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<s>[INST] Hello, I have recently been diagnosed with tendonitis and was given a cortisone shot in the upper shoulder muscle and advised to wear a shoulder sling for 3 days and am now wearing tennis elbow strap. I have been experiencing some throbbing pain in the left lower side of my head behind the ear area and was wondering if this is maybe related to putting strain on the neck through the sling? [/INST] Hello, Yes, the pressure applied over the neck region is common and this may lead to muscle spasm which can cause the pain in the muscle of the neck. Loosening the strap and doing some hot water fermentation for neck will reduce the pain. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. </s> |
<s>[INST] I am a 45 year old female. Generally healthy, but have suffered from bilateral reocurring kidney stones for several years. Slightly anemic. Was tired most of the weekend, woke up this morning with sore throat , runny nose, plugged up ears, sneezing and oddly - swollen gums specifically on around bottom four front teeth. Feeling progressively worse through the day. No sores in mouth and gums were fine last night. No fever. Had a flu shot a week ago. Had teeth cleaned about 4 weeks ago and had no issues with them. [/INST] Hello, a delayed reaction to the flu shot is a possibility although unlikely, but you are definitely having release of histamine with the sore throat, runny nose, plugged ears and angioedema (swelling) affecting the mouth. Delayed reaction to mouth washes at the dentist is more unlikely. A skin prick or specific IGE blood test would elucidate if you have any allergies particularly dust mite. Stopping smoking is a priority (if you do) for several reasons. Antihistamines such as cetirizine should suffice (taken one daily for 7 days). If you are on any blood pressure pills, do get these checked as ACE-i Chat Doctor. Thanks.</s> |
<s>[INST] hi, i was light brown in colour but in some of the years i became thick brown due to this my face and my neck became black colour too. But my hands and chest regions are light brown in colour.if i go for a cream means pimples are coming and also in my face skin oil is there. At right now i was using garnier antispots remover to clean my face but it was somewat working. what should i do for getting as if i have my hands colour in light brown? suggest me any of the easy and cheaper method to do. [/INST] Hiu need to consult dermatologist can apply clinic a gel for pimple problem use seismic face wash for oily skin avoid direct sun exposure Chat Doctor. </s> |
<s>[INST] Since I woke up this morning I have had numbness in a couple of my fingers on my left hand. Also, last night I felt pain on the back of my neck and noticed a red bump, then started to feel pain up my neck/bottom of my head. Could they be related. If not, why are my fingers numb for this long? [/INST] Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Your symptoms can be related this can be related to cervical spondylosis proceed further we need1. Clinical Examination2. Radiological Examination please consult a Neurosurgeon in person 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. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask</s> |
<s>[INST] My 5 yr old daughter has light vaginal bleeding after urinating. No burning or other discharge or signs of infection. No pain or physical abuse. She had surgery on 01-13-15 for an umbilical hernia. Is this normal and when and should I be most concerned [/INST] Hi... By what you quote as there is painless or effortless bleeding - so I would like to consider the possibilities of - 1. Cystitis - inflammation of the urinary baldder2. Renal colic - stones in the urinary tract.3. I feel this is unrelated to the surgery she underwent. Regards - </s> |
<s>[INST] I had an abortion 12 weeks ago, after 3 weeks i returned to clinic as my pregnancy test was positive, they scanned me quickly and said all was ok. Last week i suffered a hemmerage due to retained products of conception from my abortion, i have also become anemic..However 1week after my op im now in alot of back/pelvic pain right through to inside of thighs, im suffering hot sweats and i cant sleep? [/INST] Probably some pelvic inflammatory disease is also there after evacuation of contents and control of hemorrhage which can lead to backache and other symptoms as well. On precautionary side show to orthopedics doctor also and get x-ray lower back also done. USG for present uterine position. Meanwhile continue on anti-anemic medicines (iron, minerals, calcium etc.) along with green leafy vegetables and high proteins diets. Your gone/or tho docs. Should give you antibiotics and anti-inflammatory Chat Doctor. </s> |
<s>[INST] I have a friend who recently is having dizzy spells. We have sort of figured if he ate to much sugar then stand up he gets dizzy. This does not happen all the time. He does have a drain tube in for gall bladder that is to be removed. Could this be causing the problem? [/INST] Hi, Thanks for your question. After going through your question, there are following possibilities for your friends symptoms-1) Reactive hypoglycemia - this is due to sudden release of insulin after sugar intake which lead to low blood sugar level (hypoglycemia) which can be confirmed by doing blood sugar level during episode of dizziness.2) Postural Hypotension - fall in blood pressure after standing from lying down or sitting position. Which can be confirmed by checking blood pressure in lying down and standing position.3) Other rare possible causes may be - - Syncope. - Deny Chat Doctor. - Inadequate nutrition. It may not be related to his gall bladder </s> |
<s>[INST] I am rahul. Age 34 i often suffer from fatty liver this is the fourth time why does it often comes back i also have chronic constipation from years which is herediety currently i have pain on my right side of my abdomen exactly below the ribcage where the liver is situated can you suggest any permanent relief...i once consulted to gastro specialist.Dr.shankaran a year back who treated me for fatty liver but it seems like it has return back. the pain is worse after eating [/INST] His went through your concern regarding your condition of fatty liver. Fatty liver is a condition in which triglycerides are deposited in liver. And this condition has strong relationship with obesity and other metabolic conditions like diabetes etc. And if inflammation is also present along with fatty liver in the form of raise ALT level in blood then it is called as NASH (non-alcoholic steatohepatitis). NASH needs aggressive treatment. Well for your condition you have to concentrate on losing your weight if you are obese by changing your lifestyle n dietary modification. You should start regular exercise and avoid junk foods, oily foods and sweets. If still your fatty liver condition persists after 2-3 months then you should start capsule ursodeoxycholic acid 250 mg once a day along with vitamin E 200-400 mg once a day. Combination of these two medications has shown promising effects in clinical trials. Hope you will try to follow the advice. I wish you good luck</s> |
<s>[INST] How to reduce SGOT and SGPT enzymes , i have gone through the LFT and found SGOT are 109 and SGPT are 140. How to reduce them...what is the diet and what are the medicines as i have less money to consult a doctor in delhi who are charging more than 500 consultation fee as Gastro experts. [/INST] Hi & welcome. I can understand your concern. The raised liver enzymes (GOT & SGPT) are suggestive inflammation of the liver or gall bladder. Alcohol intake is also responsible for the liver damage. You need certain lifestyle changes to reduce the raised enzymes like1. Stop taking alcohol (if you are alcoholic), avoid smoking2. Avoid fatty meals3. Eat home cooked foods, increase the intake of fruits and vegetables4. Do regular exercise, try to reduce your body weight if you are overweight5. Take vitamin E containing supplements which are beneficial in reversing the liver injury.6. An abdominal ultrasound is also recommended. Hope this helps you better in getting rid of raised enzymes.</s> |
<s>[INST] Hi, I am 17 years old and I noticed this morning that I had a lump right below the rim of my penis. Without touching it for a few hours it went down luckily but now it seems that the rim (Glands) of my penis is. Alittle red and looks slightly bigger or puffier than usualy. I have no clue what this means and I have been freaking out all day on what this could be. Is it an STD or anything harmful to me? Please I could use answers badly. Thank you! [/INST] Hi. Do not worry. Have you been involved in any sexual activity in the past few weeks? Also is it tender to touch and is there any fluid or watery collection in it? Have you had problems with retraction of your foreskin? Do let us know answers to the above. Meanwhile, keep the part safe from any injury and avoid touching it too much. And contact us back soon. Take care.</s> |
<s>[INST] I ve been diagnosed with osteoarthritus in my lower spine and herniated disks L4 and L5. Recently started having nerve pain in my groin which I know is associated with the disks, but when I move from side to side or lay on my side in bed I hear and feel my pelvic bones grind and pop. what is causing this and is there anything I can do about it. I m only 56 yrs old and active. [/INST] Hello, It can be an arthritis. Other causes like ligament or tendon related problems also be ruled out. Consult an orthopedic and get evaluated. An MRI scan is required to make a diagnosis. Thanks</s> |
<s>[INST] I have just finished 1.75 years of Forteo. My doctor recommended I take a follow-up drug, but my insurance doesn t cover it. My choices are: Actos, Fosamax, Actonel, & Boniva. After researching them, I m not convinced that Boniva or Fosamax are right for me. I don t want to take anything that will cause weight gain as I gained 20 pounds in the month after I went off Forteo and am having trouble losing it. What would you recommend I take? [/INST] HiTeriparatide (brand name Forte) and abaloparatide (brand name Tempos) are medications used to treat osteoporosis. Forte is a lab-made version of human parathyroid hormone (PTH). Tymlos is a version of human parathyroid hormone-protein. These two Chat Doctor. This </s> |
