculation and no second erection. It is very frustrating to last 2 to 3 minutes in the preliminary and then my desire goes down. I had a problem with internet porn where I can have as many erections as I want. I am one month free now but premature ejaculation has always been there. I also cannot hold my pee for a long time. If this can be associated with the problem, I am begging for help beacause it is ruining me and my relationship. I am taking corticosteroids for autoimmune disease. ### Response: Hi. Premature ejaculation is usually unable to hold ejaculation for more than one minute after vaginal penetration. So 2 to 3 minutes is not premature ejaculation. An average time is five minutes. Peeing after ejaculation is not abnormal. You can do meditation, or Kegel exercise, that will benefit you after 12 weeks. If you want to take medication then Fluoxetine with Sildenafil 1 to 2 hours prior to sexual activity will certainly help you. For more information consult a family physician online.-- Take care.

Hi doctor,I am a 24-year-old male with no health problem except for my problem with premature ejaculation and no second erection. It is very frustrating to last 2 to 3 minutes in the preliminary and then my desire goes down. I had a problem with internet porn where I can have as many erections as I want. I am one month free now but premature ejaculation has always been there. I also cannot hold my pee for a long time. If this can be associated with the problem, I am begging for help beacause it is ruining me and my relationship. I am taking corticosteroids for autoimmune disease.

Hi. Premature ejaculation is usually unable to hold ejaculation for more than one minute after vaginal penetration. So 2 to 3 minutes is not premature ejaculation. An average time is five minutes. Peeing after ejaculation is not abnormal. You can do meditation, or Kegel exercise, that will benefit you after 12 weeks. If you want to take medication then Fluoxetine with Sildenafil 1 to 2 hours prior to sexual activity will certainly help you. For more information consult a family physician online.-- Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a lazy eye. My right eye (sph - 0.50 cyl -0.75 axis 10 degrees) and the left eye is fine. I am 24 years old. I am a web developer, I have to work in front of the computer screen more than 13 hours. Kindly answer the following ### Response: Hello, Welcome to Chat Doctor forum. Are you facing any problem in vision? I do not think you will be having any problem with your vision. It does not seem to be lazy eye to me (attachment removed to protect patient identity). Your right eye has a slightly subnormal vision and that may not be even noticeable. Is your eye tilted? If not and still have any problem with your vision then get your retina examined. You need not change your profession at all. It will not do anything. Lazy eye is not curable at this age. No, another eye will not get affected by the lazy eye but yes can be involved in other diseases. Really want to know what symptoms exactly you are having because your power in the right eye is not that significant enough to use glasses. For more information consult an eye care ophthalmologist online

Hello doctor,I have a lazy eye. My right eye (sph - 0.50 cyl -0.75 axis 10 degrees) and the left eye is fine. I am 24 years old. I am a web developer, I have to work in front of the computer screen more than 13 hours. Kindly answer the following

Hello, Welcome to Chat Doctor forum. Are you facing any problem in vision? I do not think you will be having any problem with your vision. It does not seem to be lazy eye to me (attachment removed to protect patient identity). Your right eye has a slightly subnormal vision and that may not be even noticeable. Is your eye tilted? If not and still have any problem with your vision then get your retina examined. You need not change your profession at all. It will not do anything. Lazy eye is not curable at this age. No, another eye will not get affected by the lazy eye but yes can be involved in other diseases. Really want to know what symptoms exactly you are having because your power in the right eye is not that significant enough to use glasses. For more information consult an eye care ophthalmologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am scheduled to have the two wisdom teeth on my right side extracted tomorrow. While waiting for the appointment, I developed pain in my right upper jaw which became increasingly worse over a few days. I went to see the dentist who found out I have an infection in my first molar (upper right) which is a tooth that has been root canal filled for about 20 years.I started Penicillin for the infection but after three days with no improvement, I switched to Clindamycin 24 hours ago and I am still not sure if that is working either. My first question is, should I still have the wisdom teeth extracted as scheduled even in the presence of infection in that other tooth?The dentist made it sound like it would not be a problem but I am very nervous especially since I am already in quite a bit of pain. The second question is ### Response: Hi. I have read through your complaint and the relevant details. Penicillin and Clindamycin are the antibiotics and are usually prescribed for a course of five to seven days. These ChatDoctor. So, you might not notice a big change in how you feel. It is the painkiller which makes you feel that the

Hello doctor,I am scheduled to have the two wisdom teeth on my right side extracted tomorrow. While waiting for the appointment, I developed pain in my right upper jaw which became increasingly worse over a few days. I went to see the dentist who found out I have an infection in my first molar (upper right) which is a tooth that has been root canal filled for about 20 years.I started Penicillin for the infection but after three days with no improvement, I switched to Clindamycin 24 hours ago and I am still not sure if that is working either. My first question is, should I still have the wisdom teeth extracted as scheduled even in the presence of infection in that other tooth?The dentist made it sound like it would not be a problem but I am very nervous especially since I am already in quite a bit of pain. The second question is

Hi. I have read through your complaint and the relevant details. Penicillin and Clindamycin are the antibiotics and are usually prescribed for a course of five to seven days. These ChatDoctor. So, you might not notice a big change in how you feel. It is the painkiller which makes you feel that the

### Instruction: Answer this question truthfully ###Input: Hi doctor,I was diagnosed with fibromatosis of muscle, ligament, and fascia after having a fibromatosis removed from my thigh. But the margins were not clear. I have been scheduled with a second surgery now. I am concerned about the diagnosis. The clinical history shows a soft tissue mass. The gross description shows a lobular yellow adipose tissue aggregating to 2.5 x 2.5 x 0.9 cm. The specimen was received in formalin, and it consists of two irregular friable portions of lobular yellow fatty tissue. Sections reveal a slight fibrous cut surface. I am attaching my laboratory reports. Please help. ### Response: Hi, Welcome to Chat Doctor forum. I have gone through the reports (attachment removed to protect patient identity). Your report does not show a definite diagnosis. I am taking fibromatosis as the final diagnosis. Fibromatosis is also called as a desmoid tumor. It is a slow-growing disease. It has an uncontrolled proliferation of fibrous tissue in the body. It starts as a slight tightening of the skin, and it slows down the functions of the structures or organs it involves. It is treated by doing surgery. Some oral medications can keep them under control.

