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Hello doctor,I had mumps five months ago and after that, I started to have an infection in my left testes. It was swollen and now it has shrunk to almost half the size of the other one. As I am sexually active, I feel a pain in each of the vas deferens after sex. If I do not have sex for days, they become sensitive. I was treated with Ceftum 500 mg, the first time I had an infection. Now my question is, is there any chance that the infection is still in my body? And, do I need to get examined for it? For the time being, please suggest some precautionary antibiotics for my relief.
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"I can understand your concern. You had mumps and this is a viral infection known to cause an inflammation of the testis in some cases. Take care. For more information consult a sexologist online"
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"Please get your semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. You need to take appropriate antibiotics for 4-6 weeks to combat infection. This will help to increase the sperm count and improve quality of sperms. Please repeat your semen analysis after completion of treatment with antibiotics.",
"Eggs also might come out. Nothing to worry, medicine will work against this infection. If you require repeat this dose after one week. Local part might be sore, or some irritation might be there. After cure of infection it will be alright. You may apply antibiotic cream on affected part. Keep local hygiene clean and Chat Doctor. Ok and 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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After a night of crying heavily for approximately 2 hours, I am having minor sharp chest pains that feel as if they are being brought on by breathing. I know when dealing with chest pains it is important to see a doctor, but is it likely / possible that this pain is going to only be temporary and was brought on by heavy crying / breathing last night?
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"You had been crying for a few hours which implies that you have been under stress. Stress and anxiety are very common causes for chest pain. So, it is quite possible that your chest pain might be due to that. However, it is also important to rule out ant underlying organic cause for the same. If your chest pain is specifically on the left side of chest, you ought to be more cautious. In any case, getting an ECG done would be advisable. I hope I was able to answer your query"
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"I can understand your concern. Yes, bronchitis can cause chest pain. Bronchitis can cause pleurisy (inflammation of pleura) and this can cause chest pain on breathing. But in my opinion, we should rule out heart diseases because you are having midnight left sided severe chest pain which is more common in heart diseases. So first get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Take simple painkiller and anti-inflammatory Chat Doctor. Apply warm water pad on affected areas. This will also give symptomatic relief. Don't worry, you will be alright but first rule out heart diseases.",
"I can understand your concern. Your breathing difficulty is associated with crying. So no need to worry about any lung diseases because breathing difficulty while crying is due to stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm."
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Hi doctor, I am 26 years old. Two years back, I found that I have autoimmune hepatitis. At that time they did Fibroscan, in that kPa is 14.5 (F4). Last one year I took medicines (steroids) and I stopped. Now it again came back and doctors did a biopsy, in that it is showing:Portal and lobular hepatitis with areas of confluent hepatocytic necrosis and Ishak fibro score are 0. Is it possible for my fibrosis to come from F4 to F0? How is my liver now based on that biopsy report?
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"In autoimmune hepatitis, it is possible to decrease the fibrosis. Or other possibility may be that, initial fibroscan was done in acute inflammatory state hence it may be falsely high. We need to compare it with the liver enzymes at that point of time. Autoimmune disease may be episodically triggered by various factors. You must continue the medication."
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"Increased GGT may indicate liver injury. It is specific for alcoholic liver disease. Patient may need the latest ultrasound, fibroscan to assess exact stage of disease. Fibroscan assess elasticity of liver tissue, and it is very helpful in assessing disease progression. Liver biopsy can be done after evaluation. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. She may need more medicines after evaluation. It is good that patient had quit alcohol. This is very important for her health. Get well soon. Take Care",
"Moderate levels of AFP (even almost up to 500 NG/ml) can be seen in patients with chronic hepatitis. High blood levels (over 500 nanograms/milliliter) of AFP are seen in only three situations HCC (Hepatocellular Carcinoma) Germ cell tumors (cancer of the testes and ovaries) Metastatic cancer in the liver (originating in other organs) I"
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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 getting a bit concerned about my heart a few weeks ago I was jut sat watching tele and my heart just nearly lept out of my throat I went to my local walk-in center because I had a severe panic attack I am now on medication for indegestion and propanalol for panic attacks but the tablets for the indigestion are not working I m suffering with the heart thumping as I m writing but the doctor said my hearts fine can you help I m so worried it could be more serious
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"If these are normal then this may mean that there is no organic cause and the increased heart rate is related to your panic attacks. If the tablets for indigestion are not working then you may want to see your doctor for another one that may work better for you"
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"I can understand your concern. In my opinion, we should first rule out heart related diseases because you are having skipped beats, had MVP (mitral valve prolapse). So consult cardiologist and get done 1. 2d echo. 2. Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about heart diseases. Uncontrolled acid reflux can also cause chest pain. So take proton pump inhibitors and prokinetic Chat Doctor. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid stress and tension. Don't worry, you will be alright. But first rule out heart diseases.",
"I can understand your concern. Yes, possibility of stress and anxiety related panic attack is more. But better to first rule cardiac cause for this. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. 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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Hello doctor,My 84-year old stepfather had, apparently, two radical left-ear wall-up mastoidectomies in the late 50s and 60s. The second was done to fix the poor job done by the first at a county hospital for the indigent. Recently, caregivers said they were planing on using hydrogen peroxide in his left ear to clear much wax buildup. I learned of these surgeries from my step dad and from reviewing some ancient medical records. As his POA, I need to know of any dangers possible if hydrogen peroxide is administered in such an ear canal that, I understand, is permeable, and leads into his mastoid chamber.
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"As I understand, your father had undergone two ear surgeries when he was in his 30s or so. He would have either undergone canal wall up or canal wall down mastoidectomies. Radical and modified radical come under CWD, and cortical comes under CWU mastoidectomies. Anyways, hy ChatDoctor. The ear has been disease-free for many months now, implying, there has been no ear discharge of pus or liquid. 2. No ear perforation, which would have presented with discharge and pain. 3. No raw area in the ear canal. The posterior canal is not permeable. In a wall down surgery after removing the wall, we close the defect with autologous cartilage or some material. Probably in his days, they may have left the cavity open. In either case, it gets lined by the skin, and that will be the case in your father also unless he has any disease or perforation. It is okay to use hy"
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"It's my pleasure to help you. My diagnosis -painful lump behind left ear-is unrelated to the bells palsy after oesophagectomy-3 myths back. Recovery in the Bells palsy takes 3-6 myths times and is mostly due to the long-cold exposure during oesophagectomy. You can expect recovery by 2 yrs even. So don't get panicky. Get the painful lump treated-which could be secondary to some ear infection-externa -Otis / or may be due to scalp infection. Treatment-for the painful lump-a-Surgeons opinion a must. , b-Tb NSAIDs, c-Antibiotics under doctors advise. , d-Cold compresses. c-some sedatives for a day or 2. I advise you to Consult an ER Surgeon-on the safer side. Don't worry and act fast. This would solve your worrisome query.",
"There are three possibilities for your problem. First is, impacted wax can be there which can create lots of pain, ear fullness, and decreased hearing. You can use Soliwax ChatDoctor."
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My son is 8 months old and he is teething. I have found him sucking on his bottom lip alot and now he has what looks like white sores on his lips and tip of tounge. It doesn t seem to bother him and he doesn t have a fever. Should I be concerned?
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"Understanding your concern. As per query your son have symptoms of white sores on lips and tongue which seems to be normal during teething. Sometimes it is due to fungal infection and poor oral hygiene. Although they can be uncomfortable, avoid touching or pricking them with any sharp object. I would suggest you to consult oral pathologist for proper examination. Doctor will examine carefully and rule out conditions like scarlet fever, syphilis and traumatic fibrous. Doctor may prescribe antibiotics along with anti-inflammatory. For now do warm saline rinses several times a day and maintain proper oral hygiene."
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"Yes, when babies are teething they tend to get irritated, salivate, have fever sometimes, may not sleep well, and their gums are red and itchy which forces them to chew on stuff which gives soothing effect to their gums. It is completely normal for your baby to have temperature at this time, but giving them baby Tylenol will be helpful. You could also, offer your baby with teething toys which are cold(kept in fridge), sooth their gums",
"Teething problems are always there during teething. That's why the name. Very sharp teeth push from inside gums to erupt. This lead to swelling of gums which may cause mild to moderate fever, rise of temperature of head and palms and feet, These areas are well perfused (high blood flow) so help in reduce raised temperature. This causes irritation of gums thereby leading child to try to chew every thing (besides normal Cefalù caudal development) and this may give the child intestinal infections. You may try paracetamol syrup with kind help of your pediatrician during these inflammatory stages. It will ease out pain, irritation and also take care of mild rise in temperature. For lose motions and respiratory infection you need to take proper treatmen"
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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 has severe pain and occasional swelling in his lower left abdomen, that also radiates to his back, he also has chills, sweats and extreme fatigue. at the hospital last night with no tests ran or anything like that we were told it was a pulled muscle but i dont believe that.
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"Thanks for your query. Read the history and understood it. To recapitulate:Your husband has - severe pain - occasional swelling in left lower abdomen - radiates to the back - chills, sweats and fatigue. All these symptoms are suggestive of a close -cavity infection in the abdomen. The probable causes can be :-Pyelonephritis. -Severe colitis with an active infection. I would advise you the following:investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests. *Urine -routine and microscopy, culture and sensitivity. *Stool: routine, microscopy, occult blood, culture and sensitivity. *Ultrasonography of abdomen, All these investigations along with a physical examination by a General Surgeon would help you to get an exact diagnosis and a plan for a perfect treatmen"
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"Pain in the groin and testicle could indicate various conditions. Could be a pulled muscle or a hernia in the groin with pain radiating into the testicle. Any physician can do certain physical exam tests to check the difference. It could also be a varicocele or HY Chat Doctor. Is the leg edema new, occurring around the same time of the groin and testicular pain? Have you had any surgery of the leg that is swollen? Leg swelling could be due to a medication, increased salt intake, an injury, or could be due to a blood clot or even cancer. It is best you check with your physician and see if you need a leg ultrasound or and abdominal CT scan to rule out any of these conditions",
"This can be either of these two possibilities. If hernia is there can be an impulse/ bulge (albeit small as this may be just a beginning) on coughing. In pulled muscle or hematoma formation this will not be there, and the local pain can be more, and local swelling can be felt which does not REDUCE on pressure on it. You may please consult a Surgeon to confirm what it is"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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26/male/56 145..no known illnesses..acne for 10 yrs recently subsided.. still get occasional breakouts, also have acne scarring.. question: for the past 3 years+? ive been getting small lumps that looks like acne behind both sides of my ear and boils in the folds of my ear near my earlobe ..ive been to the doctor numerous times and told it was a staph infection and had it lanced a few times..they still keep coming back. My question is that, is there a type of surgery that can be done to completely eliminate the chance of these boils from recurring..and the success rate..or maybe a pinpoint underlying cause or solution to my problem..any help would be a blessing..thank you
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"Nice to hear that its subsided. Boils behind ear are usually not related with acne. As you said that your doctor told you that its staph infection. Staphylococcus Aureus is the main bacteria found on over skin. Most skin infection is because of it. Its treatment is antibiotic cover along with anti-inflammatory Chat Doctor. There is no surgery to completely eliminate this problem, rather it is reserved for complication of this problem if not responding to medications. It can be prevented by maintaining good hygiene, some routine investigation like plasma glucose level and blood complete picture to know about the underlying disease. I hope it will help you, do rate my answer if you like i"
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"I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have scalp infection which is causing these lumps behind both the ears. I advise you to consult ER Surgeon, who would treat it accordingly as per the need of the clinical condition.",
"Thanks for your query and an elucidated history. These look to be recurrent meaning coming again and again pus filled lumps on butt cheek. They appear to be recurrent boils due to recurrent skin infection. I would advise you the following:Get the pus - microscopy, culture and sensitivity done if you have got these now or whenever you get them next time. Apply liquid provide iodine before and after bath and at bedtime. Change to new underwear, preferably cotton and to change them daily and cleaned on daily basis. Take a course of antibiotic like doxycycline for 3 weeks to 3 months under the supervision of your Doctor, preferably a Dermatologist. With these measure you may be alright foreve"
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I am suffering from a bacterial infection. It is causing think yellow discharge and pain. I have been tested several times for stds and other infections, but the doctor is unsure of what it is. She says it is a bacterial infection,but an unknown one. Please help!
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"You have mentioned as yellow discharge, but you have not mentioned from where is this discharge. Also, you have not mentioned your gender. Kindly do let me know these details. What you can ask your doctor is to do Aerobic and anaerobic culture sensitivity test. This test will let us know which is the right antibiotic that will cure your bacterial infection."
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"I have gone through your question and I feel that you have an infection of the testes which is causing the problem in you. The yellow color pus is the remnant of an infection which is causing the death of the white blood cells which is causing the yellow colored pus to appear. I think that you need to see a Doctor as soon as possible to get the pus tested. This will allow you to find out which infection you have. After the diagnosis of which bacterial infection you have, your Doctor will start you on antibiotics. Please see a Doctor as soon as possible because you have a serious infection. All the best and wish you a speedy recovery.",
"It could be a fungal infection since the description given by you of the discharge is a thick white, which generally occurs in fungal infection. It could be an allergy as well since you have itching and burning sensation. You did not mention if you have got any rashes, or may be the white discharge may be covering any rashes present. At present what I can suggest you is maintained personal hygiene, keep your private parts Chat Doctor. You can use can soft cl or candid/ flu can vaginal cream if it is available over the counter at your place"
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Dr. good mrng, My child age 5 yrs and three months have 75-80 pus cells in his urin today we have medical report, but he absolutly fine, we had ultra sount he has 19 mm stone in his right kidney , we started homeopathy treatment for this near about 15 days back, in between we had checked it was 25 to 30 which were less than 35-40 when we examined in start i.e. 15 days back. Now he is absolutly fine and healthy. what it means, iam worried about it, is it clearing the kidney passes and will become normal or what we should do next, please tell me. Regards Harpreet Singh
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"Pus cells can be due to infection or just rubbing of stone against kidney wall. However, such large stones need to be treated. Only uric acid stones can be dissolved with medicines (that change urine pH). Smaller stones <6 mm can be pushed out by medical treatment, rest all stones need some form of surgery or lithography. I suggest u see a urologist who will advise some X-rays or CT scan and further treatment will be decided based on the reports. Once the stone has been treated, do get a complete stone metabolic workup of your son to decrease chances of recurrent stone. Good luck"
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"Let me explain ultrasound findings in simple language. The above findings say that there is a possibility of something like a stone in the mid-part of right kidney. The fact that it is a stone is not completely confirmed. This is leading to obstruction to the urinary flow from kidney down to the urinary bladder. HY Chat Doctor. The parenchymal thinning is probably due to the pressure effects of urine obstruction. I suggest that an X-ray of kidneys and urinary bladder is done and the possibility of a stone causing obstruction discussed with the urologist. Please do not ignore as urinary obstruction for more than 10 days can lead to permanent kidney damage",
"As a Urologist, I can understand your concern. Large stones in kidneys, must be cleared, as leaving it there will cause complications like, infection,pain, bleeding and affect kidney function. Lung tumor also needs urgent treatment, depending on the biopsy report. If you send your scans(ACTIVE, Lung), biopsy,blood reports, for an expert opinion on treatment to me, as a direct question, I can guide you. Chat Doctor. Mang"
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husband 70 years old has severe mouth ulcers also laceration on tounge no treatment working, been like this for four months.loosing weight as unable to eat without pain.has waldesrom macroglobulinaemia.which has been uncontrol for fifteen years.been on fludaribine and bortezomib on 5th cycle .stopped due a dental abscess .this was treated with metronidazole ,ulcers appeared, treatment tried steroids,thalidomide,antivirals,antifuungals,mouth washes.had a biopsy on tounge and pallette no evidence of lymphoma of any sinister lesion
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"Mouth ulcers and dental abscess may be showing us the immunocompromised at this state. The treatment he is receiving, is best for him at this state. The positive point is the biopsy is not showing any cancer condition means he does not need any cancer treatment at present. The treatment you have mentioned, usually prescribed by hematologist/ medical oncologist. My advice is to follow what he suggests and be positive"
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"Your swollen gum and white blister on extraction site can be a canker sore (small and shallow ulcer) which can be treated with medicine and oral hygiene. This could have happened due to improper oral hygiene and using some pointed object (toothpick, etc. ) to the extraction site. Grave disease supports mouth ulcer as well. This can also be a ChatDoctor.",
"Since the ulcers are not responding to the topical steroids like Escort, you can take topical anesthetic and analgesic like Anabel gel. You can also take systemic antiviral Chat Doctor. You can gargle with soda bi core mouth wash. If the lesions do not subside, then consult an oral physician rather than a regular dentist."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Can an enlarged spleen (2-3X normal showed on an autopsy) be from massive hemorrhage? I have been told different things--that the spleen should shrink if there is a massive hemorrhage in the liver--also been told that spleen could be enlarged because of massive bleed.
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"Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. No, this is not true. Massive hemorrhage would be seen as free blood in abdominal cavity and enlarged spleen is not sign of massive hemorrhage enlarge spleen may be sign of some hematological or liver disorders and may contribute to various death causes but if there was no blood seen outside the spleen in abdominal cavity then this is not massive hemorrhage. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good heal"
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"If the spleen is enlarged, then there are a lot many causes of its enlargement, which can be diagnosed along with many other associated investigations and clinical examinations. However, it could be just a musculoskeletal pain due to some kind of trivial trauma of sprain. In that case a course of anti-inflammatory Chat Doctor. Wishing you an early recovery",
". . The enlarged liver can be from viral hepatitis infection as well as from fatty liver or from hemolytic anemia like condition. . . For viral hepatitis work up done with. . . -Sept and got estimation-hbsag detection -anti CV detection-serum bilirubin hemolytic anemia work up done with. . . -Peripheral smear examination -relic count -LDH estimation If needed he electrophoresis done to rule out hemoglobinopathy if present. . . Like thalassemia also can lead this. . . According to cause further treatment can be guided. . . . Take Paradise : physician consultation for examination. ."
