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The conversation between human and AI assistant. [|Human|] hello, my father had a heart condition and passed away about a month ago. at the time of his passing, he was using an abdominal toner. do you think that it could be related to his death? he was an impatient three weeks previous to his passing and doctors said his heart was only working at about 18%. [|AI|] Hello, Abdominal toner should be avoided in heart patients as by increasing the abdominal pressure they tend to act in 2 ways 1) Increase the venous return to the heart making it difficult for a weak heart to handle the increased blood return, leading to congestion in the lungs and breathlessness2) More importantly it increases after load. I.e. The pressure again which the heart has to work leading to decompensation of a weak heart. So with the heart pumping your father had (18%), its most wise to avoid abdominal toner. Regards Chat Doctor.

The conversation between human and AI assistant. [|Human|] sir,i am in mentally ill condition for the past 7to8 years,coz many things have happened in my life whose results i can t bear anymore....my family does not care about my problem and all this in my life happening is because of my parents....sorry 2 say......sir i can t live anymore ndi serioudly wanna suicide ....plz help me......sir plz [|AI|] Hi and welcome to Chat Doctor. Thanks for your question... I understand what you are going through. It must be very difficult to face these stressors one after the other. But please remember that this is just a passing phase in life and if you seek professional help and stay positive, you will soon be able to overcome these difficulties. I'm not sure what mental illness you've been suffering from, but there are a lot of good treatment options available. You need to seek immediate help for your depressive feelings and suicidal thoughts. So, please consult a psychiatrist at the earliest. With medication and counselling you will be able to come out of this phase. Also, please keep talking to someone close (a relative or a friend) about your difficulties and feelings. It will help you offload some of your burden at least. Most importantly, please remember that though your future seems very dark and meaningless now, all these feelings will pass away with time and remember, you have a great life ahead. So, once again, please consult a psychiatrist urgently for help. Wish you all the best. -

The conversation between human and AI assistant. [|Human|] hi my daughter fell on her elbow couple hours ago and she said all her arm is numb and shes holding her arm up, it hurts to move it back down, and when she moves it down a little bit she can hear a crackling noise, and she said her elbow made a clicking noise when it happened. ive compared both arms and nothing looks broken. just worried about the numbness? could she have hit a nerve? [|AI|] Hello, There is a nerve called ulnar nerve which is in the elbow and any time you hit the elbow can hit the nerve as it is very superficial under the skin. It is like an electrical shock, the moment you hit and can feel the numbness. The numbness should go away within few hours. If your numbness continues the next day you should see the doctor as you may have a bone crack or fracture. I wish you quick improvement. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] I am an alcoholic and have been sober 6 years. While drinking I was told I had fatty liver after an ultrasound to evaluate why my liver enzymes were so elevated. My enzymes are still slightly elevated so i was sent for another ultrasound and the fatty liver remains though I m not overweight. I have been referred to a specialist and guess they may do a biopsy to determine if this is simple fatty liver or intrinsic liver disease . Since the liver still appears fatty after all this time, is it evidence of cirrhosis? I have no symptoms, but am nervous. I m a 58 year old woman. [|AI|] Hi there, Thanks for using Chat Doctor. Fatty liver and cirrhosis are two different things. Fatty liver is at one end of the spectrum and cirrhosis on the other end. Alcohol intake for long period of time can cause both these conditions. It would start with fatty liver and would lead to hepatitis and eventually to cirrhosis. A fibrosis or a liver biopsy may be done to see whether you have developed cirrhosis. Is this answer helpful?

The conversation between human and AI assistant. [|Human|] There is something in my lower right abdominal area that is making weird sounds, kind of like a stomach would if you were really hungry, but I know this isn t my stomach and I had just eaten. I m not sure what organ lies in that area or if it is just the lower part of my abdomen , but it s making weird sounds and feels like it s twitching inside there. Other parts of my body are also twitching too (chest, eyelid , neck ) but I haven t experienced those areas for a while. I m 17 years old and a male, not sure if that d help or not, but I would just like to know what s going on inside my body. [|AI|] IIN the abdomen, Terminal part of small intestine, Appendix,Initial part of Large intestine are present. The sounds are most probably the intestinal sounds, which are heard during movement, i.e. Peristalisis. It is a normal phenomenon. But, if you are having pain in that area, you have to go for an Ultrasound abdomen with the advice of your doctor. It will give a clue whether the pain is due to Appendicitis or Right side Ureteric stone. Regarding twitching in the chest, eyelid and neck are of the least concern unless they are continuous and associated with pain. Then you have to Consult your Physician and get examined. Wish you good health

The conversation between human and AI assistant. [|Human|] in November I was diagnosed with bacterial and fungal lung infection. have crohns disease and was told it was from taking cimzia. took 10 days of antibiotics and now I am sick again. my chest hurts really bad. I started another round of antibiotics, Bactrim. question is how long does It take to get rid of these infections. [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. The best treatment of lung Infection is to identify the causative organism and then start appropriate treatment. So in your case better to get done sputum culture report to identify the causative organism. Then get done sensitivity report for guidance about effective antibiotic treatment. By this we can avoid unnecessary use of antibiotic and fasten the recovery. So consult pulmonologist and discuss all these. Get done sputum culture and sensitivity report. Hope I have solved your query. Wish you good health. Thanks.

The conversation between human and AI assistant. [|Human|] Hi, I am 36 years old woman. I am suffering from hypertyroid, high bp , increased calostrol level and am having multiple stones in the kidney . Very often backache occurs and now I am puzzled and don t know what to do? Kindly suggest me the exercies and the correct remedy for the same. I am already taking medicine pescribed by the doctor but it is not working as per my satisfaction. [|AI|] Hello, Welcome to Chat Doctor forum, hyperthyroid, high BP, multiple stones, high cholesterol ... these all are chronic problems. And all are connected to each other. All these problems are surely cured with homeopathy. homeopatChatDoctoredicine is selected considering all detail of complaints. And having no side effects. With homeopathic treatment you can tapper off allopatChatDoctoredicine and stop it. So consult good classical homeopath. You will surely get benefit with homeopathy. You can ask for treatment on below mail ad Chat Doctor. Medicines will be sent by courier service For more inquiry and/or online treatment write to: subhashponkiya@gmail.com

The conversation between human and AI assistant. [|Human|] Hi, Lately I have been getting, numbness and a tingling sensation in my hands and fingers. Particularly the wrists side of my little finger and my ring finger. I have also now just noted that the sides of some of my fingers are starting to turn a sort of yellow. I don t smoke so I know it has nothing to do with that. What could it be? Thanks for any help in advance :) [|AI|] Hi, Thanks for your query. Numbness and tingling in hands and fingers indicate that there is some sort of neurological disturbance (impaired conduction of nerve impulse) in the involved nerves. This may result due to compression of the nerve at some level during its course or may also result due to some systemic diseases. A detailed clinical examination and few investigations like EMG & Nerve conduction studies are needed to establish a correct diagnosis of your problem. I suggest you to consult a Neurophysician and follow the advice. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care

The conversation between human and AI assistant. [|Human|] My arm is itchy but when i scratch it starts to burn and the burn goes up and down my arm. I have had this same thing in the past on my back and then once on my face. Is there somthing wrong with my nervous system? What can i do about this? It is very painfull. [|AI|] Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to peripheral neuropathy. The most common cause is diabetes. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. If the symptoms continue, I suggest seeing a neurologist. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.

The conversation between human and AI assistant. [|Human|] My husband had a massive heart attack a month ago & thankfully survived BUT now seems to have no desire to do anything & seems to get confused alot. I know that depression is a side effect after an attack but does it also effect your mental state ? We are always together when we visit the doctor so its difficult to ask these questions in front of him. Im not sure how to pull him through this - any suggestions? [|AI|] Degree understand your concerns went through your details. I suggest you not to worry much. As you mentioned, depression arisen out of that traumatic incident could be one angle of approaching it. Motivation and counseling given by the heart specialist should help. Other complication for MI regarding mental state are possible due to so many physiological reasons. Do consult your doctor for other possible complications. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.

The conversation between human and AI assistant. [|Human|] Hi, a few weeks ago I had pain between my lower lip and gum (right where the inner lip connects to the gumline) and I noticed that my bottom gums were significantly red in comparison to my pink-colored upper gums. As the pain grew, at first there seemed to be a tiny cluster of white dots and then they disappeared and it felt like there could be a bump on the part that hurt but I couldn t see one. The pain eventually subsided after about a week, week and a half and everything returned to normal. I saw my dentist and he laughed it off saying my gums were a little red but I probably cut it with a potato chip. The pain, redness, and feeling of a bump in the same area have returned. I have had canker sores before but this doesn t look or feel like one. What can this be and why is it reocurring? And what can I do? By the way-- I am 23, female and a smoker. [|AI|] Hi, it may be an Authors ulcer or a gum swelling due to plaque accumulation around the tooth. Inflammation leads to pain, redness, swelling. Please consult the dentist again to show him the latest finding. You must take a second opinion. Please apply Metro ointment and Hegel ointment on the sore for temporary relief. Treatment depends on the diagnosis. Please go for an examination again. Take care!

The conversation between human and AI assistant. [|Human|] Hello, I am wondering if there is a legal way to possibly get something to help with pain. I have pain in my hip. I have seen a Dr and he did give me a prescription for hyrdocodone 10/325. However, I have recently lost my insurance and do not have a Dr. Can i do a chat online with a physician to possible get a prescription if he thinks I need it? [|AI|] Dear patient Which hip is getting pain, and what is the duration of your complaints? Have you suffered from trauma? If pin is on other sides and no trauma possibility of avascular necrosis of hip or arthritis should be considered. If pain is on single side then infective pathology or arthritis should be considered. I would advise X-ray of pelvis with both hips anteroposterior and frog leg view to confirm diagnosis. Visit radiology center nearby you and get it done. Meanwhile, start tab attract twice a day for pain relief. You need to consult expert orthopedic surgeon with report. All the best.

The conversation between human and AI assistant. [|Human|] Yes, my boyfriend is complaining of lower abdominal pain while he sits, lays, even just moves. It s hurts for him to pass gas and make a bowel movement, but still can. When he lays down, he can feel a pulse in the lower abdominal region. Please help. I m very nervous and I need to know if I need to take him to the ER or not! [|AI|] Hi. You should take him to ER urgently. Stop giving him anything orally as he may need to be nil orally. Thanks for your history. It is suggestive of an intra-abdominal collection of infection or pus, as he has the classical symptoms of pain even on movement. This occurs as the peritoneal covering of the abdomen get inflamed enough to get pain even on slight pressure or movement. This is most probably a case of peritonitis, And needs to be admitted, evaluated clinically, investigated for blood, urine, stool, ultrasonography, X-ray of the abdomen in standing position. After a diagnosis, Laparoscopy or Laparotomy needs to be performed to remove the diseased organ, have peritoneal lavage. Take him to the ER urgently.

