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i hav started my carrier after my post graduation,after joining in the industry my health problem has started, i dont why daily i wake up at 7 and i vl try to sleep after completion of my dinner, but im having some family tension i thought due to dat iam unable to sleep well please provide me some guide line to overcomek it...
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"If you are having 7- 8 hours of undisturbed sleep and feel fresh in the morning it is not a cause of worry that you wake up early at 7. You can consider following a similar sleep pattern every night and indulge in light reading before you sleep. This might help, or you can also take help of a counsel"
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"I suggest you not to worry much. I think this is the case with almost all working mothers across the world. They have to take care of so many things, fatigue is quite natural. You also study. That adds up to the stress level. If you can't keep up, then you have to find a solution. Solution available in three ways. One - leave the job. Two - stop studying. Three - Do both the above. I know you can't leave job because of the salary is the only income. So leaving study my give you good relief. Still better is, keep relaxed keeping your passion. As all working mothers do across the world. Take occasional holidays and enjoy the life and be passionate with your work. You should feel good. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition.",
"It is natural to get nocturnal emission during sleep at the age of adolescence and the weakness that you have is not due to emission, but it is mind related and due to anxiety. Following measure will help you to boost up your confidence and to get sound sleep 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. Do not worry this will get resolved of its own without any treatment."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello I was just diagnosed with MRSA. I had a sinus surgery three weeks ago and two teeth removed upper left. I Have a lot of pain in the maxilla area. I was put on clindamycin 300 mg. Is that an ok antibiotic? I have a lot of pain in the area described.
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"Thanks for the query. Pain after 3 weeks of extraction and sinus surgery is not normal as by now the pain should have reduced in intensity. So my suggestion is to consult an Oral Surgeon and get evaluated and an x-ray of the sinus and extraction site should be done for confirmation. Yes, Clindamycin is appropriate antibiotic and if Infection is still present then you can continue taking the same. Also, you should take painkillers like Ibuprofen for pain relief. If pain is severe higher painkillers like Tramadol or Motorola can help."
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"The pain in the lower incisors and chin region can be because of the gum infection or tooth infection secondary to decay or trauma. Nothing to be panic, consult a good oral physician and get it evaluated. Meanwhile, take a course of antibiotics like amoxicillin. Continue Motrin 400 mg twice daily instead of 800 mg. Do not apply hot or cold things. I hope my answer will help you, take care",
"Read your query. The symptoms which you are depicting suggest that there is an infection in the mouth which would require antibiotics. (you have not mentioned whether you are on any medicines right now). For the pain you can take Tab Ibuprofen (if you are not allergic to any medicines). Cap amoxicillin 500 mg Three times (if not allergic) and tab Metro lag 400 mg (I would advise you to call your dentist and start the medicines). Continue saline gargling. Do not apply hot bag on the cheeks to relieve pain. You can apply an ice bag intermittently. Visit your dentist or any hospital and get it reviewed as soon as possible."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I was sitting cross legged for a while and now My right shin hurts. The pain isn t constant and partially goes away when I sit upright or stand.. I didn t sit in that position for two long because I kept getting up and stretching. Could my muscles be sore, or could it be something else?
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"Also, the flexibility in the muscles is reduced and due to sitting in crossed leg position there is the disruption in the blood supply leading to pain. I will advise doing simple stretching exercises for the lower limbs so when you do cross sit it should not lead to symptoms again."
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"And spasm in back muscle comes due to weakness of spinal muscles as well due to working in wrong posture for a long time. Abdominal muscle spasm is actually not a proper symptom you need to say more in this like is there any discomfort in abdomen ?, or do you have diarrhea?, do you have this problem from long time or started recently?, how is your bowel and gastric health? Then only we can give you proper guideline. Now spasm in leg muscle could be related to long-standing or related to back pain only. But to get diagnose properly I suggest visiting or tho or physio and get your self examined properly for evaluation purpose. Here you are complaining of headache and soreness in eyes as well I strongly believe this all symptoms together indicates your body is in too much stress. You need some time to rest and relax your self. So take a break and even after that if It's not fine then do visit doctor for proper health check up. Take care",
"But I think it needs further work up since. 1. you have back pained for after sitting for 20 minutes(not expected at your age). 2. you have start up pain(pain on getting up form sitting position-indicates some form of instability in the back, muscular or bone)3. New onset pain like sensation in one of your legs(might suggest pinching of nerves in back) 4. No significant improvement in pain after several treatments, heat and medicine(suggests severity of underlying etiology) and 5. You have relief of pain on bending forwards(can suggest arthritis of facet joints - joints in your back). The most basic work up will include a thorough physical exam and X-Ray of your spine. Further course of action will be decided based on them. Online solutions might help you in muscular strains and postural pain, but not if there is some pathology in your back. The lump like feeling in your back can be due to muscle spasm or bony instability, which further calls for a visit to your physician to be more sure. In the meantime, I would suggest you to go through websites on ergonomics. Ergonomics is branch of science which deals with posture adjustments according your livelihood. It will help you choose a posture most suited for your daily routine. Also core stabilization and back strengthening exercises will help support your back in the long run."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hey my daughter was outside the other day and when she came in she said she had eaten some snow mot much mabye about a cup or so and i live in forested are where alot of small rodents live so is it posible to get rabies from eating snow on the ground that some small rodents i dont know if they were rabid or not so im in desperate need of some medical advice should i consult a doctor and get her immunized along with myself or am i just being paranoid also does the rabies virus have a life span outside a human host? please and thanks
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"I have read your description and understand your concern. Eating snow mot inhabited by rodents might not cause rabies. Rabies virus spread when an infected animal scratches or bites human. Saliva from an infected animal can also transmit rabies if the saliva comes into contact with the eyes, mouth or nose. As a precaution, it would be better if you could consult doctor and get your child immunized, if it is absolutely necessary."
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"Rabies is a disease which is transmitted by dog bite, which is 100% fatal but 100% preventable by proper and adequate treatment. If the dog is vaccinated also you need to observe the dog for 10 days. So I would have advised you to take at least three doses of anti rabies vaccine on days 0,3 and 7. As your friend is complaining of sciatic pain it may not be the symptom of rabies. So I would suggest you to consult the neurologist for further evaluation and treatment. Thank you",
"Welcome ChatDoctorThis time you have a bite from pet dog. My advice to you is if your dog is immunized again rabies you need not panic. Just wait and observe your dog for 7 days for abnormal behavior. If your dog is not immunized than you need to take full course of Raipur irrespective of your previous shots taken. Apart from this if wound is deeper than you should show it to the nearest doctor and get it Chat Doctor. I hope I have answered your query. Take care"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I just recently started taking Adderall for ADD and was curious about blood pressure and heart rate while one. Do most people s bp and hr go up? My average is pretty normal, usually around the 100s/70s or 80s with a hr of about 85-90, which is kind of high, but it s always been that way. I just checked and my bp was 93/67 with a bp of 107. Is that ok?
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"Yes Adderall can cause palpitations, increase in blood pressure. But it commonly causes anxiety issues. Your blood pressure is ok, but pulse rate is a bit high. You should exercise daily and eat healthy diet. I suggest you can use Extended release tablets comes with name of Adderall XR this will have less side effects."
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"Painkillers are another factor that may lead to uncontrolled high blood pressure. From the other hand, if your blood pressure values increases only at the doctor office, it may be related to White Coat Syn Chat Doctor. Anyway, a single value of blood pressure is not indicative of high blood pressure. That is why I would recommend to closely monitor your blood pressure values several times during the day (sitting position after 10 minutes of total relax) and refer those values to your doctor. If your blood pressure values are persistently high (above 140/90mmHg), you should discuss with your doctor on the possible causes. Further lab tests may be needed",
"I carefully read your question and I understand your concern. Ii will give you my opinion. When we treat hypertension our goal is to achieve mean values below 140/90 mmHg. A hypertensive patient might have excessive values under physical or emotional stress and this is normal but when we talk about daily mean values they should be under 140/90. Only with these values we can say that we have a good and controlled blood pressure. So, if you say that in a random measurement you find high values like 167/93 it might be reasonable to rise your medicament dosage. In fact the April dose that you take is a very small one. So my opinion as a cardiologist is that you can rise the dosage to 2. 5 and even 5 mg because it can't cause any harm. It will lower your blood pressure values to 120/80 and this is our target for you. Of course, it is mandatory to know some blood analyses to do so like your creatinine levels, so I advise you to consult it with your cardiologist."
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Hello Dr,I am 23 year old. I have a problem in chest heaviness ,sometime breath very difficult and rapid heart beat. I have consult cardiology and physician.my ECho,ECg,TMT and PFT is normal. but i could not understand the above problem still continue from 2-3 month. Dr. say there is not any problem and write 7-8 tab for allergi.please help for the my problem.
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"*As per all reports are normal there is no pathological reason for the same. *Now coming to the solution, I don't agree or nobody will agree with 7-8 tab for allergies ? For chest heaviness & rapid heart beat. *In my opinion this is Psychosomatic issue, needs intensive lifestyle changes & no medications at all dear. Follow certain simple basic rules & see the difference on your own :- prepare your mind thoroughly that you are not suffering from any major / minor medical ailment-BE POSITIVE altitude in life should be your prime concern in every matter-avoid stress / anxiety-have adequate sound sleep of 8 hours-avoid smoking / alcohol / abuse substances use if any-avoid oily / spicy / nonveg stuffs-maintain proper diet intake adequate in all carboy"
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"I can understand your concern. Yes, you should definitely worry about these symptoms because heart diseases can cause similar symptoms. So better to consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2 d echo. If all these are normal then no need to worry about heart diseases. Sometimes acute gastritis can also cause similar symptoms. So take proton pump inhibitors and prokinetic Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Don't worry, you will be alright. But better to first rule out heart diseases.",
"I can understand your concern. In my opinion, we should first rule out heart diseases in your case. Left sided heavy chest pain with arm heaviness and sweating are commonly seen in heart diseases. So get done ECG and 2d echo. If both of these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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my CT found a 2.1cm low attenuation lesion at the right adnexa, prominent periaortic lymph nodes, and a 1.2cm lesion on the right lobe of my liver exhibiting peripheral nodular enhancement. I also have some kind of papalnoma/growth between my left tonsil and uvula that will be getting biopsied soon. Do any of these findings link together? Is it possible I have some kind of cancer?
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"Lesion in adnexa with prominent lymph nodes and liver lesion is definitely reason for concern and needs to be thoroughly investigated. Suspicion of index for malignancy (cancer) should be high. Papilloma between left tonsil and uvula may be benign but should be biopsied. You have not mentioned your age and why the CT scan was done. What symptoms were you experiencing. History would be very important in your case. A thorough physical examination to see if there are any palpable lymph nodes or mass that can be biopsied easily. If no mass or lymph node is palpable then a needle biopsy of adnexal mass under image (Ultrasound or CT scan) should be done. Tumor markers including serum CA-125 and serum CEA would be helpful. You can discuss it with your doctor. If you have any further query I would be more than happy to answer. Thank you for choosing"
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"I can understand your concern. You may have some enlarged lymph node due to reactive hyperplasia, tuberculosis or lymphoma. Or it can be some soft tissue tumor, cyst or skin adnexal tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly.",
"I can understand your concern. You have lump over collar bone. It can be enlarged supraclavicular lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. Or it can be some soft tissue tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly."
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1.What is the side effect of oligocare? 2. What is the required dose per day? 3. How long can it be used to have an effective result? And also, can a person that doesn t have a low sperm count use oligocare and what could have been the effects if it is used by such?
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"side effects are Very few-vomiting, gastric upset, diarrhea, headache etc. and are rare and mild. 2. Dose- 2 tablets daily3. Duration 3 months because sperm production needs 3 months. 4. Utility- whether it is effective in improving sperm count or not is not clearly known. In some men it works and in some men it fails. Its unpredictable. But even ugh it dies nit work, even with zero sperm count we can treat patients and give hi baby"
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"The (Oligospermia) sperm count can be increased by following general measures 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 Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking.",
"It increases FSH and LH hormone, cause maturation of follicle and effectively rupture of follicle. It increases fertility in 50% case with if there is patent fallopian tube and normal semen parameter of male partner. It should be taken from 3rd day to 8th day of period to induce ovulation. After taking it, USG and ovarian follicle study should be required to know response of it. It can be used for 4-6 months under advise of gynecologist. It does not cause any serious side effects. It causes sometime Stomach upset, bloating, abdominal/pelvic fullness, flushing, breast tenderness, headache, or dizziness, but not in all cases. You can also ask for progesterone pill and tablet ova care to support pregnancy. Avoid stress, take healthy diet,"
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My baby is seven months old and was premature a month and a half early...He got angry when I layed him down to play started screaming turned purple so I picked him up and he got stiff and quiet with a purple color..... just for a few seconds and them was normal.....what was it?
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"It is quite common in this age group. A baby tends to get angry and stops breathing for some time. It, in turn, causes cyanosis and bluish discoloration of hands and feet. In such a situation you must stimulate the baby by pinching and soft jerks, which will make him breathe again. It will improve with time when the baby is two years of age. Get a CBC with peripheral smear done to rule out anemia."
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"I think none of the symptoms were present in your case. Green and hard stool occurs in some babies on formula feed. So I would not have changed the formula. Now on new formula observe the stool for few more days and if It's still gray then there may be some digestive problems, inform it to your d",
"When it is of substantial amount, we suspect risk to the life of the baby. However, the bleeding was trivial and after such bleeding, you have been examined in the hospital and sent home with assurance. So no need to worry about the baby. It is likely that the mouth of the uterus (cervix) has started preparing for the delivery by getting gradually merged into the uterine walls. This process known as effacement of the cervix causes dislodgement of the mucous plug in the cervical canal with some bleeding. When such blood stained mucous come out immediately, it is red, however if it remains inside the vagina (due to very little amount or position) or cervix, the blood and thus the discharge becomes brown. However, 36 weeks is too early for starting labor process. So I would advise you to have complete rest in the house in a view to postpone the starting of labor pains as far as possible, at least for one week more. It would be good practice to monitor the well-being of the baby by listening to heart sounds (if you can do that) and/or counting the movements of the baby by clock. In left side position lying, in two hours, 10 movements are perceivable. If you note fetal movements getting affected, please report to the Obstetrician ASAP. I hope this helps you"
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Hi, I am a 20 year old healthy male that has all 4 wisdom teeth and I had two root canals on my lower 28. Unfortunately I will have to extract the lower 28 after all the work ive done on it. I hate the fact that i will have to walk around with a titanium rod in my mouth for 4-6 months. I was wondering if it is possible that I Remove 3 wisdom teeth along with the lower 28, then got braces to move over my other teeth and make room for my wisdom tooth (on the lower right not coming in compacted) to come in and act as a molar. If this is possible I would rather do this than have a false tooth in my jaw. I ask online because I dont want any bias from my dentist or the surgeon.
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"Yes it is possible to get extracted all wisdom tooth, but it should not be done on the same appointment. But if the dentist is mentioning that 28 needs to be extracted then there must be some infection left in the apical region of tooth which will create problem in the future. Better you should go with the dentist as he must have diagnosed all the conditions."
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"No, it will not shift to the empty space, but it might tilt and that too very little. Because the third molar is vestigial. If you have any associated problem with the third molar you can extract it. If you do not have any problem, do not remove it. In case you have any caries or repeated pericoronitis, you must remove it. My answer is no shifting but slight tilt only. For more information consult a dentist online",
"From the X-ray, I understand that all your wisdom teeth are indicated for removal as they are erupting in the wrong path. However, I would suggest you get the one which is troubling you extracted first followed by re-root canal treatment for the adjacent tooth. It is better to get the extraction done first followed by the root canal. This sequence may vary from dentist to dentist and also based on patients preferences."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dear sir, i am getting a pause from the belly button, i had lifted weight a week back on my head and there was a pain at the belly premises.. i was getting pain when i urinate, bend, and when i cough and sneeze.. from yesterday i am getting lot of pause.. now the pain is bit low as compared to earlier but the pause is keep on coming.. is my condition is severe can u help me out with this..
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"Thanks for your query. Pain at the belly button is not a normal occurrence and whatever the instigating factor this has to be investigated. Lifting the heavyweight might have pushed the fat pad into the preexisting umbilical hernia. Another possibility is preexisting granuloma and not getting inflamed and causing pain. The pain is getting increase with urination, coughing and sneezing as these cations increase intra-abdominal pressure. I would advise you the following:Physical examination by a General Surgeon. Any investigations like ultrasonography may be of help, but it us the clinical examination by an expert that clinches the diagnosis, and certainly you may need a surgery; be prepared for it if it is needed"
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"Thanks for calling Chat Doctor. Forum. You have got Lower abdominal pain started 10 minutes after intercourse. After 6 days also you are feeling the pain, while walking, cough, sneeze, stand, etc. It is paining during defecation. It appears to be the infection of the vagina, anus, rectum. Other causes could be pelvic infection, urinary tract infection, stones in the urinary tract, etc. I advise you to consult a surgeon for diagnosis and treatment. You may need to have M. R. I. besides other routine tests for confirmation. Wishing for a quick and complete recovery",
"You have got lower abdominal pain, on walking, coughing, laughing, for 2 weeks. You got hysterectomy done one year back. It may be due to urinary tract infection, or stones in the urinary tract. Rare possibilities are surgical hernia, etc. I advise you to consult a surgeon for diagnosis and treatment. You may need to get M. R. I. besides other routine tests for confirmation. Best regards"
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hi i just had baby he is 4wks old and i am having toothache,and i think they have to do a root canal. i just wanted to ask you that is it safe to have a root canal done after 4 weeks or should i wait another 2 weeks.(i had a c-section) some body told me that i have to wait 6 weeks after delivery for any dental work but i don t know. thank you
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"The root canal treatment can be carried out after 4 weeks of the delivery. There is no contraindication as such to carry out the root canal treatment. You can get it done, no problem. The main reason after 4 weeks is for the wound healing after delivery. It is a non-surgical procedure, so it can be carried out anytime. The only thing what you need to take care is the medicines prescribed during treatment. You need to take after feeding the baby. I hope my answer will help you, take care"
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"ngratulations on having a baby. You have not mentioned how your baby was born i. e. whether by normal delivery or by cesarean section. If he was delivered by normal delivery, may be that during the delivery some amount of blood was collected under the scalp, what we call scalp hematoma. It goes away on its own and is not a cause for worry. I do not know whether the homeopatChatDoctoredicines have given any additional relief. The umbilical cord generally falls off in 7-15 days and initially may remain soft. Some antibiotic ointment like Newsprint may be used there. If the umbilicus or navel is in Chat Doctor. Coming to the case of your wife, she had to bear a lot of hardships during pregnancy as well as labor and delivery. It is natural for her to feel weak unless she gets adequate nutrition. She needs a healthy diet to help her body to recover. And she needs to eat for two people, not one. Through her milk, her baby gets what she eats",
"I understand your concern. There are two possibilities- - Few women tend to deliver before expected date (might be due to some physical making of birth passage). If that case, it might be the birthing position of baby (which is 4-6 weeks earlier to delivery. )- In such case you would experience decent of baby in birth canal slowly but definitely. You should have a weekly check-up for baby position by your doctors' consultation. - It might be a normal positioning of baby(to be born at term which continues from 28 weeks of pregnancy"
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Uterus shows a small nabothian cyst at the cervix. Endometrium with a double wall thickness of 9 mm with no endometrial fluid collection or discrete mass. 2. Left ovary apparently has been removed. Prominent pelvic vasculature on the left suggesting pelvic congestion. 3. The right ovary appears to be lobulated or bilobed and measures up to 4.1 cm. There is a simple 7 mm cystic area at the inferior margin of this. The right ovary appears more lobulated than what was seen before. I would suggest close followup with ultrasound in 3-4 months as it is possible that there is a nodular density adjacent to the right ovary as opposed to the ovary appearing bilobed. An endometrioma could have this appearance. Close followup is warranted. No evidence for ovarian torsion on the right. I am 49 years and in overall good health, low BMI and non smoker.
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"As your history suggestive findings based on radiology otherwise you are in good state of health with good BMI. For the findings of RT ovary loculated with simple cyst and left oophorectomy done with pelvic congestion or prominent vascular tree suggests benign process as endometrial wall thickness 9 mm which could be endometrium. But you haven't mentioned as what time of cycle this U/S done and any pain along with cycle. You need rightly a close follow-up repeat scan at some other time of cycle as before mensuration after 3-4 months"
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"I learn from your concern that you had a laparotomy for endometriosis and left ovary removal. Please note the following1. For conception your egg when released has to be picked up by the same side tube which needs to be open and functional. As you have your only right ovary left and left tube functional (opposite sides) it's not possible for the egg to be picked up by other side tube. It's difficult to expect pregnancy to happen naturally. 2. As the remaining ovary also contains a cyst of almost 4 cm, it's wise to get it removed if you plan to conceive with techniques other than natural method. 3. Taking phaeton doesn't help in conception, but it only supports pregnancy if it happens. 4. The best option which can help you conceive now is IVF (in vitro fertilization). 5. Canal is not used commonly to treat endometriosis for its unwanted side effects.",
"If you are ovulating, then there is no necessity of any medicine for egg release. Please continue ovulation monitoring by ultrasonography which will locate the day of ovulation. Then try to have frequented your sexual relations on and around the day of ovulation. Usually, healthy egg is released when the follicle is between, 18 mm and 21 mm diameter. Uterine lining (endometrium) between 9 mm and 14 mm is most conducive for implantation. Along with, it is advisable that you get the patency of your reproduction tract assessed by Laparoscopy and/or Hysterosalpingography. If any block of anatomical lesion is detected, you may require surgical correction. Since you have conceived twice before, at this stage, I do not feel there is any necessity of semen examination. I hope this helps you at this stage"
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I have been getting electric like shocks in my left chest for seconds at time and then they disappear. In addition, I am having pain down the middle of my neck. It was only on the left side, but now its on the right too. Could these be related? Im confused. Thanks!
