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<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Dear Dr,My 5 years toddler have fall down from a bed and bump her head (left side above ear -the corner) on a hard floor. Immediately I spot a huge lump in her head. I had immediately applied wrapped ice on her head. She did not cried much and fall asleep. No symptom of vomiting, etc. However I took her to GP on the next day and was advised to keep an eye on her for several days. Seventh month passed and in the first 6 weeks about 50% of the lump has reduced. The rest 50% retained till today ( not very obvious but the lump can be noticed easily if any one touched and compared her right and left head corner. She did not complained any pain when I pressed the head after 2 months. But now she is having chicken pox and she is complaining about mild pain in the lump for the first time in four months. Any advise from you will be highly appreciated. `Melly` <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Dear , Thanks for the query to My Chat Doctor Clinic. I studied your query in details and understood your health concerns. Cause of the head corner painful lump after 4 thin my opinion-the current mild pain observed after 4 myths after the head corner lump of your daughter, is due to-a-The lump your daughter had resolved in first 2 myths and was resolving as it was post fall trauma-leading to Hematoma-lump/ blood Clot.b-Lately the Viral Mumps infection, has caused secondary infection of the unresolved head lump, which lead to the mild pain in it. Advise for treatment-Mild pain in the resolving Hematoma-Lump is a bad sign for which I would advise you to act fast for preventing further complications-a-Consult ER Surgeon b-Start Antibiotics to control infection c-and plan Incision and Chat Doctor. Hope this would help you to plan treatment of the head Corner lump with your ER Surgeon. Hope this resolves your query. Wellcome for further query in this regard. Have a Good Day. With Regards <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Sir,i going to extract my lower molar wisdom thooth, it has small cavity, my doc donot prescribe any antibiotics, but in previous wisdom thooth extraction i taken antibiotics for 5 days, i want to know is it safe without antibiotics secondaly is there any risk for blindness? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Antibiotics are prescribed for treating infection. Having a small cavity would not indicate a need for an antibiotic. If you are experiencing discomfort and any signs of inflammation around the tooth, discuss with your dentist the need to take pre-operative medication. Your dentist may recommend an anti-inflammatory medication to start shortly before the planned extraction. Antibiotics are not absolutely necessary prior to an extraction. It is important not to overuse antibiotics. Resistance to antibiotics are a risk. Blindness is generally not a risk with an extraction. Complications from an extraction, infection with the spread of inflammation, and an unusual nerve anatomy may result in some possible conditions that may involve eye function. Paresthesia is a risk associated with injections and possible with extractions. This would be numbness remaining instead of wearing off as normally expected. Often with time this will diminish unless there is a dual nerve damage. Preoperative x-rays are taken to evaluate root proximity to nerves. You should review all possible complications and your medical history impact with your dentist prior to the extraction. Thank you for your inquiry. I hope you feel better about having your extraction and that my comments have been helpful to you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My friend was telling me that her 4 year old son has not been himself lately he is very weepy and tired, doesn t want to play, has lost 2 and 1/2 kilos in 1 month but says he is still eating and he has been complaining about pains in his legs, she has taken him to her GP and he examined the boy and did a urine test and said he could not find anything wrong with him, he put it down to a growth spurt as he apparently has grown 2cm in the past month. Does this sound right? He is still not back to his usual boistrous and jovial self? What could be wrong with him and what steps should she follow? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Any history of fever or any other illness in recent past? Looking tiered and dull, with history of 2.5 kg weight loss over 1 month in a child is something that needs to be evaluated without delay. Sometimes this happens following febrile illnesses like typhoid or IMN (mononucleosis). If no such suggestive history, we need a basic workup to rule out conditions like anemia, chronic infection/inflammation or hematological disorders. If I were his treating doctor, after examining him for pallor and enlarged lymph nodes/spleen/liver, I will order few more tests including a blood count, ESR and peripheral smear. Kindly discuss with a pediatrician. Take care. Hope I have answered your question. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My healthy (I thought) 25 year old son just suddenly died. It appears he had an enlarged heart and something with one of the blood supplying arteries? but also that part of his heart was discolored. I am desperate to know why they did not open his chest to try and get his heart beating? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Welcome to Chat Doctor Sir the cause of sudden death with defect in blood supplying arteries and discoloration means that your child died due to heart attack. Discoloration is seen in heart with infected area. It is not feasible to open chest and made it to beat. Only chest compression or intravenous Chat Doctor. If you have any further query then you can come back to Chat Doctor. I will definitely help you and guide you appropriately. With Regards <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, my wife is pregnant and 8th month is running. Recently due to itching in legs doctor suggested for LFT. she has a high level of sgot and sgpt. SGOT- 279 U/L ,SGPT- 248 U/L and Serum Alkaline Phosphatase- 310 U/L. doctor has given Ursodeoxyholic Acid Tab and Levo Cetrizine. Is this safe during pregnancy. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hemstitching is commonly seen in pregnancy. Raised GOT and SGPT may be due to homeostatic jaundice, and it is common during pregnancy. Your wife has been prescribed right medicines. Ursodeoxyholic acid tablet helps in regeneration of liver cells. It will correct raised SGPT and GOT. Levo cetirizine is an anti-histaminic, and it will relieve from itching. These medicines are absolutely safe during pregnancy, and it is recommended by FDA. Get well soon. Take Care Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello I am a female 43 years old. Have had a PE about 6 years ago. I have 4 gene mutations wich are MTHFR and PAI-1. I have an Ivac filter in my vena cava. I have had chest pains for a long time now ,been to emergency rooms countless times. they never find anything. I recently moved to a very remote area and dont have any Specialty Drs. here. I last saw my hematologist in Dec 2012. He said he thought it was showers of micro clotting and to double up on my asprin and folic acid every other day. That worked for a few months but know the chest pain is back and it moves around and is very unsettling, it also seems to get worse with my menstral cycle. I dont know what to do anymore. Any suggestions? I have to pay to get an answer? Figures <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello..... As your details it seems that you are suffering from Congenital hypercoagulable disease. In this case, the blood getting thick day by day and causes clots at any site. Most common is lower large vein due to more stagnant condition. This clot frequently embolizes to chest and causes chest pain that is called Pulmonary embolism. With your description, you are suffering from Chronic pulmonary embolism that also causes right heart chamber enlargement and bilateral leg swelling. But you did not mention regarding breathlessness and leg swelling except chest pain on and off. Definitely this chest pain is due to microclot in pulmonary vessel. But the treatment you are taking is very ineffective. Aspirin is not enough alone to prevent the clot formation and keep the blood thin. So my advice is to start Tab Action with lower dose 2 mg once a day along with aspirin with folic acid. And do your Prothrombin time (PT INR) at regular interval of 15-30 days to keep your INR 2 to 2.5Thank You <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i was asked to have a semen analysis test... i went to the lab but i noticed great embarrassment. i went into the procedure room but could not get erection for many minutes, my heart beat was increased....then i started rubbing wildly. i came very quickly with a very little erection. the test report said: sperm count = Nil.....i am much upset...what i should do now. there is no family history of infertlity. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear Faisal, this is a common happening. Sample collection is very important in semen examination. What you might have given for testing might be pre-cum not the semen. Please next time collect sample at home and reach the lab within 30 minutes. You can ask them about how to handle the sample once connected. Do not worry, single semen report does not carry much value, have abstinence for 3 days and then go for examination again. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> What do I do now. I have had unexplained bleeding from my scrotum after my morning shower for the past two days. This is not painful, but the bleeding was way more than I expected. It finally stopped after about 5-10 minutes. What do I do? What doctor should I see? Is this a start of testicular cancer? I have a faintly positive ANA test for connective tissue disease with few other symptoms. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Your testis examination should be done to look for any ulcer or mass if present. USG scan is advisable in your case to find any underlying pathological lesion if present. According to cause specific treatment can be suggested. You can Consult urologist or surgeon for examination. Hope I have answered your question. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I recently bought a used car that had been sittng for a year. Ive since found out its mold everywhere. Before riding in that car my 12 month old and I had been exposed to mold in the previous car we owned for about 4 months without knowing. I attribute his sudden illness to the new exposure because half a day after riding in the new car he was sneezing frantically rubbing his eyes. That nght he had drainage so thick in th back of his throat I had to sleep sitting upwith him. Next morning lots of sneezing by noon he was pouring snot like a faucet. That night same thing. so I got him up took him yo the e.r. . Doc sayss both ears are red he has a fever and put him on an antibiotic (he just came off one for the same thing one weekprior). Next morning he started uncontrollable coughing. He takes Bromfed, singulair, breathing treatments, <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for asking gone through your question. And understand your concern Your some has allergic tendency. If I was your treating pediatrician I would add some more thing to above-mentioned management 1. As the allergic symptoms are very much bothersome, I would advise Montelukast (singular) for at least this season.2. Assure you that it is normal to have frequent respiratory tract infection, they respond to treatment. As child grow the frequency decrease. 3 Do dusting frequently with vacuum cleaner, 4. It possibly floor carpet and room curtains is to be avoided, hope I answer your question have healthy family <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> is asian hospital faridabad a government hospitalI am asking a question for my mother . My mother age is 57 and her weight is about 48 kg. Doctor says one of kidney has doubled in from itsactual size and it need to be removed as early as possible. does this hospital have the facility of surgery. if , you? How much to pay for it? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. To my knowledge, its a private hospital. You can always ask at reception. Has he seen an older scan, to notice it doubling in size.? Doubling seen on CT scan, may be due to tumor. Ask him what he suspects ? If there's a full-fledged operation theater, then only major surgery is done. Kidney surgery is done by laparoscopy routinely. Open surgery isn't done. In govt. Hospitals, therere no charges for services. In private hospitals, it varies in each. All doubts may be cleared, by sending a direct question to me. Chat Doctor. Manga. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have had high risk encounters (gay) and have a rash with puss all over my chest does not itch but have had itfor about two weeks now. Also have this pain in my lower abdomin on the right side and left side, it moves from side to side. The pain seems to be worse in the early morning and at bed time. Im married and worried as hell. I do not have sex with the wife but worried that I could pass something on to her or some one else. Help! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for the query to Chat Doctor. Forum. I would come up with these possibilities for this type of purulent discharge from the chest, This includes.1 Gonorrhea, diagnosis can be confirmed by gram stain & culture from purulent discharge.2 Syphilis tertiary stage, as you didn't mention the exact history so very difficult to say something. Diagnosis can be confirmed by treponamal test.3 Side by side pain in lower abdomen and more in the morning and evening is also due to s t d, as genitals may have involved. Diagnosis can be confirmed by V D R L test .4 May be Memphis, diagnosis can be confirmed by C B C and physical examination by a physician. In my opinion get in blood for V D R L, c b c & ESR and deal accordingly. Good luck. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hello, my father is suffering from angry outbursts, often involving shouting and raucous screaming. he sees no logic during these outbursts and is uncontrollable. he is a borderline diabetic on medication also. he has a history of high bp from his mother. he refuses to seek treatment. please advice. he is 46 years old weighing 73 kgs. <|eot_id|><|start_header_id|>assistant<|end_header_id|> DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN. HEARING HIS SYMPTOM YOUR DAD SEEMS TO BE SUFFERING FROM PANIC DISORDERS HYPERTENSION AND DIABETES 1) CONTINUE WITH THE TABLETS HE IS TAKING2) LOW SALT DIET IS ADVISED3) YOU NEED TO COUNSEL YOUR DAD THAT HE NEEDS TO HAVE A CHECK-UP DONE.AND FOR PANIC DISORDERS YOU NEED TO COUNSEL HIM AND CONSULT A PSYCHIATRIST FOR THE SOMEONE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My husband was diagnosed with adenoid cycstic carcinoma 2-1/2 years ago. Had surgery and did about half of his radiation treatments. He was given 2 years. Where they came up with that I will never understand. He is starting to hurt again in his neck and throat area and is having to take more pain medication. He coughs up blood at times. Does this mean that the cancer is spreading rapidly now and that I should start preparing for health aide and hospice? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing in. He might be responding adequately to treatment till now and that is the reason he is managing with the disease. Throat pain and occasional bleeding might be due to the cancer. It will be important to make an assessment from his latest CT scan to know the spread of disease. If there is uncontrolled proliferation of the disease then he might require hospice care. Spreading cancer can cause throat pain and unexplained bleeding in cough. Please discuss pain relief with his doctor to keep your husband comfortable. Palliative care might be required for him. Pain relief medicines should be given as per his needs and for the pain he is having. Please do not worry. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my father suffering from cml reported in march , his wbc count a that time was 1,75000 by chemotherapy it goes down but comes upto 1100 then dr start giving medicine to increase wbc and bring down platelet count but again now it comes to 91,000 is is a regular process in such cancer as dr is giving very costly treatment should we continue dr. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. Your father is suffering from chronic myeloid leukemia. It's quite common to have fluctuations in WBC count with treatment. Treatment depends on stage of disease. Imaging percolate is the Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my 19 year old daughter has been diagnosed with pharyngitis. She is at college and went to a urgent care. She was tested for strep which was negative as well as mono which was negative as well. The question I have is it normal for her face and cheeks to be quite swollen?? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Can understand your concern. As per your complaint it seems that swelling on both sides of cheeks and face can be due to viral infection of the parotid gland known as Mumps. Mumps also known as "Epidemic Parotitis" is a VIRAL infection, and it can affect either one side or both sides Parotid glands which are major salivary glands leading to the above explained symptoms. The symptoms subside within 7 to 10 days after the symptoms appear. Consult a Physician and get evaluated and investigation like blood test,x-ray and salivary amylase test can help in confirmation of the cause and treatment can be done accordingly. There is no exact treatment for mumps and only symptomatic relief can be provided. For pain, you can take Acetaminophen or Tylenol for relief. Doing cold compresses can be relieving. Take plenty of fluids which can include water, fruit juices, soups etc. Take a soft and nutritious diet. Take sufficient rest. In case if the symptoms persist for more than 10 days without any relief you should consult a physician. Although after occurrence of mumps once the person becomes immune for lifetime and relapse can be with very mild symptoms. Hope this information helps. Thanks and regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I had a tooth surgically removed 5 days ago, now the toot beside it hurts alot!! when i tap on it the pain is so intense i think i may pass out. I never had a problem with this tooth and had exrays recently and my dentist never mentioned anything about that tooth, is it just sensitive from having the one beside it cut out? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello:)Welcome to Chat Doctor. You mentioned you had a surgical extraction done. There are chances the next tooth can be moved in the process of removing the extracted tooth. This will settle down in a week. Take the antibiotics and analgesics prescribed by your dentist. Do not chew on this side for a few days. Gargle saline water twice daily. See your dentist to grind it out of occlusion. Consult your dentist if it persists more than a week. Also make sure you do not have any hidden caries in the tooth. Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> HI,I had my wisdom teeth out on Friday....I heard my docor say that he was worried about my back molars. The orginal reason i got the wisdoms out was becasue my regular dentist wanted to prevent those molars from getting bad (one was causing me pain already, and has a very large cavity underneath the filling). I have noticed that the back molars are now not in line with my other teeth at all anymore. They are all off to the side a bit, they do not touch at all when I bite down. Im worried I now will need to have all 4 of them pulled. Will they go back to the position they were in before they had to remove the wisdm teeth(all were impacted). And I hope the taste of pus will go way too.....its just the healing right? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for asking the query, According to your clinical symptoms i suppose that your wisdom tooth are not aligned properly. I would like to tell you that wisdom tooth does not have any significant role in mastication and occlusion so better to get it extracted if causing any problem. I would suggest you to visit Oral Surgeon get an OPG radiograph and plan for the removal of the teeth. Take lukewarm saline rinses. Take complete course of antibiotics and analgesics and take antiseptic mouthwash rinses. Hope this helps out. Regards... <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My daughter age 16 had wisdom teeth pulled on June 16 and she recovered well. Four days ago we were on vacation and she was complaining of some pain (rated it a 3 on a 10 point scale). Tonight we are home and now she is complaining about a blister near the lower extraction site. When I looked in her mouth it looks like a blister, puffy, punish white near the extraction site on the gum, near her cheek. Should I be concerned? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome to ChatDoctori have read your query and understand your concern. As you mentioned it's more than one month since the wisdom tooth extracted. By this time the extraction should have healed.in some case of more traumatic wisdom tooth extraction slight pain is normal, and it can take more time to heal. Blister can be due to some other reason also. If I were your treating doctor I would advise you to use a chlorohexide mouth wash. For pain travel can be applied to the affected area. Usually it will subside within 4-5 days .if the problem persist or increases I would suggest you to visit your dentist. Hope this and your query. Take care. Regards <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> high MCV count and MCH count and low PLT count. Also the hematologist ordered I get blood extracted cause it is too thick. I went a couple of days ago and even with drinking plenty of water there blood could not be extracted. I am going back tomorrow and have been in low dose aspirin during. Please what are the causes and what could it be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to Chat Doctor. I Am Chat Doctor. My pleasure to help you.(MCV) is the average size of the red blood cells. When the MCV is elevated (as in your case) the RBC's will be larger than normal and are termed microcytic. The MCHC is normal or increased in microcytic anemia as megaloblastic anemia. Low platelet are also common in megaloblastic anemia. Thick blood means there are chances of clot formation, so your doctor is put you on Aspirin. I advise you to repeat your blood count and peripheral blood film. This will help us find out the cause and further management. Thanx for query. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My eight year old son has a large, firm knot that is growing on top of his right bicep. It is not red, it is not painful, there s no fever or trauma to his arm, it s been checked out and is determined that it s not a sist or just fatty tissue. They say it may be osteomyelitis, but he does not have any of the symptoms. Does anyone know anything else that could be going on? What are your thoughts?? <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI, Welcome with your query to Chat Doctor. Based on the facts of your query, In my opinion you need to check out the diagnosis before planning the treatment of your sons' biceps knot, with your Surgeon for a Second Opinion. Confirm the ambiguity of the cause of the lump. Xray of the shoulder / and or / USG / CT Shoulder /biceps area and FNAC Biopsy with Homeopath study would fix the cause from your Surgeon. There are many causes like -Sarcoma Granuloma/Fibrous/periosteal tumors/Erythema Nodes/ which need to be ruled out. As the fever /pain is not there, your case becomes more challenging and would need a team of doctors-Surgeon/Orthopedic/Physician to fix the diagnosis. Such a lump after proper diagnosis could be treated by your doctor according to its cause. Hope you got the answer for your query. Hope this would help you. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi i have tender part on right side of scalp which was inflamed and doctor gave me antibiotics after taking them for 3 days skin broke,doctor then gave me cream which heeld the sore but i still have strange feeling on my scalp and right hand side of head feels sore to the touch <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Thank you for asking on Chat Doctor! Your symptoms could be related to the local inflammation of the soft tissues surrounding the scalp. You should know that in this region nerves lie under the skin and the soreness is related to the nerve inflammation too. It may take some weeks for the sensibility of this region to recover like before. But, if this problem persists, I would recommend consulting with a neurologist for a careful physical exam. Anyway your symptoms do not indicate any serious medical disorder. So, just relax and try to be patient. Hope to have been helpful! Take care, <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello, I am a female, 31, and 3 weeks ago I travelled to Mexico City, the first 5 days I was ok but then started feeling very dizzy with a heavy headache and difficulty to breath. (This was on June 26th) I went to the doctor and she said it was low BP (80/60) and gave me some drops to feel better, I felt slightly better but kept getting very dizzy to the point I could not even walk more than 5 min. I went to the cardiologist and the ear doctor and they both said I was ok, and gave me some Medicibe for the dizziness, which helped a little but u was still feeling I could not breath and I got insomnia as well. Then went to the ER and my blood results were ok and they sent me home. I had to take a plane back to the U.S. And even though I was very dizzy I did ok in the flight.( July 5) Doctors in Mexico though it was related to the high altitude in Mexico (8,000ft) and once I got to lower altitude it would get better. Before my trip to Mexico I participated in a triathlon (June 14) and it was really rainy and muddy, I reached Mexico on June 20th and the next day I participate in a half marathon but I could only run 8 miles and felt aweful (June 21), the next day I was ok. I have been a runner for 10 tears and t was not my first long distance run and a triathlete for 4 years. In June 5th I started getting some fever (99.2 F) and it goes away when I take paracetamol or ibuprofen but then it comes back ( usually in the evenings, around 5-6 pm), I went to the doctor and I took an urine test and a thyroid one, still waiting or results. I have had a heachae ( in the frontal part) for 2 weeks now, it occasionally goes away but comes back with the fever and have been feeling really tired, also the lights bother me a lot and can t stand the computer for more than 4 hours. I am still not sleeping 100%, keep waking up every 2-3 hours) What can it be? We had a tick problem at work and I m worried it could be related. Thanks! Monica <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello Monica! Thank you for asking on Chat Doctor! Regarding your concern, your symptoms seem to be related to a chronic infection. The episodes of fever are very concerning about an infection. I would like to know if you have noticed any strange lesions in your skin, that may lead to a tick bite. Usually the first signs are skin lesions and then the other symptoms occur. The other symptoms (dizziness, fatigue, headache, difficulty breathing) could be related to a tick bite or any other chronic infection, affecting multiple organs. Anxiety could also be related to these episodes, but it can't cause fever. I recommend consulting with an infection disease specialist and performing some general blood tests (complete blood count, inflammation tests, blood electrolytes) and some specific tests for chronic infections (like Lyme disease). A brain MRI may be necessary to exclude possible intracranial lesions. Hope to have been of help! Best wishes, <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My brother has been on a vent for 2 months. They have tried weaning to no success. He has cirrhosis . He is awake and alert. He is no shape to be able to receive compressions for CPR . What happens if he is off the vent (trach collar and his heart is still beating but his breathing stops. Do they just put him back on the vent? and hwo does with work with a CPR DNR advance directive? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi and welcome to Chat Doctor.DNR directive must be approved by patient or his closest family if patient is unconscious or unaware of his condition. This is evaluated by neurologist and psychiatrist. When they put him off vent they try to see is he able to breathe independently. If not, he is put back on the vent immediately. Every time this is risky manipulation and patient can pass away;he must be put on vent in 20-30 seconds. If he is awake then his condition might improve and there is no reason to force extubation. CPR can always be done, with more or less success. I don't get why compressions depends on his shape. Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I fell on some ice, smashed my left shin juuuuust below my knee. It doesn t hurt to walk, but if I crouch, I feel a burning pins and needles sensation down the outside of my bone. I also have a numb area to the side of where I hit, and an excruciatingly painful spot/huge dent where I fell. Could I have chipped my bone or done nerve damage? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi going by your description, it looks that you have damaged soft tissues just below the knee. In my opinion such smashing of the soft tissues also causes damage to nerves and subsequent sensation of pins and needles along the compressed nerves. Chipped bone will give you lot of pain on walking. The painful spot / dent is there because of collection of blood in the region. Do cold compression, take anti-inflammatory painkillers for few days. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi i have a general query regarding my moms health....for few days she feels nausea and itching on a skin....this same attacked just one year before...so i just need a help...what exactly disease is that and what would be the general treatment? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Itching over body skin since long time could be due to subcutaneous candidiasis, a topic dermatitis, allergic reactions, urticaria or hives, or some medical disorders like DM, jaundice, uremia etc. Your mother must try antifungal oral medications once with the help of dermatologist with other supportive treatment.Also, you can take immunoglobulins with consultation of dermatologist. If still no diagnosis or cure then it would be advisable to consult physician to rule out any medical disorders. You can go for allergic testing of food and other substances, but they are not such reliable. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i have been sick for about 9months, im a 16 year old girl who was healthy until the day i donated blood...my symptoms consist of :very extreme tired, weak, dizzy, pale, or short of breath,Easy bleeding or bruising, fever, very bad joint and bone pain, bad lower back and neck, dazing out, throwing up, trouble breathing, headache, my eyes and head get very heavy ad pressured where it hurts to open them, and the doctors i went to said my red blood count is low. do you think it could be leukemia ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. Low red blood cell count means anemia. It's not leukemia. Your symptoms are of some viral infection and anemia. No need to worry about leukemia. Consult your doctor and take treatment of your anemia. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have knee osteoarthritis in left knee for last 4 years and I m taking treatment for it but for last one month my right knee gradually begins to swell and pain.I did icing and elevation for reducing swelling but could not succed much.my question is -what factors and reasons may be responsible for this swelling and pain and what lab tests should be done. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome to ChatDoctorSwelling and Pain is the common problems faced by the patient of osteoarthritis involving any joint. Swelling is due to the exaggeration of the process of normal synovial fluid formation in the joint. Normally a small amount of fluid is present in OA patient in can reach above 100 ml this causes distension of joint capsule causing pain in addition to the preexisting pain. There is immediate relief of pain.lab test required are-Plain X-ray both knee joint- anteroposterior view full weight-bearing and lateral view with 30 degrees of flexion. Only after seeing the x-ray and physical examination can the joint condition be assessed and further test prescribed. There can also be co-existing It D deficiency and Osteoporosis or Osteomalacia which can cause pain in OA patient. These diseases would also be apparent on X-ray and accordingly blood test for It D, calcium be prescribed. My recommendation is to visit Orthopedic surgeon to Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My 4 month old nephew has always had a yellowish tint to his skin, but now his eyes and skin are very yellow. He is in the hospital currently...He has and enlarged liver and spleen, blood in his stool, very thin blood, and has developed a heart murmur. They say that his organs are beginning to turn yellow...They cannot figure out what is wrong...any ideas? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi thanks for contacting Chat Doctor... Noted here your nephew having jaundice... With hepatosplenomegaly. Here you have to consult pediatrician for this.... First hemolytic anemia should be ruled out. His peripheral smear examination done with relic count and serum LDH... If needed from blood electrophoresis done to rule out hemoglobinopathies... Detailed history needed to rule out congenital hyperbilirubin syn Chat Doctor. ... If needed liver biopsy needed to done... Complete LFT investigation with liver enzymes and viral marker done. If bilirubin not control by <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Ive had a new hip in may a back opp 1yr ago iam in hell of alot of pain in my neck its stiff and i am inconstant pain with headaches ive had a mri and the surgeon has said there is nothing he can do for any of this pain also my lower back hurts i am a male 58yrs old please can you help. thankyou. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thank you for using Chat Doctor. I read your question and understood your concern. You mentioned that you had an MRI done but do not specify which part of the body you had the MRI. In your case an MRI of the neck would be needed. It may show a cervical sponduloarthrosis which can be create with physical therapy and anti-inflammatory medication in the beginning and surgery in later stages.Also, another cause of your pain might be a herniated disc of the cervical spine which in the first stages can be treated cooperatively or operative depending on the degree of the compression of the nerve from the disc. So I think there are solutions of your problem. Wish you quick recovery <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> So, my question is...After being kicked in the nose in a upward and inward motion there is swelling along the bridge. No blood out of nostril and or down the throat, no discoloration yet, and moderate pain as well as headache while resting and severe pain when laughing, not crooked, some difficulty breathing possibly from swelling, I think that s all. Anyway, at what point is it necessary to see a doctor and is there anything I should be looking for or doing at this point? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I can understand your concern. The swelling on the nose bridge after an injury indicates towards possibility of a fractured nasal bone or cartilage. I would advise not to wait and go to an ENT specialist or oral and maxillofacial surgeon who can examine the area physically, take an x-ray and can look for any fractures or cracks in the area. Based on the x-ray examination, any treatment can be decided. If you are in pain right now, you can take an Acetaminophen 500 mg or Ibuprofen 400 mg that is available over-the-counter. You can take 3 tablets a day, if needed. In addition, do not rub any gel, cream or lotion and refrain from heat application until you see a doctor. You can apply ice over the area to have reduction in swelling. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best, <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a bruise on the base of my spine. It has been there for many years. I suffer from extreme back pain and went or a massage the other day. The masseuse asked if i had a spinal tap or epidural as the mark is consistant with that. I know that i havent. What ould it be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI THANKS FOR POSTING YOUR QUERY ON Chat Doctor. I WOULD LIKE TO TELL YOU THAT FEW SPINAL INJURIES CAN PRESENT LATE, MAY BE AFTER FEW YEARS AFTER THE INITIAL INSULT.THE THING TROUBLING YOU CURRENTLY COULD BE MOST LIKELY A "MISSED/PROLAPSED INTER VERTEBRAL DISC".THIS CAN IMPINGE ON YOUR SPINAL CORD AND PRODUCE SYMPTOMS LIKE LOW SEVERE BACKACHE, TINGLING,NUMBNESS, PARESTHESIAS DOWN THE LIMB.YEARS LATER THEY CAN ALSO PRESENT WITH BOWEL AND BLADDER DISTURBANCES. I SUGGEST YOU AT ONCE THAT YOU UNDERGO AN EARLY MRI(MAGNETIC RESONANCE IMAGING)OF LOWER-LUMBAR SPINE TO ASSESS ANY TRAUMATIC CONTUSION TO THE CORD/HEMATOMAS/SLIPPED DISC/VERTEBRAE.IF FOUND THEY HAVE TO BE TREATED SURGICALLY.MEANWHILE I PRESCRIBE PAINKILLERS LIKE TRAMADOL TO REDUCE YOUR PAIN.CONSULT AN EXPERT NEUROSURGEON AT THE EARLIEST.THANK YouTube CARE. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my 4 yr old son got a single red spot on hid stomach that had a yellow head. He scratched the spot and it had spread into quite a large scab. Since then he has developed two more of the same spots (a couple of days later) We have no pets. He had a fever 7 days ago that lasted 24 hrs. Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi...by what you quote it looks like impetigo or pyoderma or a skin and underlying soft tissue infection. It requires antibiotic and a direct look at the lesion. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> we are trying for our first baby and i have been married for 2 years.....im on clomid ..last month i have periods on 13th jan....and i had scan on the 15th day of my periods there were one folicle in right and one folicle in left ovary and i had ChatDoctor shot also....and this month i didnot have periods yet...and i did hpt on 12th it was negative ....and i had a ultrasound on 18thfeb in which there was no sac but endometrium is 10.4mm thick....i again had the hpt it was negative again......im so confusedd what to do....still no periods.....is there any change of pregnancy.... what should i do ..please help me <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello there, Thanks for writing to us. In your case, as there were 2 follicles after camphene, and you took Chat Doctor for rupture of follicles, there is a possibility of pregnancy. Your urine pregnancy tests have been negative for 2 times and USG showed thickened endometrium, so I would suggest you to get blood levels of b Chat Doctor to be sure about pregnant or not. You have not mentioned any medication you are taking at present. Hope to have cleared your doubts. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been having lower abdomen cramping which alternates between total stomach cramp and localized right side pain, lower back pain and a sense of lightheadedness. I have periods of nausea feeling. I have had ovarian cyst previously but never with the lightheaded feeling. Could this be a symptom of ovarian cyst? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear- I read your question in detail and will give you my medical advice. Your symptoms could be secondary to ovarian cyst but other possibilities as intestinal spasm and back pain secondary to herniated disc or spinal stenosis need to be considered. You will need an abdominal and pelvic ultrasound to evaluate the area. Lightheadedness is an unspecific symptom that can be associated to ovarian cyst or any other reason. I hope that my advice has been helpful. Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i cut my finger (finger next to my thumb on my right hand) on the top at the joint closest to the nail 6 days ago. its a relatively small cut but was fairly deep. its heeled shut now, but still throbs all day. i have it bandaged up and did not seek any medical attention, however i have lost feeling in the area between the nail and the first joint where the cut is. when i run my finger over the numb area it tingles like the sensation you get with pins and needles. is this normal and just part of the heeling process or have i damaged some nerves? also the finger seems to be losing colour, a greyish colour. is this due to me not using it for 6 days or is it something more sinister? thanks, Ben <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Do not worry, all your problem is related to the healing process of the finger. Tingling sensation is because of the healing of the nerves which are cut down. It will gradually receive all your sensation. Your bandage must be tight that is why your finger is greyish. I advise you should lose it out slightly. This will improve the circulation to the finger and normal skin color can be achieved. Your first goal in this condition is to avoid any infection and secondly avoid injury to the finger. Rest all Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I had mono about 3 yrs ago. I am 50 now. The mono was really bad and I had to miss a few months of work but was still very fatigue for about 8-9 months. Every time I really exhausted now, I seem to get these slight headaches and fevers. Every time I get sick, it seems to take longer to recover cause I get these fevers and headache, light headedness afterwards/ could this be a long term affect from the mono? thanks, Deb <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, infectious mononucleosis can occur as chronic infection. Usually the infection of infectious mononucleosis is very benign, it will be cured without any adverse consequences. But in some cases it can be seen as chronic infection this is more common in immunocompromised states, organ transplantation and cancer chemotherapy. The prognosis for these conditions are very poor. I suspect you are having chronic infection. For the diagnosis purpose you can take the viral antibody test done. Treatment of the chronic condition is very challenging. Only chronic fatigue specialist can help you. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my period came like spotting on the 12 an i was suppose to start the pill but becuz it never flowed the saturday jus spot i started the pill the sunday and tht was the end of my period the pill had me feeling quite nauseous so i quit it and had sex once or twice whiles quittin ive still been feelin nauseous lately and realised a little weight gain especially in my stomach area could i b pregnant??? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your description of what happened, it is possible that you are pregnant. It would be a good idea to take a home pregnancy test just to make sure. However, there are other possibilities as well. Sometimes minor hormonal fluctuations can cause these types of symptoms due to stress, illness, weight gain or loss, medications or many other things. Usually they will resolve on their own in a few weeks. If this persists, you should see your doctor to figure out what might be causing this problem. I hope this helps. Please let me know if you have any more questions. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have heel blisters, that I am trying to let reabsorb, there are white floating objects underneath, what are these? Also, prior to the blisters, I have been having numbness and pain at the back of the heels, it started with a mal fitting pair of sneakers, but that was months ago and I only wore them once. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi I did understand your concern. Your lesion may be a reaction to the new shoes and that can cause such problems. The blisters will slowly heal on their own. You can apply Luke warm fomentation on it with a clean cloth and if they burst apply an antibiotic Chat Doctor. In view of severe pain please consult doctor. Numbness and pain over heel can be due to diabetes, electrolyte imbalance or due to nutritional deficiency or Achilles tendinitis and planter fasciitis would recommend you to get evaluated for these lesions step by step as each have different treatment.I hope this yellowish you all the best thank you for using Chat Doctor. I hope this helps <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I have been having very brief stints of pain lasting only a couple seconds in certain spots in my chest and my throat tends to swell up occasionally also. I went to the doctor a few weeks ago and was treated for acid reflux but my symptoms are still occurring. I also feel a little strange after physical activity. Just wondering if you can help to see if this is something serious that I need to have checked right away? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out heart diseases for your chest pain. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Uncontrolled acid reflux can also cause similar symptoms. So take pantoprazole and levosulperide combination twice daily on empty stomach. Avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Go for walking after meals.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi, my wife is 22-23 week pregnant. she is having loose motions frequently i mean every 2nd or third day. please suggest some thing. she is using parental vitamins as well and apparently it seems that these vitamins are cause of loose motions. our doctor asked to use these vitamins with breaks like alternate or third day. but still she is facing this problem <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, I understand your concern. In my opinion the loose motions might be due to stomach infection. Take adequate fluids up to 3 liters per day and electrolyte powder.Also, Lactobacillus tablets might be helpful. If not subsiding stool can be subjected to culture and sensitivity. The presence of any infection and causative organism can be ruled out. If any infection is present then a course of antibiotics is needed. So discuss regarding that with your doctor. Nothing to worry. But taking adequate fluids to combat deny Chat Doctor. Relax. It will subside. Hope this helps. Best regards... <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My husband and I just returned from France and have contracted a cold virus - runny nose, congestion, cough, headache, ear ache, and frequent urination, sometimes uncontrolled - for both of us. Could a virus give us these symptoms? We were not on a farm but in the city in France. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thanks for using Chat Doctor The common cold is a viral illness. It would cause the runny nose, nasal congestion, cough, headache and ear pain (though ear pain may sometimes occur with bacterial infection as well). Frequent urination can occur with urinary tract infection which is a bacterial infection that would require antibiotic therapy. A urine test at your doctor's office would determine if a urinary tract infection is present. I hope this helps <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hello, im an 18 yr old girl and lately for the last month i been getting very bad stomach pains sometimes on my upper abdominal and sometimes lower along with them are cold sweats. The pain makes me double over. My doctor said my spleen is slightly enlarged but dont think its the cause so hes sending me for a ct on wedsnday but i wont get the results for at least a week and really cant take the pain any longer. What should i do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for your query. The pains in the upper and lower abdomen severe enough can not be caused by the just enlarged spleen, this is for sure. The causes can be related to the small intestinal inflammation like Typhoid or Enteritis of any cause, which in turn can give you pains and enlargement of the spleen too. I would advise you the following:Tests of Blood for CBC, Tidal and culture and sensitivity, Test of urine and stool. Ultrasonography till you get the CT scan done and await for the reports. Get started on a treatment of an antibiotic which will help Typhoid and such problems to be covered and with proper treatment the size of the spleen as well as the symptoms of pain will vanish away. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a dark lump that is on my tooth/gums in the back top left of my mouth. Its been there a few days, at first it didnt hurt, but after a few days of brushing it hard its starting to hurt. It is red, bleeds when i brush it a lot. What could it be and is it serious? I have a dentist appointment in 2 weeks... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Dear, Welcome to Chat Doctor. The symptoms you mention in query are clearly showing that there is a formation of dental abscess or endodontic abscess. An abscess is an area of pus that forms as part of the bodies effort to fight a bacterial infection. The bacteria can enter the tooth from upper surface in the form of caries and form abscess at root tip. Sometimes bacteria can enter through gums and cause infection. There can be many treatment options for dental abscess like root canal treatment, Chat Doctor. As you already book appointment with dentist, but It's too late try to consult another dentist for airily appointment. You should take care of certain things till then. Avoid brushing at that particular site, wash that site with warm water, do warm saline rinses several times a day, maintain proper oral hygiene and do Betadine rinses twice a day to prevent infection from spreading. Take ibuprofen or acetaminophen for pain and swelling. Hope your concern has been resolved. Get Well Soon. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have this red bump on my left breast for a month or two now. And it look like it gonna scar and it felt as if they was something in it. Well just a little bit ago I pop the scab. And a redish pink puss and blood came out. Im not sure what it could possible be. Is it cancer ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Thank you for the query. As it is in the breast area, cancer needs to be ruled out at first. Please note that there is a special breast caner type, called inflammatory cancer. It acts like an inflammation, however it does not heal by itself. That is why I suggest you to do not wait any longer with it. Please consult a surgeon or gynecologist as soon as possible. Breast ultrasound should be done. Hope this will help. Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> dark red spot on foreskin hi. I had in protected sex last night and this morning I noticed a dark red spot when I pull back my foreskin. I was wondering if this could be anything serious... any information would be grateful. I am going to book and appointment at the gu clinic but I am really worried about this.thanks for your help <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloThanks for query. You have developed red spot on foreskin after having protected sex. This could be mostly due to allergic reaction to chemicals used as a lubricant in condom .However, even using condom is not considered to be 100 % safe and protected as there are chances of getting it broken which can be noticed during intercourse. Please get your basic screening tests for STD done to be rest assured about acquiring STD. Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a pea size lump on the back of my calf. Sort of in the muscle fibers. Its about 2 inches above my Achilles tendon. I limp when I walk because obviously the muscle flexes and loosens. I can feel one developing on the other leg in the same spot. Its also making my leg ache. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi! Good morning. I am Chat Doctor answering your query. If you are an over active sportsperson, you might have developed a small hematoma by rupture of the muscle fibers. In this case you may have to give enough rest to the limbs so that they get absorbed, and relieve you of your symptoms. Also, you should stop any kind of blood thinning agents if you are on it. However, before starting any treatment, I would advise you to get yourself clinically examined by your family physician for a proper diagnosis and management. Till that you can go for some anti-inflammatory Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi! My fiance is 26 years old, 165 cm tall and weighs around 75 kg. His SGPT is around 60 and he needs to reduce it to reach normalcy as soon as possible as this is proving a hindrance in joining the company of his choice. He does not drink or smoke and has been on a fairly fat and oil free diet for the last month. He has consumed no non vegetarian food either in the past month. Is there any medicine that could help him? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my blood pressure is going way high and low lately many problems- surgery errors now hernia and arterial fibrillation bulldozing our property no tresass court actions i need to take something to bring it down now being told I need medication 400.00 monthly I cant afford no drug ins what is your suggestions right now im having veinous insuffientcy hbp part involved need the surgery for it too in progress plus hernia future always two procedures first colonoscopy with anti freeze then another at hospital freeway down the middle two weeks to heal or walk <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloWelcome to Ask a Doctor service have reviewed your query and here is my advice. Underlying cause of uneven hemodynamic system is matters, although it is very less likely, it is always be the high blood pressure, if you are going to read it on your own then it may show you great deal of fluctuation so better to see the physician, moreover such condition may not cause any obvious condition, venous insufficiency of what region is question ? It is being treated according to vein disease of related region or area, for the hernia it is again what type hernia is there in which area on body it is happening, surgery is the option for most hernia. Hope I have answered your query, let me know for further assistance. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> severe left upper abdominal pain that goes through to the back. oily loose stools 10 to 15 a day. chronic fatigue, muscle and joint pain all over. Pancrease levels over the last few years are one time way to high and the next time the levels almost don;t exist. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor. I have read your query and understand your concern.It's due to pancreatitis only. The pancreas enzyme peeks at the onset and then fall back rapidly over a couple of days. So the levels are not used to monitor the disease progression. The oily stool is due to fat indigestion. You need to take pancreatitis enzyme supplements and avoid fatty foods.Also, Chat Doctor. Fatigue and pain can be due to anemia or electrolyte imbalance. So you need to see you local doctor with the above reports for the same Hope I have been helpful. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am currently taking 10 mg Percocet after being on Lortab and Norco 10 mg for over 32 years. My Doctor wanted to see if the oxycodone would give me better pain relief. I seems to be helping somewhat more, but not a whole lot. I was taking 6 Norco per day and now am taking 5 Percocet. I want to know if Percocet comes in a stronger dosage than 10mg; and if not, what we be the next step from 5 Percocet per day. Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|> The narcotic in percent does come in higher doses BUT with higher doses than this there is a very real risk that 1) if you stop you will feel quite bad for 1-2 weeks (with Chat Doctor. But then, it depends a bit on the type and etiology of the pain. If something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility. Sick nerves are MULTIPLE areas and tends to be the TIPS of the nerve not the whole nerve. And the point is that nerve pain can also be treated by nerve pills like anti-epileptics. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a bump under my left armpit, been there for over 3 years, its not big, and you cant notice it. When I press on it it is tender but otherwise doesnt bother me. Its not movable or anything its like its right in my tissue. What could this be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. Or you may have lipoma cyst. You shshould go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i had a water infection about a year ago and the main symptom i noticed was a pain in my back kind of on my side, i have recently started getting the same pain however i started experiencing it during a long drive and didnt think anything of it but a week later its continuing worse and im weeing alot , could this be a water infection again? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thank you for the question. I would suggest you to have an ultrasound of the kidney, ureter and bladder, urine examination and urine culture/sensitivity test for r/o calculus (stone) and urine infection. The reports shall give clue to treatment. In meantime record your temperature twice daily with a thermometer also note how many times you go for urination, any burning during micturition, spasm? Antibiotic course shall be needed in all probability. So get back after the test or consult a urologist. Take plenty of water orally, avoid spice in food <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi,I am 28 yrs old and tried to conceive naturally for approx. 6 months(but no luck)..my periods have always been regular with typical 28-29 days cycle. His semen analysis results are perfect too..last month visited a gyno. she put me on clomid 50mg, started medicine on cycle day 3(i.e 22nd Aug13)for 5 days..ultrasound was done on 31st Aug and 1st Sept. these were d results:day 11th follicle size on right ovary: 17, endo: 5.8day 12th follicle size: 20.8, endo: 7.2this was followed by ChatDoctor trigger shot on day 12. experienced tremendous abdominal pain on right side after 24hrs.we even tried on given dates.. but got periods today 17th Sept.why didnt I conceive when every thing seemed soo perfect ? why was I put on clomid without performing all other infertility tests? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Helloplease do not worry and think positively. You will conceive. Just have patience and the correct tests and treatment will help you conceive. It is very difficult to give you any advice before looking at all your reports in detail. Either you can go back to your gynecologist and understand the complete thing, or you can consult an infertility specialist/gynecologist at another clinic. U can come to my clinic for advise as well. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi,my daughter is four years old.recently she had an acute stomach infection. Her doctor gave her 1250MG of inocef injection through a saline intravenously for 7days. Now she has watery stool.I am giving her probiotics and Zantac but it still has not helped. I am trying to keep her hydrated but she had 9 loose motions today. Please help! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My 18 yo son has lost a patch of hair that started about a month ago and has rapidly spread. It is square, started about the size of one sq inch and getting larger daily, right now it is about 3 sq inches. It is on the back of his head, lower right side. His usually thick hair is also thinning very fast. He has had a full blood workup done, whicChatDoctore back with hormone levels normal & nothing else showed up out of the ordinary. Dermatologist did an TSH thyroid test which also came back normal. She wants to give him a series of 3 steriod shots (into his head & body). She cant tell me what is causing this, (alopecia is a catch-all it seems) so it seems to me that she is treating the symtoms only. At this point, I dont trust her. I want to know what is causing this. I have considered a fungal infection or a parasite but I thought those things would have shown up in the original blood tests. What other tests can our GP, Internist run? Also, I would prefer to find a natural way to cure this if possible. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. As per your case-history my probable diagnosis is alopecia aerate. My treatment advice-1. Don't worry it is a self-limiting disorder.2. It is most commonly associated with thyroid dysfunction. As it is negative in your case nothing to worry.3. You have already been given intraluminal steroid, and it seems to be less effective. So it is better to try other treatment option like tacrolimus 0.1 % ointment twice daily.4. Oral medicines like camisole, Zinc acetate can be given after consulting a dermatologist. Thanks. Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> 2 days ago my blood pressure was 95/55 and after the reading at my doctors I got very dizzy, lightheaded and confused.(After the bp cuff was taken off my arm) I drank gatorade and felt much better later. Today at the pharmacy my bp was 154/98 and then 145/94. After the cuff came off dizziness, lightheaded. Feeling fine before bp cuffs on each time. Can dehydration be causing this. Both night I have used heat wraps for my aching back. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi and thank you so much for this query.deny Chat Doctor. The increased blood pressure could be due to the back pains that you have described as it is not uncommon to have increased blood pressure when in pains. I will suggest that your doctors continue to monitor this blood pressure to make sure it is not suggestive of hypertension. I hope this helps. Furthermore, I wish you well. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Ive had some blood tests done recently and The last ones were done a week apart. One on 9/21/17 and the other 10/12/17. the first one showed high wbc as 13.4, normal rbc and high neurtophils (absolute) 9.0 and high lymphs (3.6) the second one showed high wbc and rbc as 12.7wbc and 5.30rbc . the neutrophils and lymphs have been high since january 17.. why are these high and is this is a sign of cancer or something else? Im scheduled to go to a hematologist but havent gotten appt yet and im freaking myself out thinking its lukemia or tumor or hiv or anything.. Im just thinking any possibility. I know you cant give direct answer but please tell me if these numbers are cause for concern. Ive been extremely tired, getting lots of headaches, my head feels heavy and almost like its swaying. but i think that stuff has to do with a strain on my eyes maybe so maybe not connected to above? I only take meds for high cholesterol and just vitamins nothing else. <|eot_id|><|start_header_id|>assistant<|end_header_id|> His have heard your history in details elevated WBC and neutrophil count could be due toInfectionImmunosuppressionMedications such as corticosteroids bone marrow or immune disorderCertain cancers such as acute or chronic lymphocytes leukemiaInflammation such as that experienced with rheumatoid arthritisInjuryEmotional stressLaborPregnancySmokingAllergic reactions would advise you to do a blood culture test. I do not think you have cancer. Regards Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> sir my uncle attmeted in mental hospital . but he was very clear and knowledge, he haven t any mentel behaviour but he was attmeted by his wife.but the tab novastat 5mg (0-07) tab clopitab 75mg tab ohsavan-3 (1-0-0) now he cant speak clearly and he cant walk normaly . he have attmeted last 2 days before . but he was very well when last week . he have some b.b, famly problems .lot of medicines he required . these medicines are correct ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> His am sorry to learn that your uncle is not keeping well. Mental problems affect the spouse and immediate family the most so it may not be easy to judge correctly by lay people if someone has a mental problem. Besides, the symptoms may not manifest in front of every one for example, Paranoid type of illness is very, very notorious to be missed by everyone, esp family members, so I suggest you have complete faith in the doctors treating your uncle. The problems you mentioned are probably the side effects due to medicines. They are going to be all right in a few days time. You can always discuss whatever are your concerns with the treating doctors Best Wishes <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I had a distal radial breakage back in early 2014 and since then I have had ulnar pain and my wrist looks brown/purple in the area where it hurts. The pain is getting worse and I can no longer lift dumbbells in that hand because my wrist will not rotate to a full supine position and when I push it to rotate more, it kills <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe redness and pain in the wrist . Well there can be many reasons for symptoms you mention in query like disorder such as diabetes, arthritis, or an underactive thyroid, gout, rheumatoid arthritis, psoriasis arthritis. There is also chances or soft tissue injury lie tendon or ligament. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order x-ray, CT scan or physical examination. Doctor may tie crêpe bandage and ask you to apply ice pack for first 48 hours and then warm compresses. Doctor may also prescribe lasered. For now do icing of wrist, avoid lifting any weight and give your wrist proper rest. Hope your concern has been resolved. Get Well Soon. Best Wishes, <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I went to "pamper-me party" and recieved a bikini wax, and pedicure. shortly after, I noticed a bump in the bikini area, that just peeled skin, (dark colored), along with hairloss to that area. The toe area began to swell, also. I began using fugi-cure, with relief of symyoms. I also began using fungi cure to the bikini area, only to watch the hair return. how do i know if i have a staff infection? <|eot_id|><|start_header_id|>assistant<|end_header_id|> The only way to identify a staph infection is to take a culture from the affected area and see if the bacteria grow out. Staph infection on the skin can present in many ways, so you can't tell by just looking at it. You could get an abscess or a pimple-like lesion, or redness and tenderness of the skin, or a sore. Such lesions could be caused by other bacteria besides staph. If you suspect you might have a bacterial infection, be sure to keep it clean, and you can try antibiotic ointment. If it is becoming an obvious abscess, or a cellulitis where the skin gets red, inflamed, and hot to touch, that could indicate an infection that needs treatment. In that case you should see your doctor for the appropriate treatment. Hope this helps. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I m itssel. I have a question from something that s been happening to me for a while now. It s this feeling in my chest and throat. It s as if I had something stuck in it. In my chest, it feels like its being sat on. It feels really tight. Also I have this horrible pain in between and under my ribs. It all gets worst when I lay down. It doesn t let me breathe. Also, my heart is just racing, and suddenly it goes back to being slow. It hurts really bad when this happens. It s been going on for a while now but each time it happens it just gets worst. I also get nausea. I dont think this is normal or a good thing. Your help would be appreciated, thank you. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, By your history and description, we should definitely rule out asthma first. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is normal then no need to worry about asthma. Another possibility is stress and anxiety. Stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello, I was on the Microgynon 30 for the last 4 years. My last date that i was on my period was 07/10/2010. As soon as i finished i was due to start my pill again on the 08/10, however i did not take it again untill the 14 + 15/10/2010 just for two days.. I was intermite on the 15th & 17 + 18th October without taking the pill. I was due on my period on the 31/10/2010. On the monday 18th I felt symptons of Back Ache, feeling sick and little cramps. On the 25th October i got a little bit of spotting which was red. Then it stopped overnight and came again for a couple of hours in the morning. I then had like a period but was very brown and only lasted 3 days... I have been feeling very tired and dont know if it is just me thinking im pregnant.. I have tried 4 prg tests before the so called period and all neg... Dont know weather to try again... Please help. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. 1) As you had unprotected sex in this period, there is risk of being pregnant. But I will suggest that you get the urine pregnancy test done Only after your expected date of the cycle. 2) doing the tests before the expected date will not give proper results. I will suggest you to get urine test done 15 days after the last sex act which was on 18th. I hope this answer helps you. Thanks Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have what has sometimes been diagnosed and psoriasis and sometimes as i am not sure what it is. It is a form of psoriasis. I usually have to take an antibiotic to keep infection down. It is not helping at this time. My skin is very inflamed and itchy and i feel like i am having an alergic reaction on the inside and outside of my body. I am unsure what to do at this point. I don t usually itch with my psoriasis as much as i have this week. I am wondering if i need to see a Dr. to get a steriod shot or something. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. I think probably you may be having allergic dermatitis along with psoriasis.... Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of psoriasis. You said that from last few days you have inflamed skin with itching...that would be due to allergy. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly...for psoriasis. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamines like levocetirizine. If needed, steroid may be taken for short period in tampering dose. Antibiotic course may be considered, if there is secondary infection. You may apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. You may apply moisturizer to improve the skin texture. Furthermore, you should avoid soap bath for few weeks. And you should free of stress and worries as that might worsen psoriasis. For inflamed skin, you may apply antibiotic cream. You might get good result. I hope you got my answer. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello, I have a pain in the same place where the appendix is located. I had a stomach virus maybe 3 weeks ago and my stomach was hurting alot. They gave me some pills and that went away. But then I started having pain in the appendix area and I was sure it was appendicitis . I had the pain and low fever. I m 22, my parents took me to the emergency room and they did a CAT scan and said everything was normal even my appendix. Gave me stomach medicine again. But for some reason it wasn t hurting as bad that day. About a week ago it was hurting really bad, and now it s kind of a little bit of pain, but it makes my eyes red and I look really tired. I want to make an appointment to go to a gastreologist. But can anyone tell me what this could be, any ideas? It makes me really nervous because the pain won t go away, even though it s not as bad now. Thank you and I would really appreciate any answers. Thank you so much. -Yuriy <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, From what I understand, you are suffering with right lower abdomen pain. Yes, appendicitis does present with right lower abdomen pain. But if the pain is not very severe, and you do not have fever / nausea / vomiting, it is less likely to be appendicitis. Besides the CAT scan was also normal ruling out any chances of appendicitis. This pain what you have could be related to some minor intestinal infection; renal stones or minor muscle sprain. Adequate rest and analgesics like Motrin would be helpful in these conditions to relieve your pain. In addition, Chat Doctor. I understand you are concerned. But all the test and your symptoms are against possible appendicitis. This is more likely a sinister problem which should settle down in a few days. Cheers!!! <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my doc just called and is having me come in for more blood draw tomorrow she would not talk over phone all she said was my liver is irritated? i am concerned of hep c du to an intravenous drug problem. could this have anything to do with my liver issue? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. Viral hepatitis is always possible especially in iv Chat Doctor. But irritation may also mean fibrosis or cirrhosis or gallbladder stones. So you need to make viral markers and liver ultrasound. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, may I answer your health queries right now ? Please type your query here...I have just found a worm in the toilet after my 3 year old had passed urine only. it was about 3 to 4 inches in length and very thin not even a milimetre. it was black in colour. She hasn t shown any signs of troubles going to the toilet and with her tummy. Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, It is quite unlikely for worms come out of urine. I guess your kid is a girl-in girls, worms coming out of anus can crawl in and around to reach vulval area, which is then flushed out while passing urine. This can happen in boys also, though more uncommon. It would be more helpful if you can send a picture of the worm. I suggest you to give albendazole tab 400 mg at night once(or 10ml of suspension) if not given in past 6 months. There is a type of worm infesting bladder, but usually we can't see them with naked eyes. Hope I have answered your question. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i have a masturbation addiction, i also had a smoking adddiction, but i quit smoking around 2 weeks ago. 2 days after i quit smoking i started masturbating a lot. i masturbated 57 times this week. 57th time was around 3 hours ago, and right now i m having urges to masturbate again. i have this slight pain right above my groin and below my waist line like somewhere in the middle. this pain has got me worried. and i m scared if somehow i manage to bring my masturbation number down, i might start smoking again and i dont want that. please help me overcome both of these problems. thankyou! -Abdullah <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear, We understand your concerns went through your details. Excess masturbation is always energy consuming and therefore many areas of your body starts showing the symptoms of lethargy and fluid loss. Among the first symptoms of fluid loss is muscular pain. You should stop masturbation for the time being, for a week. After that reduce your masturbation frequency to three times a week. To stop smoking, you should consult a addiction therapist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi Doctor, For a last couple of months I have been suffering from chronic sneezing. My day starts with sneezing and the symptoms get better by the evening. Throughout the day I keep sneezing with continuous runny nose and itching eyes. I am tired now even eating anti allergents like avil as it makes me dry mouthed and very drowsy. Ple help as my daily life is now badly affected. Yes sleeping makes it worse. I do breathing exercises but it is not helping. Regards................MeenakshiThanks <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello Meenakshi, Thanks for posting on Chat Doctor, Your symptoms are suggestive of an upper respiratory tract affection and I suspect either one of two most common conditions that cause this kind of symptoms i.e. allergic rhinitis and chronic sinusitis. However, both conditions require thorough medical evaluation (with ruling out of other conditions too) and both also require different treatments. A specialist doctor such as an ENT will be best suited to run a complete medical exam and therefore provide you with treatment. The management of allergic rhinitis consists of 3 major categories of treatment- environmental control measures and allergen avoidance- Pharmacological management- Immunotherapy, these may seem to be big words, but be rest assured that you can handle the situation at your level. First, you will need to identify by yourself if they are any new elements in your life that might be provoking any allergies i.e. identifying common allergens. Common allergens include pollen and outdoor molds, indoor allergens such as dust mites, animal allergens, cockroach etc. You will need to see if any are responsible, then you try avoiding them. Immunotherapy is only indicated in case medical therapy fails. There are a wide range of medications available witChatDoctormonly used classes being antihistamines (1st and 2nd generations) such as cetirizine, loratadine, chlorpheniramine, defense Chat Doctor. Chronic sinusitis, on the other hand, requires in addition to some of the above treatments, antimicrobial therapy such as penicillin, cephalosporins, accolades etc. Your doctor should be able to indicate the right treatment ones a conclusion as to the exact cause of your symptoms is derived. Hope this helps <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> parasites worms under skin in roof of mouth laying orange eggs also white wormlike creatures pulled out of chin.... pulled white fat wormlike out of ear pierce hole....74 yrs old.drs wont ackinowledge .... trying to find a parasitic desease ..please advise... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Most of the parasite resides in the other GIT or lungs. So it is seeming to be other parasites. Most common parasites wandering in whole body are strongyloides stercoralis. It is seen most commonly in HIV reactive or immunocompromised patient. But it is advised you to get the worm examined by nearby laboratory. Treatment with albendazole will clear the infection. But to eradicate the infection you need to clear the background immunocompromised state. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My friend has developed a severe blink that has now has turned into a facial parralasis when he try s to talk, he has had a very traumatic time over the last few years and I thought it may be psychological but I fear it may be something worse. The blink can last 5 to 10 seconds before he talks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for posting your query. I have noted your friends symptoms. Based on the description, he seems to be suffering from bifacial spasm. If you can upload a short video f his face at rest and while he speaks can help confirm the diagnosis. Botox injection treatment can help in bifacial spasm. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My mother is 65 years old for last 3 months she was suffering from saviour mouth ulcer in her mouth. Now she is ok,But now only little white spot are left. The doctor suggested for below mention medicine:-ENDOXAN (50mg). WYSOLONE(10mg)ATARAX(10mg)DOMSTALMPSKENACORT ORAL PAST.But after one month of treatment, she is now suffering from swelling face. Is this is the side effect of the medicine taken by her. Secondly she is having high B.P the mendice taken by her is:- OLMESAR M-50ROSUVAS-10TIDE-10mgLastly she is also suffering from thyroid, Medice taken by her is:- THYROX(50)Her haemoglobin is 10.3 gm/dl. And her WBS COUNT is 5600/cmm.PERIPHERAL SMEAR EXAMINATION Erythrocytes :- Mild microcytes, Mild hypocromia.E.S.R :- 25 mm/hr.Is the face is swelling due to the side effect of the above medicines. The existing doctor had suggest to continue the medicine at lest for six mouth. Please suggest which medicine is effecting her and Please suggest me the specialist doctor for mouth ulcer in pune. Regards,Gurpreet Singh ( YYYY@YYYY ) <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Harpreet Singh, Please note face swelling is unrelated to mouth ulcer. Your mother is put on steroid therapy by the doctor. Changes in steroid hormones levels in the body leads to swelling of face. If you can send me your mothers clinical picture along with lab reports, I shall advise you exactly. Regarding mouth ulcer, there is no specialist to treat it. Consume multivitamin tablets 2, in the morning and in the evening. One week of multi Vitamin tablets shall do wonders. Do let me know for any additional information anytime. Best regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I m currently trying to join the military, and had a couple of questions concerning the medical questionnaire that I m supposed to fill out. If you could tell me what the following question is asking for, I d greatly appreciate it: Have you ever had or do you now have: Abnormal curvature of your spine (any part)? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : What does abnormal curvature of spine mean? Answer : There is a normal Curvature of Spine. The Spine at your neck is curved with the convexity toward front. In the region of your rib cage, the spine is curved, but the convexity is toward back. Again in the region of your Lower abdomen, the spine is curved, but the convexity is towards front Now, There are certain diseases in which these normal curvatures are lost or exaggerated. Those are called Abnormal curvatures. These are called Kyphosis or Exaggerated Lordosis or Loss of Lordosis Sometimes, the spine gets curved towards right or left. These are called Scoliosis If you could tell me what the following question is asking for, I'd greatly appreciate it: Have you ever had or do you now have: Abnormal curvature of your spine (any part)? The above question is asking : Have you had Scoliosis, Kyphosis, Loss of Lordosis or Exaggerated Lordosis Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi My Name is David I am a 49 year old white male I have been having disturbing dreams about the abuse I suffered at my mothers hands. It was all physical and emotional. It lasted until I was 18. I m afraid to go to an anylist because I don t know if I really want to remember everything. I can t sleep anymore because I m afraid the dreams will come. It is really causing issues in other areas of my life as well, sex life, friendships ect. Please help me. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome to Chat Doctor. Thanks for your query. I can understand that you are going through a difficult time due to your disturbing Chat Doctor. It appears that this is causing you significant personal and socio-occupational dysfunction. You also report inability to sleep. No, since your symptoms are causing so much of distress, it is important that you seek professional help. You need not necessarily see a psychoanalyst to relive your past traumatic experiences. But you definitely need emotional support and counselling to help you handle these problems. I would suggest that you see a psychiatrist for a detailed psychological assessment and further management. Trist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems and help you have a proper, restful sleep. Wish you all the best. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi i am working on a journalism project for a class on a new cancer treatment. I ve been told that with traditional cancer treatments the medicine often does not reach the cell. In your experience what is the success/ failure rate of traditional treatments? Also how much of a difference would a treatment that can deliver the medicine directly to the cell make to your patients? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi there, Traditional cancer medicines are harmful in many ways. They cause delay in people seeking modern treatment. Even if one starts on treatment, they may stop it believing in traditional treatment methods etc. Once the cancer progresses beyond any cure and patients suffer in pain etc., they return to hospitals and then It's too late for modern medicine to offer anything but pain relief and palliative care. The traditional cancer doctors are usually very nice talkers and give plenty of time and listen to patients and more or less play with vulnerable patients emotions and then once they fail they put the blame back on the patients for not doing things exactly according to their instructions etc.... Also people are cheated financially in the process. Any person advertising alternative or traditional methods and claiming cure should be prosecuted. Why people don't go for traditional medicine when they meet a traffic accident or heart attack?? Why only for cancer???? Have you thought about it? Regards <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i have hurt my back years ago - bulging disc. on monday this back pain returned after i got out of the shower. I have been in bed for last 2/3days in constant pain but when i try to cough it really hurts & seems to pull even more. I have been useing a tens machine & taking panadol <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for your query. Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer, though. Take rest breaks throughout the day, but avoid sitting for long periods of time. Make all your movements slow and controlled. Medicines like ibuprofen or naproxen may relieve pain. Specific exercises can strengthen your lower back and abdominal muscles. Epidural steroid injection. In this procedure, steroids are injected into your back to reduce local inflammation. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My joints and muscles are very sore and Im having a difficult time moving. I just came back from a trip in cuba a week ago and while i was there i had severe diarrhea. I went to the doctor there she gave me a shot and antibiotics and an elixir and so electrolyte packages to take over a couple days. Its been a week since i was home now and still loose bowels but my muscles and joints feel achey and seem to be getting worse. tonight i can hardly move <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi You are having persistent diarrhea and pain in joints and muscles. In my opinion your diarrhea has not been fully corrected, so you continue the course of antibiotics and oral rely Chat Doctor. Your pain and aches are secondary to electrolyte imbalance and once you recover from diarrhea, your pains and aches will be gone. If you feel that diarrhea is severe then it will be better to consult a physician. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> About 2 or even 3 weeks ago, I dropped something heavy directly on my foot. It was bruised for sometime but the bruise soon went away. At the moment, I feel no pain but I have a small bump on the inside of my foot, where the bruise used to be, should I be concerned? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, it is callus or million of fracture. You had foot injury 3 weeks ago. And after 3 weeks, you are having bump on trauma site. So possibility of fracture at the time of trauma and healing after 3 weeks is high. In bone fracture, healing occurs by callus formation. It is collection of inflammatory cells and calcium which give rise to appearance of swelling. Another possibility is million. If fractured fragments are not fused correctly then they can give rise to swelling due to million. So better to consult orthopedic doctor and get done clinical examination and x-ray of affected foot. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a 4.5 yo with a constant mucus producing cough (7weeks) and audible wheezing. She has completed 4 courses of antibiotics (abbocillin, amoxcillin, roxythromycin to which she developed an allergy and erythromycin) she also had 4 days of steroids and is on ventolin. Her blood test showed an esr of 30 and we are waiting on a mucus culture to grow. Any suggestions? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi... Thank you for consulting in Chat Doctor. By what you quote I put forth these possibilities -1. Congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). But the child will not struggle to breath and there will not be fast breathing and in- Chat Doctor. The sound will be more heard during sleeping and feeding.2. Wheezing - Here the sound will be predominantly expiratory; the kid will be struggling to breathe, might turn blue and require oxygen and may have chest wall in- <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a large lump on my head I think it s been there for years. I ve had a ct scan and even though the doctor isn t sure if it s a lesion on part of my scull wants to do an operation on it to see what it is. I m not sure although I ve just had a pre op. I ve only just received my results today. The doctor also said nothing had gone into my brain and he said he wasn t happy with the ct results ie he would of liked to see more. So why would he do this procedure instead of another ct scan??? Thanks Sam <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to Chat Doctor. 1. The history and the symptoms suggest there is lump on the head which is unsatisfactory on CT scan.2. This suggests possibility of the bone involvement - bony lump with intracranial involvement. 3. This is only possibility - as you have to mention the findings in the CT scan. 4. In this case I would recommend the next step will be FNAC / BIOPSY - fine needle aspiration cytology or biopsy.5. That will help to identify the nature of the cells involved. And treatment will be accordingly. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi doctor Last month i got periods on 18 th of july and me and my husband had sex on aug 15 and 16 and i took postpone 72 on aug 17. Today is aug 20 still i didnt get periods we dont need a baby now. My periods is more or less regular is there a chance to get pregnant ?? Thanks nd regrds Xxx <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dairy understand your concerned not worry. Pregnancy chance is nil because1. You have done sex in the safe period of the cycle and no ovum is released during this time, so no fertilization take place.2. Posting 2 is 95% effective in preventing pregnancy. Your period is delayed is just due to hormonal imbalance caused by the Posting 2. It contains high progesterone and cause prolongation of second phase of the cycle and delay period. Avoid stress, take healthy diet and do regular exercise. Hope this may help noncontact Chat Doctor for further health query Best regards <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I just received my chest xray report and this was stated at bottom. All else seemed to be normal. What exactly is this and what could it mean? Thank you. IMPRESSION: I just received my chest xray report Prominence of the interstitial markings in both lung fields. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi thanks for asking question. If you have no symptoms at all then it has of less value. But here are few possibilities.1. First interstitial pulmonary edema can lead to such prominent marking. Patient will also complain pink frothy sputum and dyspnea.2. Second if you are working in textile industry or asbestos using industry then chances of pneumoconiosis is present like silicosis, asbestos is etc. Can lead to dyspnea with such x-ray finding.3. If you have dyspnea, cough, fever, chest pain then interstitial pneumonia like atypical viral or cytoplasm pneumonia can be the cause.4. If you have increasing breathlessness and no specific cause found for that idiopathic pulmonary fibrosis has to be ruled out. To distinguish between restrictive and obstructive disease pulmonary function test is useful. Complete blood examination also helpful. I hope my suggestion will help you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i was riding a bike and met with an accident, my left leg toes except the big toe got fractured and there is a swelling on my feet around this location. Initially i was bandaged with casting and later i was suggested with a aircast shoe. Iam wearing this shoe but over a period of time my swelling turns to black colour. what is the reason? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Rest assured your swelling turning to black color is just part of the entire inflammatory response to your injury. What you have my friend is ecchymosishere is how it happened to you :) for your question what is the reason:after you injured your left foot, structures underneath your skin gets damaged (bone ligament fat small blood vessels)they bleed temporarily, but since you don't have a break in your skin (external cuts, open wound) the blood is trapped underneath your skin. Even if you did not ask I would like to tell you this as well, because you probably would like to know this and save u some time of asking another question:overtime this blood would slowly be reabsorbed by your body but some of them will find their way to your skin hence giving the appearance of black or darkening of the injured body part. They temporarily "stain" your skin. But through time they will also get reabsorbed by your body.till go away on its own so relax. Merry Christmas in advance Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Had a steroid Epidural injection last week. Getting increased chest pain and terrible stomach aches. The pain specialist prescribed Prevacid as a result that I may have side effects from the steroid. My chest muscles hurt as well. When I eat the pain worsens. Feels like I am being crushed in the chest. I am worried. I have never had this side effect before with the previous injections. Could something else be going on? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of gastritis and related pain is more. But I think you might have gastric ulcers because you feel pain immediately after eating meals. So to rule out this, better to consult gastroenterologist and get done upper GI (gastrointestinal) copy. If it is due to ulcers, you need to follow below-mentioned lifestyle modifications along with Chat Doctor. 1. Avoid stress and tension. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals.4. Go for walking after meals. 5. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, my daughter is suffering from dry cough since 3 days. She has been taking nebulisation with asthalin since yesterday, three times till now. Now the cough has still not subsided. Apart from that she has been taking Ambrodil-S 5 ml. Please advise if I continue with antibiotics.AGE: 3+ years. Height- 3 ft weight- 15kg Medical History- Nothing <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi thanks for contacting Chat Doctor... Noted your child having Chat Doctor. . So it could be viral flu or allergic one.... Here I don't think antibiotic given as no phlegm or mucus present.... Simple antihistamines might be needed to relieve inflammation... Antitussive like dextromethorphan syrup might have given... Avoid passive exposure to dust and smoke... Respiratory rate and auscultation examination done .... If bronchoconstriction then bronchodilator given. Honey help in soothing resp tract. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am in need of a ortho to access my physical abilities for my ex-employer. I was getting long term disability from their insurance(cigna) and they cut my benefits until I have a doctors assessment of my ability or inability to do my job there. i had two rotator cuff surgeries on my right shoulder and i still cannot use it 100 percent and am in constant pain. I cant afford my doctor who did the surgery because my benefits did not include health insurance. I just need a doctors opinion on my restrictions so that I may start receiving my benefits from cigna again. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thank you for the brief history of you. As you mentioned you had two RCI surgeries, I am actually not happy to hear this. RCI does not need surgery and if needed it is not performed twice. There is something which went wrong. Let's figure out this. Hope you will cooperate and provide the details. How many rotator cuff muscles were ruptured? What surgery was performed? Did you perform physical therapy before and after the surgery?what was the muscle strength before and after surgery? Well this questions decide the prognosis of the patient with Rotator cuff injury (RCI)Also, I have been seeing RCI patients with 2 out of 4 muscles rupture. Can say a 50-50% cases. All have recovered well. Neither a cortisone injection nor a surgery was done post physical therapy. Patient is above 65 and can perform all physical activities without any hesitation. As I think now you have undergone two surgeries, you need a good physical therapy which can help you regain all functional movements. Also, performing surgeries back to back is not good as it may lead to scarring of the tissues. I advise you to do 12-16 weeks of proper physical therapy to get optimum results. Any more questions, you can ask me personallyRegardsJay In Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a pain in my elbow it happened yesterday while I was mashing turnip I felt a pull in the elbow area when I got up this morning I noticed a little white lump on the tip of the elbow and when I bend my elbow it feels like the muscle is being pulled. The elbow is sore to the touch and I can not put any pressure on it. Wondering if this is temporary and just need to rest it or should I consult my family doctor. Thank you in advance <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for your query. I can understand your concerns. It seems that you are having Olecranal bursitis which is an inflammation of olecranal bursa (small sacs of fluid that help joints move smoothly) at the back of the elbow. The swelling or lump is caused by increased fluid within the bursa and is tender with movement or when touched. Mild but repeated injury (direct or indirect-as in tour case) is thought to be the common cause. It often clears on its own. Treatment may be needed in some cases to reduce the inflammation and clear any build-up of fluid. You may find the swelling improves with (R)est, (I)CE packs, (C)compression (wearing a bandage) and (E)elevation (keeping the elbow in a raised position). Avoid leaning on your elbows, protecting your elbows during sports activities with elbow pads (in future), and use non-steroidal anti-inflammatory Chat Doctor. Treatment for sudden (acute) bursitis may include <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Can thrombocytosis result from an untreated sinus/respiratory infection? Patient is a 65 year old male with a severe sinus/respiratory infection. Starts experiencing numbers in bilateral arms and face and burning pain in bilateral feet. Has pain in his diaphragm region. Blood pressure is 200/100. Blood work results show high platelet count (double whats normal) and everything else is normal. EKG, stress test, carotid ultrasound are all normal <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dear. I have gone through your question. I can understand your concern. You have thrombocytes. Any infection can lead to reactive thrombocytes. You should take treatment of your infection first. Your platelet count will down to normal automatically. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hey Doctor,I Just wanted to ask about the home remedies for removal of moles and if it does really work??..and if so which one is the best..ive heard of Honey, apple acider vinegar,Toothpaste..and so,, and also wanted to know its Safe or Not..Thank You So Much :)) <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I read carefully your question. The treatment would depend on the type of mole- if it's a mole caused by pressure/friction, or it there is more than one, most probably from a virus. In the second case, you may burn the moles by applying locally chemical topical agents, burning to the doctor with different methods, or if they are really spread trying even oral therapy. I would not recommend applying home remedies that might not only not work, but also cause damage to the skin around the mole, which might leave a permanent scar. Hope this helps, Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I just got my blood test result and GGT showed 154 U/L, but AST and ALT are normal. Doctor suggested taking Essential Forte N for 2 months. Will this help? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. Thanks for writing to us. GGT blood levels may be elevated due to liver disease, hepatitis, gallstones, diabetes, pancreatic disease, kidney failure, alcohol misuse, certain prescription Chat Doctor. The mild rise in GGT that you are having does not need any treatment if there are no symptoms. Proper blood investigations are needed to find out the cause under the guidance of your gastroenterologist. I hope this information has been both informative and helpful for you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi I had a follicle of size 18mm on day 7th,. Is it necessary for taking injections for follicle size and is it also necessary for trigger? Without these injection is there any natural way to increase the egg size?My age is27, weight is 75kg,height is 5.3 .I got all my tests(blood tests7ultrasounds) cleared getting nothing wrong & all is fine. Considering my case, when will I be ovulating approx? Kindly reply. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi welcome to Chat Doctor. I have gone through your question.18 mm follicle size is about to rupture within 2/3 days, ad follicles generally rupture at 20/22 mm size, but you had this size on 7th day is slightly contradictory. I would advise doing follicular scan to follow up for follicular rupture. Ideally at this size no injection is required to rupture follicles. But if there is tendency of follicles converting to cyst in past cycles then it is necessary. So consult gynecologist for further treatment. Hope I answered your question. Would be happy to help you further. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been on Yasmin birth control for 9 years, and have never had a problem with it before. I got off of it last year in March, but by October I got back on it. Was on it for a few months, then stopped for 2 months, back on a month, now off again. For the past week now, I have been getting dizzy, light-headed, my tongue feels like it swells in the back of my throat, my mouth gets dry, I feel like Im going to faint, shaky throughout my body, blurred vision, cold hands & feet... What is going on? And could me not taking my birth control be affecting me? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for posting your question here, I will try to answer it to the best of my abilities. Nausea and light headdress is a rather common side effect of contraceptive pills, as such it is entirely possible that they are the reason you are feeling this way. Stop taking them for a week and see if your condition improves, if it does we've identified the cause. If it doesn't, see a doctor so that he can run some tests and try to identify the cause of your problems. I hope this answered your question. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have had severe stabbing pains every 20-30 seconds in my calf for the past 4 hours... no injury or nothing new pain is intense and lasts 3-7 seconds then off and back again in 20-30 seconds no matter what I am doing or what position I try with my leg... Please advise <|eot_id|><|start_header_id|>assistant<|end_header_id|> Half pain can arise due to many causes such as muscle strain, sciatica,vitamin and mineral deficiency. Rest, ice compression, elevation of the limb and over the counter painkillers can be used. Vitamin D and Calcium deficiency can also cause calf pain. Serum electrolytes and Blood sugar levels should be measured. More serious causes of muscle cramps such as kidney failurehypothyroidismalcoholismdiabetessevere peripheral vascular disease should also be ruled out. Hope that was helpful. Let me know if I can assist you further. Regards Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> what type of staph causes tunnels , I HAVE A FRIEND WHO has had a staph infection with tunneling for nearly a year. It was healing but lately has gotten worse and three long ones. What can we do to prevent cross contmination in her home. Should we add disenefectant to laundry ? what about her recliner, bedding. s <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern.First you have to rule out the MRSA infection in your friend. MRSA is resistant to multiple Chat Doctor. It can transfer amongst other member of the family. So bedsheet, towels, clothes and other materials should be properly washed and disinfectants should be added. All the species of Staphylococcus causes the same pathogenic, so differentiating in species won't cause treatment simple. I advise you should do Antimicrobial sensitivity of the organisms and take the treatment accordingly. Take the complete schedule of the <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi I was diagnosed with high BP about 6 months ago,and just started taking my meds again 2 weeks ago,I am currently on Losaratan 50mg and I don t think they are working,I am consistently feeling dizzy and out of it,I took another 25mg,but I still get the same,my blood pressure right before I am going to sleep is 133/84,I just want to figure out what s going on with me or if this is normal,please help,I just want to feel better. <|eot_id|><|start_header_id|>assistant<|end_header_id|> The losartan you started taking is a safe Chat Doctor. But as you started taking it too late after prescribing. As you increased the dose from 50 mg to 75 mg on your own assuming BP as increased is not advisable. SINCE YOU STARTED ITS ICE 2 WEEKS YOU NEED TO WAIT FOR THE REDUCTION IN BP.AND YOU NEED TO DECREASE TH SALT CONTENT IN YOUR FOOD AND DO EXERCISE FOR 45 MIN DAILY.COME BACK TO 50 MG AND RECHECK THE BP AFTER 2 WEEKS. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have it open cavity and it is my wisdom tooth Ive been having a headache since this morning 9 oclock a.m. I took multiple multiple pain relievers to soothe the pain as well as a antibiotic. The pain will not leave what should I do I fear the dentist <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that you have a deeply decayed wisdom tooth which has involved the Pulp which is central portion of the tooth and contains nerves and blood vessels and irritation and inflammation of the nerves leads to severe pain which can radiate to Jaw, Ear,and Head. Painkillers may or may not provide you relief, and you need to consult a dentist and get an x Ray done and in case of deep infection you can be advised Root Canal Treatment followed by antibiotics and painkillers if tooth is in a condition to be saved. But in case if tooth cannot be saved due to excessive decay, or you do not want to save the tooth Extraction followed by antibiotics and painkillers will relieve. You need not fear the dentist as all the treatment will be carried out under local anesthesia and will be painless. As for now you can take Tramadol as it can relieve severe pain but should not take for extended duration as it can cause addiction. Hope this information helps. Thanks and regards. Chat Doctor. . <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I been having a lot of pain on my left side. My doctor has conducted various texts with no results. Someone at work told me that it could be polyps in my colon. I do experience inflammation on my left side and the same time I m also gets pain in my left side of my back. I m tried all the time and my body feel funny. Will not be able to see my answer until I get to work tomorrow, my personal email isn t posting anything right now. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, The location and movement of a pain gives clues as to what is going on. Certainly colonoscopy is a way to prevent colon cancer. AND it is unlikely that colon trouble can connect to neck pain. Cannot say in your particular case, but generally, posture, lack of exercise, depression can cause a variety of symptoms. Modulating work environment to include changes in position and exercise is a way to see if that relates to pain. Hope I have answered your question. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am six weeks pregnant. Two days ago I passed a small, light red discharge with what looked like tissue. I have not had any other syptoms since then. I called my doc and she said no big deal...didnt sound like anything to be worried about. Everything online says differently. What is your opinion? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I have gone through your query and understood your concern. If the discharge you passed looked like a piece of flesh, it is likely to be a product of conception. Otherwise, it is likely to be clotted blood. Sometimes, during very early pregnancy occasional spotting is observed with no major issues further on. Yet, I would suggest a local exam and also a pelvic, preferably trans-vaginal sonogram to know the status of the pregnancy. If there is any hormone deficiency suspected, it should be replaced. Absolute rest, avoidance of stress, lifting weights, sexual intercourse and travel are mandatory. Hope you find this information useful. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi my husband had a sore stomach last night and woke up with a cold sweat , he eventually went to the toilet and had olot or diarreha. today he was feeling better but tonight has a fever of 37.5 and had a small amount of blood when he went to the toilet he is feeling weak. should i take him to the hospital tonight or wait to see whats happening tomorrow? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for posting in Chat Doctor. I understand your concern. From the description you have given, it appears that your husband is suffering from infective diarrhea. Kindly do the following to overcome it. 1. He needs to take antibiotic course of Tablet. Ciprofloxacin with Tinidazole combination - at 12 hourly intervals after food for 5 days. 2. He needs to increase the fluid intake by consuming good quantities of water, fresh fruit juices and oral rely Chat Doctor. 3. He can Take tablet. Acetaminophen when he has or feels feverish. In case his condition does not improve, or his weakness continues, he may require hospitalization and further treatment with infusion of intravenous fluids. Hope the information provided would be helpful. All the best. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Dear Sir, i am 22 years old and i amusing" myteka "(10mg) last 5 years. actually i have a light asthma attack at night only thats why i take 1 tablet at every night. Is there any side effect for using myteka for such a long time? and may i use this tablet further? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. First, to ad Chat Doctor. Common side effects are headache, nausea, stomach upset, etc. If you are not experiencing it, you can continue taking it.2. Were I treating you, I would suggest you allergy testing which will help you identify the substances causing allergies to you and also to know the measures to avoid them. As you get more symptoms at night, I would think of allergy to house dust mites and indoor molds first. Based on allergy testing report, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to improve allergy symptoms gradually over a long period.3. I would also suggest you regular breathing exercises and a healthy diet which will improve your lung capacity and immunity respectively.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I went into labor at 21 weeks. My cervix wasnt strong enough to hold my baby full term. My baby was 11inches and 13.6ounces. Because he was so little and i was not further along, laws state that doctors could not help him. So they let me hold him until his heart stopped beating. He lived for 41 minutes. My question is, is it possible for a baby of his size that was born at 21weeks able to live for 41 minutes? If so how is this possible? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, I am sorry to hear that you have to go through a premature labor. Hope you are coping well. To answer your question, the lungs of premature baby are very poorly developed (technically very less surfactant) -so the baby can breathe for a few minutes to some hours maybe, but then the cardiopulmonary system gives up, and the baby succumbs. If the baby is at least a minimum of 650 grams (also depends on various other factors, like lung maturity, developmental assessment of various systems, absence of heart and other gestational developmental problems), the neonatologist may make a judgmental decision, after discussion with the parents, to give assisted care, till baby reaches term. If baby is less than 600 grams, the available medical didactic is not developed to support its survival to term. Hope this helps. <|eot_id|>