The conversation between human and AI assistant. [|Human|] In the past few months I have been having a hard time breathing and have to gasp for air and this is through my day it becomes worse when I eat. It does not burn Just feels like I can not breath normally like I use to. I have asthma But I dont feel its that because I am not wheezing [|AI|] Hi. I can understand your concern. Asthma is most common allergic disease which is not a curable disease but definitely controllable, by controlling the same you can lead a symptom free life. Usually presents with cough, wheezing, difficulty breathing and chest tightness. If not treated appropriately can be life-threatening. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). It will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS).HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. You can take proton pump inhibitors. But along with Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obese

The conversation between human and AI assistant. [|Human|] Hello doctors have to ask about my baby death cause and why it happen?sir as all thing is doing right till 6month checkup as doctors in the 4th month do sonography detect a baby boy and very healthy boy but during the 7th ,month routine checkup when we go for doctor they didn t not get heartbeat of my son,they say baby is death in womb from 7days before as during songraphy Splading sign sign,but I didn t get true answer for it ,as mother is very gud mood and even she say I didn t know when a baby death inside me what s the reason plz tell me I will thankful to u.s. [|AI|] There are numerous causes of fetal demise in the 3rd trimester, in 25-60 % there is no identifiable cause, but there is a study shows about 65 % of deaths are due to placental causes here is a list of the common causes :1- placental : like cord accidents, photo maternal hemorrhage, premature separation of membranes 2- maternal like diabetes, infections, systemic illness, pre-eclampsia or hypertension, thrombophilia 3- fetal like chromosomal or genetic abnormality, infection or fetal HY Chat Doctor. There are few things that you can do to overcome a treatable cause like controlling the blood sugar if diabetic or doing an oral glucose tolerance test in the next pregnancy, high vaginal swab for culture for some types of bacteria, vigorously treating any urinary tract or vaginal infection in the next pregnancy. Searching for inherited thrombophilia can be helpful. I hope this helps

The conversation between human and AI assistant. [|Human|] I have serious stomach pain and the last x-ray i did last week suggests that there is a blockage. The only thing my doctor prescribed was Lactulose. I have not tried it yet, but will soon. She did not tell me the cause of this recurring pain (for 2 years now). I am a bit frustrated. I need more information. What to eat what not to eat possibly... and I need to know if this is serious. All ultra sounds were normal... I dont understand. [|AI|] Hello, Welcome to Chat Doctor. Constipation is one of the major digestive tract symptom experienced by many in world. Just an Ultrasound is not enough to diagnose the cause of constipation for 2 years. You have taken some other investigations to rule out Hypothyroidism, irritable bowel syn Chat Doctor. Do check Thyroid hormone levels, Colonoscopy. If you are on medications for depression, seizure, these

The conversation between human and AI assistant. [|Human|] I have red spots on my chest and some on my arms . I have been getting indegestion severly so bad that I thought I was having heart problems . There is a burning sensation in my chest on the right side and in the middle of my chest . I stay tired . Everything is worse when I am on my period. [|AI|] Hello, I read carefully your query and understand your concern. The sensation of the burning in the chest can be related to acid reflux. I suggest using PPI medication such as Prilosec in the morning before breakfast. I also suggest using antacids such as Maalox three times a day. The red spots do not seem to be related to the indigestion. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.

The conversation between human and AI assistant. [|Human|] My friend is a veteran and is experiencing severe nausea and throwing up. He has pain in his upper abdomen and has been laying on my floor for about three hours. I tried to get him to go to the doctor but he cant get up. we live in a rural area and is difficult to get medical help here. [|AI|] Hello! Thank you for the query. Upper abdominal pain and vomiting can be caused by stomach issues like inflammation or peptic ulcer. If the pain radiates to the back, gallstones or pancreas can be the reason. If he has lost some weight recently, stomach cancer should be also ruled out. I suggest your friend to visit a doctor, have blood work, abdominal ultrasound. If no gallstones will be present, gastrostomy should be next. In a meanwhile he should avoid fatty foods, spicy foods, alcohol, coffee, chocolate. Hope this will help. Regards.

The conversation between human and AI assistant. [|Human|] i was just curious bcuz iv had pain for a while now on my lower back and lower area like I think lower abdominal area and iv been feeling sick and get really hot sometimes and feel like throwing up and everytime I cough I feel pain down there and sometimes it just depends what im doing ill fell pain down there like in the lower abdominal I think what its called like my tubes and such down there and my pee it kinda feels like its burning but its not a uti bcuz I know what those feel like iv had them lots. and today I notice that when I touched the inside of my right leg close to the vagina its painful. i just dont know what going on if its serious to go into a clinic or just leave it [|AI|] Welcome to Chat Doctor. 1. The lower abdominal discomfort can be due to many causes, commonly low back pain / discomfort due to spinal degenerative causes - not associated with burning sensation while passing urine.2. Other possible cause could be PID - pelvic inflammatory disease - which needs a pelvic ultrasound for evaluating the cause.3. The cough associated with the abdominal discomfort is due to musculoskeletal pain due to strain on the muscles while coughing.4. The painful area on touch in the inguinal region could be an enlarged lymph node - which can arise due to any infection / inflammation it can be localized or systemic.5.Finally, I would recommend seeing your GP and get examined, pelvic ultrasound will give some conclusion to the condition. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor.

The conversation between human and AI assistant. [|Human|] we were just informed that my brother -in -law age 55 has the widow maker heart disease..he had a double bypass.. Both my husband and he were adopted and we just learned from his real mothers aunt that both his mothers brother and her father died from the same disease.. My husband age 52 has a very stressful job and has diabetes plus he is about 25 pounds overweight. Do you think he could have possibly inherited this disease [|AI|] Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. I would like to tell you that the coronary artery disease has several risk factors. One of them, a strong one, is the genetic factor. Having blood-related people in the family that have had myocardial infarction or coronary after disease without infarction, is a strong risk factor that descendants also will have coronary artery disease. There is a little data about the genetic inheritance of the widow maker artery disease, but the all are inconclusive. For example, you husband has these risk factors: age above 45, diabetes, overweight and genetic inheritance of the coronary heart disease. With or without the widow maker in this scenario, I would recommend a cardiac check up for him: EKG, echocardiogram and cardiac stress test. I hope I was clear and helpful. Take care. Kind regards,

The conversation between human and AI assistant. [|Human|] While having sex it becomes so embarrassing to come out just in a blink of an eye I am 24 yrs old good health used to have sex like 4-5 time every day 2 years back but now it s really annoying and erection becomes a challenge sometimes as well I am so afraid what to do [|AI|] Hello, Erectile dysfunction or premature ejaculation may be due to anxiety mostly. Other possibilities like diabetes or neurological problems, spinal cord injuries etc. Hypothyroidism or hypomagnesemia or anemia or alcohol intake or smoking may aggravate the problem. Do regular exercise and yoga, avoid smoking and caffeine Chat Doctor. Avoid alcohol intake. Use a multivitamin tablet. Use tablet NATO Leo. If symptoms not improved please consult your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] i woke up this morning with a strange bruise on my hip. I walked around my house, checking surfaces. Maybe I had walked into something in my sleep? but no surface in my house would hit that area. Its a really bad bruise - one of the worst I have had since I was a kid. Any idea what happened? [|AI|] Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained some sort of soft tissues in that region that might be causing bruising. If it isn't painful and warm.it will heal spontaneously. If it's warm. Take analgesics and anti-inflammatory tablets. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless

The conversation between human and AI assistant. [|Human|] yes please, my face has, the right side, has all of a sudden became enlarged and swollen. I woke up like this on Saturday morning and I actually could feel it growing kind of. That s what made me look in the mirror and see it swollen jus before my earlobe, from my jaw bone up to my cheek bone. and if it helps to know that I was eating strawberries and sugar with milk and I have a sore inside my mouth. Is this just a dentist problem? Is sort of feels like an abcessed tooth yet different place in mouth. [|AI|] Hello, I can understand your concern. There can be two possibilities in your situation. First is, as you feel the sore at the different place in mouth, you may have been bitten by an insect while you were asleep, and you may have developed allergies due to the poison of the insect presenting as swelling of the face. As you are not feeling any pain, I feel this as a more probable diagnosis. You can start an antihistamine like Levocetrizine 5 mg (Exocet) or Loratadine 10 mg (Forfeits) once a day for five days. If it was allergic reaction, you must feel relief in the swelling after the fist dose of the medicine. Alternatively, you might have an impacted or infected wisdom tooth which usually presents with this kind of swelling in patients. It could also be a decayed tooth which may have developed abscess and swelling. In that case, you should visit a dentist for oral examination, x-ray of the area involved to confirm the possibility. If that indeed is the case, then extraction of wisdom tooth or treatment of decayed tooth will relieve you of swelling. The sore that you have developed in mouth can be treated by local application of Benzoate gel (McCoppin) 3-4 times a day over the ulcerated area, especially before meals to avoid pain and burning due to eating. It should heal within 7 days. I hope this answer helps you. Thank you for choosing Chat Doctor. Let me know if you have follow-up questions. Best,

The conversation between human and AI assistant. [|Human|] Hi Sir/Madam,i have an irregular periods for the last 10 years, 8months before i got married, we are planning for baby, eventhough now i am getting periods, my doctor told like POLYCYSTIC Ovaries, & she suggested Rejumet Tablet, Please suggest me... i want to get pregnant....By Kala [|AI|] Dear Gala, Since you are having Polycystic Ovarian Syn Chat Doctor. Only tablets will not be sufficient. The tablets you are out on are Methylcobalamin tablets. PCs is not a disorder restricted to ovaries. It involves the hormonal and metabolic dysfunctions also. In this condition, along with the many cysts on the ovary due to entrapped eggs, insulin levels are increased and the male hormones also increase. This all is associated with obesity, which is a peculiar obesity in which there is deposition of fat around the waste. The other symptoms are hair at unwanted places, irregular menses, etc. You will have to restrict your diet - high protein and low carboy

The conversation between human and AI assistant. [|Human|] Dear Sir, i am 40 year old (male) and taking 1/2 tablet daily of vasograin since 15 yers back,but i am feeling some pain in my legs and also my blood pressure is 100/150 mm of hg.is it safe to continue to take this type of tablet,and is headaches due to problem in digestive system.please guide me. thanks, suman saini [|AI|] **1. Since you are suffering from "Syn Chat Doctor. As you are taking grosgrain (ergot amine) for last 15 years which is a potent vasoconstriction, thus could be one cause of your high blood pressure.ii. since you might be taking B-blockers as prophylaxis for migraine as well as blood pressure, this also increases the risk of peripheral vasoconstriction (pain in legs) of extremities.iii. Grosgrain due to ability to cause peripheral vasoconstriction (ischemia) also result in numbness and tingling of extremities

The conversation between human and AI assistant. [|Human|] sir my mother age 52.Principal diagnosis: DM/CAD/OLD IWMI/SEVERE LV DYSFUNCATION/SVD-RCA ATTEMPTED PTCA/STENTING TO RCA-ABANDONED.HISTORY: Admitted for PTCA/Stenting CAG and revascularizatiom. CAD/OLD AWMI/Sev.LV dzsfunction with SVD-RCA.No history of HTN/DM/COPD/TIA/CVA/Drug allergy.Bowel and bladder habits normal.On examination:HR 70/MINBP 120/70 mmHGCVS-S1 S2 +RS-naormal. [|AI|] Hello Thanks for posting at Chat Doctor. Going by your description it is evident that your mother has sustained a heart attack in the inferior wall of the heart which is supplied by the RCA. The RCA which was blocked and caused he attack was attempted to be scented but was not possible due to chronic total occlusion or calcification. Because of the heart attack, the heart muscle in the inferior wall of the heart sustained damage, that's why the severe LV dysfunction. Since RCA could not be scented, there is only the option of medical management. Bypass surgery is done only if there is involvement of the LAD. So she has to be on medications like two blood thinners, cholesterol lowering medications, diuretics to decrease load on the heart and other medications like beta blockers which prevent the remodeling of the heart after a heart attack. She should do well if she is compliant on the medications. Since RCA could not be opened and the past of the heart supplied by the RCA is already damaged, there is no need to re attempt the stenting. Wishing her good health. Regards

The conversation between human and AI assistant. [|Human|] im 36 had surgery for pectus excavatum when i was around 5 yrs old. i am verry short winded. im concerned about my heart and lungs, i get worn out very fast. i cant even keep up with my children. i cant play with them and have to make excuses because i get winded so fast. i push my self to keep up, but im afraid my heart is gonna exploid. will my heart last? [|AI|] Thanks for your question on Chat Doctor. By your history I think you are having uncorrected rectus excavated. It Is a kind of rib cage anomaly. With age this anomaly can cause restrictive lung disease. In these lungs are restricted to expand due to rib cage anomaly. So lungs become weak and it further damages heart. So right sided heart failure with cor pulmonale and pulmonary hypertension can be seen in these patients. Better to consult pulmonologist and get done PFT (Pulmonary Function Test) and 2D Echo to rule out all these. Start chest physiotherapy and deep breathing exercise.