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"I can understand your situation and problem. Electric shock like feeling in left sided chest with neck pain can be due to heart diseases like angina or arrhythmia. So better to consult doctor and get done 1. Clinical examination of heart 2. ECG 3. 2d echo 4. Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about heart disease. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But first rule out heart diseases."
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"In my opinion you are having musculoskeletal pain only, as you are having history of blunt trauma. But in left sided chest pain we need to rule out cardiac cause first. So better to get done ECG to rule out cardiac cause. If it is normal than it must be due to musculoskeletal reason only. Try to follow these. 1. Avoid heavy weight lifting. 2. Avoid strenuous exercise. 3. Avoid bad postures in sleep. 4. Take good painkillers and muscle relaxant. 5. Apply warm water pad to the affected area. 6. Wear chest belt to decrease the movement of affected p",
"I can understand your concern. Left sided throbbing chest and shoulder pain are commonly seen with heart diseases. So, in my opinion, you should immediately consult doctor and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test) tools rule out cardiac diseases. If all these are normal then no need to worry about heart diseases. Sometimes musculoskeletal pain can also cause similar symptoms. So take simple painkiller like paracetamol or ibuprofen. Apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright but first rule out heart diseases."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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for the past few weeks weve been noticing unexplained bruises on the lower part of her right leg. when they seem to be going away they get darker . she now has more bruising and more are appearing on her left leg. shell be 2 in june and I suffered from severe anemia during my pregnancy with her as well as dvt . can any of this be related?
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"Bruises over leg can be due to blood disorders, infection,coagulopathy, vasculitis or autoimmune disease. As you have history of anemia and DVT, then Disseminated Intravascular Coagulation should also be ruled out. You should visit your doctor and get tests like CBC, ESR,PT, APTT, D-dimer,serum fibrinogen, C-reactive protein. Then it will be easier to reach a proper diagnosis."
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"Edema and swelling in the limbs can be due to excessive intravenous fluids you might have received, or due to pre-eclampsia. Prominent veins are likely due to increased blood flow, which is normal in pregnancy. I will suggest you to consult an ORGAN specialist to get properly examined, get your blood pressure checked and take appropriate treatment.",
"No, this is not normal. Unilateral lower limb edema in old age can be due to1. Dependent edema2. DVT (Deep venous thrombosis)3. Cellulitis etc. Since your mother is old age and having recent infection with hospital admission, DVT can be the cause. So get done lower limb venous Doppler. If this is negative than get done S. protein level. As Hypoprotienemia can also cause dependent edema. So better to rule out all these, as unilateral lower limb edema is not normal"
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What is the difference between high functioning autism and making the conscious choice to truly discover self in solitude? is this something being faded out for the better of society this nearly terminal uniqueness of a philosopher in solitude or is it related to the self obsession of autism and the mental self stimulatory? many would call such solitude or isolation sinister if in beliefs. in other words do I have autism and do I really have to accept the diagnosis?
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"Such kind of patient even does not bother about family member and also has some stereotypical behavioral. Self solitude is normally seen in depressive patients. Such kind of patient are not much happier in solitude, but they prefer to stay alone to avoid other people. I do not think, you have autism. An autistic never bother about being alone, that means, you have some depressive symptoms"
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"may be mixed type. It is difficult to treat personality disorders as they don't feel they require anything usually. The parents of such people (who have some authority over them) can make them go to doctor forcefully. You can however try to make him realize that his repetitive actions are suggestive of OCD and make him read some literature on it (on net)- this may trigger some realization in him, and he goes for treatment. Such personalities have the tendency to blame and trouble people who are near to them and whom they can command all time; they can. be thankless because they can't relate with other feelings. Always obeying them and fulfilling their demands will only make them behave like this more.",
"I suggest you not to worry much. I am not sure about your age, living conditions and vocation. You have so many symptoms associated with most of the common mental disorders like anxiety disorder, OCD, depression, ADHD, personality disorders etc. Are you trying to exaggerate? In any case, no self diagnosis. Correct and timely diagnosis should help you cure your problems. Please consult a psychologist for psychometric tests to determine your problems. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo. gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I am a male 68 yrs old with Parkinsons and osteoporosis. Because of the meds for Parkinson, my teeth are deteriorating rapidly (dry mouth). The recast that I have taken for Osteo slows down the healing process when teeth are extracted, increasing the risk of osteonucrosis. I have several teeth that need removing and the dentist is afraid i might have complications. The dental work will be very costly either way I go -- partials , implants. We are exploring the area of dentures. Am I a candidate for dentures??
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"Thanks for the query. Chat Doctor. . Yes, it is true that Recast infusion can increase the risk of osteoporosis and to get the teeth extracted you should get off the dose of Recast for at least 3 months. Also, if you wish to get the Dentures, first of all the teeth should be removed followed by complete healing of the bone and gums and then only if there is sufficient bone then denture can be placed"
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"For this you should consult good prosthodontist and go for removal of growth and when lesion healed then go for refitted denture.",
"Full dentures are used to replace the whole lot of teeth when absent. In your case, as you have mentioned that you got only one front tooth left, it is much easier to replace only those lost teeth. So, the options here are removable partial dentures. Here you get regular or Valplast to choose. Valplast is much flexible than the regular ones. Fixed partial denture which is nothing but a set of crowns to replace your lost teeth with support in either side from your original back teeth. The options with the material and cost here are ceramic and zirconia where zirconia is much natural looking than ceramic. Dental implants replacing lost teeth with tiny metal screws followed by fixing the ceramic caps or crowns. Might be expensive for multiple teeth and takes time."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I fell and landed on my ankle, it rolled out and I felt a sharp pain. I couldn t really walk on it. I iced it all night, and now, the next day, I can still barely walk on it. It isn t significantly swollen, but it feels numb and very cold, which worries me. It also hurts about 5 or 6 centimeters above my ankle. What am I experiencing/what should I do?
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". . Since there is a fall and significant swelling. If I were, I would have got an x-ray done for my ankle and check. after getting confirmed that everything is ok. . . then would suggest you. To continue icing frequently for 15 mins once in every 2 hours. make sure your body temperature gets back to normal. before icing the place again. To wear an ankle support. . . or keep it compressed by a compression bandage. . . keep it elevated. . . take rest. . . Numbness and chillness what you experience could be due to swelling even pain while bearing weight can be attributed to the same. . . Nothing to worry. . . Things will get alright"
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"You had a soft tissue impingement in your ankle. . . Nothing to worry. . . I suggest you to. . . Kindly do a lot of icing frequently. . . . Gentle massage over calf and muscles on outer aspect of leg. . . Gentle stretching over the calf. . . If possible roll an ice bottle under the leg. . . I also recommend stretching of gluteus, Hamstrings. . . Keep it compressed witChatDoctorpression bandage.",
"And remember foot and ankle injuries are very notorious even you don't have fracture there are chances of ligament injuries which causes severe pain and swelling and complete recovery is not possible in such cases. Mild pain remains in foot even after recovery. As your injury is fresh you need to give rest to your foot till the swelling and pain subsides"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,My partner has a cold sore. I kissed him before it actually looked like one. I already carry HSV1, but I have never had a cold sore. Did I put myself at risk?
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"Herpes simplex virus (HSV) if once acquired stays lifelong. When it is dormant it does not produce cold sores. When there are risk factors like stress in any form, physical stress, mental/emotional stress, recent illness, surgeries, prolonged sun exposure can trigger cold sores. When there are active sores with blisters and fluid in it, the person who does not have HSV can contract the virus and produce cold sores. Since you already carry HSV, you can have a cold sore with above-mentioned risk factors and it may not increase the chance of getting a cold sore as there were no blisters at the time of contact (kiss). Hope this answers your query. For more information consult a venereologist online"
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"If not it can be due to friction caused by vibrator caused ulcer. Yes once HSV positive always positive. If you had oral sex with an HSV 1 infected person then you can get HSV 1 general rash. Warts are more related to HPV not HSV. HSV causes ulcers with mild pain.",
"I am Chat Doctor answering your query. Even though it needs to be examined clinically for a diagnosis, from your history of sore throat and bumps around the lip and near his nose points to a viral infection like herpes. This would go off of its own in about a weeks time. If I were your doctor, I would advise you for a multivitamin and some anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery."
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sir i have a problem in eating,i think this is a psycho problem because when i am not alone and i can not concentrate on my throat i swallow food easily but some time it stacks in throat which cause same breathing problem i suffer in this problem from the last 1 year,in eating some thing spicy i feel jealousy in throat.by using tablets such as Amoxilin i feel good only for a week.
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"I suggest you not to worry much. I sincerely opine that the problem you are facing now is of your own creation. Furthermore, I think you are obsessed with thoughts a negative thinking about your throat and swallowing. You had the strange sensation once, twice or thrice. You should learn to leave the thinking part there. If you have any doubt regarding your health, consult a physician. If you are perfect leave the matter there. Otherwise, take treatment. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems."
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"Is it really only for past 2 days or u had difficulty even before that ? Do u really feel that your food gets stuck when it finds its way down your throat or food pipe and isn't going down properly as it used to ? Is it like initially you had difficulty swallowing solids, and then it progressed to difficulty in swallowing liquids as well, or it happened for both solids and liquids at once ? Did you have any episodes of vomiting ? Is there pain during swallowing or only difficulty ? What's your age? Any addiction to smoking or alcohol ? Do you have any other respiratory complaint apart from the chest pain you mentioned ? Your symptoms need detailed evaluation. Difficulty in swallowing can be due to issues with your throat or food pipe or something compressing on your food pipe from outside (example - enlargement of lymph nodes around your food pipe or any other growth) or it can be due to motility disorders of your food pipe (Andalusia cardiac). There are many possibilities, so I would suggest you consult a physician in person",
"Poor concentration can happen due to many things like decrease sleep, nutrition deficiency like iron deficiency or anemia, lack of proper atmosphere, or can be due to depression. All these need evaluation by a doctor. Anxiety can also hamper concentration. Various medicines are available in market like Brahma etc. but frankly speaking no such mind sharpening medicines available or will help. Yes relaxation exercises can help you like deep breathing or yoga Panama will help. If you still feel sad and worried, it better to visit a psychiatris"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I have a friend who recently is having dizzy spells. We have sort of figured if he ate to much sugar then stand up he gets dizzy. This does not happen all the time. He does have a drain tube in for gall bladder that is to be removed. Could this be causing the problem?
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"After going through your question, there are following possibilities for your friends symptoms-1) Reactive hypoglycemia - this is due to sudden release of insulin after sugar intake which lead to low blood sugar level (hypoglycemia) which can be confirmed by doing blood sugar level during episode of dizziness. 2) Postural Hypotension - fall in blood pressure after standing from lying down or sitting position. Which can be confirmed by checking blood pressure in lying down and standing position. 3) Other rare possible causes may be - - Syncope. - Deny Chat Doctor. - Inadequate nutrition"
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"Thanks for your query and an elucidated history. I can understand how you feel. . . Well, the gall bladder surgery 2 years ago may not have to do anything with this. You have a heaviness in upper abdomen and no other symptoms. Try Sanitizing and risperidone tablets and your problem may be solved within a few days. This may not be anything serious. Just for the sake of perfection-better to undergo upper GI endoscopy and ultrasonography, in case there is no relief with routine medicines",
"This occurs due to excessive parasympathetic reaction so that you get this pain and sweating. The bowel or bladder is evacuated the pressure and hence the reaction is reduced. So you get better. I would advise in such a patient to get a clinical examination done and few investigations as may be advised by your Specialist Doctor. Never to hold the bladder or bowel movement at any cost. This can even give you syncope, meaning giddiness and a feeling that you are passing ou"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I had hip dysplasia when I was a baby and I had to wear a pavlik brace and the problem was fixed. I m 13 now. Lately, I ve notice that when I stretch or try to do the splits (I do color guard), my hips seem like they won t bend and they have been bothering me occasionally. I have no trouble walking or doing normal things. Is this normal? Should I go to the doctor?
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"It can be due to tight hip adductor muscles, and it is normal. If there is no problem in walking then it is ok. If there is difficulty in walking or running then you can consult bone doctor. You may need to get x-ray. If you want then you can share your x-rays with me. Then I will be able to comment if you need any surgery or not. I hope this answer will be useful for you"
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"The problems you mentioned, and the accident seem to be related. So, please fix an appointment with the doctor and get your self examined. #### Avoid any strenuous movement, avoid pulling weight, and bending too much till you seek treatment. Only after proper tests, one can give appropriate",
"As per your history you had RTA, and now you have difficulty in walking and pain as well. I will advise you to undergo a thorough clinical examination on a safer side. Also, an x-ray might help us to be on a safer side if any injury is there. As in most RTA there are muscular injuries than bony ones. And this takes a little time to reduce as the impact of the fall will be highly damaging the muscular system. This takes a little time to heal I will advise you to undergo a thorough clinical examination and an x-ray of the hip on a safer side. Regards Jay In"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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Abdominal pains/upset stomach occurred after using Keflex 500mg by 4 per day. Took these for 6.5 days then stopped after consultation with Surgeon. The upset stomach problem settled down somewhat after some 7/8 days but even now I still get twinges some 14 days after stopping them. The problem started after taking the medication for just 3 days. Do you have any thoughts about about this? Thankyou, Don Safstrom
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"Keflex 500 four times a day can cause gastrointestinal flora disturbance. The normal bacterial flora of the intestines is disturbed and a person suffers from bloating, loose motions, pains in abdomen and so on. Your problem started 3 days after you started the Reflex, so the cause of your problem may be different. Start the treatment with Probiotics and prebiotics to replenish the bacterial flora of the intestines. Get the stool tests done, an ultrasonography and colonoscopy to rule out other causes. Treat the obvious problem if found with antibiotics, metronidazole. Take activated charcoal tablets, banana and curd, a natural probiotic. Consult a Gastroenterologis"
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"I do understand your concern. Betamesathon is a corticosteroid. Like all corticosteroids, dexamethasone affects your metabolism and how your body deposits fats. As a consequence, your appetite might increase leading to weight gain, especially to extra deposits of fat in your abdomen. Ito minimize this effect, watch your calories and exercise regularly. In general, your stomach will return to its normal size, 8-12 months after you discontinue steroids. Besides this, you should maintain adequate vitamin D and Calcium intake through diet and supplement. You also should have a check-up regarding osteoporosis risk assessment. The answer above was for the side effects of steroids in general and I'm not saying to stop the steroids (actually, stopping abruptly or tapering off to quickly you might experience with Chat Doctor. Regarding Memphis vulgarism infection, the first line treatment are corticosteroids. You should consult with your doctor about second-line therapies (azathioprine, rituximab, Dawson etc. ). You should also be careful regarding contact sports or any other activity that traumatize the skin. I hope you do well and wish you a good heal",
"I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. If this has occurred only acutely, it might be due to stomach infection requiring antibiotics like Tinidazole, Metronidazole. But if you have such loose stools and pain abdomen very frequently, you might require workup for Malabsorption Syn Chat Doctor. So, if this is chronic, write to us in detail. This is my best advice for you with the available details, if you have any further query, please ask me"
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hello, I am a 33 year old female. Recently I had an episode of severe pain in the left side of my chest that radiated to my neck and arm. It hurt badly to breath in. I went to my doc yesterday and had an EKG that came back normal. No sign of a heart attack but my d-dimer test came back slightly elevated. They are scheduling me for a c scan. What are the chance that I have a blood clot
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"I can understand your concern. D dimer is very non-specific test. High d dimer can not 100%suggests pulmonary embolism (blood clot in lungs). Apart from pulmonary embolism, high d dimer is seen with muscular injury, skeletal injury, infection, inflammation etc. So I don't think you are having pulmonary embolism because you are not having cough, breathlessness. But better to get done CT scan to rule out pulmonary embolism. If CT scan is normal then no need to worry about pulmonary embolism. Possibility of simple musculoskeletal injury and related pain is more."
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"First relax. There is nothing to worry about. I have gone through the detailed history and investigations (attachment removed to protect patient identity) you have attached. I found cardiac markers are quite normal. Her 2D echo is normal. Her other blood investigations are normal. Endoscopy showing that there is gastritis and duodenitis. It can be cured easily. Coming to ECG (electrocardiogram) there are some T wave inversions in lead V2 and V3. They are of little concern. Coronary artery disease is very rare in a woman of 32 years age. You can go for CT coronary angiogram, which is a very simple procedure. With reports of cardiac markers and 2D echo we can say she does not have any cardiac muscle injury and she does not have any functional problem in her heart. Just go for Coronary CT angiogram to feel tension free. Her stomach pain is most likely due to gastritis. Revert back with the CT angiogram report to an internal medicine physician online",
"I can understand your concern. Since your chest pain is on left side and is associated with left arm discomfort, we should definitely first rule out heart diseases. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. This kind of pain is also due to psychosomatic issues like stress and anxiety. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright but first rule out heart diseases."
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My son has been running a fever off and on all week. Worst day was Monday. The highest his fever went was 102. We saw a dr. Wednesday and ruled out flu and strep. He has a loose, productive cough but no other symptoms. Fever has been around 99-100 for the last two days. Today he had no fever all day until tonight when it went to 100.4. How contagious is he at this point? He feels fine and is an active 11-year-old. He is getting stir crazy and I want to know if he could go to the movie tomorrow or would he possibly pass this on to his grandmother still.
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"He is otherwise fine and active and has no respiratory symptoms. Flu and streptococcal throat infection have been ruled out. His symptoms go in favor of a viral upper respiratory infection and possible sinusitis. As long as he has a cough and a fever, he is contagious. I would recommend that you treat him with Paracetamol syrup for fever, an anti-allergic tablet like cetirizine, plenty of lukewarm fluids orally, a mixture of honey with ginger is also helpful. The cough can take more than a week to clear up. In case the fever persists or rises with an increase in cough or difficulty in breathing, you must consult your doctor again."
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". . . by what you Quote I feel that your son has got viral fever. Usually viral fever will be very high grade on the first two to three days at the same time when the fever comes down the child will be very active and playful. Unless there is rash all over the body or seizures or respiratory distress or low urine output you need not worry about high fever. But sometimes chigger bites can cause Ricketts fever for this sake I suggest you consult your pediatrician. As of now you can administer Paracetamol at the appropriate dose every 4 or 6th Hourly that too only if the fever is above 100 degrees Fahrenhei",
". . . nothing to worry about a temperature of 95-96 while recovering from viral illness. The danger signs of lower temperature include - skin mottling, low urine output, fast breathing, seizures, skin rash etc. If these are not there you need not worry. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness"
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i have a good friend with multiple myeloma. he suddenly has developed a raspy voice. He has multiple hairline fractures in his spine and ribs and has become quite stooped and seems to have difficulty breathing. Is the raspy voice related to the condition of his spine
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"A raspy voice is due to stimulation of the recurrent laryngeal nerve which supplies the vocal cords. It is possible that your friend has a lowered immune status after taking treatment for multiple myeloma. This might cause him to have infection in the throat which is causing irritation to the recurrent laryngeal nerve. Any infection or condition in the throat might cause the raspy voice. It is suggested that he consults the ENT specialist immediately and has a clinical examination of his throat done. This will show any inflammatory changes in the region and whether it requires treatment. Please tell him to do throat gargle with warm water twice daily to soothe the throat. The raspy voice is not related to his spine but might have an indirect association to his treatment which he is getting right now. Please do not worry"
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"Usually, the horsey voice becomes after a viral infection of the upper respiratory tract especially if larynx and trachea are being involved. If she won't feed well, or if she will develop high fever, send her to pediatrician. Even in case, her sleep will be disturbed from cough and hoarseness, should send to pediatrician. For the moment, I advise keeping feeding with warm milk. Wish fast recovery",
"I can understand your concern. Your husband is had hemoptysis (blood in sputum), spot and nodule in lungs and chronic pain backache. He is a heavy smoker. So possibility of lung cancer is more likely. Lung cancer is known to spread in vertebra and cause chronic backache. So taken him to pulmonologist and get done CT thorax and MRI brain to diagnose lung cancer and bone (vertebra) metastases."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi, My girlfriend try suicide attempt last month by having 47 penadols. She was admitted in the hospital and saved. Later on we came to know that she was pregant for one month. Since we are not married, we havent told anyone that she is pregnant. She has completed here second month and is on the third one. Regards & Thanking you in advance.