Hi doctor,I was diagnosed with fibromatosis of muscle, ligament, and fascia after having a fibromatosis removed from my thigh. But the margins were not clear. I have been scheduled with a second surgery now. I am concerned about the diagnosis. The clinical history shows a soft tissue mass. The gross description shows a lobular yellow adipose tissue aggregating to 2.5 x 2.5 x 0.9 cm. The specimen was received in formalin, and it consists of two irregular friable portions of lobular yellow fatty tissue. Sections reveal a slight fibrous cut surface. I am attaching my laboratory reports. Please help.

Hi, Welcome to Chat Doctor forum. I have gone through the reports (attachment removed to protect patient identity). Your report does not show a definite diagnosis. I am taking fibromatosis as the final diagnosis. Fibromatosis is also called as a desmoid tumor. It is a slow-growing disease. It has an uncontrolled proliferation of fibrous tissue in the body. It starts as a slight tightening of the skin, and it slows down the functions of the structures or organs it involves. It is treated by doing surgery. Some oral medications can keep them under control.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My dad who is 70 years old, recently had a severe chest pain which started three weeks ago. Since it was of a recurring type, we visited a hospital for a check-up. They initially conducted ECG and then, a 2D echo, after which they said there is a problem but, a minor one and that we need to do a coronary angiography to get a detailed picture. After doing that they suggested a bypass. I am apprehensive about the suggestion since minor problems do not require a bypass (CABG). I am attaching the reports. Can you please go through them and suggest the most suitable option? ### Response: Hello, Welcome to Chat Doctor forum. I understand your concern. I have gone through all the test reports (attachment removed to protect patient identity). There is a significant evidence of blockage of multiple vessels, which are over 70 and 90 % blockages. In the case of a coronary artery disease that involves multiple vessels with over 70 % blockages, CABG (coronary artery bypass grafting) is indicated. I advise you to discuss further with your cardiologist. Wishing your dad a quick recovery. For more information consult a cardiologist online

Hello doctor,My dad who is 70 years old, recently had a severe chest pain which started three weeks ago. Since it was of a recurring type, we visited a hospital for a check-up. They initially conducted ECG and then, a 2D echo, after which they said there is a problem but, a minor one and that we need to do a coronary angiography to get a detailed picture. After doing that they suggested a bypass. I am apprehensive about the suggestion since minor problems do not require a bypass (CABG). I am attaching the reports. Can you please go through them and suggest the most suitable option?

Hello, Welcome to Chat Doctor forum. I understand your concern. I have gone through all the test reports (attachment removed to protect patient identity). There is a significant evidence of blockage of multiple vessels, which are over 70 and 90 % blockages. In the case of a coronary artery disease that involves multiple vessels with over 70 % blockages, CABG (coronary artery bypass grafting) is indicated. I advise you to discuss further with your cardiologist. Wishing your dad a quick recovery. For more information consult a cardiologist online

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 25 years old and unmarried. My last period was a month back. After that, I had unprotected intercourse. This month I missed my periods and found positive results on the test kit twice. I took Mifegest kit\\s Mifepristone tablet yesterday night at 8.30 PM. After that, today morning I just saw a small blood clot like as of periods, later I got none of the symptoms, neither any other symptom. Just sometimes a bit abdominal cramps as experienced at the time of periods. Is everything normal? Is the medicine working? Please help and give me a further suggestion. ### Response: Hi, Welcome to Chat Doctor forum. First of all, have you done a USG pelvis to know about the size and site of pregnancy? Once intrauterine pregnancy less than seven weeks is confirmed, only then you should use Mifegest kit, otherwise, it may cause you serious bleeding, with a need of hospitalization and blood transfusion. You need to complete the course first, that is, four Misoprostol tablets to be taken after 48 hours of Mifepristone. The final result can be known only after USG after 14 days.

Hi doctor,I am 25 years old and unmarried. My last period was a month back. After that, I had unprotected intercourse. This month I missed my periods and found positive results on the test kit twice. I took Mifegest kit\\s Mifepristone tablet yesterday night at 8.30 PM. After that, today morning I just saw a small blood clot like as of periods, later I got none of the symptoms, neither any other symptom. Just sometimes a bit abdominal cramps as experienced at the time of periods. Is everything normal? Is the medicine working? Please help and give me a further suggestion.

Hi, Welcome to Chat Doctor forum. First of all, have you done a USG pelvis to know about the size and site of pregnancy? Once intrauterine pregnancy less than seven weeks is confirmed, only then you should use Mifegest kit, otherwise, it may cause you serious bleeding, with a need of hospitalization and blood transfusion. You need to complete the course first, that is, four Misoprostol tablets to be taken after 48 hours of Mifepristone. The final result can be known only after USG after 14 days.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My little brother is 20. He was previously smoking marijuana not sure what kinds in his social circles. This was about a year ago from now. Ever since then he has never been the same. We have taken him away from being able to take marijuana for a year now and still, he acts like he is high. He is very disconnected, he talks to himself a lot, he is always laughing to himself, he cannot hold a full conversation without diverting and talking about something that completely makes no sense. He is very irritated and has now become short-tempered and very defensive. He talks to no one, he can go a week without saying a word even when spoken to. He is very disconnected, he does not even know or remember how to take care of himself anymore. Please, anything you know that can help? ### Response: Hi, Welcome to Chat Doctor forum. Marijuana contains cannabis, cannabis cause psychosis three times more than the general population where schizophrenia is 1 % common in the general population. It seems he has developed schizophrenia, I would suggest to take him to the psychiatrist to give him antipsychotics which is very necessary for him, because psychotropic medications are controlled ChatDoctor.