<s>[INST] Good morning, I had an unprotected sex last saturday at 1 pm and then i take 4 pills (nordette) at 8 pm and after 12 hours i follow it with another 4 pills. is is really effective in preventing pregnancy?the first day of my last period was May 26, 2014. Hope you can help me. Thank u [/INST] Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns today. Nordette can be used as emergency contraception. You have taken them correctly. When used within 5 days of unprotected sex it reduces your chances of conception by 75%. There is a slim possibility of pregnancy due to method failure. Therefore, get a pregnancy test done if you miss your period. In order to avoid such unnecessary stress, I suggest that you consult doctor and start regular contraception like birth control pills. They are more effective in preventing pregnancy than emergency contraception. If you feel that you are at risk of STDs, always use condoms during sex. I hope this is helpful. If you have further concerns, contact me through Chat Doctor. Best wishes,</s> |
<s>[INST] A seventeen-year old girl was knocked down by a speeding jeep and lay dead , no pulse, no breathing, when I arrived half an hour after the accident. I thought I saw her chest move just very lightly but when I tried to initiate cpr a hostile crowd of onlookers wondered if I couldnt recognize a dead person. Two female bye-standers said they felt the girl was breathing. Somebody later consoled me that the girl probably had severe internal injuries. Do accident victims have any chance of surviving if they get cpr? [/INST] Hello, thanks for your query, yes. Timely CPR will save in sudden cardiac arrest due to trauma(road accident). C to that the pattern of CPR appropriate. All the best. Take care.</s> |
<s>[INST] hi, last night I masturbated with soap and while washing the soap off, I feel this burning sensation on the bottom part of the head of my penis. When I looked I saw a few red spots. It also burns if water comes into contact or urine. I tried putting Candid B cream but still the same. It began maybe 6 hours ago. [/INST] Degree understand your concerns went through your details. Masturbation using soap can cause irritation to the soft skin of penis and this could cause momentary inflammation. Your red dots and burning sensation could be due to the inflammation. Leave the area like that. Keep it clean and Chat Doctor. No need to use any cream. Observe for three days and if no improvement found, please consult a urologist. 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.</s> |
<s>[INST] Hi, I ve been getting freezing cold shake attacks where I can not even move. It paralyzes me and makes my teeth shatter . I feel like I m gonna die. I also experience dizziness and when I get up I feel like I m gonna black out. I have to struggle with my eyes to keep them open while talking myself out of passing out... What is wrong with me please help [/INST] Hello ! I understand your concern. I would like to know more about your age and the duration and frequency of these attacks. In my opinion the experience of dizziness that aggravates when you get up may be related to hypotension. The cold shake attacks may be a disorder called Epilepsy, although not very typical. You need to see a doctor, have a physical examination. An EEG would be helpful to rule out Epilepsy, followed by a brain CT scan if it's not normal. Hope to have been helpful to you! Thank you for using Chat Doctor!</s> |
<s>[INST] I had my veins stripped in Aug. 1 of the 7 incisions did not heal. In Oct. my Dr. put me on a 5 day antibiotic because it was so red, swollen, warm to the touch, and I was getting sharp pains. The pain stopped slightly, when I called him back, he said he would send me to a wound care specialist. I am still waiting for the appt. Last night I noticed another incision site further up my leg was red all around it, warm to the touch, and a hard bump underneath the skin. So now I have 2 different areas that are red all around it, warm to the touch. Are they related? What do I do? [/INST] Hello! I have been through your question. According your concern I think the diagnosis for the two cases is erysipelas. It is an infection of the upper and deeper dermis and superficial lymphatics, usually caused by Streptococcus bacteria on scratches or otherwise infected areas. It appears as a red, swollen, warm, and painful rash, similar in consistency to an orange peel. More severe infections can result in vesicles, blisters, and petechial. The infection may occur on any part of the skin, including the face, arms, fingers, legs, and toes, but usually it tends to favor the extremities. You should know that people with immune deficiency, diabetes, alcoholism, fungal infections, and impaired lymphatic Chat Doctor. So, what I suggest in your case is a physical examination by an Infection Disease Specialist to find the proper reasons of this situation, to do a differential diagnosis with cellulitis and in the same time you should start antibiotics (usually I prescribe ampicillin or amoxicillin, or penicillin if you aren't allergic) prescribe by your doctor. Furthermore, you should try to rest as much as possible with the leg elevated above your hip (you may support your leg on some cushions while lying down). It is also important to </s> |
<s>[INST] Im a diabetic for over 40 yrs it still not under control. it in morn over 200 an in the eveing it can be down to like 170 but only if I have things to do..im 70 yrs old so im not a great cook but I do know my chicken ham an stuff . I just noticed carb is very important to keep down.. but how much carb a day.. on a bread package it say 15 carb at 60 % for two slices of bread what does that meanat 45 caliores each [/INST] Hi, Thank you for choose Chat Doctor. I read carefully your query and I understand your concern. You should eat carboy Chat Doctor. </s> |
<s>[INST] Hi, I had an abortion about 5 months ago...my boyfriend and I have been trying to conceive for a couple months now and I have been tracking my ovulation. and sadly each months i have not concieved..i had the pill abortion, could there have been complications tha may have scared me? with my last period i did pas another big clot..should i possibly of had a d&c [/INST] Hi, I think your abortion will not have any effect on your conception. Generally it takes 1 year of trying to get pregnant in a normal couple. So, just follow your ovulation. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Hope I have answered your question. Regards Chat Doctor. </s> |
<s>[INST] I have bilateral wrist pains that I feel are related to the amount of typing at wk and ultrasound in July showed some fluid around the second extensor tendon left hand which responded well to steroid injection . I used splints at wk however began to get recurrent symptoms . I saw a hand specialist -repeat ultrasound was normal -an MTI scan showed early OA changes in that small cysts were present in the lunate and capitate bones . My wrists ate settling with rest but I am having a battle with wk and may loose job as they are reluctant to agree to voice activation . Have been adv against long term splinting . Am 51 and athetise well -how significant are the bone cysts in the right hand only (tenosynovitis diagnosed left hand ) ?co-incidental finding -are they likely to progress is OA related to excessive typing [/INST] Hello, About the pain in both wrist joints, see its more often due to repetitive strain injury while typing continuously. Need to assess the strength of small muscles of wrist and forearm which are more commonly used in writing and typing work so as it has been diagnosed as cyst near late bone. So I suggest you go for Physiotherapy treatment and take therapeutic ultrasound therapy and IT therapy for at least 15 days once a day. Simultaneously exercises to increase strength and flexibility will minimize the reoccurrence. Hope I have answered your query. Let me know if I can assist you further. Take care Hem ang S Jane, Physical Therapist or Physiotherapist</s> |
<s>[INST] My husband 51 has a non displaced plateau tibial fracture that happened 5/30/2014 , placed in a mobilizer and non weight bearing with follow up apt in 3 weeks. We had a paid I m full trip planned to Mexico leaving on 6/20/14, the flight is 2 1/2 hr then overnight stay and in the morning another 2 1/2 hr flight to our destination. Can he take a flight if he takes 81mg aspirin for two weeks prior to flight. Should we be concerned. Will have re X-ray prior to vacation to make sure healing ok and may be able to get hinge brace. [/INST] Hi, I don't think it will be of any worry to the fracture. You do not need even a re- x-ray for the same. Since the fractured limb is into the cast. You can take a flight with confidence and enjoy the holidays, but please do a tab on the DOS and don'ts mentioned by the physician to you like nonweight bearing and all. Wish you a speedy recovery</s> |
<s>[INST] I have a small, hard lump on the left side of my Adams apple (thyroid?). I have no other disturbing symptoms (pain, difficulty breathing or swallowing, weight loss, sweating), but my vein right below my jaw on the left side feels tighter than the one on the right. I noticed this about 1,5 weeks ago, any reason to be worried? [/INST] Hi! Good morning. I am Chat Doctor answering your query. If I were your doctor, with a hard lump I would at the earliest refer you to either a ENT specialist or a general surgeon for a clinical examination and related investigations like a thyroid function test, an ultrasound of the thyroid and neck region, and an FNAC of the hard lump. Further management would depend on the results of physical examination and reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.</s> |