The conversation between human and AI assistant. [|Human|] Female Age: 30On a normal day coughs out blood and has a bleeding nose. Blood test are clear Chest X-ray shows small scarring on the lungClear for TBHer child has a hole in the heartOtherwise fine and healthyThis is not much info, but can someone please give their advice as to what seems like the problem in this scenario?? your answers will greatly appreciated. Thank you so much [|AI|] Hello Thanks for posting at Chat Doctor. So the main complaints are bleeding from the nose and blood in cough. TB is a known cause of blood in cough. Since you have excluded TB, We must look for other causes. Also, we have to ascertain whether the bleed is only from the nose or is it coming from inside (lungs). I would advise a HRCT of the lungs to evaluate causes of blood coughing. Some bacterial infections can also cause blood in cough. Please do a HRCT chest and revert. Wishing you good healthRegards.

The conversation between human and AI assistant. [|Human|] My 3 year old has had a high fever for almost 48 hours. It reaches about 103 but goes down with meds. Today however the meds did not work and it spiked to 104.2. It went down after a lukewarm bath. My question is he talks very fast and loudly when his fever spikes. Often talking nonsense about random things. Is this normal fever behavior? [|AI|] HelloAbnormal behavior(delirium) during high grade fever can be there in babies. It does not show any disorder of brain if baby gets normal when fever is not there. Try to control the fever by regular use of antipyretic(paracetamol). Sponging also helps in bring down the temperature. If paracetamol is not working you may use mesenteric acid or combination of mesenteric acid and paracetamol after consulting your doctor. Mefenemic acid is more effective agent to bring down the temperature. Regards

The conversation between human and AI assistant. [|Human|] Hi, I have a question about tiny raised spots on my penis. Ive had clusters of tiny bumps - 1mm or less - on my foreskin since early childhood (at least age 6), and so assumed they were normal for years. Recently I happened across an article about warts, and it made me concerned that I have genital warts. I have never been sexually active (other than solo masturbation), and as I said, these clusters of tiny bumps have been present since early childhood. Hence, I dont know what to make of them. They are not painful, itchy or moist, and are the same colour as the skin they occur on. [|AI|] HelloThanks for query. The small red spots on glans penis and foreskin are Perry Pa pules of Penis. They are seen in many individuals and are not due to any pathological lesion hence of no significance at all. As regards about your fear of these spots being genital warts I would state that genital warts are transmitted through sexual intercourse with infected female partner and not otherwise. Observe proper personal hygiene by cleaning genital area with warm water twice daily. Chat Doctor. .

The conversation between human and AI assistant. [|Human|] My mother in law recently had a situation in which she felt an elephant was siting on her chest- she also has high blood pressure with a rapid heart beat. I was wondering what is the the most likely cause of those symptoms? She did go to the hospital and they did one EKG and her heart was normal at the time...a second one was not done. [|AI|] Thanks for your question on Chat Doctor. In my opinion she is having musculoskeletal pain mostly, due to fall. But since she is having high blood pressure with rapid heart rate, I advise to get done ECG and 2D Echo both to rule out cardiac damage. If bother fine then no need to worry much for cardiac pain. It will mostly due to muscular cause only. Try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. 5. Avoid movement s causing pain.

The conversation between human and AI assistant. [|Human|] Okay, well, my daughter who is 12 (turning 13 in two months) well... this morning her toes turned blue. I thought nothing of it because it is chilly in the morning. She came home from school a few minutes ago with half of her left hand blue too! I m concerned about her health. What could be the matter with her? [|AI|] Hello, I read carefully your query and understand your concern. The symptoms of your daughter seem to be related to Maynard syn Chat Doctor. Reynolds phenomenon is a condition in which the fingers turn blue because of exposure to certain factors such as cold or stress. I suggest seeing a pediatrician and get evaluated. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!

The conversation between human and AI assistant. [|Human|] Hello Doctor, I have had several minor accidents over the last few years and usually have hit my head or hurt my neck/back during them. I have terrible headaches almost daily, I am having a lot of difficulty completing sentences and remembering what I was going to say and it seems to be getting worse. My Doctor put me on an anti-depressant and that helped a little but not for long. Is there a test that I should be looking at doing? [|AI|] Hello, Your symptoms could be related to repeated head trauma. Coming to this point, I would recommend performing some cognitive tests and a brain MRI. Other tests to consider would be: complete blood count, thyroid hormone levels, blood electrolytes, vitamin D and vitamin E plasma levels, and vitamin B12 plasma levels. You should discuss with your doctor on these tests. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] I just found out my 12 year old has this disease. We thought it was Scoliosis but this sounds worse! We were given exercises to do and plan on helping her lose some weight and then the doctor wants to see her again in 6 months. She has a 80% curve right now. Her back already hurts, and now my heart does for her! Why didn t her give her a brace to use? Would that help? What about Chiropratic, Massage or Physio Therapy? Would any of that help? We saw the top children s specialist in the area and want to trust him but this is all so scary! [|AI|] Hello, I wish you had included the name of the other disease that sounds worse with the historical information you provided. An 80-degree curve of the spine is an extreme curve. I'm sure this is why your daughter has back pain. Progressive curves are more common in girls. She did not receive a brace because her curve is too great. The other methods for treating back problems will not be effective either. What a horrible way to live. To be 12 years old and have daily back pain. Please do not wait six months. Get a second opinion NOW! Let her be evaluated by a pediatric orthopedist who is on the faculty of a major medical center. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] Hi I,m Harry, I lost my job about two years ago and was out of work for about ten weeks. And went back to work but for almost have the money I was making and have been very nervous about money every sense. I,m 54 years old and now have almost no retirement? I have tried to get my wife to help out financially? But she says thats the mans job! I,ve said this is not the old days when only the man provides that this is a 50/50 relationship and she needs to help? BUT this situation has made me very irratible and i know i,m taking it out on her at times and her me. Sorry about the spelling? she does baby sit her grandchild for 150 a weekand thats her money? Her money is her money and my money is her money? [|AI|] Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a stressful period with your financial problems as well as misunderstandings with your wife. Unfortunately, financial matters are one area which result in misunderstandings and problems between husband and wife. In such situations, if both persons continue to be adamant in their stands, it is difficult to arrive at a productive solution. Moreover, it will only lead to more stress and difficulty. It may be a good idea to allow the situation to "cool off" for some time, so that both persons will be subsequently in a calmer and more stable state of mind to talk, discuss, and resolve issues. It may also be a good idea to visit a marriage counselor, in order to help smoothen out the misunderstandings between you and develop a more trusting and understanding relationship. Wish you all the best.

The conversation between human and AI assistant. [|Human|] I have had a lump on the bottom right side of my tongue for awhile at first it had a squishy feeling but it got larger and now it is more firm & a lighter color. I had looked it up and found something about a salavary stone, but it said that would go away on its own within 5 days & it has not gone away or gotten smaller. Any thoughts on what it could be? [|AI|] Hi... Welcome to Chat Doctor. As per your complaint you have problem of lump under tongue, and it increases in size also. Clinical examination of lump give more information. Size, shape, color of mucosa, consistency of lesion give more exact idea about lesion. Consult an oral surgery for further diagnosis. Biopsy and histopathology can be done if needed for further diagnosis. Occlusion x-ray can use to evaluate salivary gland stone. I hope my guidance helpful to you. Take care. Thank you.

The conversation between human and AI assistant. [|Human|] Hi, I am a 23 year old female healthy for the most part. I was Dx with HPV when I was 18 years old, I have only had one sexual partner and have two babies, my first at age 21 and my second at age 23. Both vaginal births no complications, born at 36 wks and 4 days cause by doctors inducing me. My concern is that about a week in half ago I notice I had gotten a bump in my right thigh (in the front) that moved lower and is kind of on my buttocks but still on my thigh (so the back of the thigh) it had gotten really big and swollen but now it has decreased when I feel it, it feels like two hard tiny balls and if I squeeze it feels like something is coming out like when you pop a pimple but nothing comes out. I went to my obgyn and he said it was razor pimples (without looking) but i do not believe that it is that because it is still there. Major surgeries: appendectomy April/1988(when I was 2) [|AI|] Hi, dairy have gone through your question. I can understand your concern. You may have soft tissue tumor like lipoma, neurofibroma or dermatofibroma or sarcoma. Or you may have pimples or other mass. You should go for examination. Then if needed to 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.

The conversation between human and AI assistant. [|Human|] Hi, I want to ask the problem about my jaw . My jaw is clicking/popping for almost 4 years now everytime I open my mouth wide. Though until now, I don t feel any pain or caused me troubles but it just pops. It s kind of irritating as it is not normal like any other people I knew. I consulted several dentists for their opinion but they had different insights/procedure to treat it. Some say I need to wear splints or mouth guard then wear ortho .. some say I need my 3rd molars to be removed. As I am confused with the procedures and worried about the assurance of the treatments , I still need guidance. By the way, I only have 2 third molars (not impacted and grew in the right alignment) located in the ends of my lower jaw. I never been extracted and my teeth are complete. I also have no impacted tooth and all grew in right direction but I have spaces in teeth but not so much far apart. Most of the dentist also said that I have a bad bite. Sometimes I find myself in the morning with a different/abnormal bite but get backs to normal as minutes passes. Please advise me what to do/follow. I really appreciate it. thank you [|AI|] Hi.from your history it appears that basic problem is in the temporomandibular joint. Clicking sound on opening widely is basically seen when the disc of TMJ interfere in the movement of condole, this condition is known as internal derangement of TMJ. There r several ways of treating it.1.take muscle relaxant and analgesics for 2 weeks and avoid wide mouth opening. 2.TMJ arthrocentesis can be done, in which lavage of joint done by normal saline and then HY Chat Doctor. In rare circumstances discoplasty and meniscoplasty can be done. 4.causal correction should be done and splints can be used. Go to oral surgeon for your problem. Wish u good health