Hello doctor,My little brother is 20. He was previously smoking marijuana not sure what kinds in his social circles. This was about a year ago from now. Ever since then he has never been the same. We have taken him away from being able to take marijuana for a year now and still, he acts like he is high. He is very disconnected, he talks to himself a lot, he is always laughing to himself, he cannot hold a full conversation without diverting and talking about something that completely makes no sense. He is very irritated and has now become short-tempered and very defensive. He talks to no one, he can go a week without saying a word even when spoken to. He is very disconnected, he does not even know or remember how to take care of himself anymore. Please, anything you know that can help?

Hi, Welcome to Chat Doctor forum. Marijuana contains cannabis, cannabis cause psychosis three times more than the general population where schizophrenia is 1 % common in the general population. It seems he has developed schizophrenia, I would suggest to take him to the psychiatrist to give him antipsychotics which is very necessary for him, because psychotropic medications are controlled ChatDoctor.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I used to masturbate regularly, and I do not care much for hygiene (I wore the same used underwears, cleaned my penis once in a while, etc.). Now from the last two months, I am unable to retract. The foreskin seems to have become tight and not allowing me to even pull it back a little. There is a kind of white patch formed at the tip of my penis as well. That is concerning. Could you please let me know what might be the issue? ### Response: Hello. Let me tell you one thing, you need not worry about your condition, as it is widespread to have phimosis, which is the case with you. The foreskin is tight in your case, and hence, retraction is painful. The white patch you are referring to is nothing but color due to fibrosis. This has nothing to do with masturbation. You can undergo a simple procedure called circumcision, which will get rid of the foreskin and your problem with it, once for all. It is a minor procedure. Please ad ChatDoctor. Though there will not be any serious health issues with cleanliness, absence of hygiene can result in fungal infection, which can be avoided by ad

Hello doctor,I used to masturbate regularly, and I do not care much for hygiene (I wore the same used underwears, cleaned my penis once in a while, etc.). Now from the last two months, I am unable to retract. The foreskin seems to have become tight and not allowing me to even pull it back a little. There is a kind of white patch formed at the tip of my penis as well. That is concerning. Could you please let me know what might be the issue?

Hello. Let me tell you one thing, you need not worry about your condition, as it is widespread to have phimosis, which is the case with you. The foreskin is tight in your case, and hence, retraction is painful. The white patch you are referring to is nothing but color due to fibrosis. This has nothing to do with masturbation. You can undergo a simple procedure called circumcision, which will get rid of the foreskin and your problem with it, once for all. It is a minor procedure. Please ad ChatDoctor. Though there will not be any serious health issues with cleanliness, absence of hygiene can result in fungal infection, which can be avoided by ad

### Instruction: Answer this question truthfully ###Input: Hello doctor,I noticed a swollen and hard bump on the inside of my ear a few days ago. Yesterday, I noticed it was now soft and squishy almost like a pimple. But today, I touched it and it popped and began to bleed along with some pus. I was not too worried until I took a photo and saw two large holes like a spider bite and the area is a little tender after I cleaned it. Does it sound like it could be an infected spider bite? ### Response: Hi. It could very well be an infected spider bite. It could also be an infected follicle. Anyway, apply some antibiotic cream over it (Bacitracin or Fusiderm or Povidone iodine). Apply twice daily and clean the wound with warm water while bathing. Do not insert anything inside the ear though. If there are any worrisome changes please contact us. Like color change of rest of pinna, pain, tenderness, swelling, increased redness, spreading of the redness, etc. You may take Tylenol if there is pain. Oral antibiotics are not necessary. If you suffer from diabetes, hypertension, immunosuppression or cancer we need to be careful. In that case, do let us know.

Hello doctor,I noticed a swollen and hard bump on the inside of my ear a few days ago. Yesterday, I noticed it was now soft and squishy almost like a pimple. But today, I touched it and it popped and began to bleed along with some pus. I was not too worried until I took a photo and saw two large holes like a spider bite and the area is a little tender after I cleaned it. Does it sound like it could be an infected spider bite?

Hi. It could very well be an infected spider bite. It could also be an infected follicle. Anyway, apply some antibiotic cream over it (Bacitracin or Fusiderm or Povidone iodine). Apply twice daily and clean the wound with warm water while bathing. Do not insert anything inside the ear though. If there are any worrisome changes please contact us. Like color change of rest of pinna, pain, tenderness, swelling, increased redness, spreading of the redness, etc. You may take Tylenol if there is pain. Oral antibiotics are not necessary. If you suffer from diabetes, hypertension, immunosuppression or cancer we need to be careful. In that case, do let us know.

### Instruction: Answer this question truthfully ###Input: Hi doctor,My daughter is 2 years 8 months old and she is stuttering a lot for the last four months. Initially, it used to come and go but in the last three weeks we are noticing it very constant and she is struggling a lot to speak. She never used to have this problem before and she is a very talkative person. We wanted to know if this is temporary or it will be permanent and do we need to go for any speech therapy now itself? ### Response: Hi, Welcome to Chat Doctor forum. Being parents overprotective is a common phenomenon that is observed. Do not point out the mistake like you have pause, oh see you struggled, by this the little one will be more conscious and surely avoid talking. Better talk to her in a normal way. Follow these points. 1. Tell her to inhale then say two to three words then again inhale to say some more. 2. Finger tapping while saying, one word one tap. 3. Tell her to count backward (20,19,18, etc). 4. Tell her to stop where she is feeling problem without trying to say it with stress. Stop then relax again start saying. Most important

Hi doctor,My daughter is 2 years 8 months old and she is stuttering a lot for the last four months. Initially, it used to come and go but in the last three weeks we are noticing it very constant and she is struggling a lot to speak. She never used to have this problem before and she is a very talkative person. We wanted to know if this is temporary or it will be permanent and do we need to go for any speech therapy now itself?