<s>[INST] Hi, Yesterday I depilated my arms, and chest area with Braun epilator and got itchy, red bumps. I use epilator often and I do get red bumps but they are never itchy and usually go away in couple hours. I used Aveeno afterwards, thinking it will help with irritation. The rash keeps getting worse and they spreaded on areas that I didn t epilate. They are not constantly itchy but often. Is there any over-the-counter lotion I can use? I ve been searching for a remedy online and read creams with cortisone will provide relief but might leave permanent marks on the skin. Is that true? [/INST] HI, Dear,Welcome with you query to Chat Doctor Virtual Clinic. Reveiwed your problem after messed up emulation. You seem to suffer from Chronic Acne witChatDoctoredones mostly, which is causing its recurrence along with neglected chest cleansing and hygiene. Suggested Remedy plan for you is as follows-Consult your Dermatologist-Control messed up chest lump infection after dedication of the arm/chest, With Topical Antibiotics Only. Steroid combination if need be and leave it to your doctor to plan. Zincovit to supplement your healing power. Good Diet with Fruits for 2 weeks. Maintain Good digestive system and stoolsEnough liquidsContact after 2 weeks time with a Followup Premium question to ME. Will appreciate your Hitting, thanks. Will appreciate review with your excellent review write up comments. Welcome with any other further query in this regard, if need be. Good Day!! Chat Doctor. S. Genl-CVTS</s> |
<s>[INST] Hello. I am 34 weeks pregnant and have something like tissue protruding from my vagina. I have been to my doctor, who says it is not a prolapse, or a varicose vein, but just hormones causing the vaginal wall to swell and protrude. He says it may get larger during the next six weeks, and when I am pushing in the second stage, he would expect it to protrude further, but that it is not a cause for concern - the midwife should just push it in again! I am scheduled to have a home birth. Do you think I should change my plans now, or is this, as my doctor seems to think, an uncomplicated issue? [/INST] Hi, Thanks for the query. I understood your concern. After 7th month of pregnancy, preparations for delivery start in mothers body. One of them being increased mucus discharge from vagina... this is to facilitate / lubricate fetal head while childbirth. For this vaginal mucus membrane cells get enlarged / sort of swell. & some part of such enlarged mucus membrane may protrude out of vagina. After delivery, as the complete mothers body gets to normal . The mucus membrane also regresses back to normal shape. So, please don't worry. After examining you, your doctor has excluded prolapse or curiosities. So you should believe him. Only need is to maintain vaginal hygiene/ do not try to pull/ prick or cut the protrusion. Thanks.</s> |
<s>[INST] What could be causing both sides of my ribs to feel like they are sinking or caving in? Sometimes both sides feel like that sometimes it s one side or the other and it feels like it s last 2-3 and I m not sure if this is normal but I ve never noticed it until recently that right under my breasts (both sides as well) there is a deep indent in one of the ribs in the front [/INST] Hello, What I can infer from your complaints is that your rib cage may appear indebted as we age that is senile kyphosis. In simple words, this means your upper back at the mid-spine level will bend as we age and hence our rib cage appears indebted. I would recommend, you to mention it to your physician during your next visit so that he can have a look. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] My 16 year old daughter has had a sore stomch for a month I took her to the emergency room they did test on her and said it was her appendix sore we went o the hospital had it done. but the next week she still had the pain but was worse. We went back to the doctors had blood test and found out she had a kidney infection. they gave her antibiotic, but this week her pain has come back sore all over and she gets dizzy when she stands up for 5 mins I want to know what 2 do because her white cells aint killing the bacteria. Do I take her back to the doctors for more test or have you got a solution on her condition [/INST] Hello.thanks a lot for your query on Chat Doctor, it sad to see your daughter referring so long...from your history given, I would suggests you better to leave the doctors who have already seen her and consult a doctor and undergo a battery of tests again, that should give an exact insight as to what she is really suffering from, there are numerous causes that can cause features that your daughter is facing from.afterwards take specific and accurate treatment.things will go fine...don't worry.be positive...</s> |
<s>[INST] Hi, my brother is a patient at the ENT section of the Johannesburg General hospital. he has been diagnosed with throat cancer. They have inserted a tube into his throat for oxygen. He cannot eat and has been there for a while. He is in terrible pain and seldom receives medication. He basically is left to himself. What is the possible solution to his disease. [/INST] Hi, dairy have gone through your question. I can understand your concern. Your brother has throat cancer. Treatment depends on stage of cancer. In early stage surgery is helpful. In late stage surgery is not helpful and chemotherapy and radiotherapy remains the treatment options. Consult your doctor and start treatment according to stage and spread off cancer. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.</s> |
<s>[INST] hi i recentley had my 7 years old sons lymph node checkd on neck and he said do you kbow he has anemia? i didnt but there special doctor i see didnt say what i should do and my son is very tired at times an his eyes hurt when tired? please could you advise many thanks [/INST] Hi.... I understand your concern. Anemia is a very simple problem, but at the same time, if it is only isolated anemia the most common reason is Iron deficiency. As a physician has recently checked your son and told that it is only an isolated anemia, and he is also symptomatic - like easy navigability, I suggest you use iron supplements at 3 mg per kg per day in 1 of 2 divided doses. But this is a prescription Chat Doctor. I suggest that you get back to your sons' pediatrician regarding this. He will be requiring iron supplements for 3 months consistently. Regards - </s> |
<s>[INST] i am suffering from leg cramps (lower) and loss off feeling in my hands,though when i straighten my arms it seems to get the circulation going again,when i lose feeling in my hands all sensation goes,i am a 36 yr old alcoholic,even typing this is hurting my wrist. [/INST] Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a leg cramps. I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplements. Warm shower can help. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. </s> |
<s>[INST] I have a growing lump between my stomach and below my chest. It is not painful. However, my breathing is impaired by it after even short walks. Also, I find myself coughing quite often. I had a quadruple bypass over a year ago. In addition, the hospital I was recuperating in gave me two staf infections, which resulted in several weeks more in the hospital receiving antibiotic treatment and wound treatment for a leg they had to open up to remove the infected area. Right now I am very concerned about my breathing problem. Thank you [/INST] Therefore, there is a lump between your stomach and chest; it is not painful; it is enlarging; it causes breathing problem; it causes coughs; you have significant surgical/antibiotic history! Thanks for sharing all details with Chat Doctor! I think you got hernia-king of lesion could be hiatal hernia or epigastric hernia. It is not tumor or infection; some portions of your gut have entered into the chest cavity causing all symptoms; a simple chest x-ray /USG can confirm this!Therefore, please visit us with the reports ASAP; regards,</s> |
<s>[INST] I am 53 yrs old and at age 47 I had a mild heart attack with 1 stent placed in the RCA. Now in the last few months I have been having what my Dr calls angina. I have been taking Imdur for this but in the last month or so I have been having more episodes as many as 20 a day. I had chest and arm pain thursday for about an hour that did not go away so i went the the ER and then to the cath lab for heart cath but my Dr said everything is fine, so what could be the cause of the pain that I am having? Any suggestions as the where to look next. [/INST] Hello welcome to Chat Doctor. Since you have got yourself evaluated by an angiography and your doctor has cleared you from the heart side, means that the stent is working well. Angina can be caused by microvascular ischemia, which means the smallest vessels of the heart arteries are having blocks. These blocks cannot be seen by angiography nor can be scented. The treatment for microvascular ischemia is antianginal, statins and anti platelets. You need not worry because it won't cause you any health issues. Other causes if chest pain here should be excluded. Like hyperacidity can mimic chest pain of cardiac origin. Please take a course of antacids for 14 days and see if your pain abates. Another cause can be Costco Chat Doctor. This inflammation can be contained by using anti-inflammatory medications like diclofenac and ibuprofen. Next Vito levels should be checked. Bit D deficiency can also cause rib pain, bone pain fatigue. Please check your It D levels and take correction for it D of they are low. You have a low probability of this pain originating from cardiac causes. So please continue taking tour cardiac medications and along with it take antacids, diclofenac and It D correction as advice. Wishing you good health. Regards</s> |