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"Panadol is commonly used during pregnancy and is safe for treatment of pain and fever in normal doses. If your girlfriend was able to recover from her overdose and the pregnancy was only one month along, there is likely no risk to the baby from the Paradox that she took. An ultrasound examination can confirm that the baby is alive and healthy. You and she then may make the best decision for you in whom to tell about the pregnancy. I hope I was able to adequately answer your question today and that this information was reassuring"
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"nks for trusting the Chat Doctor doctors for your health related issues. As u told that u had sex on 11th June, it is the safe period of your wife, so there is very less chance of getting pregnancy and your wife already had taken unwanted pill within 72 hours of unprotected sex then u people already had taken double protection, so don't worry. Relax. there is rare chance of getting pregnancy. Just wait for the menses to come. If u people are still worried then visit nearby gynecologist, he/she can help you",
"It is not necessary for the partners to discharge at the same time to get pregnant. Only male discharge is enough. Many a times females don't achieve orgasm in initial years, but that does not mean pregnancy cant occur. For conceiving early, you should try in your ovulation days which are roughly middle 14 days of your cycle, to be more precise in a 30 days cycle, from 12-20 days. Try by self for at least 6 months to 1 year before getting any investigations. Thanks"
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I received a message from my son, 45, in Atlanta. He reported that his AST=53 and the ALT = 58. He also has reported a lump under his left arm. I suggested that he stop taking all his various supplements and drink lots of water for the next two weeks before repeating labs. I recommended that he see a hepatologist for the elevated AST and ALT but don t know who to recommend for the swollen probably lymph node. I am a PhD in the biological sciences, worked for Baxter Healthcare, and am a 16+year bilateral lung transplant recipient and 2+ year kidney transplant recipient so I have learned a lot about lungs, kidney and pancreas.
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"I can understand your concern. He has only mild increase in AST and alt level. It could be due to some viral infection, alcohol, Chat Doctor. He should repeat his liver function test after a week. He may have some enlarged lymph node. It may be due to reactive hyperplasia, tuberculosis or lymphoma. He should go for fine needle aspiration cytology of that lump. It will give perfect idea regarding cause. Then he should take treatment accordingly."
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"I have gone through your question. I can understand your concern. You may have some enlarged axillary lymph node or soft tissue tumor like lipoma. Enlarged lymph node may be due to reactive lymphoid hyperplasia or due to tuberculosis. So you should go for fine needle aspiration cytology. Then you should take treatment according to your diagnosis.",
"I am a Gastroenterologist (DM). There are many causes for elevation of AST and Alt like alcohol intake, Hepatitis B and C virus, Wilson disease, autoimmune liver disease. So I will suggest you to visit a gastroenterologist for evaluation and appropriate management hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon"
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Hello Doctor, My daughter is 2.9 years of age. She has mild eczema. She has been diagnosed with allergic rhinitis. She is on Singulair 4 mg, Osonase spray, Junior Lanzol (15mg) and Relent (5 ml) once a day. She is on this medication for more than a week. Her Rhinitis has been there for almost 2.5 months now. She is not showing any major improvement. Her IGe test showed 33 points. Is it safe to continue these medicines for more than a month? Please help!
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"Allergic rhinitis is a condition that with proper medication can be controlled, and the child can have a good quality of life. My suggestions are the following:1. Switch from Relent to a plain cetirizine containing syrup, which can be safely given for 6 weeks for allergic rhinitis2. I would advise against Flonase spray as there are no guidelines for use in such a young child, first try the cetirizine for 6 weeks. Fluticasone nasal spray can be used in child Chat Doctor. Singular can be given safely. Give it in the evening time between 4 to 6 pm as it will be absorbed best at that time4. Junior Landon need not be continued unless she has pain in her upper abdomen. 5. Most important of all are to avoid triggers such as August, do wet mopping instead of sweeping, clean bedsheets in warm water once a week, wash curtains regularly, clean AC filters every fortnight, avoid use of agarbattis, perfumes, mosquito coils. She should improve in the next few weeks. Keep an allergy diary with her symptoms and show your doctor at the next visit so that he/she can change medications accordingly."
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". . Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.",
". . Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY Chat Doctor. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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my 10 year old has had stomach pain on and off for the past week. she had a high fever a few days ago, but that passed. Are these signs that she is about to start her menstrual cycle, or could it be something else. The stomach flu is going around her school, but she is not vomiting and does not have diarrhea.
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"Thanks for your query and an elucidated history. Stomach pain with fever-may be flu as you have rightly mentioned that stomach flu is going on in the school. These may not be the signs of the expected period your daughter is about to start the menstrual periods. Pain off and on for the past week would make us to decide about the need of a treatment with antibiotic and metronidazole, probiotic, symptomatic and supportive"
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"Since he is having fever so needs to rule out possibility of gastritis. If fever persists, repeat vomiting occurs, notice distension of abdomen, then immediately visit to ER.",
"I appreciate the fact that you are really concerned about your daughter. You can definitely help her by firstly giving her the mental strength to believe and accept that this is temporary, and she need not fear. Secondly, you have taken to the doctor, and she is on medication for the same which is the best thing you have done. Thirdly, I would want to emphasize on you checking on her diet. There is a possibility of food poisoning, infection in the stomach etc. because you have mentioned that the pain began only after she ate outside food. Symptoms of food poisoning include vomiting, nausea, stomach pain, and even slight fever. In regard to diet, you need to ensure she"
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I am a 79 year old male. For 2 years now, have had a shunt for hydrocephalus / brain tumor / slow growing / found in 1997/ size of golfball in the right ventricle. I have increasing water retention in legs lately and forgot to take HCHLorathizide for a week. Back on now. Must I expect belly bloating to be a part of life with a shunt?
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"If this does not improve after restarting of the medication, you should have a checkup (initially an ultrasound of the abdomen) in order to evaluate any shunting malfunctioning. There should not be bloating for a long time even with a ventriculoperitoneal shunting."
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"So taking a diuretic under medical guidance will be good. Also, the stomach bloating may occur, but it needs an assessment. Sometimes diabetic people may have high creatinine levels leading to abnormal symptoms. Check his creatinine levels and also blood sugar levels. Post that we can help him better.",
"Thanks for your query and an elucidated history. The symptoms complex of pain in Rhomboid, left should crackle, pain and swelling around collar bone and now bloating of upper with abdomen with hip problem is suggestive of some serious problem like the can be a cancer problem with secondaries in the place you have talked about. I would advise you the following:CT scan or a PET scan of the affected parts. Blood: Alkaline phosphatase, Liver function tests and others. FNAC of the suspected area. These investigations will lead to a diagnosis and give a plan for further treatmen"
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Hi, Im 25 years old. I have a problem regarding my left areola. It was my firs time taking a pills, which brand is Diane. When I stop using it for 2 months. My areola in left breast is itchy then past 2 to 3 days, there are small lumps look like a pimple with a small dot in the middle. And breast is sore, today noticed getting a red rash and little painful, but I also noticed starting to pus out a yellowish liquid. What does this mean?
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"I am so sorry to hear about this sore breasts and this yellowish liquid. For sure this is not caused by Diane. I will suggest that you get this evaluated because yellowish pus often signals and underlying infection that needs to be appropriately treated to control and prevent systemic spread. Consult your primary care physician and get this ad Chat Doctor. I hope you find this helpful. I wish you well. Thank you so much for using our services, and please do feel free to ask for clarifications or more information if need be"
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"Understanding your concern. As per your query your child have symptoms of red spots on chest which could be due to allergic reactions to substances causing irritation of the skin, excessive exposure to sunlight, contact dermatitis, such as when you come in contact with poison ivy or cold sores, dermatitis, or eczema. Need not worry. I would suggest you to apply cold compresses on them, take antihistamine like Ben Chat Doctor. You can apply combination of topical Darlene + nadifloxacin gel at night. If condition doesn't get better than consult dermatologist for proper examination and rule out cause like chicken pox and bulbous pemphigoid. Doctor may prescribe corticosteroid or antibiotics course.",
"It's my pleasure to help you. After the in depth study of your query My diagnosis -is -Hives / or the Urticaria vasculitis. / or could be EN-erythema nodes. , but the mostly Urticaria-due to the red rings around the bump. Causes of this are many. Treatment-for it is-Tb-Cetrizine, Tb-Antiworm Chat Doctor. If no relief skin doctor consultation is advised. Don't worry and act fast. This would solve your worrisome query."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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hi, i had diagnosed with spinal tuberculosis one and half year ago. At that time my doctors told me that its primary stage because of no spine deformation.i took the medicine for 9 month and took 3 month total bed rest. Now i dont have any back pain normally, but some time when i sit for 4-5 hours in college,then i have little bit pain..and as i have gain too much weight due to bed-rest and medicine. can i start light exercise or gym?
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"The level of physical activity would depend on the status of your spine. If your TB has healed and the spine/vertebrae are stable, then, there is no problem in doing exercises. This can be confirmed by doing an MRI scan of the spine. Please discuss this issue with your treating doctor. I am sure that with one and a half years of good treatment, your disease would have healed, and you should be able to start exercises. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health,"
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"Its referred pain or due to venous congestion. Complete bed rest for a certain period of time is the initial mode of treatment in low back pain. Pain can be controlled by medication, exercise, weight reduction, lifestyle modification etc. But the lump you have mentioned is not usual. Please consult a doctor immediately. Take paracetamol 1 gm twice or thrice daily as required initially for some days",
"After going through your query I think You are suffering from chronic backache. It is related to some extent to your old pulmonary tuberculosis as healing occur by fibrosis and calcification. After the treatment the x-ray remains the same. it does not change so no need to worry. Treatment of back pain is exercises, Cartilage D once daily, NUROKIND GOLD ONCE DAILY and analgesics (diclofenac 100mgSR) whenever pain. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(On DK 60K weekly with milk) can be taken. Avoid long continuous sitting. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. To further investigate MRI of the region is advised. I think your query answered"
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Dear sir,I am K.Jeyakumar(46years,Male) of south India. I had wound and pain in my tongue left side for the past two months I have been diagnosed as a case of Carcinoma Tongue, through MRI diagnostic investigation.I need your valuable advice. MRI OF NECKTECNIQUE: Axial,sagittal, coronal SET1 and TSE T2 weighted sequences.OBSERVATION:The study shows presence of an irregular ulceration of left lateral border of posterior third and adfacent undersurface of tongue, with thickening and induration of tongue muscles and adjacent of of soft tissues. The lesion appears isointense on T1 and slightlyhyperintense on T2, IR weighted sequencesw. The lesion measure about 3.0X1.7X0.9cms in size.Base, right half of tongue, floor of mouth , oral, buccal, palatal,submandibular soft tissues and RMT show no involvement. No mandibular or maxillary alveolar bony erosions or marrow oedema are seen.Buccinator, ptergoid muscles, nasopharynx, oropharynx, hypopharynx, epiglottis, vallecula, palate, supra glottic, glottic, subglottic regions, trachea, pyriform sinuses, parotid, submandibular and thyroid glands appear normal.No evidence of cervical or supra clavidular lymphadenopathy is seen. Carotid, jugular vessels, sterno mastoid, other muscles, pre and para vertebral soft tissues appear normal.Cervical spondylotic changes are seen. No evildence of bony erosions are seen. Hyoid bone, other bones and cervical spine appear otherwise normal.IMPRESSION: MRI OF NECK SHOWS,SMALL IRREGULAR ULCERATIVE SOFT TISSUE LESION, INVOLVING LEEFT LATERAL ASPECT AND UNDER SURFACE OF TONGUE - SUGGESTIVE OF LIKELY MALIGNANT GROWTH OF TONGUE.NO EVIDENCE OF BASE, FLOOR OF MOUTH, ADJACENT SRTUCTURES INVOLVEMENT, BONY EROSIONS, CERVICAL OR SUPRA CLAVICULAR LYMPHADENOPATHY IS SEEN.
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"The MRI scan says that there is a 3. 0 x 1. 7 x 0. 9 cm mass in the posterior third of tongue on left side. This is a cancerous mass and causing firmness in the muscles attached to the lower portion of the tongue. In the above case, the tumor appears to be stage 3 cancer of tongue. If possible, wide excision surgery is to be done and this is to be followed by multiple cycles of chemotherapy and radiation therapy. As the response rate of tongue cancer is good, there are chances of cure and recovery after treatment. There are no lymph node metastases mentioned in your report, and therefore it is still not spread. Please take complete treatment and closely follow up with your doctor. Please do not worry"
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"With repeat episodes this could be viral in nature. Take some Anti-inflammatory medication such as Tylenol or Advil to reduce symptoms. Look for initial signs such as a tingle. There are antiviral medications that can be effective if taken at early onset. Check if there is any type of ulcerated lesion. Stress can induce an episode. Track your diet or any change in products used. An allergic reaction is another possibility. While sleeping, you may aggravate the side of your tongue with rubbing or deny Chat Doctor. Your dentist can visually check for lesions or growths. The back side of the tongue is an area at higher risk for oral cancer, so seeing your dentist is a recommended choice to confirm that nothing new is now visible. There are blood vessels and Sylvia ducts that can also be visually checked. Consider having blood tests to check for any systemic disorders. A neurologist could be consulted if the condition persists without any possible diagnosis. Thank you for your inquiry. I hope that my suggestions are helpful",
"The symptoms like difficulty in swallowing, lump behind the ear and tongue sore are probably due to a condition in which immune system become week, which further occur due various reasons. Due to weakness of immune system lymph nodes behind the tongue and tonsils inside throat get infected very easily. The same is the reason for tongue sores. I would suggest you to consult ENT specialist for proper examination. Doctor may order blood test, throat swab test along with other test. Doctor may prescribe antibiotics (amoxicillin and penicillin) at least for 10 days along with vitamin supplements to boost the immunity. Also consult neurologist for migraine. For now do warm saline gargles several times a day, Chat Doctor."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I tripped on a pillow in the floor in a bedroom and hit my left arm (on the outside of the arm just below the elbow) on the dresser as I fell. I had immediate bruising. It was a huge bruise. I applied ice and the bruising went away within a week or so. However, it has been about a month ago and I still have a 2 in x 2 in swollen area that is firm in that area. Is this something I need to see my doctor with or will it heal?
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"Understanding your concern. As per your query you have bruise on left arm after having an injury. Well there can be many reasons for symptoms you mention in query like hematoma, soft tissue injury or infection. I would suggest you to apply ice pack thrice a day, take ibuprofen or acetaminophen and keep your arm elevated while lying down. If condition doesn't get well then consult general practitioner for proper examination. Doctor will examine physically and prescribe anticoagulant like heparin or main Chat Doctor. Doctor may also prescribe antibiotics along with anti-inflammatory."
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"Forum. This is not a case of pulled muscle but is a case of hematoma with contusion. This contusion and bruise developed bluish discoloration on the injured part. Ice massage with serratiopeptidase + anti-inflammatory tablet only for 2 days will provide complete relief. In my opinion there is not a cause of any concern. Rest will also help in rapid recovery. Good luck",
"The swelling in the elbow after fall is due to accumulation of fluid & blood, and it is called Hematoma. The blood cells accumulated are eventually broken down and absorbed in the body. But this is a slow process & takes times to disappear completely. Till that time, symptomatic relief is obtained by analgesics preparations (like paracetamol/ ibuprofen)+ serratiopeptidase, ice compression & adequate rest. If it still persists or there are any other associated symptoms like fever, loss of sensation, etc. . . then it will be better to consult your Doctor. Under such circumstances, a proper clinical+ radiological evaluation (X-ray of elbow joint) will be needed to rule out any bursitis or fracture"
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I want to know about pinpoint ( 3 d ) radiation therapy that is recommended 3 times a week for 2 weeks. I have just had a full hysterectomy for endometrial cancer.The cancer was confined to the uterus and did not penetrate the muscle wall. They removed 23 limph nodes were removed and they were tested and were free of cancer.Do I really need those 2 weeks of radiation? and what a re the side affect.
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"I have gone through your query and understood your concern. First I need to tell you about the 3d radiation therapy which means it allows the clinicians to pinpoint the cancerous tissue with tightly focused 3d radiation beams. And the side effects includes following:-diarrhea-frequent urination-fatigue-loss of appetite-irritation in vaginal area-reduced white blood cell count. These are the immediate side effect which may occur after radiation therapy. And coming about the need of radiation therapy after surgery if you were my patient I will definitely advise that as there is chance of spread even after the surgery. In my opinion you must follow the instructions given by your doctor and lead a better life."
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"I suggest you undergo physiotherapy for the same. The physiotherapist will be able to teach you stretching exercises and proper posture. You can apply local pain relieving balm or gel twice a day. If the pain and radiation get worse or persists after six weeks, then you can consult your doctor.",
"If you have been on contraceptives then your body would have got used to this. Most of the contraceptive methods are hormonal and all having short and long term side effects and differs in every Individual a bit. If contraceptives are taken regularly as per advised with proper timings and dosage without vomitings, then you will have protection as you required. Any contraceptives long term use can definitely give side effects like unscheduled bleeding, acne, migraine, breast and endometrial cancer, stroke, clot formation, etc. All side effects cannot occur in a single individual but that occur for which person hasa tendency and genetic history, etc. You can have sex along with proper contraceptives with or without condoms. But try to change contraceptives frequently or some time contraceptives free period to avoid side effects. Have regular contraceptives with condoms to have complete protection. Change contraceptives frequently to avoid side effects. Take care."
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I need to know what exactly is cancer of the rib cage. What are the different types (such as osteo, chrono, ewings) etc. How to determine the stage it is in. Especially important is the fact that this person was a heroin addict and apparently it stemmed from there. I have looked at sites and they always refer to bone cancer as a tumor (is that correct) and what is meant by mastication.
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"Ribs are bones and to be specific they are flat bones. Tumors on any type can originate in ribs but Ewing's sarcoma is the commonest and seen in young adults. However, bone malignancies can occur in variable age groups. Ewing's is one type of bone cancer that is due to uncontrolled proliferation of round cells. This tumor responds well to chemotherapy and radiotherapy and patient survival is good. I suggest the person should get a CT scan done, and then an image guided FNAC or biopsy is required to confirm diagnosis. Once confirmed, treatment is by a team and might include surgery, chemotherapy and radiation. Patients must follow up regularly when taking treatment for best outcome. Mastication is the act of chewing food using our jaws. Please do not worry"
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"Bone tumors are very painful. And radiotherapy can cause more pain due to local tissue necrosis. In this type of malignancy, centrally acting painkillers are useful. Morphine and related Chat Doctor. You can use transdermal patch of fentanyl as this gives 72 hour relief from pain. It is very popular option for excruciating pain due to bone cance",
"Sarcomas are highly aggressive blood malignancy. It can metastasize to all organs of the body. Liver and lung being highly vascular organs effect more. Liver and lung metastases points towards worse prognosis. And disease like cancer has great impact on psychosomatic behavior of the patient. So anger and depression are very common in end stage cancer patients. Better to deal these with discussion on and of life issues with patient. And life expectancy is usually less than 4-6 years"
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I am currently having a possible pregnancy scare. My boyfriend and I have not had complete intercourse yet. So, technically I am still a Virgin. Last night things got a little out of a hand, and we were not using protection. He pulled out before orgasm, but that doesnt neccesarily mean that will protect me from getting pregnant. I do not want to take the morning after pill, but would rather possibly take an alternative route. I have been looking at some answers for herbal ways to stop pregnancy. Ginger tea seems like the best option, but I am wondering if my chances of getting pregnant are low, and also if I can take something more natural to make sure I dont get pregnant.
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"I understand your concern. I would like to say that even if penis is pulled out before orgasm it doesn't confirm that pregnancy is ruled out. Secondly herbal ways mostly do not result in prevention of pregnancy. So I would advise to please take guidance of gynecology doctor. Taking gynecologist opinion if you do not want to be pregnant now is the best option for now and avoid unprotected sex from next time. Take care be healthy"
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"Thanks for writing. Unless fertilization occurs there wont be pregnancy. By intercourse after ovulation or by doing yoga don't prevent pregnancy. I would like to know since how long you have been trying for pregnancy. Is your husbands' sperm count normal? If so you can try ovulation induction pills and get a follicular study to know the status of ovulation and have intercourse on that day to increase the chance of pregnancy.",
"Thanks for your query. Read and understood that you had taken morning after pill to avoid pregnancy, have normal periods since then, still worried about pregnancy as you have fluttering in abdomen. Since you are a known case of IBS. This can present like this, although this is for the first time for you. I would advise you to go for tests of blood, urine and stool. Ultrasonography will help to rule out many of the problems and a clinical diagnosis will give a plan for the treatmen"
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i m supposed to get echocardiograms every 2 years b/c of a heart condition that runs in my family (IHSS). It s been 3 years since my last one (those results were normal) and I made an appt. for one in 2 weeks. I ve been having some chest pains and I m generally worried about my heart and don t want to wait 2 weeks for the test. Can I go to an emergency room or urgent care to have one done right away?
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"IHSS do follow a hereditary pattern and we advise such patients to be in regular follow up & do some tests. If your earlier tests have been fine, than it does not rule out possibility of having a heart issue in the future. If you are having chest pain, I'll recommend you to go to the Emergency & at least do an ECG to see if anything is wrong. For your knowledge, cardiac pain is non localized (i. e. it is diffused) & increase on exertion (with exercise like walking, running or stress) & it is generally not relieved by traditional painkillers. So yes, get yourself evaluated soon. In the future, despite having a simple echocardiogram, Ill advice you for a stress echo, which helps better in predicting chances of future cardiac events"
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"Since you have undergone a EKG, stress thallium, CT Anglo all of this collectively almost rule out a coronary heart disease. It's correct that breast may shadow CT images, but stress thallium is quite a sensitive test and that coupled with a normal ct Anglo increases the diagnosis rate. So as of now there is nothing to worry about from the heart side. Still if you are insecure you can undergo a catheter (conventional) angiogram, which is somewhat more invasive procedure. Alternatively try a short course of antacids for 14 days to rule out hyperacidity as a cause of your symptoms",
"I can understand your concern. Chest pain in any age should be investigated for heart diseases first. So first get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Stress and anxiety can also cause similar kind of chest pain. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright but first rule out heart diseases."