The conversation between human and AI assistant. [|Human|] sir whenever i passing urine some of RBC and pus,epi cells are coming out with urine. I took urine test and adomen test all results are normal (Kidney). Both seminal vesicles enlarged and inflammation found.I need to cure this problem can u help me. [|AI|] HelloThanks for query. Your routine urine examination has revealed RBC, Pus Cells in urine and ultrasound scanning has reported seminal vesicles to be enlarged. Presence of pus cells and RBC in urine signify UTI mostly Cystitis and the enlarged Seminal vesicles are mostly secondary to UTI. Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2)Trans Rectal Ultrasound scanning (THUS)3) Semen Examination and Culture Take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin and anti-inflammatory medicine like Diclofenac twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hi, Im almost 5months pregnant and lately im suffering from itching at my private part, this started after having contact with my hubby.. When do pregnant women stop from having contact (sex?) I also have a history of UTI. Hope you could help me. Thank you. [|AI|] Hallow Dear, During first three months pregnancy is in a rather precarious phase. Hence, we advise observing sexual abstinence during first three months of pregnancy. After that, if there is no risk factor, sex can be performed. However, it is safer to perform sex with partial insertion of penis into the vagina. If the sex is performed in side positions, the penis will not be completely inserted. It is safe to have sex like this till 7 months of pregnancy. After seven months, physically it becomes uncomfortable to have sex. There is a risk of pressure on the abdomen also. Moreover, the uterus is becoming more and more sensitive; hence pressure on the abdomen may cause the premature contractions of the uterus or risk to the pregnancy. For your urinary infection, please get your urine examined and then get culture & sensitivity done on your urine. This will identify the bacteria and the antibiotics to whom they are sensitive. Accordingly, you may be given appropriate antibiotics. Moreover, you are having itching in your private parts which started after the intercourse. This means that you have developed either fungal or trichomonal infection from your husband. These infections lead to white discharge and are likely to infect the eyes of the baby during delivery. Therefore, avoid sex till both of you are completely cured of these infections. Both of you must take the treatment simultaneously, shave the private parts, boil underwear and cut the nails short. I would advise you to use panty-liners. These precautions will prevent the reinfection. PLEASE DO NOT HAVE SEX TILL ALL YOUR INFECTIONS ARE CURED. Please report to the Obstetricians about these infections and get appropriately treated. I hope you have got the message.

The conversation between human and AI assistant. [|Human|] Sir, I am Atul, I m noticing since last week that saliva that sticks to teeth is causing bad odour, when I rub my teeth and smell it bad odour occurs. I m afraid of pyria. Is it the problem of pyria or in my saliva or its something else?? [|AI|] Hello and welcome to Chat Doctor, dear ATL, pyorrhea is cause of bad oral hygiene maintenance and habits also. Are you having swollen gums or gums Chat Doctor? Simple bad breath may be due to your tobacco associated habits improper brushing and cleaning of tongue, less amount of water in your complete diet or deficiency of vitamin C.visit the dentist and get your oral prophylaxis done i.e, check up with associated procedures.don't take tension much. Thanks

The conversation between human and AI assistant. [|Human|] IT HURTS TO BREATH WHEN THE AIR IS COLD OUTSIDE. I FEEL DIZZIE AND MY CHEST HURTS. I HAVE HAD A STRESS TEST THAT WAS NORMAL AND A CAT SCAN OF MY CHEST AND IT WAS NORMAL. WHEN THE WEATHER IS WARM OUTSIDE IT, I M OK. NEVER BEEN BOTHERED WITH THIS BEFORE. WHAT IS CAUSING THIS? [|AI|] Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. You are having cold induced bronchospasm. Cold air is causing bronchoconstriction in sensitive individuals. So on exposure to cold environment, cold air is going in the lungs, so this will stimulate constriction in the airways, and you feel breathlessness. Once this exposure is not there, your airways will dilate and so you don't feel breathlessness. The treatment of this is avoidance of cold weather. Or you can take short-acting bronchodilators just before cold exposure.

The conversation between human and AI assistant. [|Human|] My wife is a 64 year old with an apparent pinched nerve in the mid back which is causing hip pain. She has taken Excedrin and ibuprofin with little result. I suggested hydrocodone , but she is concerned that it might cause atrial fibrillation. Is this pain killer not indicated? [|AI|] Atrial fibrillation is an arrhythmia characterized by rapid, uncoordinated electrical activity and an irregularly irregular heart response. Medications are usually not a cause of atrial fibrillation unless they cause an electrolyte abnormality. Generally A. Fib. Is caused by hypertension, coronary artery disease, heart failure, obesity, and lung disease. Alcohol and caffeine, as well as hyperthyroidism and diabetes have also been associated with A. Fib. Therefore, to reduce your risk of atrial fibrillation, you should adequate control your blood pressure, loss weight, and avoid alcohol. I would not recommend HY Chat Doctor. Your best option is to find a primary care doctor that can do any injection into the hip. The injection will relieve the pain, associated swelling, and hopefully the pinched nerve. In the meantime, I would continue ibuprofen and Tylenol. Also, rest and ice will help.

The conversation between human and AI assistant. [|Human|] 5 days ago I woke up to me stretching and I hurt my neck (I assume that s how I did it). Since then I have to physically pull my head off the pillow with my hands and it hurts my neck when I swallow or eat. I wake up during the night every time I rollover. Thank you for your advice. Ive never hurt like this before. [|AI|] Hello, As history indicates there is a muscle strain. You need to do hot water fermentation and static neck exercises before going to stretching again. Due to overstretching of the muscles of the neck there will be a microtrauma due to which there will be excessive muscle fiber spasm. With the above-mentioned procedure, you should have relief of the pain. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hi Doctor Since last month, I am getting red itchy bumps over my body [legd, stomach ,back and neck]. It is more over the night. It is very itchy and turns more red, bumps gets bigger if I scratch . No bed bugs at home. I feel i am getting this itching when I eat chicken or seafood.But all over my life I have been having non veg food I didn face this in the past. I wonder how suddenly I got this allergy for non veg. Pls help me. Tell me some remedies to tackle this itching [|AI|] Hello, This is NOT an allergy to seafood, but a condition called urticaria. This comes up in red lumps, itchy areas that appear randomly at various parts of the body. Individual hives may disappear in a few hours to within a day but new ones appear. Chicken, seafood, chocolate can appear to cause an itch as these foods are high in histamine, the exact chemical that causes these urticaria lesions to appear. The condition may start with an infection, but proceeds well after the infection has cleared up. Long-acting non-sedating antihistamines like fexofenadine taken once daily along with cetirizine or Atari (very sedative) over 4-6 weeks help. If it recurs, you need tests like CBC, iron levels, thyroid functions to exclude an underlying cause. Thanks.

The conversation between human and AI assistant. [|Human|] Dear Dr. My brother aged 29 is suffering from CKD, current ceratine level is 5.0. He is being treated in Manipal Hospital in Bangalore. Doctors suggest to go for Transplantation. The cost is too high here. Need to know after the transplant will he be normal and will lead normal life. And where can we get donars..Need your advise. Thanks. Sadiq [|AI|] Hello;welcome to Chat Doctor Since your is brother is young, and he has CKD with creatinine of 5 it will be a better option to go for Transplant. The cost in all major cities in India will be high and similar, so you have to decide between private and public hospital where it will be less, but you will not get personalized service in public hospitals. As for the donors It is important by laws of our country that the donor should be from the family or from the relatives, so you need to search in you family and relatives. The post surgery part will be important as there can be chance of rejection;so if your brothers body tolerates the transplant and the kidney are accepted by his body then he will be able to lead a normal life. Thanks

The conversation between human and AI assistant. [|Human|] my baby boy,5 months old bone with posterir urethral valve and surgery done on 14 june.still under follow up.what r the risk facters that i should worry about... will my baby go for renal trasplant. we r living in doha.please give me some advice [|AI|] Hi, The most common delayed complication is restenosis during followup, although only some develops that. You need not worry about transplantation now-he had undergone surgery without delay, relieving obstruction and hence allowing kidneys to function normally. Just keep him under regular followup to detect any stenosis without delay. Also report to doctor if he develops fever & crying on micturition, suggesting urine infection that needs early treatment with antibiotics. Hope I have answered your question. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] Dear Dr.I am a Malaysian Chinese Origin and I am a Diabetic 18 years and High Blood Pressure patience age 63, my urine sugar is will control reading between 6 ~ 10 Normally, My question is my blood pressure reading in morning was between 155/84 to 186/85 only in the morning after weak up from sleep. I wonder Concor 5 Medication is suitable me? Your prompt reply is much appreciated.My e-mail address is " YYYY@YYYY , [|AI|] Hello, Concor is not a very potent BP lowering Chat Doctor. You request you doctor to change it to tab Telmisartan or Amlodipine. Have a healthy lifestyle like avoid fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] Last year in March during a MRI Scan my doctor saw something that looked like a cyst and thereforereferred me to Neurologist. I went to the Neurologist and he said there is nothing to worry about, it isnot even a cyst just some kind of hardening of the skin and he thinks this is there from birth on and nothingunusual but he would like me to return after a year in order to have another scan just to make sure it is notgrowing. And if it has not got bigger he wants me to have another MRI after two years and after that it isnot necessary to monitor this any longer. Now, my MRI scan has been arranged for tomorrow and on the referral form that he has written out for the Imaging Centre it says "Parafalcine Meniginoma" found. As I looked this up on the internet today, it says slow growing tumor. I am worried now and confused. Did my doctor play this down in order not to worry me or is there reason to get worried? [|AI|] Hi, Thanks for writing in. A meningioma is a slow growing tumor of the covering of brain. This is to be regularly monitored on MRI and if there are symptoms then it is surgically removed. Since it is parafalcine in location therefore it is not in an important area in the brain and will not cause any serious symptoms. Regular MRI scans help to know if a meningioma has grown enough to cause symptoms and if it requires removal. It will help to know your symptoms in detail to know if the meningioma is symptomatic in your case. Your doctor wants to keep calm and take things easy. There is no reason to worry if the lesion is small and not causing any symptoms. Sometimes it is also difficult to make a confirmatory diagnosis on MRI scan especially when lesions are very small and parafalcine meningioma might only be a probable diagnosis. Please do not worry.

The conversation between human and AI assistant. [|Human|] I have a lump at the base of my middle finger. Its sore when I move my finger and hurts to push on it. I have an appointment to see a Surgeon on the 28th of this month for other lumps on my body but non of them are as hard as this one. Should I try to get into my family dr prior to my appointment? [|AI|] Hello! Thank you for the query. If the pain is only in the bump area, and no swelling, redness of surrounding tissues, no need to visit a doctor earlier. Such bum is most likely a ganglion. It's a kind of cyst filled with gelatinous fluid. This fluid comes from the joint as ganglion is kind of joint herniation. It does not increase the risk of cancer. So you can wait till the scheduled surgeon consult. In case of doubts, ultrasound should be done. The lump should be removed. Hope this will help. Regards.

The conversation between human and AI assistant. [|Human|] i have severe dural ectaia in my cervical and thoraic spine c5 to t5.It has cause severe scolios now that is effecting my breathing.I also have a interspinal menigolecle.I know spelling is off here.This is from neurofibromaotisis.I feel like i am on fire ,burning pain.Backlofen did stop spasms.WHy do i feel like i am on fire it sounds ridiculous to others. [|AI|] Hi, Thank you for posting your query. Your symptoms can be explained by involvement of spinal cord, more specifically lateral spinothalamic tract of the spinal cord. This can result in burning pain, paresthesia and a feeling that your body is on fire. This is directly related to your Eurasia and meningocele, which you have mentioned. The definitive treatment for both these problems is going to be surgery. You should consult a Neurosurgeon/spine surgeon, and discuss the various treatment options. For the time being, for symptomatic relief, you may use pregabalin or gabapentin capsules. I hope it helps. Best wishes, Chat Doctor.