Hi, Welcome to Chat Doctor forum. Being parents overprotective is a common phenomenon that is observed. Do not point out the mistake like you have pause, oh see you struggled, by this the little one will be more conscious and surely avoid talking. Better talk to her in a normal way. Follow these points. 1. Tell her to inhale then say two to three words then again inhale to say some more. 2. Finger tapping while saying, one word one tap. 3. Tell her to count backward (20,19,18, etc). 4. Tell her to stop where she is feeling problem without trying to say it with stress. Stop then relax again start saying. Most important

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had intercourse with a man who used a condom and he also made sure not to ejaculate inside my vagina despite wearing a condom to avoid the risk of pregnancy as much as possible. However, to be extra safe, I wanted to take an I-pill. Unfortunately, I could not take it right away and took pill on the third day (by the 72nd hour within which the pill could be still effective). How long would I have to wait for the I-pill to work and also cause bleeding? Would I need to take another one just in case? and what about the probability of being pregnant if he has used a condom which has not expired and by not ejaculating inside me while wearing the condom? ### Response: Hello. You are safe and you really need not worry as the condom used was new and there was no rupture at all. Also, you have taken an I-pill within 72 hours. It is actually effective until five days post intercourse. The with ChatDoctor. So you need to be patient and wait for the bleed. The chances of pregnancy are minimal. For more information consult an obstetrician and gynaecologist online Take care.

Hello doctor,I had intercourse with a man who used a condom and he also made sure not to ejaculate inside my vagina despite wearing a condom to avoid the risk of pregnancy as much as possible. However, to be extra safe, I wanted to take an I-pill. Unfortunately, I could not take it right away and took pill on the third day (by the 72nd hour within which the pill could be still effective). How long would I have to wait for the I-pill to work and also cause bleeding? Would I need to take another one just in case? and what about the probability of being pregnant if he has used a condom which has not expired and by not ejaculating inside me while wearing the condom?

Hello. You are safe and you really need not worry as the condom used was new and there was no rupture at all. Also, you have taken an I-pill within 72 hours. It is actually effective until five days post intercourse. The with ChatDoctor. So you need to be patient and wait for the bleed. The chances of pregnancy are minimal. For more information consult an obstetrician and gynaecologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My father had cataract surgery yesterday. His sugar levels were fine before surgery. Today he was given a Dexa injection 2 ml in his eye due to inflammation. After that the sugar levels have stayed between 280 -300 through out. Just before dinner, his sugar levels were 300 mg/dL. As advised by our doctor have gave him 16 units of Mixtard instead of 14 which he takes regularly along with regular sugar medicines.My questions are ### Response: Hello, Welcome to ChatDoctor. I just read your query and from what you have mentioned it appears that your father's blood sugar has increased because of steroids. As for your questions let me answer them one by one. Yes, Dexa injection increases the sugar so much and it will have decreased effect once your father is off steroids completely. Yes, steroid eye ChatDoctor. Regarding managing the sugar levels, if his fasting is above 250 then increase his evening dose of Insulin by adding two more units. If his dinner blood sugar is 250 mg/dL above then add two more units to his morning dose of Insulin and continue monitoring accordingly. If

Hello doctor,My father had cataract surgery yesterday. His sugar levels were fine before surgery. Today he was given a Dexa injection 2 ml in his eye due to inflammation. After that the sugar levels have stayed between 280 -300 through out. Just before dinner, his sugar levels were 300 mg/dL. As advised by our doctor have gave him 16 units of Mixtard instead of 14 which he takes regularly along with regular sugar medicines.My questions are

Hello, Welcome to ChatDoctor. I just read your query and from what you have mentioned it appears that your father's blood sugar has increased because of steroids. As for your questions let me answer them one by one. Yes, Dexa injection increases the sugar so much and it will have decreased effect once your father is off steroids completely. Yes, steroid eye ChatDoctor. Regarding managing the sugar levels, if his fasting is above 250 then increase his evening dose of Insulin by adding two more units. If his dinner blood sugar is 250 mg/dL above then add two more units to his morning dose of Insulin and continue monitoring accordingly. If

### Instruction: Answer this question truthfully ###Input: Hello doctor,My major complaint is headache and dizziness. This has been ongoing for years, despite being to several doctors. I am currently on Levothyroxine for hypothyroidism along with Bisoprolol for IST. I have had an MRI and CT scan done on my head, both of which came back abnormal. My doctor has sent in a referral to a neurologist, but he has yet to look at any of my information. I just want an opinion to begin with. ### Response: Hello. Regarding your concern, I would explain that these CT scan and MRI findings are not related to the headache and dizziness. (attachment removed to protect patient identity). I would like to know more about headaches. Is it throbbing or like pressure? Do you feel nausea during the headaches? How long do they last? Do you tolerate the light during the headaches? In my opinion, considering the location of the headache in half of the head, it could indicate migraine. I would recommend starting therapy with Sertraline coupled with Verapamil. Regarding the MRI findings, in my opinion, they could indicate a normal variation of the brain structures. Anyway, a brain MRI after a year would be necessary. I hope this helps.

Hello doctor,My major complaint is headache and dizziness. This has been ongoing for years, despite being to several doctors. I am currently on Levothyroxine for hypothyroidism along with Bisoprolol for IST. I have had an MRI and CT scan done on my head, both of which came back abnormal. My doctor has sent in a referral to a neurologist, but he has yet to look at any of my information. I just want an opinion to begin with.