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how long does a patient live ater being diagnosed with stage 3 stomach cancer with treatment. the patient is a 79 year old male that is diabetic and has bad hear and some type of blood disorder . We just would like some general time frame. It is my father in law and he refuses any type of treatment. Thanks so much for your help
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"Your father is diabetic and having some blood disorder. I do not know what type of blood disorder it is even then he can be treated with chemotherapy and radiation and if surgery is possible he may have 3 year survival up to 80%. If his medical condition does not suit such radical treatment oral chemotherapy can also be tried. Consult with your oncologist. Take care"
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"I can understand your concern. He has stage 4 throat cancer. No treatment will cure the disease. Chemotherapy help as palliative treatment. If he is not taking food then he is at very late stage. Life expectancy is just few months. Prognosis is very poor. No treatment should be given.",
"I have read through your query in detail. Please find my observations below. It is important to know when the cancer spread was first detected. If it has spread to involve other areas then it is likely to be stage 4 cancer. I have served in a cancer institute for years and have seen many patients like him getting chemotherapy to prolong life. Liver and kidney functions and general condition should be maintained during treatment. Radiation also helps many patients. Usually, the survival of a patient with advanced stage cancer is not more than two years with good care and treatment. This is an average and rarely patients might survive to three to five years. Chemotherapy and radiation therapy might help to extend the life of the patient and slow the disease progression but cannot cure cancer. At the age of 82 years, it is important to give him good nutrition and diet with proteins and vitamins. Pain relief is important for him and this is to be discussed with his doctor. Please see that he is comfortable. Hope this answers your question."
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Hi my mother metastatic cancer to liver brain. Dr told us to cut the chemo she s terminal. She uses keppra and kordexa. Willit be correct if i had her drink daily wheat grass juice. Would it interact negatively with her medication? Or would it damage her liver even more and lessen the effects of keppra kordexa
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"I can understand your situation and problem. Terminal liver cancer has worse outcome. And no need to worry, you can give wheatgrass juice. This will not interact with Chat Doctor. If she is tolerating and liking wheatgrass juice, you should give it. It has no bad effect on liver, as wheat is easy to digest and recommended in liver diseases. So you can give this without fe"
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"emotherapy is given to a patient if they can tolerate the stress during treatment. If her weight is 40 kg then her general health condition is such that chemotherapy might cause more complication. Chemotherapy is done by giving strong medicine which will cause certain reactions in the body that might not be acceptable to your mother. Other than weight it will help to know if your mother has normal blood report and liver function tests. Please give her protein diet and that might help to increase her weight and make her suitable for chemotherapy. You might also discuss the case with her doctor and if radiation therapy is possible to be given in place of chemotherapy. Please do not worry",
"The treatment is exactly what you are taking, and if it becomes worse, steroids can be used. You're right, there isn't a lot of data on this disease, and its variable as to how many patients end up ultimately need liver transplant. I'd recommend you try to avoid alcohol and fatty foods, and exercise as much as possible, and continue to follow up with the specialist who prescribed you ursodeoxcycholic acid. I hope I have answered your questions. Please feel free to contact me should you have any further questions"
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hello sir. i am jayanta from india. Sir , i have a neurological disorder like when i write something i feel a kind of shivering in my hands resulting in a worsened handwriting. inorder to write good i need to put some extra power. Same shivering results when i pick up or hold a phone or a cup of tea for example. This happens more when i am in a public place or someone is watching me writing. I feel a kind of fear these days whenever i take to writing something and my heart beats faster. Can you tell me the remedies or the reasons for this disorder. Sir , i am so distressed. please help me out. yours etc email - YYYY@YYYY
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"Based on your symptoms, there are two likely possibilities: 1. Essential tremors 2. Writers cramp In both these conditions, shivering may occur while writing, making it very poor handwriting. Problems get worse with anxiety. There are good medications available to treat them, such as beta blockers, Pakistan, etc. Your neurologist would be able to guide you regarding the best medications. Best wishes,"
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"The symptoms you are experiencing can be possibly due to hyperventilation during panic attacks. These can give rise to tetanic symptoms like tingling in limbs and face, muscle stiffness, trembling in hands, etc. It is advisable to consult your primary care doctor initially so that he can complete a necessary examination to rule out any physical causes that may cause similar symptoms. It will help to learn regular breathing and relaxation exercises. It will get better with practice. Also, learn strategies to manage stressful situations. I hope this helps. You can contact us again for any further advice.",
"I suggest you not to worry much. Your wife could be having a mental condition named autophobia / monophobia. But before concluding you should confirm whether her symptoms agree to this. Look for the following physical/biological symptoms: Feeling of terror Anxiety Trembling Increased heart rate Increased pulse rate Dyspneas find that how your wife deals when you are away at office. Talk to her and motivate her, give her confidence. If necessary, do consult a psychologist. 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 some psychotherapy techniques which should help you cure your condition further."
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Hello I am a 35 year old male I had a recent blood test that showed high liver enzymes but it is not the first time that it has happened. I have been diagnosed with fatty liver after a CT scan 6 years ago. And again 3 years ago after an ultrasound. This time I was taking Tylonel and alot of advil for back pain prior to blood test. I was also taking omparozole for reflux . I have gotten on a diet and have lost 15 pound I am starting to feel much better but still had some abdominal pressure in my upper stomach near my sternum after some meals and a lack of appetite. I started to take omparizole two days ago and last night had some back pain while sleeping on both of my flanks. I had a bowl movement this mourning and it was very light color. I look at my bowl movement every day and this is the fist I have seen that color. What could be the cause of this?
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"Your enzymes could be high due to fatty liver, or toxicity to paracetamol or ?alcohol. Even Omeprazole can cause it I presume you are taking treatment under supervision of Physician. It is good that you are losing weight and taking care of diet. It will help to even reduce fatty liver. Please visit a Physician and get your Liver functions, Lipid profile, Ultrasonography of abdomen to see state of liver. You should continue to diet an and avoid alcohol. Please do not take medicines without proper prescription of doctor. Light color of stool indicates homeostasis or obstruction to bile flow which can be detected by liver function and USG."
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"Such upper abdominal pain which radiates to the back is usually caused by gallstones. Sometimes pancreas inflammation can give such symptoms however the pain is usually so strong that forces patients to visit a doctor. If it is gallstone issue, your symptoms should get worse after fatty foods spicy foods or alcohol. Sometimes similar symptoms are present with stomach issues like peptic ulcer. I suggest you to do not wait any longer and visit your doctor. Abdominal ultrasound, blood work, liver tests should be done at first. If gallstones will be confirmed, laparoscopic surgery should be done. If nothing will be found, gastrostomy is necessary. In a meanwhile please avoid fatty foods, spicy foods, coffee and alcohol.",
"This sounds like gallbladder disorders. It is most commonly caused by stones, and it goes with symptoms yo rare describing especially if pain is aggravated by meal and fatty food. This is cramps, colicy kind of pain which isn't constant, and usually is associated with nausea and vomiting. To evaluate gallbladder you should do ultrasounds and liver enzymes levels. After this cholecystectomy can be performed. Till that you should avoid fatty food and alcohol. But you should considered some other disorders such as ureteral stones and pancreatitis. Ureteral stones can be related to your urinating difficulties. Wish you good heal"
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1 yr old baby girl given antibiotic augmenting for 5 days for cough and cold, didn t improve much. Then doc prescribed omnacortil2.5 mg twice daily for 3 days from yesterday. 3 doses given. Is there any side effects of omnacortil? What to do if she doesn t improve much?
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"I can understand your concern. Omnacortil is oral corticosteroid. It is harmful in long term use (more than 2 weeks). So better not to give oral Omnacortil for more than 2 weeks. If he is not improving after Omnacortil, better to get done chest x-ray to rule out pneumonia. He may need higher antibiotic and antihistamine Chat Doctor."
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"You are already giving steroids by inhaler. There is no need for giving Omnacortril specially when there is no wheezing asthma. Omnacortril forte (15 mg/5 ml) is too high a dose for 3-year-old baby. I personally do not recommend Omnacortril forte for this case.",
". . Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. For cold and cough you can use Cetirizine at 0. 25 mg/kg/dose every 12 hourly for 3 days. If cough is very severe you can give Promethazine syrup at 3. 5ml twice a day dose for 3 days and see"
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hello doctor, i am 23 years of age and loosing hairs from the top centre of my head.my hairs were thin and curly from childhoood and it started falling from a very early age.Now i just want to request you to kindly guide me in the right direction whether what should i do.medication will be helpfull or i should go for hair transplant?
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"As per your query, you have symptoms of hair loss which could be due to genetic causes, and it could be due to environmental factors. Need not worry. I would suggest you consult dermatologist once and get it examined. Go for ferritin, hemoglobin, thyroid, and other tests and then start treatment accordingly. If it is genetic then hair transplant is the only best option. You should keep your hair massaged to increase blood circulation. Apply Minoxidil on hair follicles and take Finasteride preparations as well for hair loss."
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"In your case, the hair fall, maybe prolonged due to other factors as well, such as poor nutrition, stress, lack of rest, low iron and hemoglobin levels, hormonal changes, also any history of thyroid disorders etc. Dan Chat Doctor. If you have a family history of hair loss and thinning, you will be more prone to similar problems. So as I mentioned, try to find any possible cause for your hair fall. Any change in residence. Any illnesses like fever, typhoid etc. These causes need to be considered and treated as they affect hair growth. You can consult a dermatologist regarding any tests that may be required to diagnose the causes. They can assess your hair in person and advise accordingly. For now, you may start a Recite solution or Tress go to scalp, along with hair supplements daily like VB7 Forte. This needs to be continued at least for 2-3 months to see results. Use mild shampoo and conditioner. Like Anaphase shampoo or Relocate white tip is just the part of the hair when it comes out from the root. Don't worry. Do start with the treatment as advised and see a doctor. If your hair is very thin and scanty on the scalp, and medical methods do not work well for you, after a few months of observation, certain new surgical procedures can be considered such as PRP, as will be advised by your consulting doctor after observation, if they feel that it will be a good option for you. Also get a good nutritious diet, avoid stress, pollution, get good res",
"Understanding your concern. As per your query you have symptoms of hair fall which seems to be due to genetic factors, nutritional deficiencies and due to fungal infection of hair follicles. Need not worry. I would suggest you to apply olive oil on hair follicles and massage it properly. You should use finasteride preparations. Visit dermatologist once and get it examined. You should get patch test done and start treatment accordingly. Doctor may prescribe antifungal medications. Avoid use of any hard cosmetics substances on scalp."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I am 39 years and quit smoking 7 years ago. I never coughed, coughed anything up, etc after quitting. I have always had chronic sinus issues and been on lots of antibiotics and take mucus relief fairly often. I get shortness of breath out of nowhere. I have inhalers, and albuterol for nebulizer, prednisone, etc to help, but it takes a while to get back to breathing normal. I excercise regularly and occasionally get bad headaches from shortness of breath. Been to doctors and they just tell me my lungs are clear and give me an antibiotic and/or an inhaler.
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"This is called mucociliary clearance. But the smoking has damaged the ciliated epithelium and hence this clearance is disturbed. Hence, you need to cough out the thick mucus instead of it automatically coming out even after you have quitted. This is also responsible for the sinusitis and the infective agents do not get cleared out from the sinuses. Since the lungs have also been damaged to some degree while you were smoking, you sometimes have respiratory distress or shortness of breath. It will take significant time to recover and will recover only to a near normal stage. You will have to be patient till then. Steam inhalation on regular basis may help"
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"Thank you for asking at Chat Doctor. I went through your history. I conclude that you are having recurrent episodes of cold and cough for last 3 years and breathlessness for last 6 months, more in winters. Were I treating you, I would consider allergic disorder and would suggest you to take daily levocetirizine, montelukast and an inhaled corticosteroid. I also would suggest you regular nasal saline spray 3-4 times a day and steam inhalation. All these medicines control your symptoms, but they do not \"cure\" the allergic disease. Hence, I would suggest you to consult an Allergist-Immunolgist who will advise you allergy testing and may advise allergen immunotherapy based on results of allergy testing. Allergen immunotherapy will improve your immune system to reduce allergy symptoms. Allergy testing will also help you identify the substances you should avoid. I would also suggest you regular breathing exercises, Yoga & Panama, which will help you in a long run and improve your lung capacity. Also, please try to avoid dusts, smokes & air pollution as much as possible. Eosinophilia is not a disease. It is a finding in complete blood count testing. It may be due to allergic disorders, but there are other causes like parasitic infections, some Chat Doctor. If you have insomnia due to nasal obstruction, treatment of allergic rhinitis will help it. Also, both allergies and insomnia are aggravated by mental stress, so if stress is a factor for you, please try to manage it with meditation & relaxation. Otherwise, I would suggest you to consult a Neurologist for insomnia and a Dermatologist for skin changes.",
"I can understand your concern. You are having hemoptysis (blood in sputum). And it is common in smokers. Common causes are lung infection (pneumonia or tuberculosis), bronchitis and lung cancer. So better to quit smoking as soon as possible. Consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test)."
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Hi i got kicked by a horse 3 days ago my elbow. Its still swollen and it hurts to touch. I can move it in all directions but does hurt when doing so and is stiff. My lower arm ( just under the elbow) aches aswell if i dont keep busy and takes me a while to get to sleep be ause of the achey pain. Could i maybe have a hairline fracture.
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"I am Chat Doctor answering your query. The lump on your elbow could be due to collection of blood caused by the kick by the horse. This would normally get absorbed in a few days if there is no more active oozing. If I were your doctor, I would advise you for an anti-inflammatory Chat Doctor. Also, a cold compress and rest to the elbow with a supporting sling would add to hastening of the improvement. If it persists or the pain increases, I would then advise you to consult an orthopedic surgeon in your area for a possible radiological investigation and further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery."
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"It was probably injury followed by infection which was controlled by antibiotics. Now pain is very less, now it needs mobilization exercises to reduce swelling and gain movement. You can visit your doctor preferably Orthopedic. You can discuss with your doctor about it.",
"Apart from this your explanation is not clear. For swollen and painful arm there could be multiple possibilities. It can be due to nerve injury at affected side or muscle injury or may be over use injury. It may also be related with cervical spine or shoulder problem. Here I need some more clarification on how it was started? As well is this first time you are having this pain along with swelling? So many things are not clear, so I suggest visit orthopedic and doctor will do some physical tests he may ask you to go for scaling or x-ray also for some more detail examination. And as per the report if there is nothing major then or tho doctor will suggest for medication and physiotherapy treatment which will definitely help you. But if there is major damage at cervical spine or shoulder or for nerve or muscle then doctor will suggest for surgical correction and later again physiotherapy rehabilitation. At home, you can also use cold pack and if it is minor pain and swelling can go away with this too. Follow all above steps, and I am sure it will be useful for you. Take care"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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My name is dorrett and I am 51 years old, I have a constant pain at my lower left abdomen, for over six months that seems to not going anywhere, Ive been to so many doctors about this problem and the answer is the same, they dont see anything wrong, sometimes I dont feel it for days and it just starts up again and its very intense
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"Thanks for your query. Noted the history and understood your concerns. Recurrent pain in the left lower abdomen for over 6 months has to have a reason and meeting so many Doctors does not solve your problem means that you have to consult a Specialist called a Gastroenterologist for clinical evaluation, examination and investigations as follows:Get stool test for three consecutive days. Tests of blood, urine. CT scan of the abdomen. Colonoscopy. If anything is found during the course get the specific treatment to get alright. If all the above investigations are normal then the obvious diagnosis can be IBS that is irritable bowel syn Chat Doctor. Get over the control of the stress and anxiety that is the main cause of colitis of this nature"
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"IF all the investigation you mentioned are normal, my thinking would be towards the neurological problem and your history is also suggestive of this ::: it says pain starts in left lower abdomen that GOES under rib cage and RADIATES to the Back. I would suggest repeating the MRI of the whole spine (if not done) and an opinion of Neurologist. Nerves can be entrapped anywhere during its course and can not always be found. A course of Gabapentin under the direction of your Doctor on an empirical base may help you a l",
"Thanks for choosing Chat Doctor. F. It appears to be the lipoma, and nothing else. What ever pathology of left upper abdomen like gastritis, pancreatitis, etc. will never elicit to the outside. More over it is painless at the same time causing discomfort. I advise you to consult a surgeon for diagnosis and treatment. You may have to take C. T. scan, besides other routine tests and manual examination for confirmation. Wishing for a quick confirmation of the disease and cure. If you have any doubts you can approach me for follow up. Best regards"
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Hello doctor, My baby is 36 days old.i am giving him lactozin 1 and breast feeding also but I am worried if I feed him bottle milk then he sleeps for hours but if he is breastfeeded of mine then he sleeps less and feel hungry quickly and urinates more.Doctor what to do? Every one is getting angry not feed bottle milk but if I feed then my baby by no seconds he sleep and stop drinking. Please help me and from last two days he is having gas with peculiar smell,stool once a day but bit tight. Waitting for reply doctor.
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"I went through your history and understand your concern. I would like to make suggestions for you as follows:1. In general, I would suggest exclusive breastfeeding (nothing but breastfeeding, even not water) to baby up to 6 months of age. This is because breast milk helps to build immunity of the baby and protects him from many infections. So I would suggest you to try to shift him on only breast milk as early as possible. You can gradually increase breastfeeding and gradually decrease formula. 2. It is good sign that with breastfeeding, he is urinating more. But if he feels hungry quickly, it means whole breast is not getting empty. I would like to mention here that the first part of breastfeeding (foremilk) contains more water and the last part of breastfeeding (hind milk) contains more solids. So at present, he is getting more of watery part from breastfeeding. So please make sure that when you breastfeed him, whole of the breast is getting emptied first, then only offer the other breast. This will satisfy his appetite. 3. To ensure better nutrition for him, I would suggest you to take plenty of fluids during day and a nutritious diet so that he will get nutrients from the breast milk. Please avoid stress and be relaxed while breastfeeding as it is very important for milk production and milk let down. 4. I would suggest you not to worry about occasional gas and change in bowel habits as it is common during first 4-6 months of life. 5. If still he is not satisfied and not gaining weight over time, then only I would suggest you formula or any feeds other than breast milk as per doctors guidance."
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"It can be that she always sleeps on the right side and this part of the face is always in contact with the bedsheet or the cloth where she sleeps. It is best to avoid strong scents like perfumes, lotions and powder for both babies and caregivers. Also, when you start feeding the baby, introduce food one at a time. Give one kind of food for 3 days before introducing a new food to her. In that way you can observe if she has any reaction to that particular food. For example give wheat cereals for 3 days. Observe if she has a reaction like rashes, swollen eyes or in worst cases difficulty of breathing. If none, you may give mashed vegetable like potato for the next 3 days. Again observe for a reaction. If none, then you know she can eat wheat cereals and potato. Then again you can add another kind.",
"It is produced in response to the babies demands. Most formula milks are cow milk based and hence difficult to digest. Do not give the formula that the child cannot tolerate. 60 ml is unlikely to be adequate for a child of this age. You may also try increasing the amount of feeds and see if that satisfies the child. It is best to give the child feeding on demand and as much as the child demands. Often the child ingests air along with feed. This air can distend the stomach giving rise to discomfort and the child this could be the cause of your child crying. Proper burping and giving Climax Chat Doctor. Although weaning to semi solids is suggested from 6 months of age, you can start them at 5 months if the demands of the child is not met properly. So you can introduce other foods like Carla or ragga mix"
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Hi, may I answer your health queries right now ? Please type your query here...One of my breast is getting smaller it also has some had tissue around my nippel. I think I feel a little lump in that hard area. My nipple itches also. My mom had breast cancer I am 39 years old.
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"I studied your query in full details updated from you. I understood your health concernsBased on your query data, In my opinion, Dear You seem to suffer from Breast Cancer with nipple retraction in the process. Seems to be intramural tumor or Cirrhosis Carcinoma breast, as the lump is hard and the breast is reducing in size. With family history of Mother being a Cancer patient, you need to investigate by FNAC Biopsy and Mammography with CT study of the breast to study the local invasion and nodal spread. Plan early treatment urgently. this reply would help you to evaluate your case and treat it with your doctors in time to come."