<s>[INST] hello doctor my name yoselin, im 27. My winsdom tooth seems like its coming out its been hurting little bit since a week ago, my gum is swollen and seems like a gap on it with some blood sometimes it looks really weird and 3 days ago i got a little bump in my tongue a really tiny little bump that it bothers but doesnt hurt as much. what can i do? other than get it removed to avoid infection? [/INST] Hi, thanks for your query. The problem you have been suffering is called peritonitis. This is caused due to accumulation of food under gingival of the erupted tooth, resulting in infection of the gingival. Extraction is indicated in this case. The tiny little bump on tongue is oral ulcer which can be cured by having multivitamin tablets. Visit dentist for further treatment. Hope this is helpful.</s> |
<s>[INST] My dentist told me today that I have a spot on the roof of my mouth that has fatty tissue and is not pink like the rest of the roof of my mouth. If I burned the roof of my mouth could this be the reason and if so how long before the color would return? [/INST] Hi, it may be due to reverse smoking, if u do, or may be due to a mouth burn due to hot food or liquids. The yellow appearance may be due to pus formation with the ulceration. Please apply Hegel ointment as frequently as possible. The ulcer may heal in a weeks time. Please consult an oral surgeon if it doesn't subside in a week or so. Some ulcers are precancerous. So do not neglect it. Reads!</s> |
<s>[INST] Dear dr,My wife is taking hormone for preparing IVF. Egg collection has been done and will transfer embryo in next four days. She gets a cold now. Can cold affect IVF process? May we have your advice?Can she take decolgen forte to stop cold?Thank you [/INST] WELCOME TO ChatDoctorCOMMON COLD won't affect implantation. She may need antibiotic to settle this. High fever may hamper implantation.</s> |
<s>[INST] 9 year old boy, healthy, no allergies, NKDA. In the last two months, has become sick, very suddenly at night. No fever, no vomiting (though he thinks he might). Severe headache, hot/cold, general malaise. attributed it to dehydration first few times but I have been strict about water intake as of late. worse night was tonight, he seemed to not be able to get comfortable at all (body aches?) Cool compresses helped, finally asleep. Seems like the flu but no fever and usually wakes up feeling 100%. Any ideas? [/INST] Hi.... Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Hope my answer was helpful for you and if so rate it if you are happy. I wish your son a speedy recovery. Regards - </s> |
<s>[INST] I am a 21 year old male vegetarian and I ve been experiencing muscle and joint pains of some sort since this past week. I also was experiencing a stab pain in my chest, which would at times just burn. It started yesterday and also felt like when I swallowed and took deep breaths, it caused a little pain in my chest. There was also what almost felt like a lump in my throat feeling. I think I have been suffering from anxiety for the past few days. I also felt the pain in my chest a little worse after lying down and prior to falling asleep. A couple of hours ago, I went to sleep, feeling this swaying sensation in my head and body. I woke up out of my sleep to a numb and tingly body which started at the top and made its way to the bottom and had me freaking out. My body was a little warm feeling too but there was no sweat. It scared me though-- any idea as to what it could be? [/INST] Dear user, it is nothing but due to infection around the chest causes pain in chest and deficiency of vitamin D3 and calcium causes joint pains. Intake of food rich in vitamin D3 avoids joint pains, take inferential and ultrasonic therapy with muscle strengthening exercises helps to reduce pain.</s> |
<s>[INST] Apart from very few people i avoid social interaction. I m 20. I love being alone. I don t like crowded areas they drain me. I avoid parties they make me feel a little alone. I m an artist so most of my downtime i sketch in my little notebook. I don t involve in group projects, i avoid giving opinions and mostly sit at the back of the class. Stage presentations make me nervous and i d rather workout all day than give a presentation which seems more tiresome to me. I have these two three friends i enjoy my time with or go out for a walk or get a cup of tea or watch a movie. I m usually the last person if asked for volunteer. Most of time i have heads free on so i can avoid small talks with people. I have trust issues. I really don t trust anyone. I keep my stuff to my self be it good or bad. Alone time makes me feel good. I do have a little sensitivity to negative emotions so i have a short temper. I m a little shy so i prefer to remain quiet rather engage in some talk that will end in an awkward silence. I actually am a little active on social sites not that i interact with anyone much, i run my art pages and i have quite a fan base. and yes i am wearing braces so i struggle with smiling most of time and it gets so awkward. Is this all normal? [/INST] Hello! Welcome to Chat Doctor ! In my opinion it is normal to feel anxious and in social situations. If it is effecting your day-to-day routine, then it is very important to go on cognitive behavioral therapy with a trained therapist. Creating hierarchy of situations from lower to higher ones that cause anxiety and face those step-by-step basis is important. Hope this clarifies your concerns. Thank you for the query. Take care </s> |
<s>[INST] I applied, for insurance recently and was denied for out of range results by companies allowances. Having kept records of previous test,(all which have been within range ) as recently as I/2014...my sgot/sgpt levels have gone up. Current readings are sgot146/ sgpt 116. ??? I wish to follow up with someone but have no doctor at this time. Which professional should I seek for comparative testing and evaluation? I moderately drink, work out vigorously 3 days a week, am about to turn 50. Puzzled.... [/INST] Hello, Welcome to Chat Doctor. I read carefully your query and I understand your concern. Normal levels of AST and ALT may slightly vary depending on the individual laboratories reference values. Typically, the range for normal AST is reported between 10 and 40 units per liter and ALT between 7 and 56 units per liter. ALT and AST are two of the most reliable markers of hepatocellular injury or necrosis. Their levels can be elevated in a variety of liver disorders. I would suggest you seek consultant with the gastro-hepatologist in your local region. You do not mention any other blood test report like GGT, ALP or Bilirubin level, in order to help me find determine the cause of your elevated transaminase. Hope I was helpful with my answer. Don't hesitate to ask again. Take Care,</s> |
<s>[INST] what is a normal blood pressure for and infant and child? i will be starting my externship in september for medical assistant, but we never was tought the blood pressure for infant and child, just adults only. and my externship will be at a pediactrics and im kind of really nervous [/INST] Hi, Thank you for asking question on Chat Doctor. At birth the blood pressure is 60/40 and it gradually increases to 90/60 during infancy and 100/70 during childhood. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics</s> |
<s>[INST] I just wanted to start skipping rope as an work out.But when I just started it my back started to ache so badly that I couldnot stand even.Is this common or do I need to change anytyhing.I have been not working out since along time.And I wanted to start now. [/INST] Hi, To start with any exercise there will be some strain of muscles initially. But after some time your muscles will accustom to this type of exercise and there will not be any problem. Start with low intensity and gradually increase the time. Go for worm up exercise before starting real exercise. Go for regular and daily exercise, gap for few days might give rise this problem again initially. Ok and take care.</s> |
<s>[INST] I have a history or MRSA and I have had two c-sections. I also have mitral valve prolapse and experience irregular heart beats every day. I hope to have a third child but I am worried about risks since I would probaly have to had a 3rd c-section since I have had two. What can I do to reduce risks and increase likelyhood of a healthy delivery? [/INST] Hi, With two previous cesareans and a heart condition, it is very unlikely that you will be delivering normally. Women with previous two caesareans are offered an elective repeat Cesarean section at 38-39 weeks. There is a slightly increased risk of scar rupture with previous 2 caesareans. And most obstetrician would advise you to avoid vaginal delivery. The exact risk would depend on a lot of factors like, the indication for previous Cesarean section, gestational age at which they were done and post-operative recovery. Also do discuss your heart condition with a cardiologist before planning for another pregnancy. MRSA should be kept in mind while taking antibiotics prior to cesarean. Hope this helps. Regards.</s> |
<s>[INST] Hi, I have a bit of swollen forehead and general awareness of my forehead area. I was working hard yesterday in our crawl space to deal with and clean up a water issue. I noticed that I was sneezing some in the evening but thought it may have been some dust, etc. I was not in the space for many hours, perhaps an hour total over the course of the day. It was the hottest day we ve had thus far in Raleigh, NC at 98 degrees. I have also been somewhat prone to dehydration over the years. I am 45 and am a professional engineer in the office most of the time. Should I just rest, get water? No significant pain just a full type feeling in the forehead area along with the visual. I m not sure if it feels warm but maybe a bit. Any advice greatly appreciated. Thank you. [/INST] Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swelling and weird feeling in forehead. Well there can be many reasons for symptoms you mention in query like viral syn Chat Doctor. Such symptoms can also appear due to allergic reaction or sun stroke. I would suggest you to consult neurologist for proper examination. Doctor may order certain test to confirm the diagnosis like CT scan MRI. Doctor may order blood test along with checking vitals. Doctor may prescribe antiviral like acyclovir along with anti-inflammatory, grosgrain, beta blockers, furosemide and physical therapy of neck. Doctor may also refer you to ENT specialist for sinusitis like problem. For now take paracetamol along with taking proper rest. Hope your concern has been resolved. Get Well Soon. Best Wishes,</s> |