Hello. Regarding your concern, I would explain that these CT scan and MRI findings are not related to the headache and dizziness. (attachment removed to protect patient identity). I would like to know more about headaches. Is it throbbing or like pressure? Do you feel nausea during the headaches? How long do they last? Do you tolerate the light during the headaches? In my opinion, considering the location of the headache in half of the head, it could indicate migraine. I would recommend starting therapy with Sertraline coupled with Verapamil. Regarding the MRI findings, in my opinion, they could indicate a normal variation of the brain structures. Anyway, a brain MRI after a year would be necessary. I hope this helps.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am an 18 year old healthy female. All day today, I have had sharp pain in one tiny spot on my left hand. There is a tiny red mark that looks like a scratch, but it is not. It is not warm, but the pain is also spreading to my arm. I have also had the same type of pain in both my legs and my foot for a couple weeks now, but no veins or redness are there. I have anxiety which makes me always think the worst. I am scared that I have DVT and that any minute now I am going to drop dead. Please give some suggestions as to what this might be. Could it be something with muscles or nerves? Should I go to a hospital? Any information would help. Thank you. ### Response: Hello. 1. Vitamin B12 deficiency, hyperthyroidism, thiamine level and CBC (complete blood count).2. If the above are negative, then nerve conduction study or electromyography (EMG) of the affected hand. It would depend upon the blood work. It does not appear to be a DVT from the information provided. Revert back with the report to an internal medicine physician online.-

Hi doctor,I am an 18 year old healthy female. All day today, I have had sharp pain in one tiny spot on my left hand. There is a tiny red mark that looks like a scratch, but it is not. It is not warm, but the pain is also spreading to my arm. I have also had the same type of pain in both my legs and my foot for a couple weeks now, but no veins or redness are there. I have anxiety which makes me always think the worst. I am scared that I have DVT and that any minute now I am going to drop dead. Please give some suggestions as to what this might be. Could it be something with muscles or nerves? Should I go to a hospital? Any information would help. Thank you.

Hello. 1. Vitamin B12 deficiency, hyperthyroidism, thiamine level and CBC (complete blood count).2. If the above are negative, then nerve conduction study or electromyography (EMG) of the affected hand. It would depend upon the blood work. It does not appear to be a DVT from the information provided. Revert back with the report to an internal medicine physician online.-

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 24-year-old male. My complaint is that I have a breast lump in my right breast lower outer quadrant. I noticed it three days ago. I have pain at that site. I also noticed redness in the surrounding areas. I have poor beard growth and chest hair so I suspect that it could be gynecomastia. Can gynecomastia be tender and painful? I also suspect myself having Klinefelter though I do not consider my genitals to be of small size.I am a medical student and I am worried that the lump could be a carcinoma as I have learned that there is an association between Klinefelter\\s and carcinoma. Please help me. ### Response: Hello, Welcome to Chat Doctor forum. Most probably it is gynecomastia as it is common in young age and may cause pain, Although, breast cancer is rare in males, it is more aggressive with rapid growth and spread. I suggest that you take painkillers and send me a photo of the red lump Also if you have noticed any swellings in the armpits please tell me. In general, you should not worry, but be a little cautious. For more information consult a general medicine physician online

Hello doctor,I am a 24-year-old male. My complaint is that I have a breast lump in my right breast lower outer quadrant. I noticed it three days ago. I have pain at that site. I also noticed redness in the surrounding areas. I have poor beard growth and chest hair so I suspect that it could be gynecomastia. Can gynecomastia be tender and painful? I also suspect myself having Klinefelter though I do not consider my genitals to be of small size.I am a medical student and I am worried that the lump could be a carcinoma as I have learned that there is an association between Klinefelter\\s and carcinoma. Please help me.

Hello, Welcome to Chat Doctor forum. Most probably it is gynecomastia as it is common in young age and may cause pain, Although, breast cancer is rare in males, it is more aggressive with rapid growth and spread. I suggest that you take painkillers and send me a photo of the red lump Also if you have noticed any swellings in the armpits please tell me. In general, you should not worry, but be a little cautious. For more information consult a general medicine physician online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am having chest pains that are dull feeling in random parts of chest at random times throughout the day and night. Been having them for 2 weeks now. I have a newborn child, 9 months, and I do not sleep alot because he does not either. That has been going on for 9 months, the lack of sleep. I am 34 years old with no health issues and no family history of heart disease or issues. My doctor did an ECG and said it was normal with an abnormality. I went to a cardiologist and he did an ECG and said it was normal but scheduled me for a echocardiogram and stress test to rule out anything. Am I just having anxiety, which is what everyone keeps telling me, or could it very well be heart related? I am scared. Thank you for your assistance. ### Response: Hello. I passed carefully through your medical history and would like to explain that your ECG seems to be within normal ranges. Nothing to worry or panic about. The lack of sleep has played a role in exacerbating your clinical symptomatology. Anyways it is rationale to follow your doctor advise and pass through the recommended tests cardiac ultrasound and stress test. Take care.

Hello doctor,I am having chest pains that are dull feeling in random parts of chest at random times throughout the day and night. Been having them for 2 weeks now. I have a newborn child, 9 months, and I do not sleep alot because he does not either. That has been going on for 9 months, the lack of sleep. I am 34 years old with no health issues and no family history of heart disease or issues. My doctor did an ECG and said it was normal with an abnormality. I went to a cardiologist and he did an ECG and said it was normal but scheduled me for a echocardiogram and stress test to rule out anything. Am I just having anxiety, which is what everyone keeps telling me, or could it very well be heart related? I am scared. Thank you for your assistance.