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"Most of the breast lumps at your age is harmless. But still it needs to be evaluated. Does it feel hard to feel or firm or soft ? If you can make it out its better you get a breast examination by your doctor. Only if he feels it need further evaluation then you can go for Mammogram test. But there is no need to be scared as I told earlier that most of the lumps at young age is harmless",
"I am Chat Doctor. -I studied your query in-depth and Understood your health concerns. -To Start with-I would advise you NOT to worry about what you are suffering from. For every problem there is a solution with Me. -Cause of hard painful lump in xiphoid-a-after 40, the ossified typhoid is observed as-a prominent process and could be mistaken as hard lump. b-Basically You suffer from Xiphoidalgia-a condition where the typhoid process pains on pressure. In younger age it's a cartilaginous process and flexible also. c-Your doctor after clinical check up said nothing-means there is no lump as feared by you. d-AS you are still worried I would advise-DL Spine X-ray/ MRI-to remove the fear and anxiety you have for your age. e-A Surgeon would be right doctor to guide you as above. - this advice and reply would help to plan Surgeons Treatment meeting and would help you for early recovery of this most unfortunate early-30s CPR-event with you. -"
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hello doctor ! I am monisa and my father has undergone kidney transplant . But his creatinine level always increases. Will ragi ,barley , maize reduce creatinine levels and what foods should be taken to reduce urea levels sir ? Kindly plz answer me sir and I m waiting
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"iet is an important part of maintaining creatinine levels in kidney patients. Vegetable that are to be taken includes Bottle gourd/white pumpkin, cabbage, cauliflower, green peas, potatoes, carrot, spinach, french beans, brinjal / eggplant, ladyfinger, pumpkin yellow, mushroom, fenugreek leaves, capsicum, ridge gourd. Fruits which can be taken are Apple, red grapes, cranberries, blueberries, raspberries, strawberries, cherries, pineapple, pomegranate. Please give vegetables and fruits in required quantities and cooked with less oil and salt. Making it spicy should also be avoided. Please discuss daily water and fluids intake with the doctors"
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"THOUGH THE TREATMENT OF CKD BY MEDICATIONS ALONE IS DIFFICULT BUT MEDICATIONS HELP TO MAINTAIN A CONSTANT LEVEL OF SERUM CREATININE. BUT NOT IN ALL PATIENTSKIDNEY TRANSPLANT IS THE ULTIMATE TREATMENT BUT IF NOT POSSIBLE DIALYSIS HEREABOUT YOUR QUESTION REGARDING WHEN TO DO DIALYSIS IT IS ASSESSED BY YOUR NEPHROLOGIST DEPENDING ON CLINICAL SITUATION AND NOT ON GREAT LEVELSUSUALLY It's DONE WHEN YOUR NEPHROLOGIST SUSPECT METABOLIC ACIDOSIS, IF EDEMA IS NOT GETTING TREATED WITH MEDICATION, IF THERE IS INCREASE IN GREAT NOT CONTROLLED BY MEDICATION SUGGEST THAT YOUR MOTHER AVOIDS EATING FRUITS AND ALSO TALK TO YOUR NEPHROLOGIST HE CAN HELP EUROPE I ANSWERED SOME OF YOUR QUERIES",
"As far as your case is concerned I think you should follow your doctor advise. . . Decreasing creatinine from 8 to 5 doesn't give impression that kidneys function has returned to normal. . . The specific investigation is DTPA renal scan which accurately tells you about the renal function reserve. . . . Get the DTPA renal scan done and consult the renal transplant surgeon and proceed accordingly. . ."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi, well, first of all, it has been pretty rainy today, and I was wearing shorts to play soccer. As I was turning with the ball, I slipped and fell on a concrete thing (where the shed used to be) and my hip has been really painful ever since. Is there any quick relief techniques?
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"A thorough neuromuscular assessment and musculoskeletal assessment is advised. As you had a fall on the concrete on your hip, there can be a possible of muscle injury at hip or a soft tissue injury in the spine. After a thorough assessment the diagnostic may be advised. Post which with simple medicine and physical therapy you should perform well. Also, since the pain is more, you can use icing for the region. But post which the very next day you need to get assessed as prevention is always better than cure. Never take any sports injury as smaller one. It can affect the sport performance later. In my clinical practice I see sports injury cases and with precise assessment and use of the best diagnostic procedure we come to the root cause and plan the rehabilitation. We are able to make 99% of output on field. Regards Jay In"
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"A thorough musculoskeletal assessment is advised. As the mechanism of injury was the direct of the baseball on the leg, and now the area is painful and sharp pain in the lower part of the leg, I will advise to undergo an x-ray if there is any bony injury. Usually, depending on the location the symptoms can be predicted, but as you mentioned that the ball hit the leg, it is tough to judge if the ball has hit the nerve and leading to sharp pain. Getting an x-ray and a clinical assessment will be good. If damage to any bone, muscle, tendon, nerve, artery is there, one needs a hands-on examination. As you did icing and the pain is not coming down, you need to visit the doctor to get it check. Never ignore sports injuries, as one can never suspect the impact it does, Usually, if no major signs are present, then with simple sport physical therapy training, the candidate can go back to sport soon. RegardsJay In",
"I think you need to go back to the exercises again. Start with taking a hot fermentation and slow and gradual static hams and quads. Along with it try to slowly bend the knee how much you can and gradually process to full range of motion. If the pain is little high you can undergo Ultrasound therapy and Transcutaneous electrical nerve stimulation for pain relief and inflammation reduction. Once the pain levels come down please focus on specific training for football players for strengthening the knees as you should be precaution in future to avoid injuries. I am sure you will be helped like my other patients who do excellent on field after the rehabilitation process"
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I am a 47 yr. old african american female and I keep getting this itchy rash in my chest area. I try not to scratch it, but I think when I sleep at night, i am sweating and I scratch it. However, my results from the scratching is the area turns dark. I went to a skin doctor last year and he said that I have adult exema. What do you think it may be?
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"You keep getting itchy rash in your chest which may be eczema, fungal infection, contact dermatitis Since your skin doctor has diagnosed it as eczema, I would go with him as he has examined it visually. It can be confirmed by a skin biopsy. Since it is present for more than a year chronic scratching can lead to pigmentation and thickening of the involved skin. Most important part of treatment is to break the scratch itch cycle by avoiding scratching and use of oral anti histamines regularly for two weeks, especially before you go to bed. You may get in touch with your doctor for prescription medicines in the form of topical and oral steroids if required."
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"Related your concern I think this could be yeast (Candidiasis) infection. Furthermore, you should know that when a rash is present in an area where skin on skin contact occurs, this is known as intertwine. Intertwine is inflammation of the skin folds that is caused by increased moisture and friction in the areas where skin meets skin. The area with intertwine can produce intense itching, burning sensations, and it may also have a terrible foul smell similar with your symptoms. The inflamed skin under the breasts can be an open door for Candida. What I suggest for you is to keep Chat Doctor. Meanwhile, meet a doctor to start local antibiotic therapy. I hope my answer helps you. I wish you a quick recovery",
"Rashes in genitals associated with itching is most probably due to fungal infections. My advice is to visit a Skin specialist and let him have a look at your symptoms. He will give antifungal ointments like Clotrimazole and antihistamines like fexofenadine to reduce the itching. You have to wash all your undergarments in boiling water and have to iron them. That's because these fungus deposit their spores in whatever clothes that touch them and will produce a reinfection after 2 weeks."
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My mom has a lump on the anterior side of her lower leg below the knee which is swollen and much lighter in color than the rest of her leg and she sometimes has pain in that area when walking or going up the stairs what could this be does she need to have it checked out, she has had it for a few months.
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"Thanks for your query. The swelling in the spot you mentioned, lighter in color, pain sometimes while walking or going upstairs are suggestive of a hernia if a muscle through a tear in the lining. This does happen. Another possibility is of having any other lump like lipoma, sebaceous cyst and so on. I would advise you to have a clinical examination by a Doctor, preferable an Orthopedic Surgeon. Ultrasonography and FNAC if required will help a diagnosis and proper treatmen"
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"I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-There are many causes of the lumps on your right knee after the recent fall. To rule out other causes, I would advise you to consult ER surgeon, who would examine it and treat it accordingly. Still with my expertise and experience, I would suggest you to rule out following causes with your ER OrthoSurgeon. Cause in your case-As the lump is of 2 1/2 weeks duration after review of your query data, it seems to be due to either of the following reasons--Post-traumatic Hematoma with traumatic swelling-which is in process of recovery and may take another 2-3 weeks. -If it doesn't settle after 4-6 weeks, Pre-Patellar Bursitis(Housemaids Knee)-post-traumatic needs to be ruled out. Both above possibilities needs to be ruled as only discomfort is felt by you while walking. In the absence of more information, I would advise Second opinion in your case, who would examine it and investigate it to treat it as per the cause of the lump. So I would advise you to consult ER OrthoSurgeon, who would rule out other causes of such a lump and would help you out with the fist hand information. Do take his Second Opinion, on the above suggestion, as he would advise you with fist hand clinical information.",
"If that was clear, I would get an MRI of the knee to look for a Bakers' cyst in the posterior area of the knee. Then, if that wasn't the problem, I would get a lymphangiogram of the leg to look for lymphedema that could be causing the swelling"
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What is Thalami c bleed disease. Local Doctors diagnosed my disease as thalami c bleed. I am 80 years old male having 05 married children. In November, 2008 I felt some unknown state of my left side from head to last finger of my foot. Now often I feel some part of my left leg and hand senseless.
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"Thalamus is a part of brain situated between the cerebral cortex and the midbrain. And play important role in relaying sensory and motor information to cortex and also play role somebody and alertness. If there is bleeding inside it then symptoms most commonly contralateral hemianesthesia (numbness), mild hemiparesis, hematuria, and sometimes intolerable intractable severe aesthetic pain in half of the body."
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"I have such a low viral load. Furthermore, I have been having fevers for about 10 yrs. And my body aches. I feel just like I have the flue. I break out in a rash all the time for no reason, mostly on my back arms and legs. Furthermore, I keep a really Chat Doctor. Recently my doc. Recomended that I go to a rheumatoid doc. And says what ever I have been an autoimmune disease. It's been 10 yrs and I don't know what it is. The obvious would be hep c, but they tell me that is not the cause. I don't know what help this is to you but maybe sharing my story will help us both. http://www. biblehealtChatDoctor/heat-rash/heat-rash-overview",
"I can understand your concerns. Your mother has chronic heart failure (swollen legs, sore legs due to venous stasis, leuconychia/white nails, wheeze/whistle sound), most likely Cor pulmonale. White nails are due to hypo-albuminemia consequent to congestive nephropathy. Even advanced stage of heart failure can be treated and patient can live with restriction of physical activity. Consult a physician. He will be in a better position to answer your queries regarding prognosis"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I just noticed a small bump on both of my nipples and also in my right armpit. I can just make out the small bumps but more noticeable is the sore feeling associated with each bump - I should mention that I am male. The symptoms began today. The pain is akin to a large pimple.
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"I studied your query in-depth and understood your health concerns. Cause of the small sore lump on nipples and in armpit-Though your age is not mentioned in your query, from the facts given in the query, its my opinion that, In your case it -is -mostly -pubertal gyanaecomastia-as its noticed today and it's sore to touch or Acne of the nipple or could be Boil with low infection as the armpit sore lymph nodes, are present. This would help you to resolve your issue. Welcome for any further query in this regard. Wishing you earlier recovery. Good Day. With Regards Chat Doctor. N"
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"Armpit is where lymph nodes are located. So any lump in this location should be checked with possible enlarged lymph node. Enlarged lymph node can appear due to breast cancer. This is the worst (and less probable) possibility. Other, more possible reason is an abscess due to infected hair follicle. Pain indicates such lump. Abscess should be incised and Chat Doctor. In case of lymph nodes enlargement possibility ultrasound should be done and biopsy considered.",
"Based on the facts of your query, you seem to have Fibroadenomas due to hormonal imbalance and seems to be of familial /hereditary nature. It's a benign condition. Your query does not indicate any lump, as quoted in your heading of the query. This appears to be moderation mistake and would neglect it. So don't worry of your breast painful areas on right side, as Cancerous, as it's a hormonal effect before menses. Treatment-Vit E x 3 months/Anti-inflammatory Chat Doctor."
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My younger brother is suffering from anemia and shortness of breath in connection with kidney disease...EPO shots not working. Next step? 52-year old male on kidney transplant list for last two years. Fistula surgery done twice. Lungs and heart clear but severe water retention in abdomen and legs.
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"I can understand your concern. Kidney diseases cause refractory anemia. Since patient is in waiting list for kidney transplant, he is probably having end stage kidney disease. He is also not responding to EPO (erythropoietin) Injection. So blood transfusion I can understand only option left for him. He may need 1-2 PCV (packed cell volume) units every 10-15 days. This will take care of anemia. His breathlessness is due to fluid retention. And in end stage kidney diseases, dialysis is the only option to prevent fluid retention and relieve breathlessness. So he may need regular hemodialysis 1-2 times per week for fluid retention. Try for early renal transplant, till that time regular blood transfusion and hemodialysis will take care of anemia and breathlessness."
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"Your uncle of 70 years old is admitted in ICU with multi organ failure and on ventilator is under care of a qualified Nephrologist . The outcome of treatment as regards recovery entirely depends upon his response to antibiotics, urine output, status of kidney function that is reflected in his blood urea and serum creatinine levels and liver function. With single functioning kidney and supportive measures there are high chances of full recovery.",
"The symptoms you describe is called orthopnea, which is seen when heart pumping is weak, and It's unable to pump handle the extra blood coming in supine position from the legs due to elimination of gravity. If you also have swelling generally in the evening or so. You need to be put on a diuretic for handling the extra fluid. Your cardiologist your be able to guide you with the relevant investigation and optimization of treatment. Till than I would request you to sleep with 45 bed elevation at head end, and restrict fluids to less than 1 liter a day. Regards Chat Doctor. For further assistance you may contact me on Chat Doctor through Http://doctor."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi my husband has had quite a lot of muscle pain for several weeks now, mostly his legs, lower back and groin area. He also says he s experiencing numbness at times. He also has worse than usual flatulence and a sore tummy off and on through the day and especially at night. We moved house recently and he did a lot of heavy lifting and then worked hard insulating our new house etc so a lot more physical exercise than he would normally do so not sure if it s all related. Any ideas?
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"You say that he has been holding heavy lifting recently. This may have caused his intervertebral discs to displace and compress the spinal nerves that are responsible for his lower limbs. The numbness and the pain in the groin area are not related to physical exercise. They must be related to a herniated disc. So I would highly recommend you bring your husband to the doctor and have e good physical examination and further exams for the vertebral column like spinal CT scan or MRI"
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"Here your back pain could be related to various things like muscular pain, due to kidney issue, or disturb spinal disc at that level. However the conformation will be done only by physical examination and different reports like ultrasound abdomen to see the kidney issues and x-ray or MRI of spine to see spinal issues. If your back pain is radiating to your legs along with numbness or tingling in legs then it can be related to lumbar disc or at that level nerve compression also. Otherwise, it will be a muscular pain or pain due to kidney infection. However the swelling over that area represent the inflammation at lumbar level where it's paining. Usually when ever there is swelling I suggest to use hot and cold pack in combination to reduce swelling as well reduce pain and I suggest same for you too. Further diagnosis and treatment can be planned only after physical examination and diagnosis, so I suggest visiting your specialist doctor as early as possible. If its due to kidney infection I suggest do not delay treatment. Take care",
"Since you mentioned you lost a lot of weight, and you already do intense exercise the body metabolism is disturbed of time being which will get adapt as the time passes. If the numbness in feet and hands is more than the nature of the pain is to be concerned if it is there. Meeting a physician for the same will be of definite help. If the symptoms of numbness thought out the body is the case than a neurologist is to be contacted. Also, you need to understand that many a time we don't take consultation and get assessed by a specialist since we fear that problems will be big. But meeting a specialist and taking opinion actually will solve 99% of the problems, and we get back to normal functionality soon. I hope this helps you"
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Hi, I am a 41 year-old female with right parietal cavernoma. I have been slightly symptomatic (headaches, blurred speech, vision issues at times). Recently I developed pain on the left side of my neck, as well as pain on the left side of my head. I have been experiencing blurred vision more than usual. Is this yet another symptom of cavernoma?
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"In my opinion these troubles are not related to a recurrent cavernous. The neck pain may be caused by a disc bulge or just cervical spondyloarthrosis. This causes pain in the neck, irradiating the head, caused by muscle contractions. The blurring vision, is an important sign, but it may also be caused by a cervical disc problem, especially when associated with dizziness or vertigo. Have you had these problems lately ? I would recommend you to go to the doctor and have a physical examination and a cervical column x-ray. If the headache and blurring visions get worse, a head MRI may be needed to exclude brain lesions"
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"Now, this is one of the common complaints I have come across the patients I have seen in my clinical experience of 12 years of patients having a shunt. First thing is you need to do is to meet up a neurologist and maybe a scan needs to be done to check the position of the shunt. If the shunt is okay then your optic nerve has to be assessed. Because any changes in the optic nerve can lead to visual changes. Next coming to the headache, post installation of the shunt there will be changes in the pressure within the skull and the brain that is called the intracranial pressure and needs to be assessed by the neurologist so that an actual cause of pain can be figured out. Regarding neck pain, it may be due to changes in muscle strength and cervical disc. A MRI will be of full insight to provide the details and a proper exercise prescription can be handed over. My opinion is to meet up a neurologist, get self-examined in person and take up the call. You should do well.",
"I am so sorry to hear about this pain on the left side of your head. It is true that we have big vessels there that pump hard but rarely can they contract to cause significant pains as you have mentioned. However, muscles in this area can exhibit spasms which explain most of the symptoms that you are having. This can be aggravated by stress, lack of sleep, poor head positioning, etc. You should get these conditions' ad Chat Doctor. I hope you find this helpful. Thank you so much for using our services, and please do feel free to ask for clarifications if need be. I wish you the best of heal"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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My father took chemotherapy in 1994. He was well after taking chemotherapy. But before 3/4 years he started to forget some little things like he puts the key to a place after sometime he forgets where does he put the key. He was worried that he was suffering from memory loss due to chemotherapy. We consulted to a local neurologist and he has been taking medicine from last one year(unister 75, elcafort,donetaz 11.5) but after taking the medicines he started to forget major things. In last year december he went to a nearby shop then he forgot the way to home and went to an another place. The day before yesterday the same incident was happened . He was coming from office and he forgot the way to home. My family is really worried after this incident. Does chemotherapy cause memoryloss?? Please give me somesolution
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"I have gone through your question in detail and I can understand what you are going through. Yes, chemotherapy can cause memory loss and the case appears to have progressed to the level of dementia. He will need Chat Doctor. For such severe cases one should consider Semantic 5 mg and then gradually increase it to 20 mg"
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"I have gone through your question in detail and I can understand what you are going through. The memory loss in hemorrhagic stroke is very severe and its organic and difficult to revert. You may try using meantime, and it may help in certain cases. Otherwise no such specific medications. Paracetamol has some role in such cases.",
"I understand that you are concerned about your father being dull and inactive after psychiatric medication. Now, there can be several possibilities for this. One is due to the side effects of me medication such ad Chat Doctor. Second is due to the psychiatric illness itself which is not fully controlled. For example, some people can have what we call residual symptoms or negative symptoms that could be still persisting. Hypothyroidism could be another possible cause for dullness and inactivity. At this point, you need to take him to a psychiatrist for a detailed review to find out what the cause of his dullness and inactivity is. He may most likely require adjustment or change in his medication"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I went to my doctor as i my glands had swollen up and i had white puss coated on them, they instantly gave me antibiotics, but i wasnt sure what my problem was! I dont know if i have glandular fever as now I have produced a a rash on the right side of my face which is quite painful but look like big spots what is it?
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"glandular fever is associated with fever, sore throat swelling of cervical lymph node redness of eye etc. but pus on gland rarely develop so If these all symptom are not here you don't need to think about it . you need to undergo culture and sensitivity test of your PUS to find out bacterial infection. As pus is there, so it indicates infection is there, so you can take antibiotic but after culture and sensitivity report you have to change antibiotic according to report. If it is a viral infection it will recover spontaneously after completion of viral cycle. You should maintain good nutrition and hygienic condition and take treatment for your symptom. If compliant aggravate contact to health care setting."
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"In case salivary gland is the cause, swelling of the cheek will be present but in your case I assume it is not present. One of the causes can be cheek biting, sometimes a sudden cheek bite is also very painful and pain radiated to the same side of the head. Therefore, proper clinical examination is needed. I will advise you to see a dentist soon. MRI is not needed until your dentist advises. I hope I answered your query, i wish you good health, take care",
"As I understand you are concern about your rash. But before suggesting treatment I want to know what medication have you had during fever episode, are you still on some medication or not. rashes are painful or painless, rashes are present on both side of body or only on one side. Present complaint could be allergic or may be due to viral illness. But as there is no associated fever and body ache, so chances of infection are least but we cannot ignore it. So I suggest you to do only one test 1. Complete blood count . and if possible send me picture of your rash . and meanwhile you can take antiallergic medicine Loratadine 10 mg once at night for symptomatic relief. review me after required detail. thank you"
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My wife only has one kidney and was admitted to the hospital when a 5mm stone put her in complete renal failure. A stent was placed 72 hours ago and she is still recording high BUN and creatinine levels. Today her BUN is 326, down from 330 yesterday and her creatinine is 3.2, down from 3.3. Should we expect these numbers to continue downward toward more normal levels? Is acute dialysis indicated if they do not decline? Urine output is normal with the stent in place but what happens when it is removed?