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I had my son via vaginal delivery almost 3 weeks ago, and 2 days ago I noticed a small lump that appeared in my right armpit. It was tender that day, but yesterday it only hurt when I wore a shirt that rubbed against it. Today there s another knot that formed near the first, but it s not painful either. They re located higher up on my armpit, no where close to my breast. What could it be? Should I go see a doctor?
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"Thanks for your query. Noted the history of normal vaginal delivery 3 weeks ago and lump in the armpit 2 days only, one of which has gotten large and painful, high up in the same arm pit. Unless proved otherwise this looks to be a boil and nothing else. I would advise you the following:Yes, see a Doctor to get this examined and to confirm whether this is a boil or a lymph node. Breasts too will be examined to see for any lump and to rule out the possibility of any Cancer. Clean the area with Liquid Provide Iodine, keep it Chat Doctor. Do not pop. Take a course of an antibiotic safe in the period of breastfeeding. And you will be fine"
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"Thanks for using Chat Doctor. Your description of pain and lump in right breasts needs evaluation . you must consult a surgeon for physical examination. We need to find out whether it is cyst or a mass. local examination gives a lot of information of its size, consistency etc. Then you may need mammography to establish diagnosis and mat need further tissue diagnosis. I request you to go for early check up. My best wishes",
"I studied your query and understood your health concerns. In my opinion the multiple armpit painful lumps are due to the boil -infected hair follicle. To avoid any further septic complications from it -I would advise you to consult an ER Surgeon ASAP. And hence they need to be attended medically. this would help in planning treatment with you Doctor."
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My friend is in end of life stage with liver cancer. She was on diluadid in the hospital and she was good she dosed off but was coherent when she was awake. Now that we have brought her home they sent her with Oxycodone IR 80 mg and she immediately became a mental mess. She mumbles and is trying to pick up things that are not there and she can not answer anything. She is also on Morphine liquid and is to take a .25 on the syringe if she has pain in between the 4hr intervals of oxycodone. Anyway, I acted on my belief that she is over medicated or having a very bad reaction to oxycodone. Last night I did not give her the oxycodone but only gave her the morphine and gave it to her every 4 hrs. Before the 3rd dose would have been due it was like she woke up, she got out of bed went to the kitchen got something to drink and gave me very sensible intructions on what she wanted from the store. She has not been eating or drinking anything for a week and if she went to the bathroom it would take at least on hour just to get her down the hall because she would stop and try to pick up stuff that was not there. She made absolutely no sense at all. She couldn t hold a glass or eat. I asked her several times if she was in pain and she clearly replied no she was ok. So when her oxycodone was due again I gave it to her instead of morphine and she was once again out of her mind and not in this world. I do not want my friend in pain at all and I do understand that at this point, the point is to just make sure she is pain free. I want her pain free. I am aware that she will not be able to communicate before this is all over but I do not think this is the time. So, my question is what would cause her to have such a bad reaction to the oxycodone? Is it because her liver is not working right ? if that is it why don t the morphine mess her up like that? I just really believe she would not want to spend her last few months incapacitated if she didn t have to be. Please help me understand so maybe I can help her family to see she is not at that point yet.
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"I can understand your concern. She is in last stage of cancer. Morphine is the painkiller of choice in terminal stage cancer. Oxycodone is also a morphine derivative. No need to worry about side effects. Everything is fair in terminal stage illness. If she is better without oxycodone and pain is tolerable then you can stop it."
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"Since patient has long-standing diabetes and hypertension plus pain (as described), he needs to be treated with a semisynthetic narcotic Chat Doctor. Because routine non-steroidal analgesics if used for long duration can lead to kidney damage. In diabetes as well as in hypertension kidney function is already affected. So in such situation Oxycodone is definitely a better choice. It does lead to physical dependence if used for a long time. However, if pain control has to be provided then that is the best alternative",
"In my opinion she can try medical marijuana, as nothing else is working well in her case. Its effect is decreasing pain, rather than decrease cancer cell growth. So this can give good feeling subjectively. She can also try transdermal patch of fentanyl. It is centrally acting opioid Chat Doctor. Its action lasts for 72 hours. So better and longer pain relief can be achieved. So she can take medical marijuana. Also ask her to try transdermal patch of fentanyl"
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hi i am doing the masturbation from the past 10 years.m doing the masturbation on daily bases. Now m trying to do with my girlfriend but my penis will not get hard to do the sex. please tell me the reason and also let me know is it a serious problem.m 29 years old.
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"You are masturbating for the last 10 years. That is not a problem at all. Masturbation in moderation is healthy and is a stress buster. Don't worry. Regarding the current sexual experience with your girlfriend, it could be due to simple performance anxiety because you may be doing sex as a starter. Don't worry. Without getting anxious and worried, carry on. Your problem should be solved. Or you may consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo. gl/aYW2pR. Make sure that you include every minute details possible."
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"Based on the facts that you have posted it appears that you have been indulged in masturbation since many years and now facing problems related to sexual activities and general health which you attribute to be due to frequent and habitual masturbation. First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence improve your health and erectile function. 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. I would suggest you to consult qualified Psychiatrist for counselling and treatment.",
"Masturbation is fine and will not cause any physical problems or sexual problems. Sudden loss of erection is due to some stress in your life. Sometimes, stress can cause temporary sexual weakness. Reduce your stress, be relaxed and do exercises. Venous leak is very rare condition. Your skin may be red due to friction with tight clothes or due to allergy or infection."
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Hello Doctor, i am a 24 year old Male. i had met with an accident couple of months ago, and had a severe fracture, my right hand radius and alna bone had broken. after the surgery my doctor told me to take GEMCAL NASAL SPRAY, my question is does it have any side effect with my fracture.??
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"Gemcal nasal spray (Calcitonin) is commonly prescribed to treat osteoporosis in postmenopausal women and also in elderly men to make the bones stronger and lower the risk of fractures. Its common side effects include nasal congestion, rhinitis, diarrhea, and flushing. It is not known to have any harmful effects on the fractured bones."
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"For that you need to take azelastine-xylometazoline nasal spray twice daily along with intranasal corticosteroid for quick relief like combinase-aq spray. Your ear pain is probably due to Eustachian tube blockage due to congestion which will be received after these medications. So don't worry. Its very common problem after upper respiratory tract viral infection or infection by atypical organism. You must undergo the therapy which I have prescribed, and should be received within 5-7 days of therapy for sure. Thank you",
"Fracture is unlikely. As of now you can use analgesics/anti-inflammatory combination like diclofenac/seratiopeptdase for symptomatic relief. You can also apply ice packs for symptomatic relief. Generally you will improve in a couple of days. If symptoms persists better to consult an orthopaedician and plan for an MRI scan."
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hii sir,from last one month i m using retainers in my upper teeth ,i noticed that it works and my gaps are filling but my cheeks are swallon sir please advice me wheather i should wear this retainer or not,my doctor advice me it happen bcoz the reatainers are working.but sir i have a fear that this swelling is permanent or it just bcz of retainers i??..also want to know wheather i should wear this retainer or not...
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". . read through your query. . . accordingly I must say that it's very important to wear retainer till the dentist say otherwise the teeth may go back to position before treatment and all your money and handwork will all be wasted. . . regarding swelling nothing has to be worried. it will reduce once u finish this treatment phase(retainer is also part of treatment)it's just the muscles of cheek are reacting to the retainers action. . . if u have pain and ulceration etc. u should meet your dentist and get it adjusted. . . so as for now my advice would be continued with retainer and have a superb smile. . . happiness and calmness is the best part of life. . . be cool and happy. . . hope your benefitted something from this reply"
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"The retainer as such will not cause bone loss since it is a passive appliance, what your dentist has told is, the retainer might interfere with the routine cleaning of the teeth. If you fail to clean that are, then the deposits can get accumulated and resort the bone. So nothing to be panic about your retainer. Maintain oral hygiene properly. If any rough surfaces are there over the retainer, you can get it smoothened. I hope my answer will help you, take care",
"There is nothing to worry about it, this condition usually goes away within two weeks. However, you may apply warm compress to the affected area, wearing support stockings can also help reduce swelling. You may also take non-steroidal anti-inflammatory Chat Doctor."
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does metal valves to the heart, affect your hemoglobin,do the valves break down the red blood cells.my mother is 88, has had her bowel lasered a few weeks ago dew to hemoglobin dropping, she has had 18 bags of blood this year,they dont seem to be any the wiser
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"A metallic valve in the heart does not significantly break red blood cells, to an extent that the person needs 18 pints of blood in a year, there must be some other cause to the blood loss. All patients having a metallic heart valve in place are almost always getting an anticoagulant(blood thinner) which is in most cases Warfarin. This might thin out your blood that that extent that it starts oozing out of minor ulcers or damaged mucosa places of patients stomach and gut. This is probably the case with your mother, She is 88 so not making blood as efficiently as a young person and on the other hand she is losing blood most probably through her gut because of blood thinners. I would advise you to discuss this problem of blood thinners with your doctor, after getting special monitoring tests like INR to see the extent to which blood has got thinned, the doctor can change the dose of warfarin and this can help with blood oozing eventually helping with the symptoms of your mother. I hope this answered your question, If you have more queries I am happy to answer you. Regards"
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"Thanks for calling Chat Doctor. Forum. You are 47 years old female, got hypothyroid, and mitral valve prolapse, experiencing palpitations in gallbladder area for 2 months. Present throughout the day when lying down, or else getting sometimes. sometimes heart burn, one and half year back you had echo then everything is O. K. One and half year back you had echocardiogram ind it was O. K. means then it was compensated, but probably due to your diet habits like excess salt, junk foods, oily foods, or increase in your weight, can cause decompensation of the heart, and palpitation. That you may feel in the stomach. Heart burn also may be due to enlarged liver due to heart problem. As you have heart burn it also can mimic palpitation. I advise you to consult a cardiologist for diagnosis and treatment. You may need to have echocardiogram besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards",
"As your mother is 64 years old, it is better to have uterus removal and removal of fibroid along with it. Please mention about the symptoms faced by her. Please send the ultrasound report to guide you further. For increasing the range of Hb (hemoglobin), iron injections alone will not give quick results. So the doctor has decided for transfusion of blood before or after surgery. Depending on the location of the fibroid, there will be excessive bleeding, and it is better to have a blood transfusion soon."
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hello doctor i am sujata .... before one year aprox i have a misscarriage and after that i had treated with medicine.. now i have consult a doctor to conceive, so my doctor advised me to take letsi tablet for 5 days countinue after the complition of menses.. and then i was given folic acid tablets and dupastan 10mg given to me on the 16th day for 12 day twice daily... so please suggest me about the results... ? and the right method of taking the medicine.. and please tell me that dupastan is used basically for conceiving . actually i want to get pregnent as soon as possible.......regrds & thanks
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"If you have conceived once then you will conceive for sure again. (No matter what the end result of the pregnancy was)(Miscarriages are just like an accident, any lady can have it, but you have 97% chances of having a normal pregnancy). Now about the medication1. Tab. Letsi is a hormone pill which suppresses the body from producing its own hormones, thus there is a sudden surge of follicles. So more follicles/ eggs means more chance of sperms meeting the egg. So pregnancy chances increase2. Tab Duphastone, is Progesterone hormone which prepares the uterine inner lining for the possible baby & give a good attachment to the uterus, preventing any bleeding & early abortion May I advise you, Now you are blindly trying for the pregnancy, what if there is an undetected in"
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"Please seek prescription support from your treating doctor for tablet Micronized natural progesterone twice a day for 10 days from day 15 of the cycle. This will help to stop premenstrual spotting, and you will start getting periods as such. For getting pregnant, I will suggest you to get following tests done:1. Please get your post menstrual HSG done-Hysterosalpingography, to know about the patency of fallopian tubes. 2. USG to know about the structural normalcy of uterus and ovaries. 3. Partners semen analysis to know about the quality and quantity of sperms. If all these reports are within normal limits, then most of the couples get pregnant within a year. You might be aware that in a woman with regular cycle, day 10 to 20 of the cycle is the most fertile period of the cycle. If you try to have unprotected sex activity in this period, at least on alternate days, then you stand good chance to get pregnant. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Chat Doctor. Avoid refined sugars and deep-fried foods and bakery products in the diet. Please take Iron, Calcium, protein and vitamin B 12 and Folic acid supplementation on regular basis. This helps to prevent various complications during conception, pregnancy and childbirth. I hope this answer helps you.",
"While on this tablet, you can not conceive. This tablet is given to regularize your periods, as you must be having irregular periods associated with hormonal problem that is polycystic ovaries. You need to take the oral l and glycogen for about 3 - 6 months. But, if you are keen on conceiving, you should consult a fertility specialist and get yourself and husband evaluated. You will need medication for ovulation induction and follicular study to monitor growth of follicles. Also, if you are overweight, try to reduce weight by diet and exercise."
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My 12 year old son just told me that he had a blackhead on the shaft of his penis. He squeezed it and showed me what came out. It is a small hard black dot about the size of grain of sand. He said he had it for a month. Is it just a blackhead or something more serious?
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"From the given details, it just seems to be a blackhead. Pain, burning or itching could spell otherwise. Don't worry. If you require more of my help in this aspect, please use this URL. http://goo. gl/aYW2pR. Make sure that you include every minute detail possible."
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"I studied your query and understood your health concerns. The lump your son had is not harmful as it's not with any concussion then and not painful to touch even now. -Its hard and still there-indicates -that the hematoma formed then has resolved and fibrosis bump without any pain in it.",
"I studied all details of your query. I understood your health concerns about lump on back of head on right side. Cause of lump in head-Based on facts of your query, it seems that-you could have either Lympadnenitis on right bottom side of the boner, it could be mastitis, as it is a hard lump and sore to touch. -Amongst these 2 possibilities,3 weeks history with hardness of the sore lump on the bone, leads Me to think of the Chronic Mastitis, as you had bad heavy cold with headache/feverish over last 3 months. CT Scan of the Skull would resolve the ambiguity in the diagnosis of your hard lump."
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My brother had brain surgery a year ago in Brazil. He has not yet had the protective covering where they took part of his skull away. The drs. there say it is safe for him to fly back to the U.S. where we hope he will get faster treatment. Is flying safe for him?
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"As its almost year there won't be any issue. But just before the travel gets a physical examination of the blood pressure and blood routine. Most cases can be shifted from one place to another without any kind of difficulty. In fact, it is good that the covering is not there as there will be no signs of high blood Pressure within the brain, and he should be fine to fly."
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"From the other hand, surgery depends on the location of the tumor and the adjacent brain structure. So, it may be high or low risk surgery. I recommend follow up with brain MRI after 6 months, in order to evaluate the progression. If it grows very slowly, everything will be OK",
"I would like to have some more information on his current medication and on his past medical history and possible risk factors (smoking, high blood pressure, diabetes, atrial fibrillation). It is also necessary to know the situation of his cervical arteries (possible atherosclerotic plaques) and brain collateral circulation. With the best preventive therapy (anticoagulation or antiplatelet agents, coupled with statins and a better control of risk factors like hypertension and diabetes) the chances of re-occurrence would be up to 30-50%. It is also important to continue rehabilitation, even if 6 months have passed away. This will keep him active, avoid pneumonia and bed sores and also muscular spasticity which is a secondary complication of paralysis after stroke"
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I am a type one diabetic with sever seasonal allergies. I have tried all over the counter (claritan, zyrtec, etc) as well as homeopatChatDoctoredications and nothing works. I have seen many allergists that tell me that taking steroids for the allergies would be worse due to elevated blood sugars but they are the only thing that works (i tried them many years ago after begging and pleading) I feel as though my sugars are more out of control due to the persistent chest, nose, eye, etc problems caused by the allergies. Do you think it would be impossible to find a doctor to prescribe a type one with an a1c of 7 some steroids for seasonal allergies? Also do you really think it is more dangerous to take steroids and have my allergy symptoms go away rather than live with highs due to the symptoms? thanks!
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"I went through your history and would like to make suggestions for you as follows:1. I would like to know about your symptoms in detail like since how long, how often, what are your nose, eye, chest symptoms, which medications you used, which forms of steroids you used, dose of insulin for type I diabetes, any other medical conditions, any other medicines, your previous reports, etc. etc. This will help me to understand your complaints better and to make more specific suggestions for you. As you have chest symptoms, I would definitely like to know whether you have asthma, since when, inhaler use, etc. 2. As long as nose/eye symptoms are concerned, I usually prescribe my patients' combination of levocetirizine + montelukast regularly. 3. Regular steam inhalation also helps in a long run. 4. I would like to mention here that there are many forms of steroids available, tablet, intranasal sprays, inhalers, etc. Most side effects, including weight gain, increased blood sugar, etc. occur with tablet/oral form. Sprays and inhalers are very safe as compared to oral forms, and choosing appropriate form may help to ensure minimum side effects with maximum health benefit. 5. Of course, Chat Doctor. 6. For diagnosis of allergies, I would suggest you allergy testing for common air-borne allergens such as house dust mites, pollen, molds, insect proteins, animal dander, etc. This will help you to identify the substances causing allergies to you as well as to know the measures to avoid them. 7. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms. 8. In general, please avoid exposure to dusts, smokes and air pollution as much as possible. 9. Regular physical exercise including breathing exercise and a diet rich in vitamins & minerals also will help you in a long run by improving your lung capacity and immunity respectively."