Hello. I passed carefully through your medical history and would like to explain that your ECG seems to be within normal ranges. Nothing to worry or panic about. The lack of sleep has played a role in exacerbating your clinical symptomatology. Anyways it is rationale to follow your doctor advise and pass through the recommended tests cardiac ultrasound and stress test. Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am suffering from gastric problem for the last one and a half month. I lost 4 kg due to depression. I did my whole body checkup and all the reports are clear. But, I am having pain in my right hand muscle as well as have body pain. Is it due to depression? I studied about leukemia on internet and I am afraid that I am having the disease. Please help. ### Response: Hi. I have gone through your query. There are many causes for weight loss. Weight loss can be due to depression. Even any chronic infection in body can cause weight loss. If you are not taking proper diet due to gastric problem, then this might also the reason for your weight loss. As your reports were normal, there is less chance for having malignancy. But, still if you are in doubt you can repeat your investigations. Body pains can be due depression. Take bland diet. ChatDoctor. Have fiber rich diet and avoid fatty and oily food. Get the following investigations done as soon as possible.1. Complete blood count test.2. Differential count test.3. Gastroscopy. Revert back with the reports to a general medicine physician online.- Take care.

Hi doctor,I am suffering from gastric problem for the last one and a half month. I lost 4 kg due to depression. I did my whole body checkup and all the reports are clear. But, I am having pain in my right hand muscle as well as have body pain. Is it due to depression? I studied about leukemia on internet and I am afraid that I am having the disease. Please help.

Hi. I have gone through your query. There are many causes for weight loss. Weight loss can be due to depression. Even any chronic infection in body can cause weight loss. If you are not taking proper diet due to gastric problem, then this might also the reason for your weight loss. As your reports were normal, there is less chance for having malignancy. But, still if you are in doubt you can repeat your investigations. Body pains can be due depression. Take bland diet. ChatDoctor. Have fiber rich diet and avoid fatty and oily food. Get the following investigations done as soon as possible.1. Complete blood count test.2. Differential count test.3. Gastroscopy. Revert back with the reports to a general medicine physician online.- Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My mother has been diagnosed with probability of lower GI bleed in proximal jejunal small bowel loops through nuclear scan. She is a heart patient and had been operated in the past and got her two valves replaced. She has to take blood thinning medications like Warfarin. My mother had low hemoglobin due to blood loss in stool. But, it used to get resolved with changing the dosage of Warfarin. But, this time, she is getting blood loss on more frequent duration and thus doctors asked to do nuclear scan to check for any GI bleeding. She has been advised to undergo surgery to get GI bleeding treated. Please advise if there are still possibilities to cure her with medications. If surgery is required as a last resort, then which one would be less threatening? ### Response: Hi. Warfarin induced bleeding. Once stool color changed to normal from black, can proceed with CT scan abdomen to find out the cause. Jejunal ulcer. 1. Medical management, if general condition is stable.2. If general condition is unstable, then required more than 5 bottles of blood transfusion. If active bleeding is continued even after dosage modification of Warfarin, then consider surgery with high risk. Take care.

Hello doctor,My mother has been diagnosed with probability of lower GI bleed in proximal jejunal small bowel loops through nuclear scan. She is a heart patient and had been operated in the past and got her two valves replaced. She has to take blood thinning medications like Warfarin. My mother had low hemoglobin due to blood loss in stool. But, it used to get resolved with changing the dosage of Warfarin. But, this time, she is getting blood loss on more frequent duration and thus doctors asked to do nuclear scan to check for any GI bleeding. She has been advised to undergo surgery to get GI bleeding treated. Please advise if there are still possibilities to cure her with medications. If surgery is required as a last resort, then which one would be less threatening?

Hi. Warfarin induced bleeding. Once stool color changed to normal from black, can proceed with CT scan abdomen to find out the cause. Jejunal ulcer. 1. Medical management, if general condition is stable.2. If general condition is unstable, then required more than 5 bottles of blood transfusion. If active bleeding is continued even after dosage modification of Warfarin, then consider surgery with high risk. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Three weeks ago, I noticed my left tonsil seems slightly enlarged and I have a lump with white head right behind it. A little background for the past six months, I have been experiencing daily low fevers and severe night sweats which are undiagnosed. My PCP told me it was just a tonsil stone but I am almost positive it is not. It looks nothing like any that I have seen in my research. I would love to submit a photo for a second opinion. I will eventually make it to an ENT if needed but with the coronavirus, I would like to wait if it is nothing to worry about.Most labs (done prior to lump) looked normal except I had a positive ana with a low titer 1 ### Response: Hello. You are right it is not a tonsillolith, it is a tonsillar cyst. Indeed, it is nothing to worry about and such a small may not even need any treatment. Furthermore, your tonsils are not that grossly enlarged or even congested to give you the spikes of fever. Low-grade fevers and night sweats need to be evaluated for other more important causes like tuberculosis. Have you done any serological tests and baseline blood tests?

Hello doctor,Three weeks ago, I noticed my left tonsil seems slightly enlarged and I have a lump with white head right behind it. A little background for the past six months, I have been experiencing daily low fevers and severe night sweats which are undiagnosed. My PCP told me it was just a tonsil stone but I am almost positive it is not. It looks nothing like any that I have seen in my research. I would love to submit a photo for a second opinion. I will eventually make it to an ENT if needed but with the coronavirus, I would like to wait if it is nothing to worry about.Most labs (done prior to lump) looked normal except I had a positive ana with a low titer 1

Hello. You are right it is not a tonsillolith, it is a tonsillar cyst. Indeed, it is nothing to worry about and such a small may not even need any treatment. Furthermore, your tonsils are not that grossly enlarged or even congested to give you the spikes of fever. Low-grade fevers and night sweats need to be evaluated for other more important causes like tuberculosis. Have you done any serological tests and baseline blood tests?

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 400 lbs, 35-year-old male who did not do exercise but I just started going to the gym since past week. The first three days my maximum HR was 150 on the treadmill and I felt fine and I would do 40 minutes on it and today I only did 30 minutes because I started to feel a little dizzy and my HR went up to 158. Why is that? ### Response: Hello, Welcome to Chat Doctor forum. I understand your concern. It is normal for the heart rate to go as high 300 bpm. You are exercising the wrong way for someone with your weight. You have to start exercising by taking a five-minute walk on the treadmill before gradually increasing the pace to a speed of 5/6 for 10 to 15 minutes. You should do this routine for two weeks before gradually increasing the duration to 20 minutes. Increase the speed gradually as you get used to. You get the dizzy feeling because your heart is having to pump more blood as you run, which it is not used to. You will over come this feeling as times goes on.