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"Your concern regarding acute dialysis is decided, on daily creatinine and urea levels, as well as potassium and other electrolyte levels. Symptoms of fluid accumulation levels in body, due to acute kidney failure is another dialysis indication. As your wife has one kidney, a block caused by a stone is an emergency. The block is cleared by placing a stent. Gradually, her creatinine and urea levels and potassium levels shall start reducing to normal levels. She may even pass the stone spontaneously. Pray for that. After kidney function levels are normalized, It's back to healthy life. Wishing her a speedy recovery"
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"Your concern is understandable. As a Urologist, let me assure you, that as a diabetic and hypertensive, the kidney can develop changes, called Nephropathy, where creatinine rises. As your s. creatinine of 1. 76, is above the normal limits of 1. 4, if you keep the diabetes well controlled, with HbA1C below 6. 5, and take your medications regularly, with exercise and diabetic diet, the creatinine may come down. You do need to check for prostate gland enlargement, with an ultrasound scan of abdomen and prostate, which can also raise the creatinine. You can send me copy of reports for an expert opinion. Get well soon",
"3 is just above the normal range of creatinines. In few people baseline creatinine can be just above the normal range. So there is nothing to worry about the great levels if there are no other symptoms associated with it. I would suggest you to do routine creatinine levels after 3 -4 weeks. If there is rise of creatinine at that time kindly refer to a nephrologist then. Otherwise, it could be his baseline creatinine which is nothing to be worried about. I hope I have helped your query"
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My 40 yr. old son has Charcot Marie tooth disease. His dr. recommended gastric recesssion triple orthrodesis surgery. I feel this is too intrusive. and I m afraid for him. I feel he needs another opinion. Can you suggest someone he could consult with?
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"Read your query. Yes, charcot Marie tooth disease is a hereditary condition which usually progresses slowly and is treated based on the symptoms developed as there is no complete cure for it till date. I would advise you to consult a good orthopedic and get it evaluated. Physiotherapy may be required based on what condition it. Surgery may or maybe not require based on the foot deformity. Have a good nutritious diet with ascorbic acid also. Have a healthy life. If systemic conditions of diabetes is present, start the treatment for it."
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"nsult an oral physician and take radiographs like IOP AR and rule out the above said pathologies. If it is a tooth infection you can go for RCT Or if it is gum infection get your teeth cleaned. If it is a cyst, the cyst has to be enucleated. I hope my answer will help you. Take care",
"It may be due to many causes, may be mechanical, inflammatory, Degenerative, infective. To think that Its only solution is operation is wrong. So you should visit an orthopedic surgeon for detailed examination of spine, neurological examination & x-ray other in. As required, And treatment plan accordingly, maybe in form of physiotherapy"
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MY NAME IS GREGORY KING I WAS SEEING A DOCTOR FOR BLADDER CANCER HE WAS PRESCRIBING ME OXYCODONE 30 MG AND PERCOCET TEN MGS ALSO VALIUM TENS THEN HE JUST DECIDES HE CANT TAKE MY INSURANCE ANYMORE IM IN SEVERE PAIN AND I CANT FIND ANYONE INCLUDING A DOCTOR TO HELP ME IM IN STAGE FOUR CANCER CAN YOU HELP ME
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"I can understand your problem and situation from which you are going through. But honestly speaking there are not many options available for stage 4 bladder cancer pain. You can try transdermal patch of centrally acting painkillers. Its effect lasts for 72 hours. And has excellent effect. Another way is low dose sedative Chat Doctor. They sedate you mildly so that you can perceive less pain. In rare cases debunking surgeries are done to reduce pain but only after oncosurgeons consultation"
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"It would have helped if you had mentioned which part of the body has cancer, what is the stage and the has undergone surgery. Pain, in a cancer patient can be due to a number of reasons like disease involving nerves, side effects of surgery/chemotherapy/radiotherapy. Most of these pains can be relieved by painkillers. If not then you can proceed to stronger painkillers like morphine. There is fentanyl 25/50mcg patch available that needs to be stuck on any non-hairy part of his skin, and it will relieve his pain for 3 days",
"I can understand your concern. He had carcinoma in kidney, and now it spread to lung also. It is stage 4 cancer. So surgery will not helpful. Moreover, he had open-heart surgeries, hypertension and other co morbid condition. So surgery is not an option. Chemotherapy and radiotherapy can be given, but again it has its own side effects which will worsen the remaining life. So in my opinion no definitive treatment should be given. I am sorry to say but it is true. Life expectancy is very low."
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Hello doctor,I recently had to get an emergency refill on my birth control because I was going out of town and realized I did not have enough to last the whole trip. The one I originally used was a generic version of Yaz and the one I got was a different generic version of Yaz (called Gianvi). Since taking Gianvi, I have experienced nausea and vomiting, breast tenderness, and fatigue. I did not experience any of this with the one I usually take. Is this normal or likely? Even though they should technically be the same? I last had sex around a month back, but I will not have access to a pregnancy test until I am back from my trip this month. I have read that birth control can mimic pregnancy symptoms, which is why I am wondering if this is the case.
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"Yes, you are correct. These symptoms like nausea, breast tenderness could be due to hormonal variations caused by the pill. Better to continue pill as per schedule. I hope you have not missed a single pill. If completed course without skipping the dose of the pill, no risk of pregnancy. Take care."
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"If you have not missed your period, you need not be concerned about possibility of pregnancy. However, you had just a spot bleeding for the last menses. This can be suggestive of pregnancy. During pregnancy, the other symptoms to show are nausea & vomiting with altered taste, frequent urination and breast changes which include engorgement with tenderness, dark discoloration of nipples and areola with increase in areolar size and secretions through nipples. However, these symptoms appear after 6 weeks of pregnancy. You can get urine tested for pregnancy 8 days after the incidence to spotting. Earlier these tests may give false negative results. However, Beta Chat Doctor tests are more specific and sensitive which can give you reliable results within 2-3 days of missed period. You may go for this test. During pregnancy, there is increased mucous discharge due to increased levels of Estrogen hormone. However, this discharge is without any symptoms. I feel this should help you",
"First, the treatment of endometriosis with continuous birth control does help a lot of women with the pain associated with endometriosis. However, the side effects of bloating and breast tenderness can be due to the birth control, and the fact that you are taking them continuously compounds the symptoms over time. Secondly, many women will have their period delayed after stopping birth control pills, especially if the pill has suppressed your period. So the fact that your cycle has not yet returned after stopping the Yam is not unusual. Even though you had bothersome side effects from the Yam, there are many brands of birth control pills with different active ingredients that you can try to take for continuous use. The pill brands vary in name by the country in which you live, but a pill with the active ingredient levonorgestrel is the most popular type of extended cycle pill in the U. S. and I suggest you discuss changing to a brand with this active ingredient with your local physician. I hope I was able to adequately answer your question today and that my advice was helpful"
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My brother has been diagoned with tumor in the femur bone two years back,had surgery and tumor removed.During that time doctor told him if at all it occurs again it will be at same place.but recently he had severe pain and after the bone sacn its revealed that he has tumors in other places.we are worried about the type of tumor .so kindly advice
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"I can understand your concern. He has other tumor. It can be of same type, or it may BR some different tumor. He should go for biopsy. It will give you exact diagnosis. Then he should take treatment accordingly."
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"I can understand your concern. He has bone cancer. Possibility of cure depends on type and stage of cancer as well spread. In early stage of cancer chances of complete cure is high. In later stage possibilities of complete cure is low. Please send me details of cancer so that I can help you further. Thanks for using Chat Doctor. Wish you a very good heal",
"e. were free (this will be in the biopsy report), then the likelihood of the tumor recurring are remote. Also, more than 2 years have now passed without him having any problems. If such a cancer recurs, it generally comes back at the site of previous surgery or in the front of neck (not back). All these factors point towards this being an unrelated thing. You have not mentioned the duration of this lump. If it is recent it is even less likely to be cancer. I will suggest you to take Tab. Ciprofloxacin 500 mg twice daily + Tab. Ibuprofen 1 thrice daily + Tab. Sanitizing 150 mg twice daily for 7 days. If the lesion persists then get a FNAC (needle test) done by a pathologist from the lesion. Also, if you are a diabetic, get a blood sugar done, they may be high, which can cause infections in this are"
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I took a very strong pain medication before my stress test and my heart rate was abnormally high the teck had to stop the stress test, normally, I have low blood pressure and a slow heart rate, can taking the pain med before the stress test could have caused the over elevated heart rate during the test?Thank you for your answer,laurie
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"I can understand your concern. No, taking strong pain medication can not cause rise in heart rate during stress test. You had severe tachycardia during stress test which actually terminated the test, this suggests possibility of coronary artery disease (CAD) more. Hypotension, low resting heart rate etc. are common symptoms of CAD. So better to consult cardiologist and get done1. ECG 2. 2d echo 3. Coronary angiography. You may need cardiac supportive Chat Doctor. Don't worry, with treatment, you will be alright. First diagnose yourself and then start appropriate treatment."
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"I can understand your concern. Possibility of musculoskeletal pain is more in your case, but better to first rule out heart diseases. You are already having hypertension and taking aspirin tablet, so we should first rule out cardiac diseases for your chest pain. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Possibility of musculoskeletal pain is more. So take painkiller and muscle relaxant Chat Doctor. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Don't worry, you will be alright, but better to rule out cardiac diseases first.",
"However, if your echo and nuclear stress test results came back normal, then absolutely nothing to worry. Also, you should know that the increase in blood pressure during the stress test is normal, and the top number sometimes can go as high as 200."
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hello sir/madam,i am adeel ahmad from INDIA.since last two year i am suffering chest pain.ihave consulted so many doctors but didnt get relief.before two days back i havecontacted one chest specialist he told me you have chest deformity thats a maincause of paining.but now i am really fed up of doctors and medicines.what should i do pleasegive me some valuable advice. hope you understand my problem.i am eagerly waiting for you reply.thanks & regardsadeel ahmad
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"I can understand your concern. Chest deformity can cause chronic chest pain. This kind of pains are life long. They are mostly due to musculoskeletal misalignment. So follow these steps for better symptomatic relief. 1. Apply warm water pad on affected areas of chest. 2. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. 3. Avoid sudden jerky movements of chest. 4. Take simple painkiller like paracetamol or ibuprofen if required. 5. Start calcium and vitamin D 3 supplements for faster recovery. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm."
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"I can understand your concern. Well, in my opinion, we should first rule out cardiac cause for your chest pain because you are having pulsating chest pain. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Sometimes without injury, pulled muscle is there. This is due to awkward sleeping position or bending or jerky movements. So follow these steps for better symptomatic relief in such chest pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. But first rule out heart diseases.",
". . * Brief Answer: you need to take that condition serious as you may have acute coronary syn Chat Doctor. *Explanation: My opinion is that ischemic heart disease is an important condition that needs good plan of management first of all anti-ischemic medications such as antiplatelet and antihyperlipidemics are crucial. Then regular follow-ups with a cardiologist is a must to modify your treatment and see if any new findings in patients heart condition exist. Of course healthy diet with low salt and fat content and regular exercising do help in such condition. Avoiding stressful conditions and smoking is nonnegotiable. If any new chest pain develops or symptoms or signs of heart failure or even palpitations present then coronary angiography plus or minus stenting may be needed then. I suggest my patients the following :learn about red symptoms or signs of ischemia. Chest pain may be atypical sometimes. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other risk factors and personal history. *Conclusion: I suggest you get your self checked in ER and make sure that there are not any serious ischemic changes. Get your self a cardiology check up. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good heal"
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After 30 years with hep c, the liver is completely hard---over the past three months fluid has been drained from the extended abdomen--1st 16 litres, 18litres then 20 litres. Legs with edema. Lack of appetite, sleeping from approx. 4pm for the night, weight loss approx. 50 lbs. What is the prognosis????
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"It looks like you are currently in decompensated stage of liver cirrhosis (\"hard Liver\"). You are suffering from classical features of portal hypertension (fluid build up in the belly) and other symptoms of liver failure (poor appetite, weight loss, excessive sleepiness, etc. ). The best available treatment for someone at your stage is a liver transplant. It will completely get rid of the fluid build up although regaining your strength and appetite may take a while. But transplant cannot be offered to everyone and depends most on your current performance status (physical fitness, age, other co-morbid conditions like diabetes, heart problems etc. ). If it turns out that you are not a transplant candidate, and I presume medications have failed to control the fluid build up, then one of the options to be considered is TIPS. Although it will not reverse the liver failure, it will prevent fluid build up in your belly. Ad Chat Doctor. I suggest you don't give up and explore all therapeutic options available. Please do not hesitate to contact me for any clarifications needed - rxsuresh@gmail"
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"Hepatitis C and Cirrhosis are both risk factors for development of cancer of the liver (HCC). The treatment options for someone with HCC depends on multiple factors 1) Patient condition (age, physical fitness) 2) whether the liver is healthy or not (normal liver vs cirrhotic liver) and 3) when patient has cirrhosis, the clinical stage of cirrhosis (early, asymptomatic vs late stage cirrhosis with fluid in belly). Normally up to 70% of liver can be surgically removed safely without any problems for the patient. But in a patient with cirrhosis, only 30-40% can be removed, that too, only if the patient is asymptomatic and his blood tests are normal. In a patient with abnormal blood tests or fluid in belly or portal hypertension (omitting of blood), then surgical resection is totally contraindicated. In case of your father, I would like to know more about his blood tests, whether he has any symptoms and also the size of the HCC. Based on these the treatment options may include surgical resection, Radio frequency ablation (Burning of the tumor using probes), RACE (blocking the artery supplying the tumor) or even liver transplantation (age and previous heart attack make him a poor candidate. Please do contact me with his blood and imaging reports, so I can guide you to the best possible treatment - rxsuresh@gmail. com.",
"PEC, I am sure that when they did tests for hepatitis, they did for all three types. You mention that he was positive for Hep-C. I think you need more information about the tests they did for Hepatitis -C. This type, in most people, does not produce any symptoms (Although rarely) it goes into what is called \"ChronicHepatitis\". At this stage, the liver enzymes stay abnormal and one can experience symptoms of fatigue, aches and pains in the joints, skin rash, poor appetite etc. It is important to rule this out. Type-A hepatitis comes from eating"
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Hi. I am a 33 year old male and for the past 3-4 days my left nipple and around the area I feel pain. Not to bad, but it does hurt. I touched the area and as far as I can tell I have no lumps. Can this be breast cancer? I also notice my left breast is slightly larger than my right.
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"This Swelling in the armpit. Pain or tenderness in the breast. Although lumps are usually painless, pain or tenderness can be a sign of breast cancer. A noticeable flattening or indentation on the breast, which may indicate a tumor that cannot be seen or felt. Any change in the size, contour, texture, or temperature of the breast. A reddish, pitted surface like the skin of an orange could be a sign of advanced breast cancer. A change in the nipple, such as a nipple retraction, dimpling, itching, a burning sensation, or ulceration. A scaly rash of the nipple is symptomatic of Pages disease, which may be associated with an underlying breast cancer. Unusual discharge from the nipple that may be clear, bloody, or another color. It's usually caused by benign conditions but could be due to cancer in some cases. A marble-like area under the skin. An area that is distinctly different from any other area on either breast. Regards"
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"I can understand your concern. You may have some breasts abscess. , benign proliferative breast lesion like fibroadenoma, fibroadenomas or fibrotic disease, or you may have breast cancer. You should go for mammography and biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly.",
"First, let me assure you that you do not have breast cancer. You are too young to have it or even to think about it! Since it's a sore lump, it seems to be like an infective/reactive lymph node. This can be treated with antibiotics alone. Also, keep the area clean as it is a potential site for sweat gland obstruction and further infection"
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my dad is in pakistan he just recieved a report which says he has serum ige 2500 in his body. i dont understand the complications of the problem and the serum ige, i need some help ? furthermore are there any possible cures for this amount of serum ige and the complications it could produce? thank you.
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"Thank you for asking at Chat Doctor. Serum total IGE is a helpful/supportive investigation for some diseases, but it alone does not diagnose or rule out any condition. Serum Total IGE 2500 is considered a high value. The most common causes when it is elevated are allergic conditions like allergic rhinitis, asthma, atomic dermatitis, allergic respiratory aspergilli, etc. However, it is not only associated with allergic causes. It can also be elevated in some intestinal worms infections, some rare immune disorders, etc. At this point I would suggest you to not concentrate on IGE levels itself. It is important to know the cause of raised IGE levels. Appropriate management of the cause is the only important treatment. Regarding complications, they are mostly due to the diseases themselves. They are mostly not related to IGE levels. If your father is having allergies, I would suggest him to consult an Allergist-Immunologist who will advise him allergy testing and then suggest appropriate management of the condition."
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"The condition you described is very difficult to diagnose until proper physical examination. For now, it can be two things. Firstly he might have got an acute attack of hives or urticaria which is a common allergy causing rash and itching all over body. It usually subsides on its own but may require a short course of corticosteroids and antihistamines which your GP or dermatologist can easily prescribe for you. Secondly he might have contracted scabies which is common in people who frequently go for camping. For scabies, you might want to launder all his clothes, bedding inward water to remove tiny mites which cause scabies. Apart from this, he needs oral (ivermectin)and topical antistatic cream(permethrin 5%) to get rid of mites from his body",
"I am sorry that your son has eczema which in medical terms is known as atomic dermatitis. It is not dangerous, non-contagious but most types cause red, swollen and itchy skin. Factors that can cause eczema include other diseases, irritating substances, allergies and the children genetic makeup. Speaking in simpler terms, in eczema the immune system gets hyperactive and attacks the skin in an apprehension that some agents (allergens) like dust might be harmful even though they are not. In the process, the skin gets damaged and looks bruised. The steroids decrease such immune reactions and tend to control eczema. Daily moisturizing is the basis of any eczema treatment, and even while eczema is under control It's important to continue the moisturizing regime to prevent future flare-ups. Nothing is as important as keeping the skin HY Chat Doctor. It is the most important step in treating eczema with need or otherwise. Neem based products have been shown to be very effective in treating eczema (as in, relieving the symptoms), but they don't cure eczem"
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Hi Doctor, I am of 55 yrs. old. I was diagnosed olmezest AM some 3 yrs. back. After having one tab in every morning my BP always stands in 140/90. The doctor accept that as normal for me.My question is about the side effect of the medicine & can I lowered my BP more to the normal?
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"From the information provided by you, I got TU understand that you have a high blood pressure, and you are using Oldest AM to control it. Oldest AM is a combination of two basic medications' losartan (angiotensin receptor blocker) and amlodipine (calcium channel blocker). There are little and rare side effects from both medications, dizziness, headache, swelling of legs, skin rash and so. In my opinion, your BP of 140/90 MMH is not a good value for a 55-year-old. You should try adding a diuretic to your treatment, HY Chat Doctor. You should aim your BP to be 120/80 to 130/85mmHg. Feel free to contact me for further explanations"
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"This means that you have low blood pressure, which is the cause of your symptomatology (dizziness and lightheadedness). It may be related to lisinopril intake. But other causes (deny Chat Doctor. I recommend consulting with your attending physician for a careful physical examination, a resting ECG and some blood lab tests: - complete blood count (for chronic anemia)- thyroid hormone levels - cortisol plasma levels-fasting glucose-blood electrolytes- kidney and liver function tests, etc. An ambulatory 24-48 hours ECG monitoring and a cardiac ultrasound would be necessary to examine better your cardiac function and exclude possible cardiac related causes. A head up tilt tests is needed to rule in/out possible orthostatic hypotension. Do you feel difficulty breathing or heart palpitations?Meanwhile, you should careful monitor your blood pressure in sitting and standing up position. If all the above tests result normal, I would recommend reducing the dose of lisinopril or switch into a beta-blocker therapy, to help maintain a normal heart rhythm and blood pressure and avoid tachycardi",
"Normal BP levels also depends on ones age, height, weight and genetic makeup. Some individuals have BP on lower side but its normal for them. Your tiredness is not because of low BP but probably due to and spend or psychological. Get one thyroid test done, and very important for you is regular exercises. You can try SYR Zirconia 2 teaspoon once a day, which is a vitamin supplement."
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My front lower teeth are sore and swollen, sensitive to the touch both inside and touching my chin. I noticed the gums were pink fading to a darker almost purple color, like a bruise. At the too of my gums just before my teeth I noticed white puss when I pushed in my gums slightly with my tongue. I have recently been to the dentist and am using a mouthwash to prevent gum issues. Will this prescription grade mouthwash eventually kill a gum infection?
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"The gum infection is the reason for the pain, pus discharge and Purple color of the gums. Consult an oral physician and get yourself examined and get your teeth cleaned once. Only mouth wash will not help to cure the infection, but it maintains the oral hygiene by controlling the organisms but for a complete cure we need to remove the cause, that is deposits has to be removed. I hope my answer will help you, take care"
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"The best of brushing and flossing techniques when used along with the braces on will ensure that your gums are not swollen. Deep ultrasonic scaling followed by the course of antibiotics is required, use chlorhexidine mouthwash rinses twice daily. For gingival hyperplasia I would advise you to get an OPG done to rule out extent of infection or boneless if present and plan an appropriate treatment.",
"As you are using mouthwash Listerine for a long time twice a day, it may change the oral flora due to its continuous antibacterial activity giving environment for the growth of fungus or yeast which may appear as yellow or orange coating. You should continue with the brushing teeth and tongue and start antifungal medicine Fluconazole 150 mg (Role) once a day for a week. Do not use mouthwash for some months now, and then you can use it twice or thrice in a week. If you are on some medicine that you are using routinely, that may also alter the color of tongue as side effect. If that is the case, then you can talk to your prescribing doctor regarding the side effects of the medicines you are taking. However, the headache, achy joints and excessive sleepiness are not associated with this infection. It might be due to the stress of taking care of 3 kids under 5 or due to some other ailment of the body that you may need to consult physician for. If the tongue coating does not disappear after a week, you should consult a dentist for examination of tongue and further investigations. I hope this information helps you. Thank you for choosing Chat Doctor. Take care"
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I used efferdent to clean my dentures, I guess I am allergic to the phosphate or whatever is in it and now my mouth tastes terrible and my toungue keeps getting red. How do I get this out of my dentures. They are not redlined. I have soaked them, brushed them etc. HELP
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"It in fact Kills the germs that cause denture odor. It contains PERSUADES, I suspect you are allergic to the product due to which you have tongue irritation. Discontinue the use, if your dentures seem to have its smell you can get the dentures polished from a dental lab. Polishing of the denture with pumice removes the effects of the product and will help you use it. I hope this helps, take care"
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"The Chat Doctor. The plaque or calculus gets Accumulated because of improper brushing habits or MAL aligned teeth which makes difficulty during brushing teeth. Consult your oral physician and get your teeth cleaned at least once in 8 months. Do saline gargling. Rinse your mouth soon after eating anything. I hope my answer will help you. Take care",
"The foamy liquid is due to the abscess formed at the periapical area of involved tooth. The pus usually contains bacteria. I would suggest you get the tooth either root canal treated or extracted depending on the condition of tooth. Take complete course of antibiotics too. The sour taste will disappear once the pus Chat Doctor. Maintain good oral hygiene. Please get the treatment soon as it can lead into sinus infection if left untreated."