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"lesterol and 157 blood sugar is considered high, but they are not such connected to allergy, as u said u have skin allergy with irritation but what kind of symptoms, what type of skin appearance is that u haven't mentioned, may be its contact dermatitis but as u consulted 2 dermatologists and still u have no diagnosis then only u can find out on your own by what food/ vegetables/dust particles on skin causes this allergy, See by taking history is the only method to diagnose allergy, although there are laboratory food allergic tests available, but they are not reliable. Some dermatologists recommend immunoglobulins course to combat this kind allergy",
"I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should have allergy of something. Frequent hypotension, hives and dizziness points you towards the severe allergy frequently. I advise you should search for the allergen. The best treatment for this condition is to get away from the allergen. Prednisolone should be kept in your pocket. If you have any severe episode than take the prednisolone. You can use paracetamol under your doctors' guidance for fever. Please eat healthy diet with exercise as it gives you healthier life. I will be happy to answer your further concern, you can ask me on bit. ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialis"
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my urine is cloudy and have a foul odor. i have no other symptoms but did a unrine analysis and was told there are "clue cells". I still dont undersstand what the diagnosis is. Yhis has been going on for over a year. Please give me a name for my condition
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"I can understand your concern. You have clue cell in urine. Clue cells are the typical vaginal epithelial cells covered by bacteria. It is seen in bacterial vaginosis. It is caused by Gardner vaginitis. You should take antibiotic treatment. Metronidazole is the Chat Doctor. It is prescription based medicine so consult your doctor and take treatment accordingly. Consult your doctor and take treatment accordingly."
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"The viscous white fluid (resembling cottage cheese) , foul smelling is typical of a sebaceous cyst. But further diagnoses is very important by an oral physician. The treatment includes excision of the cyst in most of the cases. I advice you to get a check-up early so that your dentist can rule of any other possibilities. Take care",
"uld be flu or urine infection considering your age. Anyway you have not mentioned urinary symptoms like burning sensation while urination or increased frequency. Since you have mentioned cloudy dark urine, it is better to get a urine full report, full blood count and CRP done. Sometimes when you are at advanced age you don't show fever, you just get constitutional symptoms. If the count show a viral one you have a flu. Any way these joint pains and body pains are more of viral plus symptoms. If investigations results are of urine infection you may have to take antibiotics."
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Hello doctor. iam 25, , Female and I met with an accident were my scooter rested on my lower spine.my MRI report states : 1. Mild lumber dpine scoliosis with concavity to left. 2. L4/L5 and L5/S1disc mild diffuce buldges mildly indentiting thecal sac. 3.Lumbar spine cannal narrowing at L4/L5 and L5/S1 levels. Could anyone help me by explaining how serious is this and suggest exercise or treatments.
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"My name is Chat Doctor. Well mild lumbar scoliosis is not a great problem but canal narrowing with disc bulge indenting thecal sac is problem. . . By seeing the report we can not conclude either you should be kept on conservative management or any decompressive procedure of L5-S1 level. . . we always correlate patients complaint with imaging findings. so I would suggest visiting neurosurgeon for further intervention required. Meanwhile you can take proper bed rest, no weight lifting, avoid traveling long distance and no bike riding. Take good painkiller like tab. Brexit 30 mg BD, muscle relaxant(Bernadine 2 mg) TDS Gabapentin 75 mg TDS I hope you will get well soon after visiting neurosurgeon."
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"Your MRI report suggests mild degenerative changes in the lumbar spine region. There are mild disc bulges, which are compressing the lumbar nerves. There is also a mild listless- forward movement of the lowest lumbar bone. These changes could result in back pain and pain along the legs. Initial treatment would be with medications such a pregabalin and physiotherapy. Best wishes,",
"I can understand your concern. You have already fused spine at L5 S1 level. Fusion of spine increases chances of disc herniation one level above and below. It has happened in your case. You are having disc bulge at L4-5 level. But good thing is, it is only bulge and thecal (spinal nerve covering membrane) compression. There is no actual nerve compression of L5 or traversing nerve roots. I am worried about your S1 nerve root. As your spine is fused at this level, it should not be compromised. You should consult your operating spine surgeon and get a NCCT lumbosacral spine to rule out spinal canal stenosis, graft migration. Get a nerve conduction velocity and electromyography of L4 to S4 nerves to rule out nerve damage and muscles affected. It will also confirm the degree of damage and affect of disc bulge. Till then, for relief in your symptoms - You should avoid forward bending, weight lifting. - Avoid prolonged standing or sitting. - You can take painkiller like pregabalin, Gabapentin or combination of gabapentin+amitriptyline/nortriptyline, after proper prescription. - For leg spasm, do stretching exercise, apply hot fomentation over back and pain area. - Apply diclofenac gel locally over pain site, after prescription. - Take nerve regenerating supplements like S-adensoylmethionine, B12, folic acid, Pyridoxine, Pantothenic acid after proper prescription. If you can send me your MRI pictures and treatment summary, I can help you more."
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Hi Im Jeaniffer 39 years old female from Philippines my concern is about my urine test yesterday with the result of 18-20 puss cell, epithelial cell moderate and bacteria is abundant. My urine stream is average and i feel all normal to urination but one year ago i was diagnosed gallbladder stone is there any possibility that the 18-20 puss cell related to my gallstone?
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"Your urine test is showing pus cells that are indicating that you are having an infection in your urinary tract, it may be an asymptomatic infection because you are not having any urinary complains. And there is no any relation of these pus cells with gall bladder stones, they both are different problems. So if you have any symptom then consult again."
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"There is a possibility of urinary tract infection from your symptoms. It can be ruled by doing a routine urine test. Usually puss cells will be present in excess in urinary infection. I advise antibiotics like norfloxacin for my patients with cases and send for culture and change antibiotic after culture report if necessary. I also recommend them to Chat Doctor.",
"I am a surgical gastroenterologist and I will attempt to answer your question. Cholelithiasis or gall bladder stones is a very common finding in scans of the abdomen. 10% to 20% of population will develop stones at some time in their lifetime. Up to 80% of these patients will never experience biliary pain or complications such as acute cholecystitis, cholangitis, or pancreatitis. Hence, most gallstones are clinically \"silent,\" and is an incidental finding often uncovered during abdominal ultrasound being performed for another reason. People with such asymptomatic cholelithiasis, however, eventually may develop symptoms (biliary pain) that require treatment, but this risk is quite low. An even lower proportion (1-2%) may develop major gallstone complications. Therefore, expectant management is an appropriate choice for silent gallstones in the general population. The exception is patients at high risk for experiencing biliary complications - Large gallstones (>3 cm) or gallbladders crammed with stones that carry a higher risk of developing gallbladder cancer. In your case because of the pain, I would get operated on. Laparoscopic cholecystectomy is a fairly simple, safe and routine surgery done in most surgical centers. Unfortunately once the stones have been formed, there are no medications which will help in treating them."
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hello sir my uncles esr levels has increased upto 60 his age is around 65 and he is fit.his knees have some severe pain for that he takes some pain killers.his cholesterol is also around 300 what precautions he should take and what ayurvedic medicines he can take plz ans
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"I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should take the treatment for joint pain, as ESR increases because of the inflammation of the joints. ESR is erythrocyte sedimentation rate. It is a non-specific marker of inflammation. It can raise in any inflammatory condition. All your father has to do is he has to control the cholesterol and joint pain. I advise you to take anti-inflammatory medication like diclofenac under your doctors' guidance. It relieves pain and inflammation. Please eat high fiber diet like vegetables. Avoid eating high fat diet. High protein diet will be preferable. I advise your father to do small exercise like walking. Because it helps in both reducing cholesterol and joint pain. I will be happy to answer your further concern, you can ask me on bit. ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialis"
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"As the disease is Auto Immune in nature, deformities (if any) will be difficult to cure. 2. No treatment reliably stops progression of this disease, thus treatment and management is directed towards preventing further deformity. 3. Since age is 27 consult with a rheumatologist for HLA-B27 to rule out Ankylosing Spondylitis. 4. Avoid dairy products, sweet, oily,fast foods, cold breeze and excessive wind and slight walk after consuming your meals. 5. Avoid stress to back and spine, curd, milk,Jagger, constipating food6. Juggle is the best known medicine for this condition, and you can seek Ayurveda Physician for the same",
"if the blood supply to area affected, then pain will occur. Ayurvedic medicine will help up in heart disease depends upon the disease severity and your diabetes also should be within control. You should consult your ayurvedic specialist to reassess your medication for your complaint. Because assessing a pain(severity) can't be done in a single visit. Depends on your feedback and assessing your severity medication can change or increase. Thank you"
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Dear Sir, 7 month before my husband had a brain stroke in left side. Now he can move his body parts easily and still he is in medical supervision. he still have the BP problem and it is now 100/80 and taking medicine that is Amtas 10, Qpill 10 and hytide 12.5. He also took strocit plus for 3 month according to the doctors advice. The problem still now is in speech and can not read and write fluntly though he is having speech therapy . can you advice me what should i do to improve his situation and how long it will take to became as previous.
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"Speech problems (aphasia) are common after stroke on the left side of brain (in right-handed people). This is because the speech areas (for both understanding and producing speech) are located on the left side of brain. Recovery is a gradual process and can take up to two years (though some people do not recover completely). The best treatment is speech therapy (which your husband is undergoing). There are no specific medications to improve speech. However, in some research studies, paracetamol has been found to be useful. You may use pitracetam (nootropic) 1200 mg twice daily for three months. Please consult your doctor regarding this. Best wishes,"
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"I also recommend immediate treatment with occupational, physical and speech therapist as to maintain if not improve the deficits you describe early. Your Primary Care Physician and or Neurologist will be able to refer you to these forms of therapy, and such may indeed be covered by insurance or your carrier based on what you described to me; but I would look into it nonetheless. In summary, the symptoms you are experiencing can be temporary, and can indeed possibly return to normalcy with no intervention; depending on the particulars of the situation, which sitting here responding to your case I cannot access at the moment. Nevertheless, I personally would not risk patiently waiting, and would want to get such symptoms checked out and dealt with early as to not ensure permanent issues. Therefore, my recommendation is to stay healthy, keep practicing your speech, and challenge your cognition with mental tests as self therapy (the more you challenge your brain the quicker it heals), and at earliest convenience schedule an appointment with a Neurologist. :) I hope my recommendation has helped",
"I can understand your concern regarding your husbands' behavior. Stokes affecting the frontal part of brain what we called frontal lobe has the highest rate of behavioral changes. Neuron loss due to stroke affect many areas of the persons life and resulting frustration many times grow in to agitated depression. Depression is also very mucChatDoctormon in person suffered from strokes. From your side you should be remained calm and see his behavior as a symptom of brain condition rather than mean behavior. Consult psychiatrist he would be in the best position to help you, Medication like antidepressant, benzodiazepines, and sometimes low dose antipsychotics help to improve these symptoms."
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Hello doctor, I just had a miscarriage for the third time following an IUI.My first two conceptions happened naturally and the miscarriage happened in 4 weeks and 11 weeks respectively.My AMH count is 1.Should I try out for natural conception or should I go for IVF.RegardsIndrani
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". . thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about. should I try for natural conception or IVF after third miscarriage. . . right. well. . . my answer is. YES. U can try for natural conception after third miscarriage. As u told that u had conceived for two times naturally. So there is HIGH CHANCES of conception by natural method. u can go through it without any doubt in your mind. Secondly let us discuss the miscarriage u had. U told that u had miscarriage at 4 n 11 week. . . . right. So most of the time it is usually happening if there is any chromosomal or genetic abnormalities having in embryo, or any infections in mother, or sometimes it is unexplained. So DON'T LOSE HOPE. . . KEEP PATIENCE. U can get pregnant with natural methods. If u r come under the reproductive age group(women from 15-45 years are come under this group. In this group chances of getting pregnancy is high) and you are having regular menses then chances of getting pregnancy is DOUBLE. bur u didn't give info regarding your menses n your age. So it is difficult for me to comment on this. If u have both then RELAX, NOTHING TO WORRY. with the above discussion u can try out my suggestions-1. There is high chances of getting pregnancy with the natural method. So RELAX, RELAX. 2. Try to do coitus during fertile period(it is from 10th to 16th day of menses) during this period chances of getting pregnancy is high. So do coitus as much than possible during this period. 3. If u r in hurry then visit nearby gynecologist or infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u. regards- Chat Doctor. EVERY PROBLEM HAVE SOLUTION. I pray the God that u will be blessed with a cute n healthy baby"
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"To give you a better advice I would like to know few additional things:1. Was that your 1st miscarriage?2. Did you take any treatment to get pregnant?3. Size of the hemorrhagic cyst and if any mention of Sept and blood flow to cyst given on scan?? If that was your natural conception and first miscarriage then you can be reassured that mostly you wouldn't have a problem conceiving. Hemorrhagic cysts If any Sept or increased blood flow, further testing is needed.",
"so no sensitization had taken place with the babies blood. secondly for the second time you have miscarriage,mam for miscarriage this is not the reason,it might be other causes like genetic hormonal or your infections but not due to Rh incompatibility no need to panic and no need to check antibody status. you can plan for a pregnancy, no need to worry. hope you will understand my suggestion,if you are still in dilemma consult gynecologist for the cause of miscarriage and take precautionary measures for not getting again miscarriage. . . no need to worry about anti D status(if you have been given anti d for the first pregnancy). Thank you"
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I m currently on lo loestrin fe and have been for about 9 months and while having sex with my boyfriend the condom broke. after that we immeadatly bought Plan B and I took it right then and there. I just started the second row of this months pack so I was wondering what the risk is of me actually being pregnant?
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"You are already on the lo Holstein Fe and it is good contraceptive pill. It is highly effective in preventing the pregnancy (0. 5-1% failure rate). Actually no need to take plan B pill as you are already on lo Holstein Fe. So no risk of pregnancy. But your period can be delayed/earlier, excessive bleeding will occur. Meanwhile, avoid stress, take healthy diet, do regular exercise,"
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"If you already missed three pills in a row in this pack of pills, you already have been at risk for pregnancy since you may have ovulated this month. You can finish the pack you are taking, but I would use a backup method of birth control for the protection during the rest of the pack. After your placebo week finishes, if you are not pregnant, you should just start a new pack of pills on time and if you don't miss any, your contraceptive will be effective after the first week of the new pack. I hope I was able to adequately answer your question today and that my advice was helpful",
"Also, as you have used the pills for 2 months, the suppressive effect of pill on ovaries will be there. So, stopping a pill for few days and then starting a new pack with unprotected intercourse on Day 12 ideally should not result in pregnancy"
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Hi, i was just wondering during an asthmatic attack when there is narrowing of the airways, do the sensory fibres of the vagus nerve become stimulated leading to a parasympathetic reflex causing further bronchoconstriction? if thats not the case at all could you be able to explain the involvement of the vagus nerve in relation to an asthma attack?
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"The parasympathetic nervous system has also been implicated in asthma. Increased legal tone (mostly in the night i. e. nocturnal asthma) during sleep could promote bronchoconstriction. There is a diurnal variation in legal activity that has been demonstrated in asthmatic patients, with higher legal activities occurring in the night. So when vagus nerve stimulated it lead to parasympathetic reflex and triggers asthmatic attack typically in the night due to more bronchoconstriction. This is a very complex scientific proved study."
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"As you are having cough with sputum it looks like a bacterial infection of the lower respiratory tract. The infections of the lower respiratory tract will trigger the allergic mediators like histamine and causes the narrowing of the bronchioles and may exacerbate the symptoms of the asthma. Patients with asthma and LETI, should be treated carefully with proper antibiotics, Multics, oxygen and steroid therapy. Thank you",
"Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management includes:1. Stalin & Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs). So, you can use it whenever he is having an acute attack. 2. Analgesic antipyretic preparation (like Cronin or eugenic syrup) to control fever. 3. Antihistamine preparations like Allegra & Cough expectorant syrup for symptomatic relief. 4. A course of antibiotics needs to be taken to manage secondary bacterial attack. 5. Maintain adequate HY Chat Doctor. 6. Also make sure that your son is well protected from cold, dust & other allergens. If still there is no improvement, kindly consult his treating Pediatrician/ Pulmonologist for further evaluation and management. Wishing him a good health. Take care"
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I have what appears to be broken vessels on inner areas of both ankles. The ankles were very swollen 2 days ago- after walking at Disney World for 5 days in a row. This appears under the skin. I do have some pain in foot and calf. My blood pressure and cholesterol have fluctuated a lot here lately, but I am not on meds. I am overweight.
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"After walking for two days in a row there is possibility that you may have got DOES - Delayed onset muscle soreness. Which is common in most people post any excessive physical activity. Also, you mentioned you are obeser than you need to perform physical exercise to lose the excessive accumulation and get the muscle toned. Due to excessive walking there is a soreness in the muscle fibers and are not able to make the Venus return to the optimum. Also, as you have done all of a sudden a good physical exertion there will be fluctuation in the blood pressure and cholesterol. In fact most systems will have fluctuation as it is normal. Chances for any breaking of the blood vessels is uncommon due to walks, but if you want to confirm a Doppler of the lower limbs is recommended to figure out if there are any. For swelling of the ankles you need to first keep the legs elevated and perform ankle toe movements. Also, understanding that physical exercise is recommended highly in you as you are obese. But prior to any exercise regimen a cardiac clearance will be of an advantage. regards Jay In"
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"A thorough clinical examination is advised. As you have pain behind the lower aspect of the leg, and it is swollen as well, we need a thorough examination to rule out multiple factors. Like plantar fasciitis will be below the strap level but he's swelling can be at the calf muscle level due to compression. Also, to rule out the DVT or varicose veins, do you have any skin discoloration or anything. Also, what is your age and are you having any cardiac issues. Once a proper examination is done we can come close to the diagnosis and assist you further. Also in our clinical practice such cases are just a compression issues and nothing much serious. After a thorough assessment physical therapy is advised to reduce the swelling and improve the strength in the calf muscles. RegardsJay In",
"From your description, I understand that the first time you had a problem with your left leg was due to a sprain (talofibular ligament) around the ankle and it got resolved. I suspect the same problem or something similar is causing you the pain again. It is highly unlikely for a 33 year old lady and a non-smoker to have a peripheral vascular disease. The arterial Doppler did show a decreased blood flow, but it might be due to a temporary spasm of the vessel than any specific pathology or disease. Moreover, no clot was found nor was there any change suggesting peripheral vascular disease. It is absolutely safe to fly and you need not worry about it. An arterial Doppler will be able to make out if you have a clot. D-dimer test is only for the veins and is not useful in arterial disease. I suggest you to look for causes either in your footwear or any strain which you have put repeatedly on your ankle causing repeated sprain in the left ankle. You can get an orthopedic consultation to be sure of the same. If he or she does not find any problem and your pain persists even after appropriate treatment then further evaluation can be done by a vascular surgeon. But, I do feel you may not require it."