Hello doctor,I am a 400 lbs, 35-year-old male who did not do exercise but I just started going to the gym since past week. The first three days my maximum HR was 150 on the treadmill and I felt fine and I would do 40 minutes on it and today I only did 30 minutes because I started to feel a little dizzy and my HR went up to 158. Why is that?

Hello, Welcome to Chat Doctor forum. I understand your concern. It is normal for the heart rate to go as high 300 bpm. You are exercising the wrong way for someone with your weight. You have to start exercising by taking a five-minute walk on the treadmill before gradually increasing the pace to a speed of 5/6 for 10 to 15 minutes. You should do this routine for two weeks before gradually increasing the duration to 20 minutes. Increase the speed gradually as you get used to. You get the dizzy feeling because your heart is having to pump more blood as you run, which it is not used to. You will over come this feeling as times goes on.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I have done an eye test recently, and I found that I need a cylindrical correction too. Earlier I used spectacles only with spherical correction. My test results show 6/18, -1.25 DC \\xc3\\x97 95, 6/6 and 6/9, -0.25/-0.75 \\xc3\\x97 75, 6/6. I would like to know whether my eye power is too weak. Is there any other way available to correct cylindrical power? ### Response: Hi, Welcome to Chat Doctor forum. The cylinder power is low, and there is nothing to worry. As there is astigmatism, the glasses have to be worn at all times. You do not need to wear glasses if you do not have symptoms like eyestrain or a headache. But if you have eyestrain and headache, you need to wear glasses. The power is low, so surgical treatment is not necessary. Contact lenses work very well, but for astigmatism, there will be mild discomfort in contact lens users. For a cosmetic concern, contact lenses can be worn after a proper fit.

Hi doctor,I have done an eye test recently, and I found that I need a cylindrical correction too. Earlier I used spectacles only with spherical correction. My test results show 6/18, -1.25 DC \\xc3\\x97 95, 6/6 and 6/9, -0.25/-0.75 \\xc3\\x97 75, 6/6. I would like to know whether my eye power is too weak. Is there any other way available to correct cylindrical power?

Hi, Welcome to Chat Doctor forum. The cylinder power is low, and there is nothing to worry. As there is astigmatism, the glasses have to be worn at all times. You do not need to wear glasses if you do not have symptoms like eyestrain or a headache. But if you have eyestrain and headache, you need to wear glasses. The power is low, so surgical treatment is not necessary. Contact lenses work very well, but for astigmatism, there will be mild discomfort in contact lens users. For a cosmetic concern, contact lenses can be worn after a proper fit.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had a road accident and fractured my right thumb. It happened three weeks back and was administered a spica cast the next day of injury. After an X-ray, the doctor suggested that the cast can be removed in a few days. I want to understand, how long before I can resume my normal activities like driving or riding a motorcycle, etc. Also, I was strength training regularly before the accident, when is it advisable to lift heavy weights again? ### Response: Hello, Welcome to Chat Doctor forum. It is a bony mallet injury. You need to wear the splint on for eight weeks totally, a mallet thumb splint. Do not remove the splint for eight weeks. Repeat X-rays after eight weeks of injury and splint application. And then after eight weeks, you will require physiotherapy for mobilization as you are expected to have the stiffness of that joint. ChatDoctor. Heavy weight lifting can be done after six months of the date of injury. Can you send me the other view of the X-ray also, if you have so that I can see the fracture better in the other view of X-ray also? For more information consult an orthopedician and traumatologist online

Hello doctor,I had a road accident and fractured my right thumb. It happened three weeks back and was administered a spica cast the next day of injury. After an X-ray, the doctor suggested that the cast can be removed in a few days. I want to understand, how long before I can resume my normal activities like driving or riding a motorcycle, etc. Also, I was strength training regularly before the accident, when is it advisable to lift heavy weights again?

Hello, Welcome to Chat Doctor forum. It is a bony mallet injury. You need to wear the splint on for eight weeks totally, a mallet thumb splint. Do not remove the splint for eight weeks. Repeat X-rays after eight weeks of injury and splint application. And then after eight weeks, you will require physiotherapy for mobilization as you are expected to have the stiffness of that joint. ChatDoctor. Heavy weight lifting can be done after six months of the date of injury. Can you send me the other view of the X-ray also, if you have so that I can see the fracture better in the other view of X-ray also? For more information consult an orthopedician and traumatologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,There have been problems between me and my family due to which I have got a migraine. I do not want to do my family business but I am forced to do so. I have lost interest in talking to anyone. I was not allowed to do masters even though I was good in my course. I am not allowed to do anything that I want in terms of my professional career is concerned. I feel helpless and do not know what to do next. I have fought, cried, pleaded. But they do not let me do anything. Just because my father\\s business is flourishing and he has money, does it mean even I have to do the same? ### Response: Hi, Welcome to Chat Doctor forum. I think there is a definite factor for your stress and that stress is due to the conflict with your father. They are not letting you complete your studies or they want you to join their business, these are different things. You have to clear in your mind about your current academic status and future career related to your studies and compare this thing with the business, and have a healthy discussion with your father or have conflict resolution counseling where you and your father would attend the session to have fruitful results.

Hello doctor,There have been problems between me and my family due to which I have got a migraine. I do not want to do my family business but I am forced to do so. I have lost interest in talking to anyone. I was not allowed to do masters even though I was good in my course. I am not allowed to do anything that I want in terms of my professional career is concerned. I feel helpless and do not know what to do next. I have fought, cried, pleaded. But they do not let me do anything. Just because my father\\s business is flourishing and he has money, does it mean even I have to do the same?