The conversation between human and AI assistant. [|Human|] I have a 6 year old daughter that has been bothered with a really bad caught since she s been about 2 years old. They tested her for asthma they did blood work on her and found nothing wrong and even tho she don t have asthma they prescribe her the blue and orange inhalers but no matter if she s taking them or not she still can t get ride of that nasty all night caught that leaves her drained of energy caused by lack of sleep due to this horrible caught she has.The pediatrician also told me to start giving her vitamin C and vitamin D3 400 IU and after a year of taking them still no difference.We have minimal problems in the day but horrific caughing all night long so bad it makes her vomit. We also had allergy test done on her and she has no alergies. I like to try and help her with giving her lemon water to drink at night and I give her saline water droplets up her nose to keep her sinuses clean daily I also give her organic honey to help sooth her throat from the cought and a humidifier in her room at night and I elevate her with5 pillows in her bed to try and help her breath better and still no success. I m trying everything I possible can think of to help her but as the years go by she just keeps getting worse. If you have any suggestions for me or think of any test we could possible get done on her to help me understand y my little baby doll is always so sick with this horrific cough I would truly appreciate any help I can get. Feel so helpless seeing her this way and not being able to help her or even know Y she is this way. This is from a truly concerned and worried Mom. I seen this site and though maybe just maybe I could find answers to her problem on here. [|AI|] HI... I understand your concern. Nighttime cough could be due to hyper-reactive airways disease. But there are other reasons for this. Possibilities - 1. Gastroesophageal reflux disorder.2. Hyper reactive airways' disease. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?7. Does the cough get aggravated a spicy or heavy meal or after lying down on bed? Kindly get back to me with answers to above questions and I will be glad to help you. You can approach me at the following link. Please find the link below.www.ChatDoctor .com/doctors/ Chat Doctor.

The conversation between human and AI assistant. [|Human|] My whole entire body has felt bruised for the past month. My muscles also ache. Even the back of my head and eyelids feel bruised. One day I couldn t even move in bed. I needed someone s help to roll over. This is extemely painful. Feels as if I ve been hit by a car everyday. My legs, arms, back, abdomen, anywhere you can think of hurts. Any ideas as to what this is? [|AI|] Hi, thank you for providing brief history of you. Looks like you have too much pain which is not allowing you to move around. Why don't you just see a doctor once who can help you by some medicine for symptomatic relief. It's never bad to take an experts' advice. Also, in the meantime you can start some exercises which will help you to a certain level of your pain. Start with simple breathing exercises and steam inhalation. Why I am mentioning this is because when the body is weak it needs more energy and the biggest source of energy for a cellular mechanism is the oxygen. The more the oxygen the more the cellular mechanism to its best. Also, when you do breathing exercises, it will help nourish the cellular levels of muscle tissue which will make you feel better. Slowly try performing simple hand and leg exercises while sitting and lying down on the bed. It will make the muscle mechanism of contraction to function by which the muscular tissue physiology will be activated, and the oxygen will help the tissue nourish. Later on you can go for short walks and try doing simple jogs at a constant place. If the bruises are not coming down you need to check with the dermatologist as the skin has to be examined for any particular infection. If you have more questions you can ask me directly anytimeRegardsJay In Chat Doctor.

The conversation between human and AI assistant. [|Human|] I went for ultrasound and the report has given as usg study reveals 1.gall bladder is distented and shows a hyperechoic SOL. in the wall of lumen. No perocholecystic fluid collection.CBD is not dilated. 2. uterus is slightly bulky measures 9.3 cms and show normal myometrial echogenicity. Endometrial lining appear normal it measures 8mm, No SOL. cervix is normal. What should I do or what is the treatment for it? I am 52 years old woman. [|AI|] Good morning I am sorry to hear about your ill health Space occupying lesion in gallbladder needs further evaluation typically with contrast CT scan They can be benign polyp (1 cm usually) in the gallbladder So depending on the size Emma CT scan findings you may need removal of gallbladder by surgery I would not recommend a laparoscopic method as there is a suspicion of cancer Hope this would answer your question Wish you a speedy recovery

The conversation between human and AI assistant. [|Human|] I am 31 years old. I am a male. I keep having shooting pains from right shoulder down to hand. Then the pain stays and gets worse. It becomes harder to move my thumb. Every muscle in arm and hand is in so much pain I can t sleep. It gets so back my joints hurt that I can t close my hand. What might my problem be. I don t take drugs or alcohol and I smoke cigarettes on occasion. No other mess of any kind. [|AI|] Hello may need proper clinical examination and investigations. You may need routine hologram, random blood sugar, serum calcium, vitamin D and B12 estimation, X-ray of cervical spine (AP/Lateral view). You may also require MRI of cervical spine. Only MRI can assess nerve root compression etc. which may be the reason for your symptoms. Treatment depend upon clinical symptoms and investigation reports. Get well soon. Take Care Chat Doctor.

The conversation between human and AI assistant. [|Human|] I am considering removal of a synovial cyst on my L4-L5, the pain has become unbearable and miserable and 2 epidural shots have not helped. This is my second time having this, after 3 shots last time, I had 18 months of relief but this time it s worse and I know they will keep recurring. What are the risks and details of surgery and the recovery plan and timing? [|AI|] Hi there, welcome to Chat Doctor, thanks for your question Synovial cysts are fluid filled soft tissue structures which are formed due to degeneration in the joints between bones of your back (known as facet joints between L4 and L5. I. e 4th and 5th spinal bone in your situation). These cysts get filled like a balloon filled with water when you stand or walk and get deflated when you rest or lie down due to decompression like a deflated balloon. Since they lie in proximity to the nerves in your spine, they are associated with pain radiating down the leg, similar to sciatica pain seen with disc herniation During early stages when the cysts are small, the pain can respond to steroid injections which help in reducing the inflammation associated witChatDoctorpression of the never. But once the cases reach a certain size the mechanical compression of nerves become significant and atop responding to injections. At this stage surgery is indicated. Surgical options include only decompression or decompression with fusion with screws. Whether to use screws and fuse or not will depend on assessment for instability of the bones at the involved level by X-rays/CT scan or MRI.However, most commonly most of the synovial cysts in spine respond cert well to decompression surgery wit encouraging results. Hope this answers your question. All the best with best regards Chat Doctor.

The conversation between human and AI assistant. [|Human|] I have had MRSA about 3 times in the past year. I have problems with fatigue and can sleep for long periods. I have had my thyroid checked and treated, testosterone checked and treated, am on meds for depression, Ritalin to help me get up in the mornings, but still feel exhausted most of the time. I ve noticed that when I take an antibiotic, that all goes away and I start to feel like myself again and have energy, but then after about a month, I end up going through another cycle that can last for 3-4 months. Is it possible that it is all MRSA related? [|AI|] Hello, Thank you for your contact to Chat Doctor, I understand your concern and will give a resolution over it. If I am your doctor I advise you that-No MRSA is associated with infections. It has nothing to do with fatigue and long hours of sleep. If you are taking some medication related to CNS than it cause fatigue and long hours of sleeping. I will be happy to answer any of your concern, kindly contact me for further informationChatDoctorInfectious Disease Specialist.

The conversation between human and AI assistant. [|Human|] hi i am married now, my panics so small as like 2.5 . my wife so crazy about that. I feel so tantion alway. so do you have any crime name or madicin, tell me please my life is now as like a black and white............so please give me as early............ [|AI|] Degree understand your concerns went through your details. I surely do not think your erect penis size is 2.5 inches. Even though that is the case, there is nothing to worry. You are a married man, and you will be able to satisfy your wife with the same penis. I think you are worrying unnecessarily. Even a two-inch-long erect penis can satisfy any woman across the world because the pleasure nerve endings in vagina is available only up to two inches. You do not need any medicines to clear your problem because there are no such medicines available. Try not to worry about this. You may consult a psychologist online or in person for counseling. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care.

The conversation between human and AI assistant. [|Human|] Hi, I am a caucasian female (39 years old) and are suffering from brain cancer stage 2. I am not taking kimo but am taking B17 (from apricot seed). My condition now is not serious. But I am praying that I would cure. My question is can I get pregnant and when could that be. [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. No, it is not advisable to conceive during any cancer of the body. Pregnancy causes extreme stress to the body. And this can flare up cancer and can cause spread to distal organs. The treatment, you are taking is also teratogenic. And hence it can damage and deform growing fetus. So better not to get pregnant. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

The conversation between human and AI assistant. [|Human|] Im suffering from a an infection i have a small amount of phlegm coming up when i cough or blow my nose. slight fever. should i be on antibiotics or just continue drinking plenty of water and taking vitamin c?? i have been like this for the past for the past 4 days [|AI|] Hello appreciate your concern this could be a viral or bacterial infection in my opinion you should visit a doctor for clinical examination and a battery of tests like CBC and X-ray chest for confirmation of diagnosis you may require a course of antibiotics depending upon the reports and clinical findingsMeanwhile you can take steam inhalation, or you can do gargles with warm saline waterhole this helps you thank for your question best wishes

The conversation between human and AI assistant. [|Human|] hello doctor ,myself aditya..i cann t control shaking my penis..i want to stop all this..becoz i got to heard that excess of shaking will harm my sex life and i cannot get a baby? is it true ..another probs. is my wet dream..how can i cntrl my wet drm?its really irritatable.plz reply sir/mam. [|AI|] HelloThanks for query. You have been habituated for frequent masturbation and worried about sexual potency in the future.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and improve general health .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading , social work etc. so that you will not get free time to masturbate. Chat Doctor. .

The conversation between human and AI assistant. [|Human|] DEAR DOCTOR...IM A 30 YEAR OLD MALE...SOMETIMES I SUFFER FROM SEVERE SHIVERING IN THE MIDDLE OF NIGHT SLEEP FOR NO APPARENT REASON...NO FEVER, NOT FEELING COLD, ITS UNCONTROLLABLE AND LASTS FOR A FEW MINUTES...THE FIRST TIME IT HAPPENED WAS ABOUT 2 YEARS AGO AFTER I CAME BACK FROM MY DENTIST FOR A REMOVAL OF A TOOTH ROUTE WHICH HAD CAUSED ME UNBEARABLE PAIN, SO HE GAVE ME 2 SHOTS OF ANESTHESIA TO STOP THE PAIN IMMEDIATELY...MY MOUTH STAYED NUMBED FOR ALMOST 5 HOURS!! THEN I SHIVERED SEVERELY IN THE MIDDLE OF MY SLEEP....3 MONTHS AGO IT HAPPENED AGAIN, THE WEATHER WAS REAL COLD BUT I DIDNT SUFFER OF ANY DISORDERS EXCEPT FOR SOME "COME AND GO" PAIN IN MY CHEST...YESTERDAY I SHIVERED AGAIN IN THE SAME WAY.. I DO HAVE A COLD BUT IT WASNT RELATED TO FEVER....THANKS IN ADVANCE FOR HELPING!!.. [|AI|] Hello, In the first case after removal of the tooth root, it was obviously related to pain. In next instances, it's related to your internal disturbances not external environment at all. There is imbalance going between your soul, subconscious mind and physical body, which is very difficult to understand and many don't agree with this also, but it's true. Follow certain steps regularly at home for some period, you will be absolutely fine without any medications, I am confident for it.-Avoid stress or anger in any minor or major issues.- Have regular sound sleep of eight hours by default.-Avoid to watch horror movies or thrilling news before sleeping or avoid texting or checking emails at least one to two hours before sleep, which is of vital concern in today's digital era.-Avoid smoking or alcohol or Chat Doctor. -Do regular deep breathing and concentration exercises with YOGA for thirty minutes daily which has a tremendous impact on your case particularly.-In occasional cases of a post-traumatic syn

The conversation between human and AI assistant. [|Human|] I started taking althea even I havent have my menstruation yet. Because I read in the paper inside the box of althea pills that its ok to take during the menstruation or any other time. I havent finish all the tablet so I dont have may menstruation for almost 1month more. Am i safe?Im worried about it. [|AI|] Hi, Althea pills are usually taken starting from day one of the menstrual cycle, but they can also be taken at any time, the only precaution being that pregnancy has been excluded before taking them in such a manner and follow up with condoms is done for first seven days. In the current scenario, you should go for n estimation of the serum beta-ChatDoctor titles, if you do not see a period within the seven days of pill break. A trans-vaginal sonogram and a clinical evaluation by an expert are also needed. Take care.