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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 received an ultrasound and the findings were that I have subcentimeter ovarian cysts and a 1.6x1.26x2 cm right sided fundal fibroid. I have had this very painful dull pain in the lower right side of my abdomen, sometimes I bleed when I have intercourse, I have very painful periods with alot of clotting and severe cramps. I have incontinence issues and the list goes on and on. One of the PCT from my gynecologist office called me and said everything is fine. How can that be when I am in SO MUCH PAIN?
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"You are absolutely right, everything is not fine. The bleeding during intercourse can be coming from the uterus or there can have a lesion on the cervix. Fungal fibroid can cause the pain and bleeding if it has eroded the internal wall of the uterus and clots and cramping. Ovarian cysts of this small size usually do not cause problems. I would advise you to go for another opinion. Possible chances of betterment are from Laparoscopic diagnosis and removal of the fibroid if there is a facility nearby you"
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"Forum. If I were you treating doctor for this case of severe pain in the lower abdomen right side (not mentioned in query, if pain is on left side than rule out appendicitis). , I would come up with these possibilities, This includes, 1 Appendicitis, usually associated with excruciating pain (acute cases) with vomiting and fever. Diagnosis can be confirmed by palpation of the pain at a fix point by a surgeon by physical examination so get it be examined by a surgeon, thereafter, if, necessary tests as ultrasound. 2 Ovarian cysts may be cyst on the right side, this also causes excruciating pain in few cases, diagnosis can be confirmed by gynecologist. 3 The last possibility is of any stone in urinary system, which may present such sharp pain. Ultrasound will find out the exact nature of disease. Till take painkillers and antibiotics if fever present. Good luck",
"In you woman such pain usually comes from pelvic organ disorders but also bowel, appendix and bile ducts disorders should be considered. If she has prolonged bleeding or cramps during periods she should do hormonal tests to see is there any abnormality. If not then CT scan should be done to visualize more precisely. Wish you good 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 ex-fiance went on a binge drunk all day, and turned into someone else. Hes survived esophageal cancer w/chemo. Hes turned into a monster, threatening to hit me so I left, but I do care about him and Im very worried for him-hes gone to Las Vegas and gambled a huge amount of money away...we dont talk much anymore but I worry about him. Is it possible that the chemo triggered the bipolar or whatever this is...and alcohol just pushes him over the edge? Thank you very much
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"However, normally chemo don't worsen bipolar. But yes alcohol of course can worsen bipolar features. You are not aware about his current status of treatment. Another part to be evaluated that is he taking mood stabilizer medicines for bipolar disorder or not. If not He is not in control without medicines also which is another reason more than that you describe"
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"I can understand your concern. Chemotherapy has many side effects like nausea, vomiting, acidity, hair loss, weight loss, immunosuppressive actions etc. He should take Proton pump inhibitors like pantoprazole or omeprazole and ondansetron to avoid gastrointestinal side effects. Consult your doctor and take treatment accordingly.",
"ncer itself can be a reason for such psychological behavior. Depression in cancer patient is quite common. So consult psychiatrist for this behavior. Another possibility is carcinoid tumor which secrets histamine and VMA. This substance s can cause such symptoms. Other possibility is spread of carcinoid in brain causing such symptoms. So consult psychiatrist for this"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Family doctor thought my asthma came back and is allergy driven. I have been taking Ventolin and Flovent for a year now and they dont seem to be as effective anymore. I am also a mild smoker who is trying to quit. Started at 17 with the army and Im 31 now, I know Ive done some damage to my lungs. Ive brought up a bit of blood in a coughing fit and lately clear mucus. The clear mucus is almost transparent with bubbles in it. When pressed with a finger, pops like bubble wrap. Im really worried about COPD.
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"I went through your history and would like to make suggestions for you as follows:1. Looking at your age, history and complaints, I would first think of allergies and asthma, however, coughing of blood is not a usual feature of asthma, unless your cough was very severe. 2. Were I treating you, I would suggest you Chest X-ray and spirometry. Combining these investigations, your doctor will be reasonably able to decide whether you have asthma, COPD or something else, also what was the cause of coughing out blood. 3. If it turns out to be asthma, I would suggest you allergy testing which will help you identify the substances causing allergies to you and also to know the measures to avoid them. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually improves allergy symptoms by working on immunity. 4. If your inhalers were previously working and now not working, I would suggest you to increase dose of \"asthma controller\" medications after consulting your doctor until your diagnosis is confirmed. 5. Regular breathing exercise will help you in a long run by improving your lung capacity. 6. Please avoid exposure to dusts, smokes and air pollution as much as possible."
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"I can understand your concern. Since you are having allergy, we should rule out allergic bronchitis in your case. Chest tightness, coughing, post nasal discharge etc. are commonly seen with allergic bronchitis. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Also take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) Chat Doctor. Don't worry, you will be alright with all these.",
"I can understand your concern. In my opinion, you are not taking right treatment. By your history and description, possibility of post infectious bronchitis is more. This condition is common after common cold due to flu infection. And treatment of choice is inhaled corticosteroid (ICS). Ventolin is short-acting beta 2 agonists (SAGA). Its action lasts for 1-2 hours. So frequent dosing is required. Montelukast is anti-allergic, and it has no role in post infectious bronchitis. So better to consult pulmonologist and get done PFT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment of bronchitis is based on severity only. Better to stop montelukast and start ICS after discussing with pulmonologist."
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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 iam a 36 year old male and ive been having problems since i started having sex ive been dump by pretty much every women i come in contac with and made fun off i have a serious issue is it possible to enlarge youre penis i know this is not a health issue but it can turn into one please i kneed to know if its possible it is killing me
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"I suggest you not to worry much. Enlargement of penis is not possible. There are some advertisements which boasts so, but it is not practical. From my experience, I can tell you that the length and size of penis is never a determining factor for sexual factor. Even an erect penis of just 2 inches length can satisfy a woman. Those women who made fun of you are actually fools, and they only know foolishness. You cannot lose your heart for some foolish people. If you look at your neighborhood, so many people will say so many negative things about you and your family. You can't shut everybody's mouth. Will you lose your heart? Then why only on penis matter? Because you are concerned in sex. Forget it. Sex is not life. Understand your abilities and correct your shortcomings. Forget about those things which you cannot make right."
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"So, just remove the wrong thinking from your mind. And it is a myth that long penis gives more joy to female. It is also a myth that the length of penis is increased by medication. Over all, just accept the real facts about penis size and sex. Only lower one third of vagina is sensitive, so. What is a fun in having long penis? Yes hardness of penis is needed for sex. So, just relax and enjoy the life without keeping wrong ideas about penis and sex.",
"Yes, it can enlarge when there is obstruction / infection. Doing an ultrasound scrotum can help diagnose the cause. To know the issue really with Cowper's gland - you won't be getting the pre-ejaculatory fluid before you ejaculate. Next time give a check before masturbation or sex."
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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.. Good day sir. After been diagnosed of Chronic Hepatitis B, i was placed on treatment with Livolin Forte, i took the drugs for more than a month while i was in Nigeria, but its finished now, and the problem i have is that it is not available here in brazil. PIease i would want to know the name of the drug i could be taking in place of Livolin Forte, that i could get here in Brazil and also to ask how long i am expected to take the liver protective drug. Thank you for your help sir.
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"I am Chat Doctor. K and I am pleased to assist you. Livolin forte is just a liver protective medication and is not the one for specifically treating hepatitis B. More tests are to be done to plan treatment for hepatitis B. Liver function test, Head, HBO DNA levels are to be done to plan treatment for hepatitis B. Also every 6 months you need to check your serum alpha fetoprotein levels and also get an ultrasound scan done. I hope that answers your query"
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"Thanks for your query. The cholesterol Chat Doctor. You have to go further for tests related to the liver and see if there are other causes of Hepatitis, which I am sure you may have. Anyway stopping the medicines was a good choice as it may cause such problems. I would advise you to undergo the further tests, ultrasonography and MRCP if required. About recovery:The first thing of the treatment is to get a full bed-rest. Take Hepato-protective medicines. If the liver counts and enzymes are growing fast, get admitted getting an appropriate treatment. IT may take 3 weeks to 3 months for a complete recovery. The stomach can be sore due to weakness, lodging of liver enzymes in the tissues, toxemia and so on",
"You must get vaccination immediately, if you have not been vaccinated before. For your husband, from your question, it is not clear that on which criteria, he has been started those medications. I am sure, he must have undergone complete Hepatitis b serology including Hepatitis Core Egg, Help Anti E, ALT, USG for liver or liver biopsy, Viral DNA load, HIV test, before he started on above medication. Duration of oral Antiviral Chat Doctor. But usually it could be anywhere from 1 yr to 5 years, with regular monitoring of Viral Load, Reconversion, etc. Your concern is valid, to just stop after 1 month without any positive outcome is not understandable. There are high chances of developing resistance to lamivudine. You talk to the Doctor who started the above medication and try to understand his clinical approach, and discuss your concern. You may send us all lab results and any further information, if you need further assistance. Meanwhile, you continue giving him medicines. There is no harm if you are giving him for extra few days, rather than stopping and starting again"
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Hi, may I answer your health queries right now ? Please type your query here...I have a queation.. In the past year i have been getting these strange attacks. I throw up, get hot, itchy, and pale with a rash on my face, i have even gotten dizzy and fainted before. I was wondering if i have hypoglycemia?
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"Itching rash on face and dizziness points towards more of an allergic cause with systemic manifestations. 2. Hypoglycemia can present with dizziness, however, itching rash is not known to occur. 3. Get your blood sugar, eosinophil percentage, and IGE levels evaluated. 4. Based on reports, clinically appearing to be of the allergic cause, further opinion can be given. Take plenty of fluids. If eosinophil raised, an allergen test may be necessary."
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"Thanks for an elucidated history. Yes, you have a problem-this is gastroenteritis. The dizziness is suggestive of an active infection with loss of electrolytes into the intestine (the reverse process due to infection). You need to consult a Doctor for clinical examination, blood pressure and pulse rate. You may need IV antibiotics and supportive medicines as there is vomiting als",
"Also, nausea and loss of appetite. While you had also tiredness which worsen after wake up. Such type of symptoms may be due to these reasons, these include:1 Jaundice, diagnosis can be confirmed by blood examination for hepatitis, serum bilirubin and GOT, SGPT level. 2 Typhoid fever is another such reason. Diagnosis can be confirmed by Tidal and serology test. 3 Viral fever is another reason of such symptoms. As you stated that you are having, this is due to hyper acidity caused either by disease or by Chat Doctor. So please consult a physician and get his opinion. Good luck"
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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 thyroid cancer that spread into the lymphs and the outer muscle of my neck. I had my thyroid removed in November along with lymphs and tissues of the neck. I had radioactive iodine treatments in January. I am loosing my hair and I have an enlarged taste bud that wont go away on the tip of my tongue, are these all symptoms of my cancer?
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"For your thyroid cancer post treatment you should maintain followup with your physician. On follow up they will do measurement of TSH, Thyroglobulin levels and anti thyroglobulin antibody testing. Based on reports further followup or treatment will be decided. Hair loss may be due to stress. RAI treatment can cause metallic taste for few weeks and swollen salivary glands but swelling on tip of tongue is unlikely. You should get it checked if required excision can be done. As such cancer or RAI will not cause this type of swelling on tip of tongue"
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"I can understand your concern. Your cancer and thyroid problems has no relation with lump. You may have some enlarged lymph node due to reactive hyperplasia or tuberculosis. You should go for fine needle aspiration cytology of that lump. Then you should take treatment according to your diagnosis. Don't worry. Just be relaxed.",
"ncer of the throat is associated with difficulty swallowing, change in voice, sore throat, unexplained weight loss, bleeding through the mouth or nose, chronic cough and swelling of the eyes, jaw, throat or neck. If the swollen gland that you are referring to is a lymph node then there are different possible causes for an increased size. Lymph node enlargement can occur due to any infectious or inflammatory process. It can also enlarge in more serious conditions such as cancer. It is possible that your symptoms are related to an infection of the throat or ear but when you visit the ENT you would be able to get more information. In terms of prognosis of throat cancer, it depends on the stage of the disease. If it is caught at an early stage then the survival chances are higher. It would be best to stop smoking as it is associated with a wide range of possible complications"
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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 MRI results for lower back pain states--Disc desiccation and minimal posterior disc protrusion slightly asymmetric toward the right. The thecal sac is indented without narrowing of the spinal canal. Disc minimally narrows both neural foramen and lateral recesses. What does this mean? Thank you
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"Your MRI finding suggests that you have an early degenerative disc space disease, with herniation of the disc posteriorly and towards right. This has caused pressure over the thecal sac. The lumen size of neural foramen and lateral recess has decreased. Actually, between the bodies of our vertebrae, there are jelly like material which prevents friction during movement. Degenerative conditions cause the water content of that material reduced, which is disc desiccation. As the degenerative disease progresses, that material bulges and eventually herniated out from its usual location This would cause back pain as well as pain along the supply of the nerves, whicChatDoctore out from the spinal cord due to narrowing of their outlet causing more pressure. I think you should immediately consult your spine surgeon or orthopedic surgeon for further management. For the time being, if you have pain, you should take bed rest. Traction may also be needed. If you are pain free, you should perform abdominal muscle strengthening exercise. Please also avoid lifting heavy weight. For any further questions, please write back"
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"Your MRI findings are explained below in simple language. 1. Loss of lumber lordosis is notedThere is a spasm of muscles in lower back. 2. No other remarkable vertebral abnormality is seethe bones of lower back are normal3. Neural foramina and facet joints are normalPassages of nerves is normal4. Sagittal diameter of bony spinal canal measures as follows L1=14mm,L2-13 mm,L3=12mm,L4=12mm,L5=12mm. The canal containing the spinal cord is normal. 5. Diffuse annular bulging of L3-L4, L4-L5 disk are noted causing effacement of epidural fat. Mild disc bulges are noted at L 3 - L 4 and L 4 - L 5 levels. This is a mild degenerative change. 6. The Thecal sac shows normal signal characteristics. The sac containing spinal cord is normal. 7. Visualized portion of the spinal cord is normalSpinal cord is normal in lower back regions8. Para spinal soft tissues are normalSoft tissues on both sides of spine are normal. In conclusion, you have mild degenerative disc changes with muscle spasm in lower back. This is treated with ointments containing pain reliever and muscle relaxants. Please do not worry",
". . . . see thecal sac carries spinal cord in if there is indentation it means the is some pressure over spinal cord depending on the degree . in your case MINIMAL. . . if you are having heaviness of legs and foot its worrying then . . . . . else wear a lumbar belt and some analgesic s . . . and follow your neurologists advice. You can contact me at: luxman02@gmail. com with all your details including medicines"
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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 recently had a ruptured cerebral aneurysm and had a coiling proceedure done. They did a spinal tap to be able to find traces of blood in my fluid. Since the spinal tap I have had lower back pain everyday and in a couple of cases my legs have almost given out on me. The spinal tap was done about 3 weeks ago now. Should I be worried about this. I have researched the internet and have found that other people have experienced this as well.
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"Thanks for writing to us. The spinal tap is sometimes associated with a persistent pain in the legs due to the irritation of the nerve roots at the level of spinal cord. This is a self limiting symptom and is likely to improve in next 2-3 weeks. Taking methylcobalamin supplements will help. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit. ly/"
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"I have gone through your MRI pictures (attachment removed to protect patient identity) and to me, it looks quite pristine. Can you kindly tell me your age and a brief description of your symptoms? The intensity of back pain on a scale of 1-10? Is there any associated leg pain, numbness, weakness in your lower limbs, paresthesias (burning or electrical shock like sensations in limbs), etc? If you have already consulted a doctor who might have prescribed you this scan, please send me his prescription paper so that I can see your exact neurology and other clinical findings. I need all this information because normally we have to correlate the MRI (magnetic resonance imaging) scans with patient\\s clinical findings so that a diagnosis can be arrived at. So if you can send me all these details, I should be able to see them and advise you accordingly. If you just want information on how these scans look like, they appear fine to me with good disc heights and no obvious foramen compression of any nerve roots.",
"I have read details of your question with diligence. At present there is compression of your thecal sac, but it is not significant. There is also no compression over nerve root. But it looks that all these changes does lead to inflammatory changes at spinal cord. This is the reason why you are having pain at your lower limb. ain such cases there is a good role of physiotherapy. Your doctor may teach you some lumber strengthening exercises. These will be helpful for you. You may also ask for steroid injection therapy in spine."
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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 mother has colonal Cancer stage 4, she had under gone 3 operations and several course of Chemo and 9 course of injection based Chemo which was very expensive, not sure of the name of the treatment, now lately she is bleeing while urinating and reports of immense pain, Pls adivce whats is happening now with, and she Docs have asked us to continue the injection based chemo again which mom has rejected since she is very week and not able to respond to that, Pls adivce what stage she is now and what can be done...
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"I can understand your concern. She has stage 4 colon cancer. So she has chances of metastatic lesion in bladder, and it causes bleeding in urine. Treatment of choice is chemotherapy. But before that she should go for ct scan to know exact size and spread of cancer. Despite treatment prognosis remains poor. Life expectancy is not good."