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I hit the inside of my leg below the knee 2 weeks ago against the side of the bath. I developed a large, dark bruise rougly the size of a piece of steak. Now, my big toe is numb - very disconcerting - could I have a pinched nerve?I also suffer from hip pain if Im on my feet too often (has been happening for awhile) with reduced mobility in the hip. I fave insertional achilles tendonitus and my knee crunches when I walk or use stairs.I am 46, female and 115kg.
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"ue to the swelling the nerve in that area of your leg is compressed that is leading to our big toe going numb(provided you do not have back pain). Application of ice over the bruise will relieve the symptoms. As per your BMI you are overweight. You need to visit doctor to rule out underlying hip condition. It is advisable to reduce weight to prevent problems in the future."
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"Let me start off my saying that you are absolutely right. This pain could most certainly be related to sciatica in which case you should go and see your doctor again. However, certain other possibilities are present which u can rule out with the help of your doctor. 1) Ingrown toenail: They are near the toenail will be red and swollen and extremely tender to touch2) spinal stenosis: Positional pain is a hallmark. That is if the pain increases on moving your foot in different directions. An MRI of L5-S1 is recommended3) Trauma: U may have knocked your foot somewhere, and it may have hit a Nerve. It seems unlikely because I'm sure you would have mentioned it, but we are covering all bases4) Vascular damage: Common in heavy smokers or people with a history or known case of atherosclerosis the pain worsens on walking a few meters. If the symptoms match the description go see your GP and get a Doppler I would like to summarize by saying that my best guess is that your sciatica has come back, and please take the same precautions u did when u had the condition earlier the pain I suggest ibuprofen 800 mg twice a day with pantoprazole 40 mg if u have a history of heartburn or ulcers",
"Your symptoms are characteristic for urine tract infections and urine tract stones. That is why the first step you should take is to have urine test performed and abdomen ultrasound. The other reason of your chronic thigh and calf pain might be a Sciatic nerve compression. So if your pain does not go away for a long time you should have MRI of your backbone performed"
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Hi Dr,I am 54 this year and I just receive my blood test report which states the following :1. Total wbc = 3300/cmm (below the normal range of 4000 - 11000)2. polymorphs = 47% (below the normal range of 50 - 70)3. lymphocytes = 44% (above the normal range of 20 - 40)5. Polymorphs = 1551/cmm (below the normal range of 2000 - 7500)6. Monocytes = 165 / cmm (below the normal range of 200 - 1000)The film states :RBC - Normochromic normocyticWBC - Mildly reduced with mild neutropenia but morphologically normal.Impression - Mild leucopenia with mild neutropeniaIs there any concern to my health? I have not experience any health issue for the past years and am rather careful with my diet. Appreciate your advise.
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"I can understand your concern. Your RBC is normal. Your WBC count is slightly reduced. Your neutrophil count is almost normal. If you don't have any health problem then no need to worry at all. Many people have this low count without any disease. It will become normal. You just need to repeat once after few time just be relaxed. If you have any symptoms then consult your physician."
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"e neutrophil count is normal(above 1500) , I need to know the total leukocyte count and the number of lymphocytes, nymphomania or reduced absolute lymphocytes count sometimes can follow an infection, it's not a must to have an acute infection. I think repeating the CBC after 2 weeks is the next step, and I highly suspect it to be normal",
"I am Chat Doctor. As you told that you are suffering from fever associated with high WBC (normal value 4000-11000) and 55 percent lymphocytes, it suggests infection. High lymphocytes-55 percent (normal15 to 40 %) usually associated with viral infection or chronic infection with fever. Your platelets count is normal. I advise you to start full antibiotic course like Augmenting 625 mg TDS for 5 days and then repeat your complete blood count after 3 days"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,My 18 month old baby is not sleeping throughout the night. How do I get him to sleep through the night? Also how do I get him to stop breastfeeding?
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"It seems your baby has not yet developed day and night cycle, or she might get hungry at night and gets up for feeds. I hope she is growing well and must have attained her normal mile stones for the age. No medication is required to make her sleep. You can continue breast feeding up to 2 years of age as recommended. Develop a routine for food and breast feeding. At this stage, baby needs four meals and three to four times breast feeding. Make an alternate, give breast feeding when she wakes up, after two to three hours give breakfast, like that. If she sleeps for good hours during day time then, you need to make her engage in some play to reduce day time sleep. It will take time, but slowly, she will develop a proper cycle. I am sure things will change."
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"This might be due to antibiotics as well as not cleaning his mouth properly after feeding. Give him Lactobacillus sachets or B. complex Chat Doctor. Apply Mention violet locally after taking advice from your doctor. Make a habit of cleaning his mouth and tongue with clean handkerchief keeping on fingertip after every feeding. Having soreness in the mouth and tongue he does not take more by mouth. Ok and take care. Ok and take care",
"ild Chat Doctor. Breastfed babies rarely can have this problem, so I recommend you to try shifting the milk towards breast milk and cut down the cows milk . the use of lactulose 2. 5 ml twice daily is very helpful to loosen his stool, you can decrease the dose when you feel he is passing a lot of stools"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello. About a month ago my doctor discovered I have gall bladder polyps size of 0.5 cm and said to wait until Aug/Sept. so see for any changes. A week ago I went for my annual gyno check up and discovered I have 3 cysts on y right ovary. Are the two related? A year ago I was fine, and now all this. Can I take birth control pill to help reduce the ovarian cyst? But then I read that birth control pill may have something to do with formation of gall bladder polyps.
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". . You have gall bladder polyp. . . So yes strategy is right by your treating doctor. . . . Watch up is done with follow up report needed then removal considered. . . For ovarian cyst if small wait for its automatic resolution. Most cyst are resolve by itself as mostly simple follicular cyst. Yes OC pills can give for its treatment . . . But you have associated gall bladder disease, so you have to consult your treating doctor before starting it. If ovarian cyst increasing in size then laparoscopic removal needed. Take care."
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"You had pain in the stomach on right side when you go for stools. You also have pain on left and middle of stomach. Previous year in October you had ovarian cyst, doctors said that it is small, and it will go away. It is pieing when you go to stools, so more possibilities are there for intestinal infection, I advise you to consult a physician for diagnosis and treatment, with this treatment, if you get complete relief, it is well and good otherwise you have to get tested for urinary tract infection, or enlarged ovarian cyst. Wishing for a complete relief, and thanks for calling Chat Doctor. F. Best regards",
"It suggests you have poly cystic ovary disease. It is complex disease and cause hormonal imbalance, menstrual irregularity, insulin resistance, problem in conceiving. But after proper treatment you can become pregnant would suggest taking treatment under advise of the gynecologist. Doctor will give following medicines:Metformin: to decrease insulin resistance and induction of ovulationProgesterone pill in second half of the periodic further problem occur in future then"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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My toe nails turned green, oozing on the tops of my toes, very painful. Socks were even green. I have soaked them today in salt water, and put some topical cream on and it seems to be working, pain has let up, letting my foot breath and keeping it elevated.
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"This has to be ingrowing toenail with infection. If I was your treating doctor, I would have prescribed you as follows,1. Clean with antiseptic lotion . 2. apply antibiotic cream. 3. oral broad spectrum antibiotics4. anti-inflammatory analgesic. You are doing right by keeping the foot elevated."
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"Thanks for writing to Chat Doctor. I read and understand your question very well. I try my best to help you. As you have white spot on toenail which is tender to touch. This may be due to local trauma, due to excessive cold, may be local infection. I suggest taking Tab Dan P and antibiotic for this. If symptom not resolve than consult a good dermatologist for this. I hope my advice will help you a lot. Thanks and Regards.",
"Read your query. Chat Doctor. I would suggests continuing doing salt water gargling, but avoid gargling vigorously. Relax and do not keep on probing the socket. For pain Ibuprofen can be taken (if you are not allergic). Antibiotics like amoxicillin 500 mg and Metro lag 400 mg as prescribed is to continue. Pain and the infection will gradually subside. If the symptoms increase, have it reviewed by your dentis"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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My sinuses swelled up so much the doctor prescribed oral steroids. I just had had a root canal. The dentist put straight bleach in my tooth to disinfect the canals before he capped them. Also, I had swam in a highly chlorinated pool the weekend before. Is it possible, Im allergic to bleach or chlorine thats why my sinuses became so inflamed?
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"The swelling over the sinus region can be because of the two reasons, it can be because of the endodontic flare up following root canal treatment, or it can be an allergic reaction to the sodium hypochlorite or HY Chat Doctor. Nothing to be panic, You can take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). Along with antibiotics, you can an analgesics like diclofenac 50 mg BID for 5 days. To be on the safer side, instead of steroid you can take an anti histamine like cetirizine twice a day for 2 days. If the swelling does not reduce in 2 days, consult your dentist immediately. I hope my answer will help you, take care"
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"I can understand your concern. In my opinion, your cough is mostly due to bleach and CLR use. These chemicals produce Fumes. And when these Fumes go inside airways and lungs, they cause irritation and inflammation. And they intern cause cough. So while cleaning, you might have inhaled Fumes from these cleaning chemicals which is causing you cough. Usually this kind of cough is self limiting in nature in 1-2 days. S",
"There are few causes for swelling of face. Most common among them is kidney problems, loss of proteins in urine, thyroid disease, a Chat Doctor. Associated with Breathing difficulty it might be due to kidney or heart problem. I advise you to get these tests done and revert : Complete Hologram, Serum Creatinine, Urine routine, Ultrasound Abdomen pelvis, 2D echo. You can start taking Tab Las ix after consulting your doctor. Will be looking forward for your follow-up. Regards"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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A man is saying that his mind is not stable ,he is thinking too much.he is also saying that his tmy is burning like a fle, and he have been bomate two times.. Please help me what should I do in this situation because there is no doctor in here. And the man is in serious condition.
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"I suggest you not to worry much. Your friend is not stable, according to your description. His tummy is burning and he vomited twice. I think you wanted to tell us this information. If he is complaining about his stomach pain and is vomiting, then there could be something wrong. If you are sure that he is thinking and making the symptoms worse, you should be able to calm you with your understanding of him. Otherwise, the problem should be related to food poison. You should give him a lot of water to Chat Doctor. Then as soon as possible please take him to a doctor."
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"If he takes medicine regularly, this kind of episode would decrease, and it would help you to stabilize your relationship as well as life. You could consult a psychiatrist for treatment. In case, you are feeling problem in handling him at home, you can get him admitted. You can connect us anytime, and we are happy to help you",
"Understanding your concern. As per your query you have burning sensation on the head with confusion and loss of balance. Well there can be many reasons for symptoms you mention in query like trigeminal neuralgia, bells palsy, tics, neuropathy or deniers disease. I would suggest you to consult neurologist for proper examination. Doctor will take history, order CT scan or MRI to confirm the diagnosis. Doctor may refer you to RNT specialist for proper examination. Doctor may check CT scan or MRI report and examine ear with horoscope. Doctor may prescribe diazepam promethazine, Bennett device, gentamicin, steroids or recommend endolymphatic sac procedure. For now avoid bending forward and do meditation along with Chat Doctor."
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Hi my situation is this : I have a 13 year old active, fit young girl who within the last year has been experiencing stomach & chest pains. It was really bad the other day & hurt her to breath in & out. Upper back pain as well. I took her to ER where they did several tests one being a blood test whicChatDoctore back as a high reading of 660 for her D-Dimer. Do I need top worry ? They would like to repeat this test. Is she at risk for a heart attack ?
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"But PE is unlikely in a 13-year-old young girl. So better to get done repeat D dimer test. If it is normal then no need to worry about PE or other heart diseases. But if it is high, then she will need CT pulmonary angiography."
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"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",
"I can understand your concern. In my opinion you should immediately consult emergency room and get done ECG and 2d echo to rule out cardiac disease. Because chest pain with racing heart beats with skipping beats with numbness in left arm etc. are strongly suggestive of heart disease. If both are normal then no need to worry. Stress and anxiety can cause similar symptoms. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi! I m Lea and I m 16. This evening I had really intense pain in my lower left abdomen. It was the worst pain I had ever experienced. It got better with pressure but now it s getting worse again. The pain is now all over my stomach but its origin in my lower left side. I also feel cold and shakey and a little achy. I also have been urinating more than usual and there has been some yellow/green discharge in it.
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"Thanks for your query. Noted your history of more frequent urination with some yellow/green discharge in it. Intense pain in lower left abdomen, getting better with pressure. Now the pain is all over abdomen. I would advise you the following in such a situation. First send urine for tests of routine, microscopy, culture and sensitivity before antibiotic is started to get a proper reports which help in further treatment. Further, tests of blood, stool ultrasonography of the abdomen and so on. Clinical evaluation and examination by a General Surgeon to have a proper diagnosis and further proper treatment. I hope this answer helps you to get an early and proper diagnosis and treatmen"
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"Such sudden pain can be caused by urinary tract stones, gall stones or intestines spasm due to some obstruction. Urinary tract stones usually gives lower right or left pain radiating to the back or groin, frequent urinating can appear and burning when urinating. Gall stones give upper right pain radiating to the back, usually after a meal. Nausea and vomiting is very characteristic. Bowel obstruction can give strong abdominal pain, abdomen gets bigger due to bloating, vomiting is very characteristic. Can be associated with constipation history. It is advisable for you to have abdominal ultrasound, full blood work, liver tests, amylase, bilirubin and urinalysis.",
"I am Chat Doctor. K and I am pleased to assist you. The pain in the left lower abdomen may be due to diverticulitis. A CT scan may be done to confirm it. Gallstone pain occurs in the right upper abdomen. Constipation itself can cause discomfort in the abdomen. I would advise you to get examined by your doctor. If it is diverticulitis, then you may require a course of antibiotics"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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Dr,when i was 19year old i had an abortion.till 1 year every thing was normal after that i started feeling lower abdominal pain inside my vagina.now it is three years of abortion still im feeling heavy pain.plz help me what are the reasons of this pain.
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"Generally pain a year after abortion seems to be not related to the abortion. Lower abdominal pain can be caused by urinary tract inflammation, uterine inflammation, ovaries cyst and many more. I suggest you to do not wait any longer and not ignore them. Please visit gynecologist at first, have transvaginal ultrasound. Abdominal ultrasound and urinalysis should be done as well."
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"Thanks for your query and an elucidated history. To consider your history one by one:The cause of the lower abdominal pain can be many. This can be due to PID, due to the mass in the uterus as per your ultrasonography. It is possible that there is a prolapse of the uterus giving you typical pains of the type of menstrual cramps. In addition, taking the best and progesterone as a hormone replacement therapy can have its own effect on not only the uterus but also on the body and can give wright gain and all associated symptoms. Frequent urination can be due to urinary tract infection or prolapse of the uterus as has been mentioned above. I would advise you the following::Blood tests, particularly of the hormonal status including the Thyroid function tests. Urine routine, microscopy, culture and sensitivity. Ultrasonography of abdomen. Physical examination by a Gynecologist to rule out any prolapse and so. Currating and biopsy of the endometrium to rule of the cance",
"Thanks for your query. Read and understood your history. As per the history you have different problems which may or may not be associated. Let us see how . . . . 1. Normal periods but started having sharp abdominal pain on the right side. 2. Clump of blood even going on now. 3. Migraines and dizziness. Cramping still going on. The bleeding, clumps and cramping may be related and may be due to the heavy bleeding, may be due to hormonal problems. There is a small chance that you have a missed abortion of the intrauterine pregnancy, but the tubal pregnancy continues or may be salpingitis, ovarian problems or just PID got resurfaced. The hormonal changes also increase the migraine as you know. Dizziness can be due to local problems of the blood supply to the brain and / or the ear apparatus. All the symptoms taken together, I would advise you the following:Urgent ultrasonography of the abdomen. Urine pregnancy tests. Diagnostic laparoscopy ID tubal pregnancy is suspected. SOS procedure as advised by you. I hope this answer will get the things moving in the proper diagnosis and treatment of the person"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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My endochrinologist has diagnosed me with polycythemia vera. He has ruled out that the raise in my hemocrit and red blood cells is not being caused my my underlying thyroid problem. I am not on any medication as my thyroid has stabilised at a level that is now at the low end of the normal range. My endocrinologist says that he would like to refer me to a hematologist. Can my polycythemia vera be treated by my endocrinologist, or must I go to see this other specialist? Thanks.
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"I can understand your concern. You may have polycythemia Vera. You should go for JAK 2 mutation study and bone marrow examination. If you have polycythemia Vera then you should consult hematologist. Phlebotomy is the simple treatment to control your hematocrit. You should also take HY Chat Doctor. Consult your doctor and take treatment accordingly."
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". . I suggest you should meet nephrologist or endocrinologist . . . there are many good ones especially in aims or safdarganj hospital or Vedanta . . . your is not a big problem . your thyroid and kidney disease AMD hypertension are to be taken care of . . . please do not delay . . . I would suggest GFR . . . thyroid status . . . kidney function test profile and ct abdomen . . . for BP the Chat Doctor. . please donor delay . .",
"I am Chat Doctor answering your query. If I were your doctor, with a hard lump I would at the earliest refer you to either a ENT specialist or a general surgeon for a clinical examination and related investigations like a thyroid function test, an ultrasound of the thyroid and neck region, and an FNAC of the hard lump. Further management would depend on the results of physical examination and reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,Im a burn victim..I was burning waste paper in my lawn on jan24 th and there happened to be a commpressed can which exploded..I had superficial burns on my face and second degree burns on my right upper limb..now my burns on my face and limbs have healed but it has left behind areas of hypopigmentation and hypopigmentation..Pls advise me for my further treatments..also I would like to get rid of pigmentation...pls help...
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"Hypopigmentation resolves in many cases, so it is best to watch for the initial period to check if any change in pigmentation is appearing. If the hypopigmented area persists then there are treatment modalities like micros kin grafting and epidermal grafting. Talk to a plastic surgeon regarding this. Also, do not forget to apply sunscreens over the burnt area before sun exposure"
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"ARK PATCHES AROUND NOSE AND MOUTH POINTING TOWARDS A CONDITION CALLED PLASMA OR IT MAY BE PHOTO-PIGMENTATION , DUE TO EXCESSIVE EXPOSURE TO SUN-LIGHT2. DARK SKIN IN THE SHAVING AREA OF BEARD POINTING TOWARDS- POST-INFLAMMATORY PIGMENTATION, EITHER DUE TO ROUGH SHAVING OR REVERSE SHAVING OR USAGE OF CHEAP QUALITY TRIMMERS anyhow you need to be examined properly and should be seen directly by eye to know the level of pigmentation u have, and perfect treatment required for you. . . I advise you to consult a dermatologist for further evaluation and treatment. until then start using good non-oil based sunscreen lotion . MANY OF NEWER TREATMENT MODALITIES FOR UR CONDITION. MOST EFFECTIVE IS CHEMICAL PEELING. . . CHEMICAL PEELING WITH SLC peel system (salicylic acid +lactic acid +citric acid) will be more effective for u. . .",
"Burn injuries take considerably longer time to heal. The healing is in fact much faster in kids. You need not worry as it will take time, but the pigmentation will lighten with time. Apply pure coconut oil on the pigmentation every night. This is mild for the Child's skin as well as has good healing properties. All the bes"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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hi....my husband has arthirtis in his knees real bad and he s not strong enough for a knee replacement although the ortho doctor said they could give him a epidural but am not sure if hubby could walk enough. he is also diabetic and takes insulin....lantus and novolg. he has had trouble voiding and when i took him to the doctor his white blood count with was high but the PA didn t know where and gave him ciproflaxin because he was pretty sure it was in his lungs. but anyway i thought maybe he had bladder or kidney infection was the trouble he was having going to the bathroom. urine sample showed no kidney or bladder infection so the PA gave him samples of toviaz to help him void. he took it for a week and was way worse than it was before. the PA has him on (2) 50 mgs pf tramadol every 8 hours...i took him to the er a couple of weeks ago and they told him his white blood count was up a little but still no one knows where the infection is and the er doctor put him on a predisonne regimen. i forgot to mention he also had shingles on his left buttock and on his gentials. that started last october.....what a year it has been...he is afraid if i take him to a bigger hospital they won t find anything wrong. he also lost 50 to 60 pounds in a year....i am very worried about him
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"He also has an intractable infection with increased white blood counts. He has difficulty in voiding but urine reports are normal. He also had shingles on (R) Buttocks and genitals. In my opinion, with his problems, I would recommend 1. Search for the cause of Elevated WBC Counts-could be lungs, any infection of nails, foot or a small sore in back. 2. For knee pain I would recommend Intra-articular injections injections of Viscous substance (Viscosupplementation) or PRP Injections. 3. For urinary problem- I would suggest MRI L S Spine and NCV Tests along with urine C/S, S It B12 levels, Will proceed according to reports"
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"I have gone through your query. I would like to know if your father has any difficulty in passing urine like straining, thin stream or whether he has had any fever with burning sensation while urination. It is likely that being a diabetic he has a urinary tract infection which needs to be tested. Also, considering his age he will need a clinical examination by a urologist for his prostate gland to look for any enlargement or infection. If it is a UTI, it can be treated with a short course of antibiotics and he should be fine. I suggest you get an appointment with your local urologist for an evaluation at the earliest.",
"I went through your post. Shingles involve a single dermatome. So, it is unlikely going to spread and will heal completely in two weeks. Prednisolone is a steroid and can cause reactivation of Shingles. So you need to take Acyclovir at least for one week and continue Prednisolone and Humira (Adalimumab) until your IBD (inflammatory bowel disease) goes in remission. Then you can slowly decrease the dose of Prednisolone and finally take it off. You can go on a trip."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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I am 43 year old female and have a bicuspid aortic valve. I work full time, but I am so tired at the end of the day I have to rest when I get home. I feel dizzy at times, out of breath, I have stomach angina and the joints in my fingers are achy. Can I receive disability for this?