The conversation between human and AI assistant. [|Human|] Ive had an ingrown toe nail on my rt big toe for over a month now. I went to the e.r. 10/31/11, to seek help. Before removing the nail completely, the doctor did 3 attempts of anesthesia. There were complications with the anesthesia. They finally removed the nail and applied ointment (Triple-antibiotic cream). Since the procedure, my toe has gotten worse and so has the pain. I apply the cream twice a day. There is fluid flushing out of everywhere and where the anesthesia was injected, looks like 2nd degree burns. It looks like its spreading throughout the entire toe and foot. I am also soaking it in epsom salt and warm water. How ever, this still doesnt make it any better. What else should I do? Please help!! [|AI|] Thank you for posting your query in Chat Doctor .com....well probably you had parochial and secondary infection following which the nail had to be removed.....but the infection persisted in spite of antibiotics and there had been further abscess formation.....I would suggest you to visit a GENERAL SURGEON as soon as possible for inspection of the area and also for further management...an examination is needed before giving you further advice.... hope this was helpful....regards

The conversation between human and AI assistant. [|Human|] hello, I have an 18 year old son who has ongoing issues with mouth sores. He began at around age 11 when he woke with swollen lips, it looked as if he had a beak. He was dizzy, hot and just not feeling well. The Dentist prescribed a mouth rinse and to avoid acidic foods. It happened only a couple more times, but he has ongoing mouth/cancer sores inside. Is this a serious condition? He is asthmatic as well. [|AI|] Hello, Read your query, as your son has mouth sores frequently don't worry this can be due to vitamin B, C deficiency, not having proper oral hygiene, stress related, hormonal influences, due to not having proper sleep, lack of nutritious healthy diet. For this you should consult dentist and go for proper oral examination of oral cavity, go for oral prophylaxis, In meantime on cancer sore you can apply ointment Gum paint or McCoppin or Colonel for temporary relief, Do Luke warm saline gargle two - three times a day, you can take vitamin B and C supplements by consulting your local doctor, take proper sleep, don't take stress, take proper nutritious healthy diet, avoid junk food. Hope this will help you.

The conversation between human and AI assistant. [|Human|] does recent constant pain in my right arm from my elbow thru my shoulder up into my neck on the right side have anything to do with a possible stroke indication. I m waiting for a cateroid clean out in three weeks, I m 85 % blocked on the right side, 40% on the left side. It is the weekend and I need to know if I should call my cardiologist or my family doctor. or wait untill monday after resting this weekend. I am 74 years old and have had angina 15 years ago. aortic block that was looked at but my body had grew a bridge ariund the block. [|AI|] Hi, As you have mentioned the nature of pain in your right arm it is most likely a radiculopathy that is pain due pressure on nerve root it is usually due to cervical (neck) spine problem. Pain is not usually a symptom of stroke. In stroke the usual symptoms are numbness or weakness in either one limb (arm or leg) or half side of body. Which may manifest as imbalance while walking, inability walk, unable to button or unbutton shirt or hold some object in hands or unable to lift arms.

The conversation between human and AI assistant. [|Human|] 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 [|AI|] 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,

The conversation between human and AI assistant. [|Human|] I have few questions regarding brain angiograhy. My mom went for her brain MRI last week and neurosurgeon ask me that she need brain angiography. What I want to consult one more doctor if you want I can share the copy of her MRI reports. Sure May I have your name I have few questions regarding brain angiograhy. My mom went for her brain MRI last week and neurosurgeon ask me that she need brain angiography. What I want to consult one more doctor if you want I can share the copy of her MRI reports. [|AI|] SEE MR, why did you consult neurosurgeon? That means, whether she, is suffering from high blood pressure sync long time? Or anything else? Brain angiogram is different from brain angiography, first one is non-invasive investigation, while 2one is procedure carried out to correct abnormalities in brain circulation, of course you can take reports of MRI by requesting hospital Chat Doctor. THING IS THAT WHOMEVER YOU CONSULT, IF THEY WILL BE HAVING ALL RIGHTS TO INVESTIGATE PATIENT WITHOUT ANY1S PREFER PERMISSION, ESPICALLY IN CONSULTATIONS OF SUPER SPECIALISTS.

The conversation between human and AI assistant. [|Human|] My 8 week old infant has had way fewer wet diapers, and they aren t anywhere near as wet as usual. He also projectile vomits every time he eats which he has done since he was a few weeks old, he takes nexium but it doesn t help. Should I take him to an emergency room? Or should I wait until Monday to see his pediatrician? [|AI|] Hi, What your kid is having is not diarrhea and is only gastronomic reflux. It is quite common for babies of this age group t pass a small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk, the stomach expands - then when it is contracting it sets off a waveform which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.

The conversation between human and AI assistant. [|Human|] My 78 year old mom has MDS. she is self sufficient but gets transfusions every 3 weeks or so and now needs platelets. she never took chemo. tonight she called and said that she had gotten chills, then fever of 102 and has back pain. she plans to take some antibiotics, eat something and call me in the morning. If she gets worse she said she would go to the hospital. She will call me in the morning. [|AI|] Hello, the symptoms you mentioned are not very specific. Many diseases (mostly infections) may present like this. Common infectious diseases include influenza or other viral diseases and upper urinary tract infections. The latter usually also present with rigors. I can't tell which one is more likely because a careful clinical examination is needed and perhaps laboratory tests. Clinical signs of sepsis (a serious condition that may accompany infections) include tachypnea (more than 20 breaths/minute), tachycardia (more than 100 beats/minute), shortness of breath and faintness (low blood pressure). Low blood pressure may present with cold sweats, faintness, sleepiness etc. If she has any of the above then she needs immediate medical attention. I hope I've helped! If you need further guidance then please provide more details about her condition and I'll be glad to help more. Kind Regards!

The conversation between human and AI assistant. [|Human|] I am suffering from bone TB with infection and inflammation in my left sacral bone. The diagnosis was done after open biopsy. Therapy: Taking antibiotics from last two months. Started with Rifampicin, Isonizid, Pyrazinamide and Ethambutol. As the organism was found as fully sensitive/susceptible, Ethambutol was stopped after two weeks and the therapy continued with three medicines mentioned above. As, I have completed two months, now the plan is continue with Rifampicin and Isoniazid and stop Pyrazinamide. Observation: I felt a lot of improvement in the first two weeks of treatment but the condition detoriated rapidly after discontinuation of Ehambutol. Pain retuned back and much higher this time. However, new MRI and CT scan showed that the infection was not spreading. So, I was advised that the TB therapy is correct and I should continue with the three antibiotics. Now after completing two months of therapy, I am still in pain and way behind the improvment I was noticing after first two weeks of treatment. Bone abscess: Abscess is formed at the infection site, which is supposed to be treated by the immune system of my body and no external interference is done. Nerve involvement: I have severe pain and weakness in my left leg due to the pressure on the nerve roots caused by the inflammation at the infection site (left saclral bone). I took a lot of pain killers and was on a steroid (prednisone) course also for 20 days but pain and weakness returned back once I stopped taking the steroid. Can you please tell me whether the TB therapy is correct and how long will it take to get relief from pain? Also, how long the bone inflammation will last so that my nerve can get a relief and my left leg will feel better? Thanks a zillion in advance. [|AI|] Hello. I appreciate the way you have explained your symptoms in detail, it is very helpful for a physician. The regimen for TB of the bone (whicChatDoctores under extrapulmonary TB) is 2 months of Isoniazid, Rifampicin, Pyrazinamide and Ethambutol. This is called the Intensive phase. This is later followed by the maintained phase of 4 months of Isoniazid and Rifampicin only. Total duration of therapy is 6 months. This is the regimen recommended by WHO in DOTS and is also followed in India where TB is very prevalent. We have observed very good results with this regimen in patients with bone TB. Though Ethambutol has side effects affecting the vision, we donor generally stop it only after 2 weeks. Even though it does not kill the TB bacteria but only stops it from multiplying, it is considered an important Chat Doctor. Since it was stopped for you, I presume that it was according to the guidelines which are followed in your country. Generally, it would not be significant, but in the light of reappearance of your symptoms, I would consider it significant. Abscess which is formed due to TB bacteria is called a cold abscess as it does not have any active inflammation. It will gradually disappear with the same treatment. Surgical intervention like

The conversation between human and AI assistant. [|Human|] I have painful hands and back pain and was told that my parated salivary glands are swollen. I take Bactrim for prostatitis along with Benacar, HCT , trilipex and tamsulosin. Could my symptoms be side effects? I have been referred to an ENT for ultrasound of my salivary glands and will be screened for auto immune factors and lymphoma. [|AI|] Hi, Thanks for consulting Chat Doctor ! There is chance for these being side effects of medicines. However, physical examination is mandatory to assess this. At this time, I believe that it is prudent to discuss review about all your medications with your treating doctor who had analyzed your problem better. Anyhow, there are various other reasons as well which cause similar symptoms as yours. Let me know if you have any clarifications. If you like my answers and wish me to answer in the future, bring it to my attention: Chat Doctor. URL link is as follows:http://doctor.ChatDoctor .com/doctors/

The conversation between human and AI assistant. [|Human|] I have a child that is almost 3 years old that was eating a chicken leg. Upon examining his plate to see if he needed anything else I realized that there was part of the chicken bone broken off and missing. When I asked him where it went he said it was in his mouth and he ate it. He had already swallowed the food so I dont know exactly how much he swallowed or if it was a small broken piece that he possibly chewed. Do I need to take him to the emergency room? [|AI|] Taking a child to emergency room depends on when your child ingested the foreign body, where it is located in gut and what type and how large was the foreign body.in your case child ingested a chicken bone, it is small can be sharp or blunt, has not caused any symptoms like vomiting, pain, or difficulty in swallowing at any time. So it's not of emergency. But position of chicken bone has to be looked in gut by a chest and abdominal x-ray. If it is still (after 2 hours of ingestion) in upper gut esophagus it has to be removed by endoscope. If it has not crossed stomach after 3 days it has to be removed. If it has crossed stomach it will pass by itself in stool. So please get the X-rays done.