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"Sorry to hear about the cancer your mother is having. Cancer is a difficult condition, but she must fight till the end. Unfortunately survival for more than 2 years is rare, but please do not give up hope and continue treatment. Stage 4 stomach cancer is a difficult condition to treat, but she should be maintained on treatment to make the disease stable and prevent disease progression. It is difficult to do surgery in a patient having stage 4 cancer stomach. Chemotherapy and radiation therapy are the choices available to extend her survival and slow the disease process. With limited choices, radiation therapy might help. Please continue to give her nutritious food and also give her plenty of water and fresh juices. Giving her soft diet will be beneficial for her digestion and help her to put on weight and feel stronger. Please do not worry",
"Sorry to hear the progress of disease in your mother. The period of survival in stage 4 cancer might vary from 6 months to 2 years. In the most advanced disease also a patient might be expected to survive for 6 months if her general condition is good, and she is eating and Chat Doctor. Cancer is a difficult disease to treat and must be treated till the end. Your mother has a morphine port in place and therefore her pain might be taken care of. Ovary cancer usually spreads to abdomen and involves liver, peritoneum and momentum. There is also a collection of fluid in many patients"
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hi i have a child with gray matter heterotopia what can u advice me to do? is there any surgery or medication or whatever ?
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"m. gray matter heterosocial is a developmental anomaly in which gray matter of the brain is situated wrongly. Treatment is aimed at reducing the seizures associated with the abnormality. n general, gray matter heterosocial is fixed in both its occurrence and symptoms; that is, once symptoms occur, it does not tend to progress. Varying results from surgical resection of the affected area have been reported. Although such surgery cannot reverse developmental disabilities, it may provide full or partial relief from seizures. Take care"
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"etailed answer:Hi, welcome to Chat Doctor. In your child, there is microphallus and both testis are descended and are in inguinal region, this will need immediate surgery as descended testis may lead to complications in the future. It can lead to carcinoma. I suggest you to immediately go for surgery for descended testis. I hope this will help you. Wishing your child good health. Take care. Regards:",
"Given your complaints, I do not think your child is at increased risk of getting epilepsy. If it has been 9 years since you stopped the medication, it should not be causing the weakness in bones. That could be due to a deficiency in vitamin D and calcium. So see your physician and get a consult. In addition, you should have a healthy and balanced diet, practice stress reduction exercises and exercise regularly. Also, take Tablet folic acid 5 mg 1 tablet once daily. This helps reduce risk of defects in child"
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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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Im 19 years old, and I was cutting grass and I didnt have a bump on the roof of my mouth at that time, and I ate some chicken and the next morning my tooth, when I bit down It didnt hurt, but I could feel pressure like it was loose, but its not loose or anything, well two days later its inflamed and a little painful, but very very discomforting, I got my mom to look at it to see if its an abscess, and she said no because their wasnt a spot on it like an abscess would look like, and she said its just swollen, and inflamed.. Its been two days since its been there, and I wanna know what it is, I have no fever, no headaches, my teeth dont ache, its just pressure when I bite down, and dont hurt, I brush my teeth daily, good hygiene, its just that bump thats sore and painful, I know what an abscess is, Ive had two before and had em extracted, and it looks nothing like an abscess period. Its no where near my teeth, or the cracks of my teeth, its more to the top way above my teeth near the middle of the roof of my mouth, can anyone please help me, on how to get rid of it or something? Cant see a dentist, no insurance and no money to see one, so please someone help me?
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"I have gone through your query. According to your case it doesn't look like an abscess. It's rather an inflamed (sore) palate(roof of mouth). Its generally caused by local irritation like:~eating hot and spicy food~irritation from any sharp-edged tooth~improper fitting denture~alcohol use in your case hot and spicy food can be the cause. You don't have to worry about much. If I were your treating doctor I would advise you to use an anesthetic gel like travel, rinse with a good mouthwash thrice daily. Avoid hot and n spicy food for that period at least. Following this will resolve your condition."
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"If its size is decreasing it could be the blister because of hot food. Is it bleeding or getting pain? If it is accompanied by bleeding it can be gingival or periodontal problem. (related to gums and tissues surrounding tooth)If it is accompanied with pain along with bleeding or pus then it could be a gum abscess and if the teeth are seems to lose then it could be periodontal abscess. If the teeth are carious in that region then it can be Chat Doctor. So the conformation can be given on checking the region. Best advice would be consulted with the dentist. Until then, you can do following thing : 1) use mouthwash like chlorhexidine to keep the mouth clean2) If it is paining you can use topical anesthetic gels like lidocaine to get relief from pain. 3) you have to take antibiotics if it is an abscess. Dentist need to check first and would plan the treatment. OPEX you find the discussion helpful. Please write your review",
"I have and gone through your query and would like to say that an abscess requires antibiotic coverage and specific treatment of the cause. If it is because of a cavity in the tooth, we can go for root canal treatment or extraction based on the condition of the tooth. If it is because of gums and supporting tissues, cleaning, curettage and further minor surgery if required has to be done. So, kindly visit you nearby dentist for examination and treatment. Do not worry. It can be treated. Since you have a chronic infection, it might shoot up anytime when your immunity goes low and cause pain too. So, better visit your dentist as soon as possible. You can send me an image of the tooth and lesion to guide you more properly with a provisional diagnosis. Anyways confirmation can be done with X-ray along with clinical examination only. For more information consult a dentist online"
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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 dull chest pains for the past couple Months,i have a family Doctor and i have had a little cough for past 3 Years.I had allergy tests done and allergic to weeds and mold.I have been complaining about discomfort in chest area for quite awhile but seems to not go away at all now.Have had x rays in that area and ultra sound in stomach,and now when ever i can get an appointment a light put down.Feels bloated and it is in center of chest,
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"I can understand your situation and problem. In my opinion, you should consult pulmonologist and get done PFT (Pulmonary Function Test) to rule out asthma. Since you are allergic to weeds and molds, asthma can be the cause for your chronic cough and chest pain. You are also having bloated feeling. And asthma can aggravate reflux disease which can be the cause for your bloated feeling and central chest discomfort. So get done PFT. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Antihistamine and anti-allergic Chat Doctor. For bloating, proton pump inhibitors are needed"
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"Understanding your concern. As per your query you have symptoms of cough and cold which is severe in nature, and it is due to chest infection, and it could be due to throat infection as well. It seems immunity of your body is getting impaired. Need not worry. I would suggest you to visit ENT specialist once and get it examined completely and get X-ray chest done. Start treatment after proper examination. If bronchitis is ruled out then you should go for swab and sputum test. Start treatment after proper diagnosis is made out. Till then take proper course of antibiotics to you. Take steam inhalation.",
"1-I have studied your query in depth. 2-DEar,IN my opinion, the lump noticed in the center under the ribs, is the Bloated Stomach-due to the aerophobia of extreme nature with worsening of the HERD symptoms. 3-The painful lump is due to the inflamed gastric bloating after the CPAP machine, which needs to be corrected by a nasal CPAP, as the one you have is causing Aerophobia, which bloats your already inflamed stomach. 4-I would advise discussing this problem with your sleep doctor, who would correct the mistakes in use of CPAP machine. The lump would go off over a time of 3-6 days as the aerophobia caused bloating, and its effects get reduced. 5-"
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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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Hi I have this chin quivering problem since my birth ...it starts automatically and stop as well...but after it starts I can not stop it even if I try....this problems is genetic in my case as I think because my two paternal aunts too have this problems. ..so I just wanna know can this be cure as I feel so uncomfortable in ftont of people as they only notice my chin so get nervous too.
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"I can think of more than one possibility for your case. Firstly, if we consider more common causes, Vitamin B12 deficiency and spasm of the chin muscle can be considered. Vitamin B12 level in blood can be determined by a blood test. If deficient, supplements can be taken which will restore the level and help in suppression of the trembling. Muscle spasm can be diagnosed by specific muscle tests done by an expert, in your case, an oral and maxillofacial surgeon. If it is found to be the cause, physiotherapy to strengthen the chin muscles and muscle relaxants can help. However, there is a rare disorder that causes chin trembling and is hereditary in origin. It is called \"familial or hereditary trembling of chin\". An oral surgeon can examine you for that and can help you understand the problem in detail. If this is the cause, then unfortunately, nothing can be done to stop the quivering as the defect is in the gene and cannot be corrected. I hope this information helps you. Thank you for choosing Chat Doctor. Take care"
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"It is due to social anxiety. Cheeks shivering while conversation is the feature of anxiety. Best way to handle this is exposure therapy. Expose your self as much as possible in that situation and learn the way of handle this. By experience, you will learn and be confident. But if you avoid this then your fear and anxiety will increase day by day. So it would be better to expose and try to prevent response. After sometime you will himself feel that it is normal conversation and nothing to worry in it. But it takes sometime. Apart from this following will helpful to counter anxiety in daily routines. Exercise meditation deep breathing and hyperventilation proper sleep stress free activity do pleasurable activity music and hobbies discuss with friends see all thing with different angle positive outlook confidence I prefer tab Mizoram or propranolol in such patient, but only medicine will not helpful. You have to do all that I said. In this case both are necessary. Thank you. Get well soon",
"I sincerely don't think your ability to do sex or masturbation will be lost once you stop masturbating on one fine day. That cannot happen. There are certain genetic predispositions whicChatDoctores through genes. Sexual ability is one among them. You cannot alter your behavior about sexual abilities. They are inbuilt. Having said that, there could be a problem of anxiety which could blanket your inborn ability temporarily. Your current problem could be related to anxiety and obsession. I suggest you to consult a psychologist or sexologist for counseling and therapy. Take care. If you require more of my help in this aspect, please use this URL. http://goo. gl/aYW2pR. Make sure that you include every minute details possible."
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Hello doctor,I am a 49-year-old male. I took Prevacid for 17 years. One or two pills a day. I stopped five months ago after I read about that it increases the risk of dementia. If I do not have dementia now, and I have stopped the medication do my risks of dementia remain elevated for the rest of my life? Is the effect reversible? Does stopping the medication mean I am no longer at higher risk for dementia? Is the damage already done even if it is not noticeable at present? I asked my GP, and she said nobody knows. That even if I took an extensive test from a neuropsychologist, it would only mean I do not have dementia today, but it does not mean that my past Prevacid use would not cause dementia in the future. That leaves a life of uncertainty ahead. Is that the answer we just do not know? I wanted to ask a neurologist before I accept that answer.
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"After careful review, I understand you are worried about the side effects of Lansoprazole (Prevacid). Now as you have stopped taking it, the risk of side effects do not remain the same as with taking the ChatDoctor. The reversibility of effects is based on the extent and the nature of damages done by any"
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"I have noted your symptoms. I am glad to note that you have not had fits for almost 9 years now. If you had an MRI brain done, and it was normal, then, you should be given a chance to come off Emilia (sodium valproate). However, if there was an abnormality such as gloss on the MRI, then there would be a mild risk of fits recurring in the future. If possible, please upload the MRI brain report. 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,",
"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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Given a question with context from online medical forums, retrieve responses that best answer the question
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i have been on vespids allergy shots every 6 weeks for several months (after being on them weekly for several years and then montlhy for severl more years - (they had to start me off on a baby does as i had gone into anaphylactic shot when stung and was in intensive care for 3 days). My doctor says I can never stop the shots - EVER! is this true?
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"Thank you for asking at Chat Doctor. I went through your history and understand your concern about lifelong immunotherapy. Decision regarding duration of immunotherapy (shots) is very much individualized. Were I treating you, I would like to discuss a few important concerns with you before planning discontinuation. 1. The most important thing - you had a life-threatening reaction to vested, so this is a matter of life and death. Lifelong continuation of immunotherapy is the safest approach. 2. I would suggest you to have allergy skin testing to vested venom as well as serum specific IGE to vested venom after 5 years of starting shots. If both these have turned negative, I would consider it safe to discontinue shots at that time provided your environment, lifestyle and occupation does not put you at a high-risk of having vested sting."
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". . by what you quote it seems to be an allergic reaction or an insect bite allergy. You need not go to emergency room immediately. But if fever is increasing and the rash is also spreading and fast, without much of itching it may suggest subcutaneous infection. Then you need to consult a pediatrician for this. Till then, you can try 1-2 days of over the counter anti-allergic medications",
"These issues can last till weeks or months after the shot has been discontinued. There are medications that your doctor can give you to help decrease the bleeding e. g. primal. Your doctor may also suggest imaging of uterus to see if there are any other causes of prolonged bleeding such as fibroid or endometriosis"
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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 this weird feeling near my right ribs. When I breath or sit at a weird angle say 45 degree I will get this weird sort of popping feeling near the rib. It doesn t really hurt but is quite uncomfortable. It comes and goes and happens at random times. Any help would be appreciated.
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"A thorough clinical Musculoskeletal assessment is advised. As you get this popping feeling it could be overlapping of rib bones due to intercostal muscles weakness. But for more assuring and x-ray would help better if the Costco Chat Doctor. Breathing exercises - in particular costal breathing exercises helps to improve the muscle strength and will help avoid such popping feeling. In my Clinical Practice patients post rib hairline fracture comes with similar complaints and costal breathing exercises really helps"
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"I can understand your concern. Sharp right sided shoulder and chest pain with breathing difficulty is commonly seen due to lung infection (pneumonia). Pneumonia actually cause pleurisy (inflammation of pleura). This is the reason for Sharp pain. So better to get done chest x-ray first. If chest x-ray is normal then no need to worry about lung infection. Sometimes sudden muscle spasm can also cause similar symptoms. So take painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected areas. Don't worry, you will be alright, but first rule out lung infection.",
"As you are feeling this popping thing you need to take an x-ray to check if any bony abnormality or any Cochin Chat Doctor. Usually these feelings aren't serious with bone but mostly with the muscular weakness. Performing proper costal breathing exercises will help reduce the pain and avoid the popping feelings. As the intercostal muscles can be strengthened by costal breathing exercises, and also it improves the lung capacities. In my clinical practice patients with post hairline fracture comes with similar complaints, and they respond well to physical therapy and breathing exercises"
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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 a few months I have the sensation of a fullness of sorts under my arm. Sometimes feels like it s in my arm, other times it feels like on the side of by breast (recent mammogram was normal). Sometimes it feels like a pulsing or even a bit of a pain. No lumps are found.
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"I understand your concern. If no lump is there and mammogram is normal than you should not much worry. If still you have doubt in mind, you can consult surgeon. Pain and fullness around your arm might be due to muscle pain. For that you can try simple analgesics like Ibuprofen 400 mg 8 hourly. If you have trouble in raising hand, it might be frozen shoulder. You can consult physiotherapist for that. Thanks"
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"1. The lumpy less what your boyfriend feels may be just a fatty / glandular tissue in the breast seems like lumps. 2. Cyclical lumpy feeling also seen during the periods due to ductal changes. 3. First self examine, and see your doctor and let the breast get examined and ask for an ultrasound breast (will help in exact content of the lump, its source and extensions)4. Depending on the findings, if lump is there - an FNAC - fine needle aspiration cytology might need. 5. A simple hormonal treatment might be enough in cyclical pain and lumpiness in the breast.",
"I can understand your concern. Sudden onset sharp chest pain, sweating and tingling in arms are commonly seen with heart diseases like coronary artery disease (CAD). Holder monitoring (24 hours continuous recording of ECG) is for arrhythmia (rhythm disturbances in heart). CAD can not be picked up by this. So despite normal Holder report, you should definitely get done 2d echo and stress test (trade mill test) and coronary angiography (if required). If all 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. Don't worry, you will be alright. But better to first rule out CAD."
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Hi Im Prisila, 24 yrs old/56 kg/163 cm and I have a hyper aggregation of platelets and I want to know how to make it normal? Do I have to take some medicine? Can I treat it in natural way (I mean with the traditional medicines, or other traditional treatment such as acupuncture)? Thank you.
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"Platelet hyper aggregation in future may cause thrombosis of veins, myocardial infection, strokes and platelet hyper aggregation may be associated with this. But don't afraid. Diet modification should be done with food containing low cholesterol, low animal fat, reducing highly refined sugar products. High fiber containing food and use of garlic in daily food is good for you. Starting medicine for platelet hyper aggregation need more investing and evaluation, and after that your doctor will decide to start medicine or not. But at this age no need to start medicine. I hope this answer will be helpful to you. Get well soon dear friend"
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"Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. There is no natural remedy to improve your thrombocyte pounds. You can have vitamins and healthy diet of course which will improve your immune system and general health, and it may slow down liver failure progression and on this way it will improve your blood count. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.",
"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that due to traumatic injury there has been inflammation of soft tissues and also there is traumatic injury to blood vessels leading to accumulation of blood into the soft tissues and leading to Hematoma formation. The Hematoma at times gets encapsulated and become localized leading to formation of a firm mass. It can take a longer time to resolve, and you need not worry about it. You can apply alternate warm and cool compresses over the lump. You can apply Heparin gel over it as it helps in easy disruption of the Hematoma. You can also apply analgesic gel if there is pain. You can take anti-inflammatory painkillers like Ibuprofen. In case of no resolution or improvement in a month consult an Orthopedic and get evaluated."
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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 have a problem with my sister.. since i was a kid, she used to eat uncooked rice . it s like an addiction . right now, she s having a problem in her gall bladder .. the doctor said that according to the xray result, he saw a crystal parts in her gall bladder and he thought that it s the raw rice.. we don t know how to prevent this kind of an addiction.. can you help me about this? thanks.