<s>[INST] felt like something snapped in arch of foot - have had knee pain & pain in lower back, hip. when bending the knee - feels like swollen. no problems walking. when elevating feels like stretching form hip to knee. after dancing & jumping increased pain around knee & just below knee cap. [/INST] Hi, Thank you for providing the brief history of you. A thorough neuromuscular assessment is advised with MRI of lumbar spine. As the pain you have which cover the lower back up to the heel, I suspect it to be a neuropathic pain. A thorough neuromuscular assessment is advised. Also, with simple physical therapy training, the symptoms can be controlled by therapeutic ultrasound therapy and TENS therapy. Performing exercises on later stages for strengthening the core, spine, pelvic floor and lower limbs as a whole should give a better outcome. In my clinical practice, most patients respond well to physical therapy. RegardsJay In Chat Doctor. </s> |
<s>[INST] I am a 44 year old woman, had a t-bone accident about 12 years ago and suffered injury to sternum, alon g with severe whiplash. A year or so later I have suffered with mid sternum pain, throat squeezing, heart flutters and near fainting. I have been on paxil, metoprolol and buspar, and Robaxin. I am sometimes symptom free, and then the symptoms return. I have been seen by cardiologists, endocrinologists, allergists, gastrointerologists,. Help, I have run out of answers. [/INST] HI THANKS FOR POSTING YOUR QUERY ON Chat Doctor.WHIPLASH INJURY IS EVALUATED WITH MRI CERVICAL SPINE.IF AN ABNORMALITY IS FOUND, THEN SPINAL DECOMPRESSION THROUGH LAMINECTOMY IS DONE.CORTICOSTEROIDS ARE VERY HELPFUL.STERNAL INJURIES ARE OFTEN ASSOCIATED WITH CARDIAC CONTUSIONS.THIS EXPLAINS THE CARDIAC SYMPTOMS IN YOUR CASE.CONSIDER HAVING 2-DIMENSIONAL ECHOCARDIOGRAPHY.CONTINUE WITH ALL THE PRESCRIBED MEDICATION.KEEP IN TOUCH WITH CARDIOLOGIST.THANK YouTube CARE</s> |
<s>[INST] Hi, I have solar plexus pain with mirroring back pain. I also have some gas. I have been on pantoprozole for awhile (6 months or longer), and have just started zantac. This came about almost overnight after having a cold/allergies. The medicine doesn t help. It is usually worse when sitting in relaxed position. [/INST] Hello, Thanks for the query. You can take analgesics like Gabapentin which is considered as more effective in neuropathic pain as in your case. If symptoms persist, you can consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST] My four year old son recently had a pretty bad bloody nose in the middle of the night. He has has these before in the winter, so we didn t think too much of it. (There is a humidifier in his bedroom that runs all night every night, and we put Vaseline in his nostrils at bedtime.) Just a few days later, he had a meltdown from being overly tired, and his nose started to bleed again. Just a little this time; it stopped fairly quickly. After this episode, he developed a hacky, dry cough, and he s had another incident of his nose bleeding slightly when he started to cry. He doesn t have a fever, but this dry cough has persisted for two and a half days now, and he s never had nose bleeds this frequently before. We have just today added a larger humidifier in our living area of the house to see if that will help. He takes a high-quality multi vitamin every morning, and we are adding a children s C supplement now. Any ideas what this could be? (It hasn t been a particularly cold or dry winter here.) [/INST] Hello and welcome to Ask A Doctor Service. I reviewed your query and here is my answer. In such a patient, there needs some tests to find out what's causing him nasal bleeding. Cough can be explained by nosebleed. Does he bleed from any other place or is there any rash or petechial on his body? Is there any bleeding disorder in your family? How about his platelet counts? If there is no to all these questions, does he had of habit of pricking his nose or putting his fingers in nose frequently? As this has increased in frequency, so you need to consult your doctor. Till that, keep applying Vaseline to his nose at least twice a day, keep him away from heat and Chat Doctor. If there is a bleed, then apply pressure on nose, keep his head tilted forward and if available put ice packs or pour water over his head. Hope I answered your question. Feel free to ask if you have any doubt before contacting your primary doctor. Thanks.</s> |
<s>[INST] My brother in- law have Kidney stone (7.2 mm) and blood suger having about 400 and by Insulin injection it falls down to 130. He has also renal infection and temperature was also high and now normal. During investigation stone was found a fews days ago. He he is now under treatment. Now please advisie me whether operation should be done to remove the stone or medicine to be taken to dissolve the stone and for renal infection. [/INST] HelloThanks for query. Your brother-in-law has Diabetes with kidney stone of a size of 7.2 mm with infection. I would suggest following line of treatment 1) Control his diabetes with Insulin and proper monitoring of sugar levels.2) Treat UTI with appropriate antibiotics after doing his urine culture 3)The stone of a size of 7.2 mm is likely to pass down spontaneously.4)Once his diabetes and infection is well controlled repeat Ultrasound scanning after 2 weeks and if the stone is in a same position he may go for Extra Corporeal Shock Wave Lithography to fragment the stone so that the gravel will pass out through urine. Chat Doctor. </s> |
<s>[INST] Hi I been sick since last Wednesday with sinus nose stuffy nose coughing on and on off was dry heaving yesterday had cold chills nofever sat day and sun day I been taking Nyquil and Sudafed I been drikig tea gingerale water juices sucking on halls sorethroat andvitamin c drops where I work in middlebury VT at the residence at otter creek they have a lot of flu symptoms going around I been one a day women 50 plus vitamin and lisinpril and bayer 51 [/INST] Hello, The cold or flu commonly presents with stuffy nose and coughing. In general, the symptoms last 7 to 10 days though can sometimes extend to 2 weeks. Using NyQuil and Sedated Chat Doctor. Fluids and rest are also important. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST] Hello, My 10 year old is complaining of pain and tenderness in his testicles. Please advise if this is something serious that requires a doctors visit, or it may be growing pains? I m sure that when the testicles drop it hurts and this may be the cause, but I m not sure how to treat it. [/INST] Growing pain does not involve testicles. Pain in testicles can occur due to a number of non-serious causes, but there is a serious condition called torsion of testis which needs immediate attention. Please visit a doctor and get it examined at the earliest. A T-bandage would give him relief.</s> |
<s>[INST] Hello, My granddaughter was just diagnosed with tetherd cord syndrome. She is 4 years old and scheduled to have surgery next week. She doesn t have a lot of the symptons but does have some. her behavior is terrible. She is not a mean spitited child but I can only say her behavior is less than desired. Can this be related to the tethered cord syndrome? She cna be really sweet and then it s almost like something clicks and she get s very bad. Any ideas? [/INST] Hi... I don't think tethered cord syn Chat Doctor. By what you say I feel she could evolve into an attention deficit hyperactivity disorder. I suggest you get in touch with a pediatric clinical psychologist. Regards - </s> |
<s>[INST] Hi, my husband was told by an infertility speacialist who did a semen analysis that they found white blood cells so he took Cipro for 2 weeks and restested. He still had white blood cells so she ordered a culture. They found moderate skin flora in his semen along with the white blood cells she said since its moderate no further treatment is needed. We are unsure what skin flora is and why further treatment wouldnt be needed? [/INST] Hi, Welcome to Chat Doctor . Normally many organisms live on our skin. These won't cause any harm to us. They protect from outside organism. The group of organisms is different at different places like skin, mouth, intestine. Those residing skin are called skin flora. Presence of skin flora in semen is not harmful. It indicates while collecting semen skin flora have come. This needs no treatment. Hope I have been helpful. Regards Chat Doctor. </s> |
<s>[INST] Sir/Mam, I am 22 and suffering from Erectile Dis-function and premature ejaculation.I don t know why but i have too much desire of sex. I have been masturbating since i was 14. But now i have stopped it. can You please tell me is it curable ? I am also suffering from hairfall since last 2 year.. and i have lost around 50% of my hair. should i use minidoxil 5% ? [/INST] Hello and welcome to Chat Doctor. Masturbation is not a disease. It's a way of expression of sexual energy in the absence of a sexual partner. There are no long term health problems reported with it except for fatigue. If you want to control it, try yoga and meditation. Using Chat Doctor. About erectile dysfunction, it can be psychogenic or vascular problems or due to hormonal imbalances, diabetes etc. My advice is to visit an</s> |
<s>[INST] i have been prescribed the antibiotic erythromycin by a dentist and i began the course ysterday, due to a burning sensation much like heartburn, and a pain in the same area, i went to the pharmacy to get something, she gave me gaviscon and domerid relief tables, both of which i took immediatly, after half an hour i am vomitting, dizzy, headache, and stomach pain, i took it upon myself to read the information on both packs i got from the pharmacy today, and read that u cannot take the antibiotic erythromycin with domerid relief tablets, i found further info on the interenet and now i am worried. can u advise me what to do, firstly, amm i in danger, secondly if i want to make a complaint about the pharmacist that gave me the medicine [/INST] Hi, Thanks for posting the query, I would suggest you to take a rant ac half hour before meals if getting acidity with the medications. Take a cup of cold milk. Take complete rest. Take care!</s> |