Hi, Welcome to Chat Doctor forum. I think there is a definite factor for your stress and that stress is due to the conflict with your father. They are not letting you complete your studies or they want you to join their business, these are different things. You have to clear in your mind about your current academic status and future career related to your studies and compare this thing with the business, and have a healthy discussion with your father or have conflict resolution counseling where you and your father would attend the session to have fruitful results.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have numbness in my right side of the face and right arm and right hand. Blood pressure is normal. ### Response: Hello, Welcome to Chat Doctor forum. Is it sudden onset or gradually develops from last many days. If it is gradual and it is there since long time period, then it is most probably spondylosis both cervical spine. It is a spine problem where you get numbness, pain, and other symptoms due to compression of nerves between spine. Do you have any history of trauma to your spine, does this pain increase on neck movement, is it associated with tingling, needles and pins sensation, if yes then it further supports the diagnosis. You will need vitamin D level, X-ray cervical spine, spine AP/lateral view and further may need MRI if X-rays are not informative. The treatment for this is physiotherapy to release the nerve compression, traction, cervical collar, medicine and if none helps, then surgery. Till the time you can have tablet Neurobion forte once a day which is a nerve vitamin. You need to visit a neurologist for all these investigations. If the problem is suddenly and of short duration, then it can be a minor stroke and needs further investigation.

Hello doctor,I have numbness in my right side of the face and right arm and right hand. Blood pressure is normal.

Hello, Welcome to Chat Doctor forum. Is it sudden onset or gradually develops from last many days. If it is gradual and it is there since long time period, then it is most probably spondylosis both cervical spine. It is a spine problem where you get numbness, pain, and other symptoms due to compression of nerves between spine. Do you have any history of trauma to your spine, does this pain increase on neck movement, is it associated with tingling, needles and pins sensation, if yes then it further supports the diagnosis. You will need vitamin D level, X-ray cervical spine, spine AP/lateral view and further may need MRI if X-rays are not informative. The treatment for this is physiotherapy to release the nerve compression, traction, cervical collar, medicine and if none helps, then surgery. Till the time you can have tablet Neurobion forte once a day which is a nerve vitamin. You need to visit a neurologist for all these investigations. If the problem is suddenly and of short duration, then it can be a minor stroke and needs further investigation.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am female of 25 years old. My weight is 58 kg and height is 5\\3\". I am suffering from acne problem for the past 5 years. I tried many antibiotics. Now, I am on Isotretinoin for more than a month and it has really cleared my acne. But, my facial hair has increased. Will it become worse if I continue Isotretinoin? After the completion of Isotretinoin course, will I get acne again? If it comes back, what will be the intensity? Please explain in detail. ### Response: Hi. Isotretinoin has no effect on facial hair. An increase in the facial hair can be attributed to either hormonal abnormality or topical steroid abuse. Isotretinoin must be continued in tapering doses for at least six months. You need to go for a hormonal evaluation by ultrasound abdomen in order to rule out PCOD (polycystic ovarian disease), which is a common source of ectopic hormone. You also need to undergo serum testosterone, FSH and LH ratio (follicle stimulating hormone and luteinizing hormone) and serum DHEAS (dehy ChatDoctor.

Hi doctor,I am female of 25 years old. My weight is 58 kg and height is 5\\3\". I am suffering from acne problem for the past 5 years. I tried many antibiotics. Now, I am on Isotretinoin for more than a month and it has really cleared my acne. But, my facial hair has increased. Will it become worse if I continue Isotretinoin? After the completion of Isotretinoin course, will I get acne again? If it comes back, what will be the intensity? Please explain in detail.

Hi. Isotretinoin has no effect on facial hair. An increase in the facial hair can be attributed to either hormonal abnormality or topical steroid abuse. Isotretinoin must be continued in tapering doses for at least six months. You need to go for a hormonal evaluation by ultrasound abdomen in order to rule out PCOD (polycystic ovarian disease), which is a common source of ectopic hormone. You also need to undergo serum testosterone, FSH and LH ratio (follicle stimulating hormone and luteinizing hormone) and serum DHEAS (dehy ChatDoctor.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am looking for a little advice since I cannot be seen until tomorrow by my dentist. I recently had a root canal on my bottom left tooth (last one at the back in the photo). A few weeks later, I got a temporary crown placed over it. The area beyond the tooth is inflamed and hurts badly. It is causing pain on the side of my tongue and the left side of my throat. I have no idea what could be causing it. I remember them attaching a metal piece back there to keep my mouth dry and open, but not sure if that could be the cause of anything. It did hurt when they did the procedure. What can I do today to relieve the pain? Also, do you know what could be causing it? Thank you. ### Response: Hi. I had gone through your complaint and the relevant details (attachment removed to protect patient identity). The cause of your pain should be either of the following. 1. Check occlusion and perform coronoplasty (reducing tooth occlusion by restructuring the tooth).2. Smoothen the margins of the temporary crown. 1. Do not brush aggressively on the affected site.2. Do not rub salt on the inflamed area.

Hi doctor,I am looking for a little advice since I cannot be seen until tomorrow by my dentist. I recently had a root canal on my bottom left tooth (last one at the back in the photo). A few weeks later, I got a temporary crown placed over it. The area beyond the tooth is inflamed and hurts badly. It is causing pain on the side of my tongue and the left side of my throat. I have no idea what could be causing it. I remember them attaching a metal piece back there to keep my mouth dry and open, but not sure if that could be the cause of anything. It did hurt when they did the procedure. What can I do today to relieve the pain? Also, do you know what could be causing it? Thank you.

Hi. I had gone through your complaint and the relevant details (attachment removed to protect patient identity). The cause of your pain should be either of the following. 1. Check occlusion and perform coronoplasty (reducing tooth occlusion by restructuring the tooth).2. Smoothen the margins of the temporary crown. 1. Do not brush aggressively on the affected site.2. Do not rub salt on the inflamed area.