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"It appears to be that your sister is habituated to consuming raw rice. This can be prevented by firstly avoiding raw rice lying around in the house. Give her cooked rice well flavored so that she may forget about raw rice. She may try alternative like chewing gum or licorice sticks as their consistency may engage her curiosity similar to the experience with raw rice. Usually gall bladder showing crystals indicate growth of possible gall bladder stones. Do get her blood tested for cholesterol. Rice does not show as crystal as it would be digested in the stomach by acids. If the technique does not work, kindly do approach a Psychiatrist and Behavior therapist who will be able to evaluate her and decide proper management of this problem"
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"iagnosis can be confirmed by asking question:\"Did you wash hands before meal?\". Try giving ORS, Charcoal 2 tablets for absorption of toxins. It also might help to avoid eating or Chat Doctor. To help control the stomach acid, one should take rice soup, boiled mashed potato;avoid to eat chocolate or spicy or greasy foods. In this case headache can be symptom of intoxication",
"I am Chat Doctor answering your query. I am not aware if your daughter eats food from outside frequently specially the fast food and fried, spicy items. If so, please advise her to avoid these, as intestinal infections could creep in and also some components of the food might be creating inflammation of the intestinal mucosa, like gluten used in fast food frequently. If I were your doctor, I would also advise for a routine stool test for ova and cyst, and a routine/microscopic/culture sensitivity test of urine to rule out a urinary tract infection. Till these are ruled out, she could continue with anti spasmodic and proton pump inhibitor 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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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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an old patient of 80 years of age having low blood pressure ( i. e. 60/100) , suffering from chronic liver disease, was given calpol 500 in moderate fever and after half an hour from taking calpol 500 she expired followed by excessive sweating, now my query is " is the calpol 500 directly related with death. if yes , then how ? plz answer me
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"Secondly col pol 500 mg contains paracetamol 500 mg which is metabolized by liver, in chronic liver disease patients capacity of liver to metabolise is lost causing problems in Chat Doctor. Yes paracetamol can cause death. Be careful and inquire your doctor about taking i"
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"It is the raise in blood pressure of the vessels within your lungs. There are various causes for PH - mainly heart diseases, chronic lung diseases, chronic pulmonary embolism, connective tissue diseases, interstitial lung diseases like acidosis. Only if no such cause for Pulmonary hypertension is found then it is termed as Idiopathic Pulmonary hypertension. The most crucial thing is to ensure all tests are done to rule out these known causes of PH before stamping as Idiopathic co the treatment is entirely different. So pls do discuss with your physician regarding your diagnosis. Presuming you have been diagnosed right, treatment of IPA (Idiopathic Pulmonary Arterial Hypertension) requires significant patient education regarding the available therapies and their potential complications. Management is best to be undertaken at centers with expertise in treating this rare disease. The Chat Doctor. These dilate the Pulmonary vessel and reduce the pressure. As supportive measures anticoagulants, digoxin, diuretics, supplemental oxygen are prescribed in necessary cases. A low sodium low fluid diet is recommended in patients with volume overload. Single or double lung transplant is an option for patients who fail to respond to medical therapy. As far as the prognosis is concerned, although IPA His a generally progressive and fatal disease, its prognosis is highly variable. Many patients characteristics correlate with prognosis including functional class, rapidity of onset and exercise capacity. Also, there are various parameters of hemodynamic status of the patient and cardiac status that can predict the prognosis. There are occasional case reports which report patients to have survived for even 20 years with proper treatment. So kindly consult a qualified expert physician and get the right treatmen",
"Stage 4 cancer of liver is advanced disease. It might cause mild symptoms in some patients and others might have severe symptoms. Usually the condition might have a large mass or multiple masses in the liver causing a hard to palpate mass in the abdomen. The mass causes compression of vascular structure including the inferior vent cave and this might lead to blood clots in the vein going to the heart. The veins of the kidneys might also show clots. Few people develop ascites and fluid collection in the abdomen and this is due to the inability of the liver to function normally. The side effects of chemotherapy medicines also have an influence and this might cause neuropathy and nausea with dizziness and pain. Please discuss pain relief with your doctor. Please do not worry"
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I get twinges in my abdominal area at usually at night, but now I am starting to notice all the time. It is on my right side to the right of my belly button. It almost feels like a bubble bursting, or like a small wire bending. It is very disconcerting. I am a 58 year old woman in seemingly good health. The twinges arent painful, just a weird sensation and seems to have gotten worse, and now travel all over my belly. I have asked a few doctors when I get check ups and they just say nerves.
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"Thanks for your query and an elucidated history, history of what other Doctors suggested, like just nerves. I do not think so, these are not just nerves. You have mentioned specifically about the twinges on the right of your belly, more pronounced at the night; feels like bubble bursting or small wire bending, seems to have gotten worse and now travel all over the belly. I would think abut the following in such a case:-This can be a subacute intestinal obstruction, not sufficient to cause acute pain. - Lymph nodal mass in the center - mesentery,-Rare chance of Gastrointestinal cancer. I would advise you the following, please discuss and insist with your Doctors:-X-ray of the abdomen in standing position;-Ultrasonography and if required CT scan of the abdomen. -Clinical examination of the abdomen by a Gastroenterologist and preferable a Surgeon. -Investigations of the blood- particularly to rule out diabetes, Typhoid, liver and renal functions. -Urine and stool examination;-Endoscopies if required and advised by Castro. Once a proper diagnosis is made, treatment will be guided to give you a proper diagnosis and may be a cure"
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"Abdominal pain especially on the right side of your abdomen could be as a result of one of a good number of causes notably appendicitis, nephritic colic (which may be due to a kidney infection, stone etc. ), diverticulitis, IBS, colitis etc. You will need to see your primary care doctor to examine you, run some few laboratory tests and perhaps determine the cause. As for the pain radiating to the lower extremities, it is simply due to the pain from the abdomen, which is probably so intense that you feel it at your lower leg. You might require some analgesia and maybe antispasmodi",
"Thanks for choosing Chat Doctor. F. You are having mild abdominal pain, 24/7, since 3 1/2 months. Pain moving all round the abdomen. You have got all the tests done and found only diverticulosis. It appears to be the exacerbation of the diverticulosis. Or worms in the intestines, or something else. I advise you to consult a G. E. surgeon, for diagnosis and treatment. You may need to go for gastrostomy, M. R. I. besides other routine tests for confirmation. I also advise you to follow some diet recommendations as avoid taking foods rich in spices, junk foods, and oily foods, to avoid irritation of the gut. Take more of bland foods, like bread, curd etc. Take more of water and liquids. Wishing for a quick and complete recovery. Best 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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my roommate seems to have Histrionic personality disorder, though i am not 100% sure its bothering me. he tends to copy what i say and what i do in almost every aspect of regular living, and because of this i distanced myself from him, which resulted for my roommate to cling onto my other roommatebut he still seems to do what i do, its almost as if he has no mind of his own
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"From the description of your friends' behavior, it appears that he could be having a Dependent Personality Disorder. Persons with this personality disorder are excessively dependent and clingy on another person. They often revolve their activities around the person they are dependent on, and they become very anxious and uncomfortable in the absence of that person. Personality disorders are generally difficult to treat and unfortunately, persons with personality disorders often find it difficult to cope up with social demands. The only available treatment is psychotherapy or counselling, but this is often a long term process"
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"I have gone through your question in detail and I can understand what you are going through. Histrionic personality disorder should be treated. It can be treated with analytic behavioral therapy and it's a modification of the traditional psychotherapies. It focuses on day to day, here and now, problem-solving approach. Visit your psychologist with your wife and discuss the issues.",
"I suggest you not to worry much. I sincerely think this may not be related to OCD. Every human being comes with some peculiar habits when they indulge in work which requires extreme concentration or medium amount of concentration. These habits normally can be termed as mannerism. In a way the mannerism is of compulsive type, it is not related to OCD. You watch yourself, and you will find some mannerism in you also. You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success."
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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 curruntly are being treated for stage 3 breast cancer ..her 2..Im on the last of the herceptin of which I will finish in november..It was time to do a pet scan and it came out positibve..today I had a mamogram that showed something wrong so they did an ultrasound..my lymph nodes are swollen and my breat on the right is swollen..I have a Breast mri scheduled for wednesday and they they will be doing a biopesy..is the cancer back...I cant stand the waiting its driving me insane..what does a positive pet scan mean...does it mean def cancer?
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"Well, positive pet scan is a bad sign, but it still doesn't mean that there is cancer recurrence since a lot of pets scan results are false positive. However since this was stage 3 and there is breast swelling and lymph node enlargement, I am afraid that this may be cancer, and you need to wait biopsy and start treatment right after it. You ll probably need both chemo and radiotherapy. Wish you good health. Regards"
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"Well, cancer is the last thing to think of actually ABD in most cases this is just benign lymph node swelling or there is swelling due to trauma or just foliculitis- you should just wait and see will it progress in size and then further tests can be done. If this is lymph node then you probably had some infection, and it should pass in few weeks. If there is redness and pain then it may indicate inflammatory processes. Wish you good heal",
"I have gone through your history and I do understand your concern. As you said, the PET CT shoes that it has no FDG uptake and hence called a being one, however it still needs investigation. The cause for the nodule should be evaluated as it may be as a result of infection including TB (Tuberculosis) or due to an autoimmune process in which the body attacks its own cells. So a biopsy of the nodule should be done wither under CT guidance or by bronchoscopy whichever makes the nodule well accessible. Biopsy should be able to identify if it's an infective process or autoimmune process and also BR able to identify the cells and rule out malignancy. After biopsy if you get no answers, then you should not worry and follow up the nodule for increase in size by chest x-ray or CT every 3 months to see the doubling time of the nodule. In the meanwhile please continue your genetics evaluation"
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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 have extremely low volume of seminale fluid at ejaculation. It feels like something is actually blocking the flow. I have been to uroligists to no avail. I have a vasectomy 24 years ago, so not sure if that has anything to do with it. Doctors seem to scoff at my bringing it to their attention. They have said if it feels good that everything is ok. I am 57 years old...
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"Usually bulk of the seminal fluid is from seminal vesicles and prostate not sperms. So, your vasectomy had not affected your seminal fluid volume much. As I told you 1-5 ml of ejaculate is normal. So stop thinking of volume unless you have problem in erection or orgasm. Enjoy, good luck"
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"I don't see any problem in your. The pale white fluid is indeed your semen. I think, because of that, you are anxious too much and that causes your premature ejaculation. Regarding your marriage, you need not worry at all. You will do well because, things going to happen after marriage, you cannot even imagine. Don't worry. If you require more of my help in this aspect, please use this URL. http://goo. gl/aYW2pR. Make sure that you include every minute details possible.",
"Orange urine purely signifies lack of enough water. Slight orange tinge in your ejaculate is also normal due to deny Chat Doctor. Then it could be attributable to blood. Still don't worry. Consult a physician, and you will be alright within 3 days. If you still need my assistance in this regard, please use this link. http://goo. gl/aYW2pR. Please remember to describe the whole problem with full detail."
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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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Hi,Iam a 35 Yrs old Iraqi female. I have hear electrical problem, diabetic, and blood pressure. I need to remove my gallbladder and also another surgery. Our Iraqi doctor says that It is very risky to go for any surgery with the problem I have. Please advice. Thanks.
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". . . Yes your doctor is absolutely right. . . . In hypertension and diabetes operation is very risky. . . . Chance of bleeding and other complication high. First control both this with suitable antihypertensive and insulin. . . Then only operation done. . . . If your underlying disease life-threatening then only operation done. . . . For gall stone until then analgesic and Adílio taken. . . Take care"
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"If yes, then cholecystectomy should be performed. You obviously had stone stuck in main biliary duct which passed through. this caused temporary bilirubin elevation in urine and dark urine. Sometimes it can be dangerous because cholecystitis may occur. I suggest doing ultrasounds and then remove your gallbladder because these attack will repeat. Especially after fat meal and alcohol intake. Wish you good heal",
"Thanks for the query. You didn't mention the indication for removal of your Gall bladder. Even though you are having gall stones, if you are not having pain in the right upper part of the abdomen, there is no need for surgery. It can be incidental Gall stone. As you are going for keyhole surgery(Laparoscopy), you will be given General anesthesia. Your anesthetist should be very competent to give Anesthesia to a COPD patient. Sliding hernia is not a contra indication for keyhole surgery. High blood pressure will be controlled by antihypertensives. Cholesterol levels will also be controlled. Everything will be assessed in your Pre assessment. If you are fit for surgery, you can ask your surgeon to do Sliding hernia also in the same set-up through keyhole method. As there is no medical treatment for Sliding hernia, you can ask your surgeon to do both procedures in single setting. I have done Gall bladder removal surgery with COPD without any complication in OPEN method, not by keyhole procedure."
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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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What is the risk of spinal cord injury in a person with a unilateral fracture of the left facet of C-6? 2 years ago I suffered this injury in a mountain biking accident. No surgery was required. I returned to work 8 weeks after the incident. Presently have no pain and a slight rotational deficit at the limit of turning my head. I wish to begin cycling again but am concerned about re-injury or worse suffering a spinal cord injury from another fall. I am a 6 tall male 200#.
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"As the C6 fracture cannot lead to long term spinal cord injury. There may be a possibility of having nerve root impingement in the future if the neck muscles become weak. I will advise you to undergo and thorough clinical examination and an MRI of the neck. Also, with physical therapy you can regain the strength in the neck muscles and keep the normal anatomical alignment of the bony structures in the cervical spine, and you can avoid nerve root impingement. Using a collar while your sports is important to avoid any injury to the neck muscles and even can avoid the misalignment of the cervical spine. Regards Jay In"
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"I have gone through your query with diligence and would like you to know that I am here to help you. He is in coma. The time to recovery will be longer and we cannot predict that now. As he is in coma, he can only feel the pain and not touch. Also, he will not be able to react much while in coma. While in coma, the patient will be unconscious ans so he cannot speak. Moreover, since the injury is on the left side, the speech areas in the brain may be affected. Some injuries like fracture and EDH (epidural hematoma) occur on the same side. Some like SDH (subdural hematoma) and contusion occur on the opposite side. Since you have mentioned it as SDH and contusion, it would have happened on the opposite side.",
"uring fall on back you can possibly get a muscle strain or ligament sprain of back or a vertebral injury like disc bulge. An examination with orthopedic will give clue for that and an X-ray followed by MRI if needed of Lumbosacral spine should be done to confirm that. I usually prescribe NSAIDs like Diclofenac muscle relaxants like Thiocolchicoside and neurotrophic Chat Doctor. After a rest of short duration of 4-5 days I advise physiotherapy also."
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i am 22 yr old female and i recentley went to the doctor for sever ovary pain in my left side, my doctor is going to do test on me for cancer to rule that out but i am also having low blood pressure. it has been 106/59 and alittle lower than that. could that be caused because of my other problems or is it something else? i have also been very dizzy and almost blacking out which i have been doing since i was little. it comes and goes. just wondering if all this could be connected somehow
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"I can understand your concern. You have low blood pressure, so you feel dizzy and blackout. You should take treatment of that first. Furthermore, you also have some ovarian pathology. Furthermore, you should go for ultrasound abdomen to search the cause. Then take treatment accordingly."
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"The dizziness sounds like it correlates with having a blood pressure of 93/74, which is lower than the average blood pressure. There are some people who normally walk around with that blood pressure, and they are fine. It depends on what your typical, usual blood pressure is when you feel healthy. Dizziness and low blood pressure is usually treated by increasing the salt and fluid intake. However, if this improved your blood pressure and dizziness but caused you breathing discomfort, that is not normal, and could represent a problem. Your doctor needs to listen to your lungs, and evaluate whether there is a heart or lung abnormality that caused a little extra salt to cause fluid to build up in your lungs. Please get that checked out, and let us know what happens",
"Based on your query, my opinion is1. Dizziness, fainting is usually caused by hypoglycemia or anemia. 2. Hypoglycemia means Chat Doctor. Get your blood sugar level checked. 3. Anemia needs to be ruled out. Get a Hemoglobin level checked along with red cell indices. 4. Transient ischemic attacks can be causing you these problems. This needs to be evaluated. Get your Blood pressure checked to rule out hypertension. 5. Also get a lipid profile done to know your cholesterol levels. 6. Chest pain can be due to angina or gastritis, so ECG is needed."
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dialogue
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I AM EATING RAW RICE EVERYDAY ABOUT 3CUPS A DAY.IS IT CAUSE JAUNDICE OR WEIGHT GAIN?I HAVE 2 CHILDREN AND IAM A ITP PATIENT.NOW I AM 25 YEARS OLD AND HAVE 75 KG WEIGHT.I WANT TO GET RID OF THIS HABIT AND WANT TO LOSE MY WEIGHT TO 63KG.COULD YOU PLEASE SUGGEST ME A WAY BECAUSE I AM TOO ASHAMED OF MYSELF TO TELL TO ANT OTHERS
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"It won't cause any weight gain more than other cooks rice. So weight gain depends on how many calories you take per day and how much you lose. If you eat only rice then you probably won't gain weight, but if you eat rice and too much other sugars, fats then you may gain weight. Also, it won't cause any liver damages, but it is not recommended to eat raw rice since it may have bad effect on digestion ADN certain infections may develop. Wish you good heal"
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"Before opting for any alternate system of Medicine, have a check-up with General surgeon regarding nature of piles [internal or external], or to exclude other possibilities like perianal abscess, fissure, thrombosed piles. 2. Make sure you do not strain while passing stool, and use WARM water or wet toilet paper but without perfume or alcohol(without soap) to clean your anus after each motion PS. Avoid cold/tap/jet (western seat) water. 3. High fiber diet and water intake are two major things to follow. Things which you can Add to your food diet is/are: elephant yam, papaya, butter milk, pistachio, almonds, pear, apple, old rice, milk, crystallized sugar, raw radish and to avoid are: tea, coffee,garlic, onion, fish, hot spices, sitting for long hours. Oatmeal is good for breakfast. 1 glass lukewarm water every morning and night. To stop bleeding: take coconut water from 1 coconut and add 2 tablespoon full (SF) sugar and Chat Doctor. . Trifle because of its high nutritional-detoxification [Showman] and cleansing value is very helpful in treating your present complaints. [take 3 gm with Luke warm water at bedtime]PS. Piles is due to low digestive fire and taking AMLA & aloe vera juice will help in cleansing the liver to speed up the metabolism",
"Thank you for posting your question. I can understand your concern. I can understand that you are very anxious about your health. Jaundice can be due to many causes like Hepatitis, gall stone disease(acute cholecystitis), pancreatitis - to name a few. Mere dietary adjustments often cannot cure it. It would have been great had I examine you on my own. You need to undergo a few tests to find out the exact cause. I would suggest you to - Avoid oily, fatty food- Chat Doctor. Stop alcohol-Have a BLAND DIET. - Get an abdominal ultrasound, Complete blood count, Liver function test, platelets, urea, creatinine, electrolytes done - This will help in the diagnosisVisit a gastroenterologist. He or she can examine you and correlate clinically. Do not worry."