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"Now let me explain the mechanism happening in your case, aortic valve which is generally tricuspid is bicuspid in your case which means the opening will be less in your case due to which less amount of blood passes through the aorta when your LV pumps due to this less amount of blood is being supplied to your body. Due to this when you are physically active a SUPPLY DEMAND mismatch happens due to which you feel tired and dizzy at the end of the day. It can be taken care of with the help of meds up to certain extent but in case if you develop symptoms like giddiness or palpitations then it needs to be corrected by means of surgery. Now regarding the stomach pain usually cardiac pain does not refer below diaphragm so the pain which you are feeling is probably non-cardiac and for that you need to check with your gastroenterologist. And also get one Serum Uric acid and AS title done for your join pain"
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"As per your query your wife have pain in left side ribs, fingertips and shoulder. Well the symptoms you mention in query are pointing towards a condition like angina. Such symptoms can also occur due to other reasons also like acid reflux and peripheral neuropathy. I would suggest you to consult cardiologist without any delay to rule out more serious condition, because it can lead to heart failure and rule out causes like stress and anxiety, muscle spasm and nerve dysfunction. Doctor may order certain test like ECG, troponin t, echo and examine with stethoscope. Doctor may prescribe treatment for restoring your ventricular rate. Beta blockers, like Atenolol, Carvedilol, Propranolol along with isosorbide nitrate. Calcium channel blockers, such as Diltiazem and Verapamil. For now take proper rest and do not exert your body. Doctor may also refer you to orthopedic surgeon for muscle strain. Doctor may also refer you to endocrinologist for thyroid problem.",
"There is no interaction among the medicines she is taking at present, and she can continue them Her low pulse rate can also be explained due to hypothyroidism, and she should get her thyroid function tests repeated. She should also follow the orders of the cardiologist and have the holder/ stress tests done. Sometimes anginal pain can manifest in the form of pain associated with gastritis, and it is important that her cardiac status is evaluated. Hoping for the bes"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,My baby is 10 months old, and he is two months premature. If I feed him with solid food, he does vomiting. Is it not safe for him to feed with solid food?
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"I just read your query. I advise you to try giving some soft and semi-solid foods to your baby right now. Once he starts digesting these then move on slowly towards other food items. Moreover, some babies do not take solid food properly until they develop teeth. But if your baby does not digest semi-solid foods too, then you need to visit a nearby child specialist. Because it can be due to some other underlying cause which needs to be ruled out. I hope you understand my point."
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"The elevations in ESR and SGPT in this case are nonspecific, and basically indicate only that an infectious or inflammatory process is occurring. If there is vomiting, you may want to keep your son on a clear liquid diet only for a day or two until the vomiting stops. There are also prescription medicines your doctor can give if the vomiting is especially severe. Talk to the doctor about specifics as s/he is familiar with your sons case and knows what medicines were given to him.",
"One and half months is too early to start rice stack. Formula feed usually causes hard stools white unlike breast milk. If you are unable to breastfeed change over to animal milk or another formula. Iron supplements are not necessary for your baby. Iron containing foods also cause constipation."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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I have a miniature white lump between my breasts. At the surface it is very red, but as the spot raises it becomes a sort of white, almost shiny lump. Its changed in size over time - at one point it was huge and incredibly painful, then it seemed to disappear but now its back. Should I be worried?
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"I studied your problem in depth and I understood your concerns. Treatment for a white painful lump between breasts-A painful vanishing and recurring lump-seems to be an Acne with abscess formation and resolution and is due to Acne of chest / or could be supernumerary breast/ or could be cold abscess/ or could be lymphadenitis. I would suggest consultation with ER Surgeon who would treat it according to its cause by excision or by medicines. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N"
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"I am Chat Doctor answering your query. From the description of the lump and the pain it causes, this seems to be an inflammatory swelling to me. However, the exact position could be known by a physical examination only along with related investigations, and so I would advise you to see a gynecologist in your area for a quick review and further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery.",
"I can understand your concern. You may have some soft tissue tumor like lipoma or some benign cyst like sebaceous cyst. No need to worry. If it is painful then you should go for excision biopsy. It will cure your lump and give definite diagnosis. Consult your doctor and go for excision."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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my son is 1year5months and he s having a primary complex, but now taking his med , he cant poop and pee and his crying all the time in the morNing his having fever, and he s vomiting. loss appetite but he drink a lot of water. icant give him any med because he s taking his med for his primary complex, what should i do?
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"You don't have to refrain from using medicine for fever and omitting just because your kid is on medication for primary complex. Give him a plain paracetamol and an antiemetic. Once his omitting stops he will eat properly. You can then initially force him on some oatmeal and then slowly give him normal diet. Don't worry he would be alright. Inspire of all this if he is not accepting food then please take him to your d"
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". . as you say your son is passing stools 3-4 times per day, I don't think you should be using medicines which will increase the frequency of the stools. I suggest you stop - Cephalic and Lahore please. The other medicines are for diarrhea. Unless there is blood in stools you do not need to give WiFi and Flagyl too. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. . . you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&",
"As you stated that your son is getting ciprofloxacin (dose must be 10 mg twice in day) for 14 days. While your doctor I also advised lansoprazole for nausea and hyper acidity. While Cronin and metal are also for fever and pain. All standard treatment has prescribed for your son, so need not worry. Mild blood in stool is a characteristic feature of typhoid fever, so need not worry because typhoid fever is intestinal disease. Within short period your son will resume his normal activities. Be confident and nothing to worry"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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Dentist suggested my father to remove one tooth by surgery. But my father went through heart bypass surgery some 3 years back. Dentist is asking for a clearance certificate from the cardilogist. The cardiologist suggested a lipid profile test which is normal. Now, can he go for the dental surgery?
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"Read your query. Yes, he can undergo the tooth extraction procedure if the cardiologist has given a clearance certificate based on the current health position of your father. Keep the dentist updated with all the procedure and medication your father is taking before the procedure for the dentist can enough measure for an easy extraction."
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[
"2) Presence of diabetes, blood pressure problem. 3) Family history of Diabetes, high blood pressure, cholesterol problem. 4) Lipid profile at the start of Lipitor. If you don't have diabetes, heart problem or family history of abnormal cholesterol problem your test reading of Total cholesterol 154 & Triglyceride 80 are absolutely fine and it won't require medical treatment. In the treatment of dyslipidemia values of LDL & HDL cholesterol are more important than Triglycerides and total cholesterol. In your case you have not mentioned it. So you can stop Lipitor if -You have no diabetes, heart problem. Normal LDL & HDL values. You have to monitor your lipid profile once in every 3 months. Lipitor is known to affect liver function",
"Your fathers' heart needs to be in stable condition, and he would need clearance from a cardiologist to undergo treatment. If his liver is not severely damaged (which can be evaluated with a liver biopsy), then he would be better off waiting for new medications to come out with much less side effects. These are expected to come out in 2 years. On the other hand if he has severe liver damage, or close to cirrhosis, then I would not wait that long. Discuss it with his gastroenterologist / hepatologis"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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MY SELF MAHENDER PAL, AGE ;29YRS ,SEX;MALE, RBS COUNT 5.44 ,MEAN CORPUSCULUR VOL. 81.2 , RED CELL DIST WIDTH (RDW) 15.8 ,CHOLESTEROL 212 , TRIGLYDERIDES 195 , CHOLESTROL LDL 126, VERY LOW DENSITY LIPOPROTEIN 39 PLEASE GUIDE PATHOLOGIST SAYS U HAVE HIGH LIPID, WHAT WILL I DO NOW GUIDE ME....
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"I have gone through your question. I can understand your concern. You have high LDL cholesterol and high triglycerides levels. You should take low fat diet with high amount of polyunsaturated fatty acids. Furthermore, you can also take Chat Doctor. However it is prescription based medicine. So consult your local doctor and take treatment accordingly."
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[
"You have given information about Cholesterol which is reduced in 2 years at present it is 165 mg/DL. It should be total cholesterol. I presume all other parameters are within normal limits. Cholesterol testing actually requires complete Lipid profile which includes Total cholesterol. LDL, HDL and Triglycerides level. Out of this HDL should be high as it is good form of cholesterol and all others should be low. Even if total cholesterol is normal follow healthy diet and lifestyle including avoid tobacco use, and alcohol(If you take), regular exercise and taking care of your diet. If you have reports you can use premium section of this with uploading reports to get specific answer. Please continue to take medical check up periodically. Take care. Good Luck. Chat Doctor.",
"I can understand your concern. Yes, you should definitely start lipid lowering Chat Doctor. Your some cholesterol levels are high, especially total cholesterol and LDL cholesterol. LDL cholesterol is the most thermogenic in nature. So you are at risk of atherosclerosis and coronary artery disease with these levels of cholesterol"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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my husband is suffering from neurocysticercosis.Seven years befre he suffered a scissor attack.Today again he had the same attack in the morning.The granular cysticercoma is calcified in the frontal lobe left side.kindly suggest me what is to be done now.
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"Neuricysticercosis is infection of the brain by the dog tape worm. This occurs due to contamination of food and water. The neurocysticercus is an organism that occurs in 4 stages and the cystic stage is the one that causes most seizures. Since your husband has the calcified stage, it is a healed stage and less likely to cause seizures. However, the fact that he had a seizure after 7 years means that he should undergo certain tests to know the present condition. Seizures happen due to sudden out bursts of electrical activity in the brain and that can happen due to the old calcified granuloma or any new granuloma. Other conditions can also cause a seizure. Therefore, it will first be important to do a CT scan or MRI scan brain and then proceed with an electroencephalogram to study the focus of abnormal electrical activity in his brain. Once the tests are done, he can be treated with anti-epileptic medications for months, and also he might need a dose of anti-helminthic should there be any active neurocysticercosis lesion. If there is brain swelling then measures are to be taken to reduce it. He must avoid Chat Doctor. Also make a note of any seizure attacks he gets in the next few days. This might happen and must be told to the doctor to give proper dose of medicine. Please do not worry"
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[
"I can understand your concern. You may have some soft tissue tumor like neurofibroma or lipoma. You should go for fine needle aspiration cytology of that lump. It will give you exact idea regarding cause. Then you should consult general surgeon and take treatment accordingly. Most of the soft tissue tumor needs surgical excision only. Consult your doctor and take treatment accordingly.",
"I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma. , dermatofibroma. Or some benign cyst or ganglion cyst. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,I am a 22-year-old healthy male. Yesterday I had my first panic attack and it was severe and lasted long. I have ended up in the emergency room. But they just gave me a Diazepam and I was feeling good again, but they never told me what triggered and I am curious. Last night I drank 110 mg of phosphate codeine (liquid) and drank one 600 ml beer and then smoked Marijuana. Once I get back home which was a couple of hours later, right after I smoked the panic attack started. But I am smoking for six years and just strong strains and concentrated and nothing ever happened before (yesterday I smoked a really non-potent one). My question is, is it possible that the weed is causing the panic attack or it was the codeine with beers? I really do not want that to happen again.
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"It could be a combination of Marijuana, codeine, and beer. Also, regular use of Marijuana will cause panic attacks. It is just that the effects of whatever is taken regularly and do not show up immediately. Only chronic use of either smoking, alcohol or other ChatDoctor. I would recommend that you at least try to reduce if not stop the quantity of the"
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[
"I read and understand your concern. I am Chat Doctor answering your concern. No, cannabis never causes such a lymph node swelling, but it is the compound coming under narcotics. It is not advised to take it. Sarcoidosis which you are suspecting may cause such a swelling and can pose a problem like swelling in lymph nodes in neck, swollen skin etc. I advise you to diagnose first yourself for the acidosis further management can be possible thereafter. Lymph node biopsy can be helpful for microscopic diagnosis. Diazepam can be used for sleeplessness. But it is the substance categorized under the",
"Weed or marijuana has been shown to affect the heart such that long term heavy users may develop heart attacks at a younger age. It may also cause cardiomyopathy that is changes in the structure of the heart muscle. Though I cannot conclusively say that weed is the cause for your problems. My advice would be to stop using weed and to follow a healthy lifestyle including adequate exercise (consult with your cardiologist regarding exercise regimens) and a healthy diet. And please do continue your present medications since ventricular tachycardia can be a serious issue. I hope this has been of help to you"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor, Since four years I am taking Sizodon LS medicine from a trusted doctor. Nowadays I feel sufficient response. But after consulting my same doctor, he is avoiding to stop that medicine. As per his opinion, if I stop this tablet, again I will face problem after a month. Now, I request you, is it true or false?
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"As you are on Sizodon LS (Risperidone) for last four years and now alright. Stopping the ChatDoctor. It is true that if you are suffering from schizophrenia or related diseases, then it is advised that you continue the medicine for many years or possibly life long otherwise relapse (symptoms re-appear) can occur. So, continue your treatment according to the advise of your psychiatrist."
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[
"It would have been useful if you had mentioned also the tablet dosage, there are different Sine met tablets with different concentration of its components, so hard to judge how high a dose is what you have been prescribed. Sine met is not a curing Chat Doctor. So not taking it won't have any effect on disease progression, it is safe. You won't have the desired effect though. Also skipping it doesn't mean you won't have side effects after the other two dosages (if you have any side effects at all). So I wouldn't skip this dose, only if you experience side effects can you lower the dose, but not by skipping one dose but by taking say 1/4 tablet 3 times daily. I hope to have been of help",
"The tablet is effective in stopping pregnancy if ingested within 72 hrs of unprotected intercourse. The side effects of the Chat Doctor. Posting 2 possesses the same active ingredient as Posting 1 i. e. levonorgestrel progestin. Even the mechanism of action is the same. Posting 2 comes with two tablets One table can be taken immediately after unprotected intercourse and the second tablet should be taken 12 hours later."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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WI had heart attack 10 years ago am currently taking medication for blood pressure control also blood thinners and cholesterol meds 2 days ago I started having severe pain in lower legs associated with sever cramping more so in the right leg when I try to walk my calls completely lock up on the right leg pain on side of lower leg feels like nerve damage, l also have back issues that cause Pain in lower legs but never this severe this problem just popped up all of a sudden but will not stop hurting, before this started I was walking more than three miles every day now I cannot walk half a block. Any idea what is happening to me? I am healthy other than the heart attack over ten years ago and have not had any issues with heart since.
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"The pain on your right leg on side of lower leg could be due to compression of nearby nerves as you are having back issues (probably sciatica). Please have an X-ray of the back done and consult further with neurologist. Electrolyte balance should be evaluated and properly treated as you are taking high blood pressure meds. Magnesium supplement can help. Muscle pain and weakness as side effect of lowering cholesterol meds should be ruled out. Ubiquitous Qu10 can help to reduce such side effects. Discuss this further with your doctor. Wish fast recovery"
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"I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. If you previously had a heart attack than you are at higher RISC of having another one. A previous heart attack might have caused a muscle heart damage, leading to reduced heart function. A reduced heart function or what we call cardiac insufficiency may give symptoms like difficulty in breathing deeply, palpitations peripheral edema, hypotension, fatigue etc. You should also know that typical heart pains have some characteristics. They are usually retro-sternal pains likes quizzing, tightness or heaviness. They may irradiate to both arms, neck and jaw. Furthermore, they last from 5-20 minutes. So, if you are experiencing chest pains, difficulties in breathing deeply than I would say that you definitely need to seek medical advice. If I was your treating doctor I would recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function, valves, a full blood analyze to exclude electrolyte imbalances. After this simple examination we can create an idea what we are dealing with and how to treat it.",
"Fatigue back muscles and hip muscles giving rise to soreness and pain. Possibly you have sprained your spine and that causing pain on walking and increasing. Please get a check-up with or tho surgeon and find out. Not likely that you are having infection, appendicitis or kidney problem. Till you get a check-up get rest and avoid strenuous work"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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turn vegetarian and love sports. now i feel extremely exhausted, tired and very low energy when i go run or play any sports. I played tennis today and my heart was beating really hard and felt really tired like I was playing for hours. I had only started for less than 15 min...I am scared it could be anemia...my nails break easy...any reason??? Should I have a blood test? physical exam?
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"I can understand your concern. Easy fatigue and brittle nails are seen in anemia. You may have some kind of nutritional anemia like iron deficiency anemia or some other. You should go for routine blood test first. If your hemoglobin is low then you should go for anemia profile. Consult your doctor, investigate and take treatment accordingly."
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[
"I can understand your concern. You have weakness and its due to anemia. You should search for the cause. Furthermore, you may have iron deficiency anemia or may be some other reason. So go for CBC and PS examination. And if required go for further investigation like ferritin, it b12 or bone marrow according to your doctors' advice. Once you find the cause then take treatment accordingly. You will definitely get benefits.",
"For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for the possible causes underlying your complaints: - A resting ECG and cardiac ultrasound. - A chest x-ray study. - A head-up tilt test (HUNT) to investigate for orthostatic hypotension. - Complete blood count for anemia. - Thyroid hormone levels for a Chat Doctor. - Blood electrolytes for any possible imbalance"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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I am suffering from giddiness / imbalance last one years and taken various treatment / medicines and done various exercise. CT Scan / audio test are normal. Problem also treated by neuron surgeon by various medicine and said by doctor this case of depression due death of your wife by cancer and you feel lonely. Further, case refere to Psychiatric for opinio. He also said same and prescribed medicine and same also were taken but no permanent relief could be obtained so far. Finally I taking Ferrum fass 200 and calcaria fass Kindly suggest further treatment / or suitable pathy for treatment of said problem and also prescribed medicine please.
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"Thanks for calling Chat Doctor. Forum. You are suffering from giddiness, imbalance, since one year, C. T. scan and audio test normal, and problems are treated, doctors are of the opinion that it might be due to depression, due to death of your wife, seen psychologist, he also said same, no permanent relief could be obtained. Finally using homeopathy. For psychiatric medicines the patient should also help the medicines to work. I advise you to follow some diversion procedures as practice yoga, meditation, reading books of your interest, hearing music, and if interested, indoor or out door gardening. Wishing for a quick and complete recovery. Best regards"
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"I suggest you not to worry much. The symptom you are mentioning is a clear case of illusion / delusion. Usually happens to depressed or schizophrenic patients. You need to have good psychiatric treatment, and please consult a psychiatrist as soon as possible. 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.",
"You can find doctor of your required specialty on our website in left side corner in FIND YOUR DOCTOR, Fibromyalgia can not be totally cured, you can only minimize symptoms by taking various medications. As you are resistant to amitriptyline and duloxetine I will advise you that you can start milnacipran or Lyrics (pregabalin) consulting your treating doctor. Exercises and stretches plays important role in maintaining symptoms of fibromyalgiaPhysiotherapy like ultrasound and tens will help, along with knee exercises. A holistic approach is required, which includes exercises, meditation, SKY[darshan Oriya yoga] and acupuncture along with healthy diet and herbs."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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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.
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[
"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."
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[
"I can understand your concern. You are having premenopausal period. In this age women are at increase risk for cardiac diseases because of hormonal imbalance (low estrogen). You're all symptoms like rapid heart rate, shortness of breath, chest tightness etc. are more suggestive of heart diseases like heart failure, arrhythmia or angina. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Coronary angiography if needed. You may need cardiac supportive Chat Doctor. Don't worry, with proper diagnosis and treatment, you will be alright.",
"I can understand your concern. In my opinion, your chest pain is mostly due to musculoskeletal pain. But since it is left sided pain, better to first rule out heart diseases. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Due to improper sleeping position in night shift, you have developed this pain. So follow these steps for better symptomatic relief. 1. Avoid bad postures in sleep. 2. Avoid movements causing pain. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. 6. Sit with proper back support. Don't worry, you will be alright."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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