<s>[INST] Hi Doctors, My name is Mohamed , 29 yo, 180cm.. I have been married since 1 year and my wife is not pregnant till now. I made this Semen analysis, please tell me is it ok or I need a cure?? ============== Volume 3.0ml Reaction Alkaline/PH 8.0 Viscosity Viscid Liquefaction time: Prolonged Sperm Count/ml 129,000,000 Sperm Count/Ejaculate 387,000,000 Motility 1st hour : 70 2nd hour 60 3rd hour 50 Type of Motility: Rapid progressive 20% Slow progressive 30% Non peogressive 20% Immotile 30% Abnormal forms 35% Type of Abnormality: Amorphous & pinpoint head Spermatogenic Cells/ml 600,000 W.B.C/ml 400,000 R.B.C/H.P.F 1-2 Trichomonas Absent [/INST] Hi, Welcome to Chat Doctor . Your sperm count and motility are normal. Don't worry. But WBC are more which indicate infection. I would suggest you to consult your doctor and take antibiotics like ciprofloxacin for the infection. And after the course repeat semen analysis to see for infection cure. I would suggest you to also discuss regarding use of fertility improving Chat Doctor. These will improve fertility. Hope I have answered your query. Regards</s> |
<s>[INST] i am 31yrs i want to plan for baby with i.u.i.my ovulation study on day8 of menstrual cycle show one cyst measuring 61mm in right ovary. and endometrial thickness is 6.3mm and free fluid in pouch of douglas is not seen.one follicle is seen 14mm with taking of tab clomifene on day2 of menstrual cycle.tell me can i concieve it [/INST] Hello. Thanks for writing to us. A cyst of 61 mm in the right ovary is not likely to be due to ovulation. This seems to be a functional cyst of the ovary. The left ovary is showing an active follicle and your chances of conception in this cycle are there. Please be patient. I hope this information has been both informative and helpful for you. </s> |
<s>[INST] Hi. I have a bruise on my arm that I received when getting blood work done. The bruise quickly spread from the injection spot and is a purple/red colour even though it s a week later. The red seems to be spreading across the bruise, but the outline of the bruise is yellow. Should I see a doctor? [/INST] HelloThankyou for contacting Chat Doctor. Bruises usually take around 2 weeks to heal. They change their color from red to dark blue and then to golden yellow after they which they fade away. Your bruise seems to be following the same cycle and in my opinion it is fine. Please contact your local physician if the bruise starts spreading rapidly, starts hurting more or u feel a swelling at that area. Hope this answer your query. Please feel free to ask again if you have any query. Wishing you good health</s> |
<s>[INST] Hi Dr. I have been getting frequent and continous sneezing in the mornings and some times in the evening, this happens once I get up from the bed, immly, my nose will get blocked and I will have atleast 25-30 hard sneezing, along with running nose, some times 2-3 drops of blood and some times sneezing is so hard that, me ears will get sucked or squeezed.....most of the time, my nose is blocked or iam having running nose.... I have shown to ENT dr, but they have told it is due to some allergy .....but it has not cured with their treatment..... pls advice as what should I do to get rid of this allergic.... Regards [/INST] Hello dear... The symptoms as mentioned in your post suggest that you might be having Allergic rhinitis. Management includes:1. Antihistamine preparations can be taken for symptomatic relief.2. Montelukast preparations, as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Maintain adequate HY Chat Doctor. 4. Also make sure that you are well protected from cold, dust & other allergens. Wishing you a good health. Thanks & take care.</s> |
<s>[INST] Hi,Im pregnat and in 2nd trimester (14 weeks completed) now. Im severely having tooth ache pain for the past 2 week, went to dental doctor and they told me to undergo root canal treatment. First day he started the root canal procedure and he cleaned the infected teeth. Next day morning I got fever and consulted gynecologist, doctor told me not to do root canal treatment now and it may affect baby. He told me to take imol and novomox for pain relief. Immediately I went to anoth dental doctor and closed the opened teeth without completing the root canal treatment. Im taking imol plus and novomox for pain relief. Everyday Im getting severe teeth pain. Is it advisable to do root canal root treatment now? Bcoz the pain is untolerable and not able to sleep properly. Kindly advice. [/INST] During pregnancy also considerable attention should be paid to the hygiene of the oral cavity, because hormonal changes can contribute to swollen and bleeding gums, increased sensitivity of the gums to the emergence of plaque and tartar. The daily care of the teeth during pregnancy include:- the need to brush your teeth at least two times a day and after each meal is obligatory to rinse the mouth of boiled water;- to clean the teeth only use a soft toothbrush to prevent possible damage and bleeding gums;- to stimulate the circulation of the blood after each brushing your teeth need to massage the gums pads of his fingers;- after reception of the food will be necessary dental floss, the careful use of which will help to remove trapped food residues;- the use of chewing gum without sugar after meals will help to avoid the emergence of dental plaque.</s> |
<s>[INST] hi my last period was on November 5th and i just found out that i was pregnant and me and my boyfriend have been together for 2 1/2 yrs and havent gotten pregnant and i cheated on him on November 15th(only this day), so is it possible to tell by ultrasound if i conceived on that day or after that. so will i be able to tell whos the father of my baby by how far along i am? [/INST] HI I understand your concern. Conception is around ovulation which is 14 days prior to expected day of menses. So ovulation can be calculated. Now if November 15th happened to be your ovulation time (or a couple of days before or after that). You have possibility of conception with sex on 15th Nov. Sonography can not calculate date of conception. It reports in terms of weeks of pregnancy. Confirmed Paternity can be tested by chromosomal analysis only. Thanks.</s> |
<s>[INST] my child is 2 yrs old and has a fever of 99.5 his body is shakeing and his eye lids and finger tips have a blue tint to them he does have a minor ear infection and his docter perscribe childrens tylanol but has no progress hes is worse than when he started getting sick and now is throwing up [/INST] Hi, If fingertips are blushing, you have to be careful about breathing pattern, if breathing is finer than you should keep your baby warm, It can be because of cold. Secondly 99.5 F is low grade fever, your doctor has prescribed the right medicine. Just make sure you are giving it in right dose as per body weight which is 10 mg per kg. That means if your baby is 10 kg than his dose will be 100 mg. And you can repeat the dose after every 06 hours. Wishing you baby a healthy life. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] i had a surgary n the next day i woke up with sharp pain in at my collar bone. it has spread to the back of my shoulder to the bottom of my shoulder blade. then down the side of my rib cage n down to my shoulder. today it is down to my wrist. what is this? [/INST] Hello, I can understand your concern. It would have been helpful if you had mentioned what surgery you have been through and for what disorder. If you have had surgery in the head and neck region under general anesthesia, then you must have been put on the wooden block under your shoulders and back to raise the surgical region and have better vision and accessibility for the surgeon. If that is the case, then due to being still on the wooden block for long time may make muscles stiff, and you may feel pain in all the areas you have mentioned. The wrist pain may be experienced due to injection of IV anesthesia and medicines. If this is the case, then analgesics that you must have been prescribed after surgery and local application of Dialogic Sodium gel (Voting) can help. If the condition is not what I have thought, then you should discuss the problem with your surgeon for other possibilities. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you recover soon. Best,</s> |
<s>[INST] my mom has carcenoid tumors metastasized to brain and ectopic cushing syndromes. she is 77 and has lost 15 kg. last 10 days she has been having seizures continuously. both generalized and focal. she has been on glucose drip and midazolam injections since past 10 days. no other medication or artificial respiration is being given any more. how long she will survive [/INST] Hello, In your mothers case, there are several factors that indicate a reserved prognosis. These factors are metastases, seizures, and the age. So, I think that even with medical support the prognosis is very reserved. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s> |
<s>[INST] Hi, I am 20 5ft 3 about 7stone. I had a filling put in my front tooth as I had a small cavity about 5 days ago. Ever since the tooth that had work done has been extremely sensitive and painful. Where the anaesthetic was injected, those teeth are also hurting a lot, and my whole mouth just generally aches to the point where it is difficult to eat. Its as if i have toothache in all my teeth! Is this normal? What should I do? [/INST] Thanks for your query, I have gone through your query. The sensitivity in the teeth could be because of the deep decay or because of the improper base given below the filling. Consult an endodontist and get it refilled. You can get a radiograph done to rule out whether the decay is involving pulp or not, if the pulp is involved then it has to go for root canal treatment. The pain at the site of injection can be treated with topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily hope my answer will help you, take care.</s> |