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Since late September I have had painful, burning, and frequent urination. Have also had pain during ejaculation and have also had difficulty maintaining an erection. I have been on an antibiotic(Bactrim) for around 21 days and symptoms did get somewhat better but after about a week being off the antiobiotic the symptoms came back.
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"You are concerned about having painful urination and pain on ejaculation. Your symptoms sound like you have prostatitis and your doctor has been treating you as such with a 21-day course of Bactrim. Unfortunately prostate infections are sometimes very difficult to cure and may require an additional 4-6 weeks of a more powerful antibiotic. In my practice I will use Cipro or Joaquin for 4-6 weeks to treat difficult cases of prostatitis. In summary, you may have chronic prostatitis and need additional antibiotics for 4-6 weeks. Please contact you medical provider to proceed with treatment hope this answers your question"
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"You have pain during ejaculation. This is mostly due to Chronic Prostatitis. Get your Semen examination and Semen culture done to find out the organisms causing this infection so that you can take appropriate antibiotic as per culture report to combat infection. Discuss with you Urologist about the other modality of treatment like daily prostatic massage. This helps",
"I suggest you not to worry much. From the details you have given, Most doctors can only conclude that there is something wrong. You have to go for a detailed investigation with a physician. Burning could be due to simple urinary tract infection or inflammation. Such a condition can be cured with the help of simple antibiotic treatment with plenty of water. But you must visit a physician first. Do it as early possible for early cure. You might need psychological counseling and or psychotherapy. Please visit http://psychocure. webs. com for behavior modification, mental health assistance, Cognitive Behavior Therapy and other psychotherapies."
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Hi my fiance and i have been trying to get pregnant for the past year now. Ever since my mirena slipped out since then i have had irregular periods. On 3/29 my.period lasted for 7 days n i just recently started again on 4/21 it lasted for 4 days last night we had unprotected sex so later on today i wipe there was a small pinkish amount of blood and a very small blood clot.now iam having mild cramps on my right side. What is going on ? Please help
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"The chances of pregnancy have always been there because you are not using any type of contraception, and you had unprotected sex (on the 4th day of a cycle but no period is safe period). Bleeding and cramps may be because of hormonal changes or because of pregnancy. Consult a gynecologist to rule out pregnancy with urine, blood and ultrasonography. GOOD LUCK. Take care"
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"As you had three days period with almost normal flow the possibility of pregnancy is less. But rarely some pregnant women may have bleeding during their regular dates of periods. The symptoms you are having could be due to pelvic infection also. So you once consult gynecologist and get examined to find out the possible cause for your problem and take treatment accordingly. For more details you can ask me through: http://www. ChatDoctor . com/doctors/",
"You are absolutely right, everything is not fine. The bleeding during intercourse can be coming from the uterus or there can have a lesion on the cervix. Fungal fibroid can cause the pain and bleeding if it has eroded the internal wall of the uterus and clots and cramping. Ovarian cysts of this small size usually do not cause problems. I would advise you to go for another opinion. Possible chances of betterment are from Laparoscopic diagnosis and removal of the fibroid if there is a facility nearby you"
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Hi, may I answer your health queries right now ? Please type your query here...hi i am 5 weeks pregnant and at night my anus and vagina itches why is this? It feels almost like I have worms. I get it a little during the day but at night it is so bad i cannot sleep.
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"uring pregnancy, the hormones of your body change, even as early as five weeks. The hormonal changes of pregnancy make the vagina and surrounding skin more susceptible to candida, or yeast infections. Frequently these infections can cause itching of the skin around and inside the vagina, and even on the perineum and anus. There over-the-counter creams that may be purchased in a pharmacy that are designed to treat yeast infections of the skin. The active ingredient should have the word -above at the end as this indicates that it is an antifungal product. Examples of these are clotrimazole, fluconazole, and fluconazole. These products can all be used externally on your skin safely during pregnancy. When you see your prenatal care provider for the first time, if you are still experiencing these symptoms they can perform a vaginal examination and prescribe a different treatment if necessary. In the meantime, try very hard not to scratch the area and where loose fitting, cotton undergarments to sleep and that will not constrict airflow around your perineum. I hope that I was able to adequately answer your question today, and that my advice was helpful"
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"I understand your concern. In 3rd trimester, vaginal discharge increases than before. vagina itself also bulges a bit because of low decent of the baby. The discharge is clear, there is no itching / burning. This differs from your symptoms. The yellow, milky white discharge & associated itching(which has caused vaginal swelling) , suggest a mixed vaginal infection. You should visit a gynecologist, get vaginal swab pathological test done . Followed by specific treatment (which will contain- Metronidazole, antibiotic, Vaginal pessaries). It is essential to cure the infection before childbirth. Thanks",
"I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Basically, vagina contains various bacteria and other microorganisms. Due to war. TH and moisture of vagina and natural increase in the moisture during pregnancy a typical smell can be found during pregnancy. I will suggest use of Lactated vaginal wash alternate days at the time of Bath. Also, Clindamycin vaginal tablets one at night for 7 days will be of help"
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I do not feel sick, but I recently acquired a cough. I have to clear my throat, like my sinuses are running. But when I cough I get a sharp pain in my right temple. Sometimes it hurts very much, but does not last for more than a couple of minutes. I take medication for high blood pressure but my BP has been pretty good. I had an angiogram last august and my doctor doubled my BP medication. A few days later my vision went blurry. When I look down, to the side, or try to look at something close up I see double. I have been to two different eye doctors and they said I had temporary paralysis of the nerves that control the muscles that control the movement of my eyes. They said it should improve in time because they said my eyes were healthy. A month after my angiogram my doctor changed my BP medication, which helped stabilize my BP , but vision has not improved in 8 months. I get headaches towards the end of the day, almost everyday. I take aspire or Advil to relieve the pain. I don t know if the new pain in my temples when I cough or sneeze is related to my vision problems. When I get the pain it also radiates into my neck and my vision even gets worse.
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"Regarding your query for headache, cough and throat pain while you are already taking treatment for high blood pressure. As you said that you are having sinus issue that may be responsible for your throat problem as post nasal Chat Doctor. Another very important cause of cough in your case may be the role of antihypertensive medicines. Because the ace inhibitors are very commonly use for controlling blood pressure, and they are well known for giving rise to irritation in throat. Your next query is for pain over temple may be because of venous congestion due to increase intrathorasic pressure by vigorous coughing, and same may be responsible for blurring of vision too. Probably you got the answer of your queryRegards"
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"You seem to be suffering from some respiratory tract infection on basis of your symptoms of cough, fever headache, deny Chat Doctor. Please do a chest x-ray, a complete blood count and ESR. You can have a short course of antibiotics tab augmenting 625 thrice a day for five days (if you are not allergic to penicillin), cough syrup and tab paracetamol up to three times a day for your fever. It is very necessary to do the investigations mentioned above. Thank you",
"Your troubles seem to be from migraine. The vision problems and throat can go with migraine attacks. The unilateral feature, the throbbing feature of your pain go with migraine too. I would like to know more about your age, lifestyle, past medical history. Although I would also recommend you a brain CT scan o MRI to rule out any other disorders causing these symptoms"
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Hi doctor,I am a semi-professional singer and recently, I have been dealing with some vocal problems, I think I had a vocal hemorrhage and it seems to slowly heal, I am really not sure about what it is, so it would mean the world if you could give me your thoughts on it and in how much time it is going to be okay.
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"There are hemorrhagic patches (early stage) in the anterior one third of both the vocal cords but that will heal if you will take adequate voice rest, ChatDoctor. Get repeat laryngoscopy done after a month. Also, there seems to be a phonatory gap in posterior third of vocal cord but to confirm if the gap is present I need to see video of of laryngoscopy. If you have a video of scoot please send that to me (a picture will not be enough). Even if gap is present it will go with the speech therapy."
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"This can be from the injection or bruising trauma from biting the tongue. The body will take care of this with time. Healing may involve some tissue changes and even an area of solid feeling tissue can be part of normal healing. You can expect a slow healing process that can take 3 to 6 weeks to totally resort the hematoma. Warm salt water rinses and anti-inflammatory medication such as ibuprofen may assist healing. If the area increases or does not continue to heal, visit the dentist to evaluate if Chat Doctor. In general, this is not considered an unusual event, and you do not need to worry. It is a very positive sign that there has been little pain and little swelling. This indicates healing is progressing well. Thank you for your inquiry. I hope your daughter will continue to feel bette",
"I am Chat Doctor answering your query. There must have been a hematoma over the trauma site which has started organizing now becoming a firm not and with reduced inflammatory signs. If I were your doctor, I would advise you not to fiddle with it, and prescribe you with an anti inflammatory, a Serrano peptide, along with a proton pump inhibitor which would give both symptomatic relief, and would also cause it to reduce gradually. 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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Hi doctor,My friend is suffering from dengue and typhoid. The test for dengue showed a positive result, and typhoid titer is 1:360. Initially, he was treated with Ceftriaxone injection BD and Paracetomal for five days. But the symptoms got worse. His platelets suddenly got reduced to 21000 platelets per microliter of blood with petechiae and bluish lips. His SGOT, SGPT, and GGT are elevated. He has vomiting and diarrhea. Now, he is treated with fluid replacement, Doxycycline, Paracetomal, and tablet Ursocol.
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"Your friend appears to have severe dengue. Kindly do blood cultures for typhoid fever. Blood culture helps us to identify the presence of salmonella, and it guides the choice of antibiotic therapy. The petechiae can occur due to low platelet count. The bluish lips or cyanosis should be evaluated further. You have to do chest X-ray and arterial blood gas test soon. I suggest you do an holo-abdominal ultrasound and a plain abdominal X-ray. Elevation in liver function tests are seen in dengue or typhoid, and the liver can be enlarged in dengue. But intestinal perforation is the catastrophic complication of typhoid fever. I would recommend aggressive fluid resuscitation. If there is any sign of severe bleeding or unstable vital signs, a blood transfusion can be given with fresh whole blood or fresh packed red blood cells. Ceftriaxone always works well for typhoid fever. Identifying the complication is essential."
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"It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. High SGPT may be due to altered lipid profile in your case. You may need few investigations like routine hologram, random blood sugar, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. I also suggest combination tablet of atorvastatin 10 mg and fenofibrate 160 mg single dose at night after dinner. It will control increased lipid level. You also need diet and lifestyle modification. You should avoid saturated aft and go for brisk walk regularly. You should continue other medicines as well. Get well soon. Take Care",
"I have read your query carefully, and I want to suggest you that for your current symptoms dengue test is not necessary. You can undergo a dengue test if you have one of the following symptoms with fever, nausea, vomiting, rashes, aches, and pains (eye pain, typically behind the eyes, muscle, joint, or bone pain). For your current illness, please take these medicines, you will be fine. 1. Tablet Dolo 650 (Paracetamol) twice daily for five days. 2. Tablet Azithromycin 500 mg once daily for three days. If you want to go for a test, then please prefer CBC (complete blood count) and submit your report."
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Sir iam male 44 years old.I have gilbert syndrome, diagnosed 24 years ago.now I have fatty liver I used to drink alcohol till I found I got fatty liver. I only had 5 time alchol taken for the past 18 months.now I stopped. 6 months ago I had accute hepatitis e. And I revoverd from that .I had hepatitis b and c checked found negative. I have taken hepatitis b vaccine taken.but no antibody check done. Now for the past 3 years Ihave occassional stretching pain on my llver.other wise iam fine. Is it a worrying situation.pls answer me. Many thanks.
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"I understand your query and concern. The occasional stretching pain in your case is linked to multiple liver pathologies, but all having one thing in common that is stretching of the liver capsule due to associated enlargement of the liver parenchymal. This pain can be a predominant sequel to acute hepatitis E which you earlier had. Since you had vaccination against Hep B, you need not worry about it. Alcohol intake can also worsen liver pathology by causing enlargement and thereby contributing to pain. Abstinence from alcohol is also strongly needed. Regarding Gilbert syn Chat Doctor. This pain usually subsides in 6-8 weeks after the resolution of the acute hepatitis phase. Right Now I advise you to have a detailed ultrasound examination of your liver along witChatDoctorplete liver functional test. If these are found abnormal then further interventions are needed. Avoidance of fatty foods is strongly recommended. In The Majority of cases this pain will gradually subside with good dietary pattern alone. Discuss the above with your Gastroenterologist. Post your further queries, if any. Thank you"
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"You have been diagnosed as having Hepatitis B virus in your body. This condition is known as HBS Ag +ve. First you need to know something about your condition. Many people may get affected by this virus. Usually the mode of transmission is by using infected needles, blood transfusion and may also be transmitted sexually. In many patients the virus persists in the body for less than 6 months. If the virus persists for more than 6 months then we call that person as Carrier. Healthy Carriers are patients in whom the virus persists but will not affect the liver. So the chances of these patients landing up with Cirrhosis of liver is almost nil. In some Carriers the virus slowly attacks the liver and this is known as Chronic active hepatitis. This can cause Cirrhosis of liver. Overall if you see, out of the patients affected with this virus only 2-3% may have this Chronic active hepatitis and may land up with Liver Cirrhosis. As you have been detected to be HBS Ag +ve, you need to be further evaluated with some more blood tests to check the viral DNA load. If its in early stage the chances for a complete cure might be there with Interferon injections. But they are very expensive. My advice is you need to consult a Gastroenterologist or Hepatologist so that he can further evaluate you and can suggest you regarding the use of Interferons. Good luck to you",
"I can understand your concern. You have very high bilirubin level with extremely high level of GOT and SGPT. It suggests hepatitis. It can be due to viral hepatitis or due to other cause like toxins. You should go for complete hepatitis test to search the cause. Then you should take treatment accordingly. Your bilirubin level is decreasing, but it is still high, and your liver has inflammation so right side abdominal discomfort is obvious. You should take fat free diet with high protein diet. Tab Liv 52 and protocol tablets are useful. Consult your doctor and take treatment accordingly."
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im having pain in my scrotum on the left side beside shaft. ive been to urologist and he felt and said everything is fine. Also had some test done blood work for a few things, I don t think they were test for anything major just testosterone levels and such. The pain is worst when sitting down its seems to ease up after I stand up and walk around. I feel a slight bump above left testile and that s were pain is coming from.
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"Based on the facts that you have narrated I would state that pain at the top of the left testicle radiating up to groin and lower abdomen with a bump on the top of testicle is most likely to be due to infection of Epididymis (Epididymitis). Consult qualified Urologist for clinical examination and get following basic tests done to establish diagnosis 1) Urine routine and urine culture 2) Ultrasound Scanning of scrotum 3) Semen examination with Semen culture In the meanwhile start taking broad spectrum antibiotic like Cefuroxime along with anti-inflammatory Chat Doctor. Further treatment will be decided by him based on the results of these tests and final diagnosis"
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"Yes, there are few more issues which can give pain in the scrotum apart from varicocele. It may be epididymis or testis inflammation, inguinal hernia (can be invisible if the ultrasound were done on the lying position) or even urinary tract infection/stones. Too tight underwear can compress the nerve in groin area and give numbness and pain in the scrotum. I suggest you to start your diagnostics from urinalysis and urologist consultation. Antibiotic might be beneficial at your case.",
"This can mean an infection in the testis and epididymis. The surest sigh of such an infection is pain relief and feeling comfortable on lying down and lifting the scrotum with your hands. To confirm an infection requires consultation with a surgeon. If a single diagnosis cannot be found after clinical examination then an ultrasound scan of scrotum has to be done. This will show and features of infection, abnormal blood flow or collection of fluids as found in HY Chat Doctor. If it happened few days back then it is most likely and infection. Such infections can be treated by medications. A complete course of antibiotics and painkillers might help. Please avoid doing heavy physical exercises and going to the gym for a week"
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i suffer from Deviated Nasal Septum and therefore have nasal blockage every night and this has started from last 3 yrs especially after my dads demise which made me sad and worrysome and in trauma. My question is if dns causes nasal blockage why did it not occur before 3 yrs and i will not go for surgery so please advice allopath or homeopath medicine to cure it. thanks for your time sir.
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"I am very sorry for your loss. A deviated Nasal septum (DNS) is either post-traumatic like after an accident or congenital that since birth. In either the patient gives a history of obstructed breathing through the nose since birth or since the trauma. The other most likely cause for the nose block that you are experiencing is allergic rhinitis. The allergies in the human body can be due to altered immunity in response to allergens in the environment or mental stress. In your case I feel that the demise of your father could be trigger for the hypersensitivity causing the allergic rhinitis. In such a case surgery will not really be of great help. I shall be able to suggest the best HOM med for you if you can answer the following questions What is your body type -lean / overweight /flabby /Muscular ? What are your favorite foods ? How much salt and sour do you like ? Do you also get discharge from nose, sneezing at any time of the day ? Any relation to weather ? Thanks and take care. Chat Doctor."
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"Flu can not go on for years. This looks that Her low hemoglobin and may be other factors like proteins have lowered her resistance power. As for the blockage of the nose : there can be a mechanical problem like deviated nasal septum, polyps or a mass in the nose. An examination by an ENT Specialist and CT scan of nose and sinuses will get us the perfect diagnosis. We have to treat both the conditions",
"I understand your concern. Blood in nose require ENT consultation . it may due to trauma/ infection or stress related. Family problem with stress can lead to sleep problem and insomnia. Anxiolytic medicine will help to reduce stress and sleep problem. Lorazepam and Mizoram can help in this. Need to consult psychiatrist before taking this medicine. Exercise and meditation can help. Proper sleep and diet can help. Do stress-free activities. Consult psychiatrist and ENT specialist for better assistance. Still if you have a query then feel free to ask. Thank you. Take care"
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I need help with some questions. I went to the ER with severe pain under my ribs on the left side and swelling. Doctor said it was an angiolipoma. How are these removed? What can I do about the pain? OTC pain medications do not work and it is agonizing. Can this lonely angiolipoma affect other parts of my body with other symptoms?