The conversation between human and AI assistant. [|Human|] low grade fever always of my eleven year old daughter from last 3 months together .She is suffered from viral hepatitis and she is fully treated as doctor said and doctor suspected typhoid again full antibiotic course completed already but still no fruitful result please help [|AI|] Hi, Just read through your details. Viral hepatitis as I understand can cause fever, but it will be good to know what is the state of her liver functions. You can help the doctor in diagnosis in many simple wallow grade fever in an 11-year-old can be due to so many causes. Record her temperature for 2 full days without giving any fever medications .show this temp record to your doctor, Write down and tick after all symptoms there are tests that can tell whether it is typhoid or not. Before treatment test blood for typhoid, test urine for infection, blood again for liver functions, ultrasound scan of abdomen .if fever is low grade, better to start treatment after the results which will be available in a day. I am sure with specific treatment her fever will subside .

The conversation between human and AI assistant. [|Human|] would you please explain me side effects of tablet levipil 500 mg , how long it should be continued after radiation and chemotherapy for anaplastic oligodandro glioma grade 3. The cancer was operated one and half years back and since then the medicine along with zen retard300 is being administered.kindly give me clear picture. Thanking you. [|AI|] Hi there, The Chat Doctor. These are anticonvulsant and have a wide range of side effects, most commonly weakness, loss of appetite, altered bowel habits and eye and liver problems. The duration of treatment is usually decided on case basis as if you had fits recently then they will continue it. In case you previously had seizure but now no seizure for more than a year, many doctors will stop them. In case you never had seizures, better to stop them. But you must understand the final say would be of your operating neurosurgeon or radiation oncologist. These

The conversation between human and AI assistant. [|Human|] I cleated my leg over a month ago and there was a giant bruise on my leg for about a month. Now the bruise is basically gone and back to normal color but I can feel two little lumps on my leg where the bruise was. My question is, is that normal or should I see a doctor? [|AI|] Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have two lumps on the bruised area of my leg. Well there can be many reasons for symptoms you mention in query like keratitis Polaris, folliculitis, eczema, allergy or insect bite. Bruise must be due to hematoma or post inflammatory response. I would suggest you to keep area clean and Chat Doctor. Doctor may prescribe antibiotics like azithromycin along with anti-inflammatory and corticosteroid cream. Hope your concern has been resolved. Get Well Soon. Best Wishes,

The conversation between human and AI assistant. [|Human|] a little over a week ago I went to the doctors for my low back pain. my blood pressure read 99/61. my normal reading is 110/90. could my back pain be causing the low blood pressure. when the nurse checked my blood pressure I was feeling pain in my upper stomach abdomen and I was light headed, dizzy, and I felt very hot and sweaty. over a period of five minutes it slowly went away. I feel this about once or twice a day. I have had the back pain for two years, but for the past two weeks ive been experiencing these pains and dizziness. is this normal? I am also only 17 years of age. [|AI|] Dear friend, thank you for your consultation.it seems that you have a low pressure in comparison to your age. And the sudden bout of lightheaded, dizziness all these are because of sudden fall in pressure. But from my day to day clinical practice I am telling you your back pain has nothing to do with your fall of pressure. So I think your blood pressure profile is not normal, and you should go for a complete clinical examination and necessary investigations to know the cause. For this you can take suggestion from your GP also.my best wishes for you, thank you.

The conversation between human and AI assistant. [|Human|] ihave severe asthma and have been 5 times in the last 9 weeks and been given lots of steroids, so i am on insulin now. i am so wore ouy and can hardly get around. thw wheezing has stopped. i have high numbers of latic acid in the muscles. please tell me what to do. [|AI|] Dear patient. Sorry to hear about your condition. The lactic acidosis you are suffering from is temporary .if your wheezing is controlled then your doctor will shift u from corticosteroid tablets to inhaler steroids which are much safer in long run and will prevent further asthmatic attacks. Try to avoid dusty areas and excessive pollution outside by wearing a face mask. And take plenty of fluids to keep ourself HY Chat Doctor. Ask your doctor to add montelukast+levocetrizine formulation. In long run it will prevent future attacks coupled with fluticasone inhaler. Try to keep your stress levels under control as even emotional instability can trigger an attack.

The conversation between human and AI assistant. [|Human|] Hi! my 9 month Female baby Pus Cell/HPF 8-10 and Epithelial Cell/HPF 6-8. It will be completely cure by antiobiotics? How much Pus Cell/ HPF and Epithelial Cell/HPF number normally in 9 months child? Need suggestion. And will be very thankful to you doctor. [|AI|] Thank you for following up. Your might have not taken correctly the sample. The normal pus cells in urine are 1-2,it can be 8-10 at girls in menstrual period. You should try to correctly collect the sample in a clean sterile container and also try to take sample after washing private parts of child and then take middle stream of urine after she has void initial part of urine. Moreover, you should collect sample of urine in morning just after awakening from sleep. Pay attention to her genital organs, if she has redness and irritation, then it can be vulvovaginitis, and you should wash her 5 days 3-4times with soda water -1teaspoon for 1 glass and leave her without diapers for some time All the best Chat Doctor.

The conversation between human and AI assistant. [|Human|] Gud Morning, I want to know the why am I losing appetite, distaste for food, hair-loss and unexplained bruises. I m losing interest in everything and this affects me and my relationship wif everyone badly. At tymes, I will contemplate to either give up or to end it quickly my life. How am I supposed to deal wif my problems. [|AI|] Hi Some of your symptoms look like they could be related to Depression, but I am concerned about your hair loss and bruises which are not typically associated with pure psychological problems.there could be physical reasons for all these symptoms. (unless you have already been prescribed by an antidepressant which belongs to a group called SSRIs-which could explain your unexplained bruises) My advice would be to consult a physician first and if there is nothing physical that he can find causing these then consult a psychiatrist. Hope this helps.

The conversation between human and AI assistant. [|Human|] Hi my name is soledad and yesterday i went to the restroom and was cleaning myself. Their was light orange on the paper. Today i went to the restroom and my underwear had orenge discharge and wen i clean mysel there was light blood. I would like to know whats going on. [|AI|] Hello share your concern This might be related to hemorrhoids, fissure or fistula in Angelou need to go for investigation to search the cause of GI bleeding. You should go for ultrasound abdomen and gastrointestinal endoscopy to search the cause. Treatment of cause is the only permanent solution. Till that you have to take iron infusion or blood transfusion to meet the demand. If you can write back to me with all the relevant information like your age and complete medical history I will be able to guide you better Meanwhile follow these guidelinesAvoid constipation by taking laxatives of stool softeners You can use lidocaine, anesthetic ointment for pain and discomfort. You should take lots of fresh fruits, vegetables and dietary fibers in your diet. Waiting for your reply Best wishes

The conversation between human and AI assistant. [|Human|] I Am suffering from hair fall from past 2 years.I Am suffering from hair fall from past 2 years....I Am suffering from hair fall from past 2 years.I Am suffering from hair fall from past 2 years....I Am suffering from hair fall from past 2 years.I Am suffering from hair fall from past 2 years............. [|AI|] Hi and thank you for contacting ChatDoctorYou seem to be greatly disturbed by your hairball as you have repeated many times. I would have liked if you added some details of yourself as well such as age, sex, illnesses, etc. If you are male, family history of hair loss or balding is an important cause which can affect you. It may start quite early in some people esp if there is any added stress, illnesses, medications, etcher causes maybe Dan Chat Doctor. Also, esp in females hormonal problems maybe associated. Any history of thyroid disorders, menstrual problems. If you can identify the cause, I would advise you to treat it accordingly after consulting a dermatologist. Check the hemoglobin and iron levels of blood as well. Reduce stress, pollution, eat well with a lot of vitamins and minerals as it is important for hair. Get rest. Add a biotin 10 mg capsule daily for at least 2 months. Apply tress go or recite hair solution at night to scalp. You will gradually notice improvement in hair fall and new growth, but continue the treatment. Anaphase or Renoir shampoo is good for you. Avoid styling products, hair ironing, straightening etc. And consult the dermatologist regarding tests and further treatment as advised. Hope this helps. Don't worry. Your stress will make it worse.

The conversation between human and AI assistant. [|Human|] hi pls i want to know if its is normal or abnormal to have smear semen from my penis when i am aroused but without intercourse. it happens to me most of the times that when i think of having sex and could not, after shrinking in of my penis, semen is smeared. pls advice me if it is normal or not [|AI|] HelloThanks for your query, based on the facts that you have posted it appears that you are getting watery discharge from penis on arousal. Watery discharge that you get on arousal is a secretion of the Bulbourethral glans located in urethra which get stimulated on arousal and secrete a mucus secretion which acts as a lubricant to help in passage of a thick semen during ejaculation. Do not worry this is a normal phenomenon Chat Doctor.

The conversation between human and AI assistant. [|Human|] my husband has copd/emphysema. Of course difficulty breathing at times. Now he has watery bm s which leave stains in his jeans. Now it is hard to get the stain out. He drinks about 6-12 bottles of beer a day and smokes about 3 packs a day. I am now concerned about the bm s. [|AI|] Hi, Chronic obstructive pulmonary disease (COPD) refers to a group of lung diseases that cause obstruction to air through lungs and leads to breathing difficulty. The first thing is he should stop smoking. Treatment of this condition includes1. Bronchodilators.2. Inhaled steroids.3. Combination inhalers including bronchodilators and inhaled steroids.4. Oral steroids.5. Phosphodiesterase-4 inhibitors.6. Theophylline.7. Antibiotics. The treatment options depend on spirometry findings and stage of the disease.Lifestyle modifications which might help in slowing the progress of disease includesDoing breathing exercisesInhaling clear fresh air regularlyAvoiding pollution and smokeExercising moderatelyEating healthy

The conversation between human and AI assistant. [|Human|] My spouse has severe jerking and twitching of the legs which starts about 20 minutes after she turns out the light every night. We think it is more severe than restless legs since I have had that and this seems not to respond to treatment we ve tried. Can you help us identify a possible cause and/or solution? Thank you. JAH [|AI|] Hihope this msg finds u in good health. I have gone through the complaints and understand your concern. I feel if u have tried all the remedies and It's still not helping. .it might be more of psychological anxiety related. For sucChatDoctorplaints. .counseling and if required physiotherapy can help Hope this answers your question. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless

The conversation between human and AI assistant. [|Human|] i have fatty liver 1 disease with no alcohal and doctor suggested me to take udiliv 300 mg for three times a day and heptral 400 mg twice a day. however, im feeling fainting tendency with frequent urination.please suggest me the disease may be reduced by taking that medicines and what is the reason for fainting tendency and frequent urination. [|AI|] Hi and welcome to Chat Doctor, thanks for the query. These medicines will improve your liver function definitely, and it will reduce fatty liver. But it should be combined with dietary changes and exercise. Frequent urination can be caused by urinary infection or enlarged prostate and i don't think this is related to your liver condition. You should do urologic work up to rule out these 2. Till that, try to Chat Doctor.