<s>[INST] pawan 30 nidhi 29 we do not have any child since last 5 years of our merriage.we do not have any problem .all the reports are normal.our sexual life is healthy.we have consulted many doctors all give us treatment.but there is no any profit. please tell us what we can do. [/INST] Hi, If you have been for evaluation for infertility and all reports have come back normal. And, if both you and your wife do not have any medical or surgical illness and have no problems with intercourse, it makes this a diagnosis of unexplained infertility. Unexplained Infertility of 5 years is best helped with IVF. And since both of you are in 30 years, the results of IVF can be promising. I would advise going directly for IVF, without wasting much time and money on other treatments, if you both have no objections to IVF. Hope this helps. Best regards.</s> |
<s>[INST] I am having tenderness to the right upper abdomen above my belly button. It isn t unbearable, but uncomfortable. I have trouble sleeping at night because turning on the tender area is also uncomfortable. I m also having back pain , and side pain. Those come and go.. but the abdominal pain never leaves. This pain started suddenly in the middle of the night 2 weeks ago with severe abdominal pain that kept me up all night. It has subsided to this dull pain. I have had KUB, chest Xray , CBC, and pregnancy test . All fine... [/INST] Thank you. This type of ABD. Pain may indicate some disease like acute cholecystitis or renal colic. You have mentioned that PUB is normal though the possibility of renal stone is still remain because some renal stone is radiolucent.USG of PUB and HBS would be beneficial. Acute calculus cholecystitis followed by a complication of it is to be a consideration.</s> |
<s>[INST] I have been experiencing so many different pains lately sometimes its my abdomen then my right side starts to burn and hurt my back hurts my spine does as well and sometimes burns sometimes its at the top sometimes its at the bottom pains through my chest my right arm leg and foot was numb just so much I just dont know help!!!! [/INST] Thanks for query on Chat Doctor. Pain in abdomen with back pain is suggestive of renal stone of that side. You have to go for urine test and USG abdomen to confirm the diagnosis. Numb leg, foot is usually occurring in b12,d3 and other vitamin deficiency. Chat Doctor. Start NSAID to subside pain. B12,d3,minerals and other vitamin supplement will be helpful. Consult your physician for proper diagnosis and better medical management.</s> |
<s>[INST] I have pain in the palm of my hand, below the thumb when I golf, type or try to unscrew something hard. My physician thought it could be carpal tunnel and gave me a wrist brace to wear at night. It s been about 2 months wearing the brace, the pain is better than before but still there. Your thoughts? [/INST] Hello I have studied your case, I consider that there was no injury/trauma to your wrist. As per your history there is possibility of De Quarries tenosynovitis. Physiotherapy like USG and TENS will help in relieving symptoms. Avoid twisting activity of wrist. Till time continue your medication. If not relieved local steroid injection will help, you can take that after consulting your treating doctor. Last aspect remains surgical release as long term cure. Another probability of carpal tunnel can be considered in which there is swelling over wrist. There is nerve compression near wrist which leads to pain on movement. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care</s> |
<s>[INST] my 9 year old daughter has had a stomach ache and fever for 6 days now, (no vomiting but some diarrhea), i have been giving her calpol for children over 6 and it does ease the symptoms but they come back. i took her to the Dr and he said it was viral and that her glands were up in her tummy and throat and it would go away...but im worried please help. [/INST] You've mentioned a condition called mesenteric adenopathy. This is common in child Chat Doctor. Lymph glands in her tummy gets enlarged due to viral infections, and they cause uneasiness/ tummy ache. This happens intermittently. Often resolves on its own with growing age when her lymphatic growth reaches a nadir. If there is any blood in her stools or weight loss like symptoms, she will need further work up.</s> |
<s>[INST] hi. since birth i had this small circle area on my head that has no hair at all. i had asked my parents the cause of this and i had all sorts of answers so im still a bit puzzled. jst a bit disturbed by it cause i cant really get a hair cut without it showing so i always have to settle for one side of the head having longer hair than the other and i get really iratated by the longer hair. so does anyone have an explanation of the cause of this and how i may treat it? [/INST] Hi! Welcome to Chat Doctor. Com. I have read your query in detail and do understand your concern. If it is since birth, the cause may be one of cicatrices alopecia-most commonly post-traumatic. Only surgical correction methods or hair grafting can be done for this patch. No medical treatments usually work Hope this helps! Good luck!</s> |
<s>[INST] i have just started my first pack of ginet-84, started in the red area like it says on the first day of my period which was around about on time, but a week n 2days later i started spotting, thought i had my period again but it stopped, then it started again and stopped now started again...is that normal? [/INST] Hi, Initially it may take a few weeks to regularize your cycle. Spotting may occur for the few weeks, before your hormone levels stabilize. Just keep taking it on time and don't miss.</s> |
<s>[INST] I am feeling down and low without understanding why I get angry quickly and can be very violent my family are worried and say I need help I cry sometimes for no reason and am very loud and excited the next can you help me please I have tried anti depressants called citalopram but to no avail my mum is worried about me what is wrong with me please help me please [/INST] Hi, Thanks for using Chat Doctor. I have gone through your available history. It seems that you are suffering from Depression with impulse control disorder but bipolar mood disorder and personality disorder may need to be ruled out. The reason of non-improvement with citalopram is - Less duration of treatment. Anti depressants take time to start action and one should allow 12 weeks before diagnosing it as non-working.- Inadequate dose of Chat Doctor. Usual dose range is 20-80 mg per day.- Presence of other diagnosis like use of substance, bipolar disorder-Physical causes like thyroid dysfunction should consult your psychiatrist for detailed evaluation and treatment as per cause. Meanwhile, you may do stress management and relaxation exercise to control stress. Thanks.</s> |
<s>[INST] i am vijay,25 varied myself about my habit masturbation. Please tell me is it bad for health? if so what is the side effects? how can i control,i tried a lot,but minimum per 2 time a day i have to do it.please guide me how to stop this,up to what age it may happen?any medicine please... [/INST] Degree understand your concerns went through your details. Don't worry. Masturbation is natural, normal and is not harmful for your health. Masturbation in moderation cannot harm your health directly. There are no health related side effects. But if you masturbate more than essential, it may cause tiredness and related stress and anxiety. I suggest masturbation thrice a week. You can engage in physical exercises, outdoor games, education, career, entertainment with friends etc. to keep yourself away from masturbation. Become so tired that you cannot masturbate. 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. Available for further clarifications. Good luck. Take care.</s> |
<s>[INST] Hi, may I answer your health queries right now ? Please type your query here...hello doctor, I will be 30years in sept this year, I had a baby when I was 28years and started taking pills. I lost my baby in march last year and stopped taking the pills to have another baby but its a year since I stopped and still havent conceived. Am really very confused [/INST] Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. If everything is fine, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. </s> |
<s>[INST] Hi My Nephew whao is 7yrs old and is grossly underweight, has been suffering from headaches and vomitting for the past few years now as soon as he vomits he id fine and the head ache goes away he can sence them coming on like an aura minutes before it happens well now he has a new sympotm he has had 6 sever nose bleeds in the past 48 hrs...He has been to the ER several times and been seen on a reg bases by his family doctor but I am realy worries it may be something nerurologicial but to suggest a Cat Scan you only get laughed at by his doctor ect..It seems like they are not taking this seriously what should we do we are worried [/INST] yeah, there is problem, headache, vomiting, nosebleeds suggestive of something in head...u should consult a neurophysician soon</s> |
<s>[INST] Hi . My name is Diana. Earlier I was crunching on ice and after swallowing it, my heart(chest) began to hurt. It s been a hour later( I felt pain for about 5 min) My chest is still feeling heavy. Do I need to go to ER or is this just a reaction to the cold substance? [/INST] For some sensitive people with autonomic disjunctions cold substances can trigger nervous stimulation and cause blood vessels to contract if this happens to blood vessels in the chest region it might give you chest pain. So have caution while you eat cold things like ice. Going to ER should be judged based on severity of the pain and always better be safe than sorry.</s> |
<s>[INST] hi doctor...i day dream a lot,i waste much of my time in thinking abt different things lyk my future,friends etc etc and all the non sense crap,i think it started 2 years back when I was in 11th and it greatly affected my results... I cannot concentrate on studies and waste my study time in dreaming abt things...m in 1st mbbs right now and it is really affecting my studies...i am not sure if I can clear the final exams [/INST] HIWell come to ChatDoctorWhether is night time ChatDoctor. </s> |
<s>[INST] Sir, i born at 1981.i am suffering from Epilepsy from 1996.in mines family side nobody having this problem. in childhood time, i faced 3 times head injuries.From 1996 onwards,i went to so many specialist doctors.But, till now also i am facing the same problem.so please advise to what to do. Thanking you.M.RAVIKUMAR0000 [/INST] Thanks for coming to Chat Doctor. You need to get a EEG done, as also a CT/MRI scan brain if required, which will help diagnose the type of seizures you are having. A good neurologist would be the best person to guide you, Avoid bright flashing lights, loud music, stress and anxiety. Antiepileptic Chat Doctor. The </s> |
<s>[INST] I broke my leg and misaligned a partial knee. I had surgery that implanted a plate with six screws on my leg and my partial knee was restructured. I ve been non weight bearing for 8 weeks. I can now bear weight as tolerated. what can i do to regain strength in my leg and begin to walk again? [/INST] Hello, You have taken rest for 8 weeks which is needed for fracture to heal. But during this period non use of muscles leads to wasting of calf and thigh muscles and stiffness of knee. Physiotherapy is needed to regain knee range of motion and to gain muscle strength. Please visit physiotherapist nearby you for assessment and to schedule physiotherapy regimen for you. Also Advise from your operating surgeon regarding physiotherapy should be taken. Exercises needed are knee range of motion, Ankle range of motion, Qua Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST] my partner has agina, has had a previous stent which is still showing intact, after the stent he improved terrificly and now a year later he is saying something is wrong again. He will be having a myoview in the very near future. My partners gp has told him to go to work but my partner decline to do so. [/INST] Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would recommend consulting with his cardiologist and performing some new tests: - a resting ECG and cardiac enzymes- a cardiac ultrasound- a nuclear stress test. Coronary angiogram would be the test of choice to examine better the blood flow in his coronary arteries. Meanwhile, I would recommend avoiding straining physical activity and hot or cold weather. Nitroglycerin would be helpful during chest pain. Hope you will find this answer helpful! Kind regards, </s> |
<s>[INST] i recently have been getting sharp pains near my heart area and it is really starting to scare me i have looked it up online and it says agina not really sure what that is im 14male health dont smoke or drink and can it be deadly i also have had mono for the last 4 weeks and terrified of death [/INST] Hello, I have gone through your query. Thanks for using Chat Doctor.First it is very, very rare to get angina at the age of 14. You can be sure that your pain is not angina. It must be either muscular 0r due to gas and acid reflux. Over and above this, fear factor is troubling you more than pain itself. You may take simple analgesic like Diclofenac along with Omeprazole for few days. You should be fine, don't worry. My best wishes Chat Doctor. </s> |
<s>[INST] I had a root canal started on tooth #4 after feeling like it was abcessing - I was having pain behind my eyes and getting nauseous and shaky/weak - but the tooth didnt hurt! The dentist confirmed the tooth was dead (no sensation), and then drilled it and cleaned the roots a little. He left a hole filled with cotton to let it drain for 7 days while I wait for the final root canal appt. Is there any danger to having cotton in the hole and draining this way - i.e in bacteria migrating up the cotton filled drainage port? Also, the back of my head is tender where this root is emanating, and my neck is stiff ..... and I feel weak/tired - how dangerous is it to wait for this procedure? Ive been on antibiotics since having this procedure -still 2 1/2 days until the final procedure. [/INST] Thanks for your query, I have gone through your query. The cotton kept after the cleaning procedure in a root canal treatment is common. It is done when the canal is not Chat Doctor. In that situation a medicated cotton pellet will be kept for 3-5 days. Nothing to be panic, Complete the course of antibiotics, the infection will come down. The stiffness in the neck is not related to this. I hope my answer will help you, take care.</s> |
<s>[INST] im 25 years old ..i started using mtp kit on 5th of august. and the bleeding started on 7th of aug for two days which was heavy...but after 1 month i didnt get my regular periods yet...I did check for pregnancy after the abortion and the test was positive...im tensed now...plz help me... [/INST] Hello, Thanks for letting us know your health concern. If you self-medicated for inducing the abortion, you should see a specialist for further help. You also need a sonogram of the pelvis preferably in the trans-vaginal route to clarify. Any retained products would have caused persistent bleeding/infection and so on. Ineffective abortion can lead to continuation of the pregnancy, but, since you had heavy bleeding after medication, this is unlikely. Pregnancy test remains positive for sometime after the abortion since the hormone levels take time to decline. The test can be repeated now. Hope this helps.</s> |
<s>[INST] My 5 year old son has been coughing for a month. I ve taken him to the doctor twice. The first time he had an ear infection and was given medicine for 10 days. He has continued to cough the entire time. His cough is a loose cough and gets worse in the evening and especially at night. He coughs all through the night. He coughs so much that he nearly throws up. We have tried breathing treatment and cough syrup with no luck. What should I do now??? [/INST] As you have mentioned in your history that your son has been coughing since month and gets worse in night, first I would suggest you to go for manitou test or chest x-ray to rule out the possibility of tuberculosis as his symptoms are quite related to TB. Secondly, for his current problems you can give him syrup co-amoxiclav 5 ml three times daily or syrup cefixime-cv 5 ml twice daily along with syrup febrex-plus or syrup tusked 5 ml three times daily with syrup vomiting or syrup ondansetron 5 ml twice daily for vomiting. You can also nebulize your son with albuterol nebulizer at your family doctors clinic as it gives too mucChatDoctorfort to your child.</s> |
<s>[INST] My toes on right foot more than left are numb and now are turning blue (big toe). I have gone through a nerve study a vascular study (slight sluggish in flow behind knee) ultrasound all they have found is bulging disk #3 4 5. The blood work was good high calestarol blood sugar ok thyroid ok what more should I do what could this bee I feel like its getting worse [/INST] Hi. The numbness and blue discoloration could both be due to be arterial insufficiency since they detected sluggish flow in the popliteal artery behind the knee. With a high cholesterol you may have plaques in the arteries, and you need to work on bringing that down. Exercise is advised to help improve the pumping action of the muscles to improve blood flow. The bulging discs in the lumbar area can cause backache and pain radiating down your legs. I suggest get physio and good back care and strengthening exercises.</s> |
<s>[INST] I was diagnosis with pleurisy last Tuesday, and am still having sharp pains in my right side of my chest, rib cage and right shoulder blade and lower half of my back. I have already had an EKG and I am having a chest xray today. How long can these symptoms last can could it be something more serious? [/INST] Thanks for your question on Chat Doctor. Treatment of pleurisy is depending on cause. There are many causes for pleurisy. But the most common ones are1. Pneumonia. 2. Tb3. Pleural effusion.4. Pulmonary contusions. So better to get done chest x-ray and start treatment accordingly. If chest x-ray is normal than possibility of muscular pain is more. Try to follow these for muscular pain.1. Avoid heavy weight lifting.2. Avoid strenuous exercise. 3. Take good painkillers and muscle relaxant. 4. Avoid bad postures in sleep.5. Apply warm water pad to the affected site</s> |
<s>[INST] hi i have just found out im pregnant after having a miscarrage beginning of april.. i have lost my data on my ipod which had my period date on im sure it was round the 6th may.. but i have irregular periods and want to know how far gone id be? im also worried as i need to work out who the father would be as i had intercourse with a different person on the 27th may only the once could it be his??.. the rest was with my on off boyfriend! [/INST] HI, Thank you for your query. I understand your question. You can judge father of the baby by DNA testing with samples from mother/, father & baby(obtained by amniocentesis/ chorionic villi sample.) Thanks.</s> |
<s>[INST] Within the past few hours, my husband has developed a rash that covers his back, neck, and upper arms. He seems to have no other symptoms. He has been taking antibiotics (Levaquin, sorry about the spelling) and just finished the last one today. Was in the hospital last week for 2 days with bronchitis / pneumonia. Has also been taking Mucinex. He has gone to bed in the last few minutes and is sleeping peacefully. I was very nervous about the rash and wondered what I should do, as there seem to be no other symptoms.Thank you.Brenda Wooten YYYY@YYYY [/INST] Hello, Thank you for posting on Chat Doctor. The condition your husband is having is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other Chat Doctor. Hope this will help you in resolving your query. Thank you </s> |