The conversation between human and AI assistant. [|Human|] My daughter is having excruciating pain on the left lower side of the back (she has had back surgery several months ago) and it is causing her leg to buckle when the pain hits. She is also having diareha (dont know if its connected to that or not) [|AI|] Hi, I have read your query. Since your daughter had back surgery previously. You should get x-ray of affected area of back in AP and Lateral view done, send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. You may need stronger painkillers which are available on prescription only. You can try ibuprofen or naproxen till you see your doctor. - Apply hot packs for 30 min in morning and evening. I hope it helps. You are welcome to ask further health related queries. Thanks. Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hello. I m an 18 year old female, about 145lbs, 5 6. My right side is hurting and I feel nauseous. It s more of the right side of my back and side. I used the bathroom maybe around 3pm and after is when I started feeling that way. I went again about 10 minutes ago and I still feel the same. Could this be something serious or will it be gone by tomorrow? [|AI|] Hi. Thanks for your query. Read your history and understood it. The pain on the right side more of the back and right side can be due to following reasons::Impacted stone in the right upper ureter. Retrocecal meaning behind the cecum Appendicitis. This can be serious as the pain in the said area does not give classical signs and symptoms of a particular disease. High degree of suspicion only helps. I would advise you to go for the blood and urine test- RBS in urine will favor more for ureteric stone. Ultrasonography will see for both the problems, but CT scan will be more specific as it can diagnose the suspected disease and rule out or diagnose any other problem. This may not go by tomorrow, get investigated, get a confirmed diagnosis as the treatment of both the problems is different and specific.

The conversation between human and AI assistant. [|Human|] i have been diagnoise with hep c should i take this new drug they have to treat it with other medical issues like high-blood,diabetes taking insulin. My brother had this treatment in the past 6 mos. and had terrible side-effect and had to be hospitalized and still recovering,also he has not drank any alcohol in 20 yrs.? [|AI|] HI, thanks for using Chat Doctor There are potential side effects for any medications. These are effects that may or may not occur. Though your brother may have experienced side effects related to the treatment, you may or may not. Hepatitis c effects on the liver can be worsened by liver damage secondary to alcohol, but it is a viral infection and is not caused by alcohol use. You can speak to your doctors regarding the possible pros and cons of the treatment and any risk associated with not treating it. From the information given you can then make an informed decision. I hope this helps

The conversation between human and AI assistant. [|Human|] I fell in my basketball game earlier, and I hurt my arm, it s not bruised I don t think, and it s not broken. Although it hurts when I touch it, and slightly move it in certain directions, to top it off it keeps twitching, what could this be? Should I be worried ? [|AI|] Dear patient You have got blunt trauma to your arm with contusion. I would advise X-ray of involved arm anteroposterior and lateral views to rule out bony abnormalities. If its normal fracture is ruled out. Apply ice packs on swelling frequently. Start tab diclofenac plus serratiopeptodase combination twice a day for 7 days. Keep limb elevated. This will relieve you of pain and swelling. All the best.

The conversation between human and AI assistant. [|Human|] Hi, I have problem with speaking, I cannot speak in front of peoples or in crowd many times. But I am happy (Confident from inside) am able to speak anything in front of anyone. But most of the time I feel ashame in front of peoples, in meetings and in group discussion. and Now i am 29 years old, this problem i have from starting of my life, I never mind it. thought it will go with confidence boost. but it never get sorted out. I am feeling depressed and low self esteem. can t speak in front of peoples. Please suggest some of medicine and cure of my speaking. [|AI|] Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. This condition that you are having is called social phobia, and it is a type of specific phobia. This requires medical as well as psychological help. In medical help, medicines such as paroxetine or venlafaxine or mirtazapine will be helpful. Among psychological treatments cognitive behavioral therapy and systematic desensitization would be helpful. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hello my name is Shannon and my daughter is 9months old and her father recently took her to the doctor and said that she has a condition with That starts with a T I can not remember the name, I would know it if I saw or heard it. Her head has a lean she keeps it turned to the side and that same side her jaw is shaped weird plus it kinda looks like her shoulder on that side is lower than the other. My question is what is that is called? [|AI|] Your child may be suffering from tortillas which occurs due to injury on the muscles of neck. In some conditions its due to hematoma in the neck muscle which resolves gradually with time, and the deformity also goes away. Do an ultrasonography of the necks muscles to detect any hematoma or deformity there. Do not try to forcibly correct the deformity as that can aggravate the lesion. Don't worry in much of cases its resolves with time.

The conversation between human and AI assistant. [|Human|] I m an Asian Male, 33 years old married for 5 years. Since a year,as my wife & I were trying to conceive, I have had problems with my penis maintaining erection during intercourse.Also, there has hardly been any penetration. I had a visit to the doc,who ruled out any issues with my penis.He has recommended to use Duralast 30( Dapoxetine tablets) at least half an hour before sexual intercourse . Does this tablet act like a Viagr a? Are there any side effects from using this often ? [|AI|] HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of Erectile Dysfunction and have been advised to take Duloxetine, Dapoxetine is generally prescribed for premature Ejaculation. Please consult qualified Urologist for evaluation and tests to detect the cause for your erectile dysfunction. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking.In the meanwhile you can take Sildenafil (Viagra)as on demand. This will help to get good hard erection, Chat Doctor.

The conversation between human and AI assistant. [|Human|] 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 [|AI|] 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

The conversation between human and AI assistant. [|Human|] its been one year since my mother was operated for brain tumor. since than there was no problem regarding her tumor but 2 days back my mother has ear bleeding from both the ears and i m concerned is it because of that brain tumor or something else?? so kindly answer my question can ear bleeding (both ears) can be caused by brain tumor??? [|AI|] I read your question and I understand your concern.However, regarding the history of brain tumor, that should not be related. A brain tumor or the surgery for it doesn't cause ear bleeding especially since in this case it is bilateral. The most common cause for that would be trauma, use of blood thinning products, bleeding tendency, bilateral infection. To make a diagnosis though, a complete blood count and coagulation tests, as well as physical examination by an ENT (ear-nose-throat) specialist is required. I hope to have been of some help.

The conversation between human and AI assistant. [|Human|] sir i am 38 year old &Recently gone through sevear back pain.at baroda heart intitute baroda advice me your one carti is shown 99% blockage as per engography report.so i go per engoplasty on02-08-2010.now i have take medicine daily .i want to know what type of precaution required.please advise me regarding diet, walking &other precautions. [|AI|] Hello, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then you should be on medicines for it. Regular exercises like brisk walking or just walking according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Most importantly medicine needs to be taken regularly as advised. Hope this helps you and get back if you have any doubts.

The conversation between human and AI assistant. [|Human|] I recently had sex with my boyfriend. we were fooling around for awhile then he started rubbing his penis on me and he inserted it for no longer then 10 seconds, he didnt ejaculate but there is a chance he pre-came, what are the chances Im pregnant? [|AI|] Dear, We understand your concerns went through your details. Whether pre-cum contains sperm cells or not, is a million-dollar question. But for sure, the sperm cells contained or come out along with pre-cum, is not strong enough or liquid enough to travel through the vagina and reach the egg within you. Therefore, the chances of pregnancy is bleak in the given scenario. 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.

The conversation between human and AI assistant. [|Human|] Im hearing a soft fizzing/popping after I cough. Other symptoms: frequent violent coughing- each fit clears everything out but next fit follows soon after. Throat very raw- makes swallowing difficult- some streaks of blood occasionally in mucus- believe this is from minor injury to throat from violent coughing [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. You are having difficulty in swallowing and fits of violent coughing. These are seen commonly with obstructive esophageal pathology. So first consult gastroenterologist and get done upper GIs copy to rule out obstructive lesion. If this is normal then consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test) to rule out bronchitis. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. But first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

The conversation between human and AI assistant. [|Human|] HI SirIm from India bangalore.Im suffering from left side stomach pain past from 1 year 8 month.Did the scanning before 6 month endoscope, ultrasound and urine cultivation test. IM taking the treatment past from 1 year 8 by changing the doctors because it is not getting curable. 22-Mar2012 upper gastro intestinal endoscopy:: Impression :Duodenal erosious (Post bulbar) 6/4/12 Before 12 months back, i went to concert the gastoenterities doctor, he did the scanning of ultrasaound and urine cultivation test. Ultrasouund will be normal and urine cultivation test is e-Coli bacteria 1 lakh count.Then he sugest for urologist, urologist give a treatment to urologist test: ultrasoung KUB, trasrectal sonography, uroflometry16:04:2012tablet Cefoprim 500mg 1-0-1 7 daystablet unirub 20 bg 1-0-1 7 daystablet cranpac 1-0-0 30 After 2 weeks i got motion in blood then he suggestted looz syrup 17-5-2012t niffutin 100mg 0-0-1t cranpac 1-0-0t unirub 20mg 1- 0-03-7-2012t Sepmax 1-0-1 7 dayst pantazole 1-0-1 7 dayst lactogent 1-0-0 30 Doctor he is not able to cure the disease, my immunity power also gone low after taking the too many antibiotic.He again tell the scanning of CT SCAN---KUBMCUCYSTOSCOP and he told the scanning to my wife Gyac opinionpap smeacu/scan abd+pelvis i did not done any of the scan because he is not given the clear picture.i suffered him a lot from the doctor.Please help me on this, how do it has been diagnise [|AI|] Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You are suffering from left abdominal pain, changed many doctors, and used many medicines. No cure since one year eight months. The causes of left abdominal pain are, gastric pain due to peptic ulcer, irritation by irritant foods. Pancrias pain, worms in the intestine, infection of the kidney, writer, or bladder, or stones in the ureter, or bladder. The other causes could be psychological due to long-standing problem, and it is secondary to the actual problem. I advise you to practice yoga meditation, reading books of your interest, hearing music, and internal or external gardening. Try to take more of curd, bland foods like bread etc. Avoid UN timely food, spices, junk foods, and oily foods. Wishing for a quick and complete recovery. Best regards.

The conversation between human and AI assistant. [|Human|] Dear Doctor , I am a 46 year old married woman with 2 grown up kids, I have been working since I was 16, and have always been a go getter, and my family was the centre of my life, however lately I feel that I am losing interest in everything, I am not bothered about my looks, I am not bothered about how my home looks, I have had some issues with my husband s insensitivity related to our sex life for many years, which lead to me drinking and venting alone, I feel I can not rely on my husband for supporting me neither emotionally nor financially, I have been self reliant all my life but now I cannot go on any more. My husband does try to be supportive but for short periods of time only, though he means well he is not the doting husband types. I have worked in MNC companies (as a trainer) all my life but now I am working in a Pvt Ltd hospital and do not like my job, have not been successful in getting another job because of my age and have not done my MBA, just plain graduate. I am suffering from hypo thyroidism, (and taking .50 mg thyroxcin) I am obese and my weight is increasing, I suffer from hunger pangs on some days and on others I don t feel like eating and now I am suffering from depression and high blood pressure , my treating physician has given my Nexito 20 for 1 month, I am still not feeling energetic, instead I am feeling more low, and in fact now I am so deflated that I don t feel like having a bath or groom myself, I just feel like killing myself, but of course I am worried about my kids future, please advise [|AI|] The first advise I could give is to remain in company and never sit alone. Talk about your feelings and give them a direction. Don't make you imaginary feelings of isolation. Enjoy the world. Believe in God and join some religious group. Don't expect any help from anyone as unfulfilled expectation causes more depression. Move out in company and see how nature reveals itself to you. In Ayurveda, we offer Shirt Dhaka with medicated oils enjoy it and have Cap. Bravado with ashwagandha churn 500 mg. TDS. Chat Doctor. Com