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"I can understand your concern. I don't think you are having Angiomyolipoma. Angiomyolipoma is benign tumor consists of blood vessels and fat tissue. This can not cause such kind of severe agonizing pain. Angiomyolipomas are almost always painless. So in my opinion, you should consult another doctor and get done clinical examination and Biopsy of this swelling to confirm the diagnosis. You will need surgical removal of that swelling. And yes, they can recur in same site or in other parts of body. Don't worry, you will be alright. But better to first diagnose yourself."
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"I can understand your concern. Yes, all these are more suggestive of heart disease like coronary heart disease (CHD). Left sided chest pain with arm pain, at midnight and relieved by arbitrate are characteristic features of anginal pain. So immediately consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2 d echo 4. Coronary angiography if required. Quit smoking if you are smoker. Don't wait at home, check yourself for heart diseases because this can be life-threatening if not treated promptly.",
"Thanks for your query. Read the history and understood your problem. You have combined symptoms which look unrelated but if considered together namely the pain in the left lower abdomen radiating to the lower rib area, chest, arm pit, for 2 weeks and now radiation to the inner left thigh and left knee back, it can be due to spinal problem. I would advise you to have the following:Consult a General Surgeon for a very typical presentation, clinical evaluation and physical examination to decide whether these are different problems or sue to a single problem having varied presentation. This will help to get the investigations done:The first should be EKG as you have chest and armpit pain. Rule out the cardiac problem first. MRI of the whole spine from the cervical to the lumbar spinet scan of the abdomen investigations of the blood, urine and stool. The final diagnosis hence made will help to formulate the proper treatmen"
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hi sir, well I had a left radial wrist surgery and ive got k wires in my wrist. i just want to know if once they will remove them, ill be able to immediately have all mobility, put pressure on it to use crutches. because im waiting for the removal so bad to be able to use crutches to walk with my left broken femur.Thank you in advance,Gavin.
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"Normally, I remove the k wire after 6 to 8 weeks and the patient is on splint. After 6 to 8 weeks the fracture either is not 100% healed or has some kind of post-traumatic osteoporosis (in women mostly) which means that is not ready to use crutches. I think with physical therapy for 4 weeks you can gain your range of motions. Regarding using crutches I would wait more than 4 weeks after k wire removal. That will depend on you bone quality and healing on x-ray. It may go to 8 weeks after k wire fixation to use crutches. You can use wheelchair instead."
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"efinitive treatment for your disease may be kneed joint replacement. Total knee joint replacement patient find good difference in mobility after joint replacement. So you can do TKR after consulting joint replacement surgeon, there will not be any problem, probably. Post-operative Physiotherapy like ultrasound and tens will help, along with knee exercises for early recovery. For further details you can contact on my profile directly http://doctor. ChatDoctor . com/doctors/ Chat Doctor. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not forget to give rating to this answer. Wishing you good health. Take care",
"As you have RSD I feel you need a neurologist to perform a clinical examination. Post which there might be a need of the EMG and NCV test. Since RSD is a painful condition with severe contracture deformity there is a way which in my clinical practice is helpful to them. Like, usually RSD is recommended to a physical therapist for the release of contractures if they can be mobilized in about say 4-6 weeks of time. Most cases have been mobilized in that period and many haves got some mobility of the muscles as well. The physical therapist will use hot water therapy before providing the mobilization of the bones and stretch to the muscles. It will be a painful but has helped regain he is normal muscle length. This is a little longer procedure and may give pain but with results. Also, TENS therapeutic ultrasound are used to reduce inflammation and pain in these cases. In some cases were the contraction deformity is severe there the Neurologist may recommend Botox injection which will lose the muscle fibers and post which conscious physical therapy and splints are used to maintain the muscle length. Post which the mobility of the joints is expected and worked for a couple of patients in my clinical practice. I will advise you to discuss the same with a neurologist as RSD is a treatable condition and you are a get out of this pain and disability factor. Need little patience and understanding about the case and things will work fine. Regards Jay In"
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hello doc this is veena from India . my query is ......... my sister is going to get married soon .but we discovered that the groom has lipoma on his hands how safe is it to get married to a person with lipoma. how fast does the tumor spread in the body
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"Thanks for your query and wonderful to know about your concern for your sister. If the diagnosis of lipoma is a confirmed one, just DO NOT worry. Lipomas do not spread at all. It is absolutely safe to marry a person with lipoma. This is one tumor which never is transformed into a cancer; so be assured. Yes, you can always request him to get them removed if they are looking odd; otherwise there will not be a problem at all"
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"1. The long-standing history of lump suggest benign pathology (non-cancerous) most likely lipoma. 2. But present symptoms could be due to complications in the lump. 3. In this case very much recommended to get examined for better evaluation. 4. An ultrasound examination - will give the nature of the lump, its extensions, vascularity and source. 5. It could not be anything serous - but you may need to get a small incision and a course of antibiotics post procedure. Good luck.",
"A lipoma is a benign fat containing tumor usually found under the skin but might occur in any place. Lipomas are soft swellings that slip under the skin when palpated with fingers. It will help to get an ultrasound scan of the area and if possible then a CT scan or MRI scan which will confirm a lipoma. If it is a slow growing swelling and soft such that it slips under skin then it is most likely a lipoma. However, it will help to consult a surgeon to confirm it and then get treated if required. Please do not worry"
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Hello doc, would you please tell me whether sodium valproate 500 mg and citicoline 500 mg and piracetam 800 mg can be crushed and taken as it has become impossible to give the whole tablet to d patient. Additionally what are the effects after taking such medicines for traumatic brain surgeries?
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"I have noted your details, including the diagnosis and current medications. I presume the difficulty the patient is facing is regarding swallowing the tablets on account of poor swallowing or semi-conscious state. Better option for you would be to use syrup formulation of these medications, rather than crushing the tablets. All these three medicines are also available in syrup form and that can be used. Regarding the effects, sodium valproate prevents seizures or fits, whereas citicholine and paracetamol are neuroprotective and improve memory. 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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"You should get an EEG (Awake and sleep-deprived), MRI brain and see a neurologist. I'm almost sure that you will feel much better with antiepileptics like oxcarbazepine or sodium valproate. The point that there is a feeling of weakness and smell after the attack is highly in favor of a seizure disorder rather than any psychological issue. wish you good heal",
"Tell him to stop weight lifting. Take rest on hard bed. Tablet Regain x75 mg one at bedtime helps in relieving pain and numbness. Visit to orthopedic surgeon for detailed clinical examination is recommended. MRI of the lumbosacral spine needs to bed done."
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My son had the flu a week ago. No fever now but very congested in his head. His throat is hurting all the time. He is taking mucinex d for congestion . Should I give him alleve or Tylenol for pain. He is allergic to ibuprofen. How long will he feel bad. He had a flu shot in November! He is 15 and also has asthma. Please help.
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"Asthma can worsen during the flu which usually is a self limited illness and usually should resolve within about one week. Tylenol for his weight can be given every four hours as needed. Fluids, rest and monitoring his temperature also are important for his recovery. If his asthma or respiratory status worsen, he should seek medical advice from your pediatrician. Inhalers such as albuterol and possibly steroids may be needed if he worsens. My pediatric pulmonary practice accepts telephone consultations. If you have more information or questions, this can be faxed along with a copy of his insurance card to 858 259 9689. I can then give you a call a number that you provide to discuss his case further. Only the insurance will be billed, no bill will be charged to you personally. Thank you for your questions"
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"Thanks for posting your query at our health forum. It seems your son has developed an upper respiratory tract infection (mostly viral) and hence has developed cough, cold and runny nose. It is better to wait for 2 days because antibiotic usage due to chances of developing resistance, is not prescribed right away. You can continue giving him Paracetamol syrup for his fever twice daily after food, and Ben",
"Understanding your concern. As per your query your child have symptoms of body ache, fever and fatigue which seems to be viral fever or flu which seems to be due to poor and compromised immunity of body. Need not worry. I would suggest you to 1) Take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache. 2) Chat Doctor. 3) Avoid cold carbonated liquids. You should not take fried, hot and spicy food. 4) Do warm saline gargles. 5) Take analgesic such as Flexion and take light diet. Your symptoms will resolve in 3-4 days. If symptoms keeps on persisting visit pediatrician once and get it examined and start treatment after proper examination and prescription. Go for blood tests as well. You should do warm saline gargles on daily basis."
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I have had these symptoms of intermitent stomach ache, nausea, vomiting, severe headache hot flashes and cold chills on and off for months. Ive seen 2 physicians, one thought it was my thyroid gland, the other thought heart disease. They were both ruled out. I hope you can help. Respectfully, Natalia Zylich
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"Thanks for your query. The symptoms complex of intermittent stomach pains, nausea, vomiting, headache, hot and cold flashes and cold chills for months may be indicative of the following:Hormonal imbalance either due to your suffering from within or taking some hormonal preparations. Other probable cause can be - carcinoid syn Chat Doctor. I would advise you the following ::CT scan of the abdomen, Blood : routine and Hormonal studies. Urine; Routine, microscopy and culture and sensitivity. Blood 5 ETTA and related tests. ColonoscopyAll these tests and the additional tests as may be advised by your Doctor, after taking a Third opinion. Till then, you can have a symptomatic treatment. Antibiotic, metronidazole, probiotics, PPI like Pantoprazole, Risperidone for nausea and vomiting; and any symptomatic and supportive treatment as may be required. Once the diagnosis is made the treatment will be easy"
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"Thank you for your question and welcome to Chat Doctor. I carefully read your query. The symptoms you are describing with tremors of limbs and jaw, dizziness, irritability and irregular heart beats, make me suspect for a thyroid gland dysfunction. Therefore, I recommend that you do a full thyroid control:- blood levels of TSH, fT3, fT4;- ultrasound of the thyroid gland. Furthermore, this heart beat that you are experiencing, can be irregular. In this case, the highest probability is that we have to deal with a supraventricular arrhythmia, probably atrial fibrillation (instead of atria being contracted in harmony with the cardiac cycle, their contraction is uncontrolled, and they do not function properly to propel the blood into the ventricles). This is a benign arrhythmia, but if more than 48 hours on this arrhythmia, atria can generate little blood clots (thrombi) due to not contracting properly. Thus, I suggest you to do an EKG, echocardiogram and a 24-hour Holder rhythm monitor registration, to confirm or exclude this diagnosis and, also to start treatment either to achieve rate control or rhythm control. You can further discuss these matters in details with your treating cardiologist. I hope I was helpful. Best regards. Take care",
"So go through your problem. For pain in neck and headache go for Cervical X-ray with blood pressure monitoring. It might be due to cervical spondylosis. For stomach disorder take antacid with fibrous diet and avoid late night heavy food. It might be due to gastritis. If not feel fine then go for ultrasound of abdomen to find out the liver and intestinal organ problem. Also go for Vitamin D3 blood test. After getting the proper diagnosis take treatment."
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Dr I hav severe dark lines around my lips what is the reason for it..is it possible to remove it completely with laser treatment...i don t smoke ..its like as if I drew with a black pen around my lip
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"dear user. , Thanks for choosing Chat Doctor. , Dark lines around the lips . , usually due to. , Smoking, Hormonal, genetic and climacteric conditions. , So evaluate it. , Without smoking also get this problem. , Medically. . . best is. ,1) Cap. Vit E 400 mg daily for 2 months. ,2) Apply moisturizing cream on affected part will give compete remission. , but it will take time. ,3) Yes, LASER. . . . treatment gives tremendous results. , Here it can erase with Gold Standard. . . . EX- MAX Q Switched Nd: YAG Laser. , from FIONA. . . will give such a result. . . but expensive. . . So consult good trained Dermatologist . ."
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"I have gone through your case. In my opinion, the dark marks on your stomach are post-inflammatory hyperpigmentation or lichen planus. It does not require surgical intervention at all. But it is important to know if other body areas are also involved. Did you have any other previous lesions in the same area? Did you ever have pustules or any itching or burning symptoms? If you do not have any symptoms, then relax, it may regress after some time. Regarding treatment steroid alone is also fine. But treatment applying a mixture of 1 % Hy ChatDoctor.",
"Hyperpigmentation can result from excessive sun exposure, use sunscreen with SPF 30. Some natural remedies are-mixture of lemon juice and cream; apply on face. Put lemon juice onto basil leaves. This is great for getting rid of pigmentation marks and dark circles that may have been a long-time problem. Apply lime (NIMBY) to the affected area, and after 15 minutes wash it off. This needs to be done on a daily basis. Other remedy is Comic acid cream which lightens up the dark spots but takes some time. However, mellow is a facial treatment using Vitamins and Mineral injections to add that healthy glow to skin which radiates energy and vitality. Subdermal vitamin injections rejuvenate the cells, making them more active and thereby stimulating the production of collagen and elastin. Overall it reduces dark spots; effects seen faster than comic acid. You can continue same treatment for dark spots along with natural remedies and sunscreen creams. Take care"
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My son was in a car accident 7 weeks ago and broke his arm at the top near the shoulder. He had surgery and metal was put in. He is still in a lot of pain. Since he had been trying to lose weight before the accident he is still walking a mile a day and he walks with a book bag on his back with weights in it . My question is can that be causing the pain and hindering his healing. He starts physical therapy tomorrow.
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"Since your son was operated 7 weeks back he should not carry weights on back. That may be reason for pain. Also initial pain due to fracture will decrease as fracture starts uniting. He can walk as much as he is conformable without lifting weight on back. You should take advise from operating surgeon before going further. X-ray of involved should be taken before starting physical therapy to assess progress in healing."
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"As a Urologist, I can fully understand your concern. After the tests you've mentioned, so far, nothing significant has been found. Most likely, it's only a muscular pain. He should carry out daily exercises. Even getting specialist physiotherapy treatment, relieves the pain quickly. The stone treatment usually doesn't have pain for so long. So don't worry about that. Also, uric acid would've been tested at that time. You can get my expert opinion, by sending your doubt as a direct question. Chat Doctor. Mang",
"If lifting of weight is causing pain then I will advise you to have an X-ray of affected part to know the reason behind pain. This can be due to incomplete union or stress fracture. Till then, you should avoid bearing weight on affected arm. Take care."
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Hi, MIne is 31 day cycle of period.this time i have taken the medicine for growing egg and its nicely growed after that my doctor gave an injenction called hgc or ChatDoctor then the eggs are came out from the ovary,(doctor notify it) Today 37th day of my period.i got little bleeding.why this is happens. will i preganent or not? please answer me.Note: THis is for my second try the same above procedure.
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"I understand your concern. Chat Doctor injection was given to you to induce rupture of grown follicle & release mature ovum. Which facilitates conception. You had taken injection Chat Doctor after 31st day of cycle & ovulation follows after 38-40 hours of injection. So in my view the bleeding you had on 37th day was the ovulation bleeding. With the successful ovulation, if you had unprotected sex in 24-36 hours of the ovulation. You have all the chances of pregnancy. Thanks"
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"The possibility of pregnancy is less in your case. As:- In case of regular 28 periods to 30 days cycles, usually ovulation won't occur on around 23rd day of cycle. -And you took the emergency pill. But emergency pill can alter the menstrual period depending on the period of menstrual cycle when you took the pill. So your periods may get delayed. If you do not get periods even one week after expected date of periods, go for pregnancy test once. Take care",
"When you have not missed your period, nausea in the morning may de due to increased acidity or stress of not becoming pregnant. Some antacid will give you relief. The very fact that you had a miscarriage once means that you were pregnant. Thus, you have proved your capacity to be pregnant once. Hence, your eggs must be forming regularly, and your husband should be having good quality semen. The only question is whether you contacted any minor infection during the miscarriage which had resulted in tubal blockage. Please get hysterosalpingography done to find the evidence of tubal patency. If the tubes are blocked, you may require surgical intervention for reopening the tubes. If the tubes are patent, please monitor egg release (ovulation) by ultrasonography from day 9 of the cycle. On and around the day of ovulation, try to have sexual relations maximum times. You can give such fair trial for at least three months. If still it fails to make you pregnant, please report to Infertility specialist for further investigations and treatment. I hope this helps you"
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I feel a hard lump on the outside of my shin bone I also have 2 cysts on my right rib cage I got these checked about 2 years ago and was told that are just cysts I am a bit concerned about the shin bone though what do you think this could be I have no pain
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"Thanks for your query. Noted the history and understood your concerns. Hard lump on the shin-bone can be due to the following reasons:It can be an organized hematoma which might have formed a long ago due to some trauma in the past. This is fixed and hard. There is no actual treatment and not needed as there is no pain or tenderness. If this is due to a sebaceous cyst, there would a dimple on skin caused by duct of the gland; this may be mildly mobile and softer. Lipoma is freely mobile, of a long duration and non-tender. Neurofibromas are usually multiple, firm to hard and non-tender. The cyst on the rib cage are also noted. I would advise you the following in such a situation:Get an ultrasound and FNAC if required so that a proper diagnosis is made and future treatment is planned"
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"First you should know that usually cancer in such area does not cause acute pains for a long time. If this lump is near groin region it can be an inguinal hernia. It can get bigger while standing and coughing. If so, surgery can fix it. Such painful lump can be also sebaceous cyst. This is benign soft tissues lump which get painful if it gets inflamed. IT can be also removed with surgery. The best way to have it diagnosed is to perform ultrasound of this area.",
"It might be another lipoma, sebaceous cyst or other benign soft tissues lesion. Usually it does not need medical attention and can be left alone. It will be gradually getting bigger, and if it's a sebaceous cyst, can get infected and cause some pain. There is also a possibility that what you feel is a hernia. It is possible if you have had any surgery in this region. The best way to find out what it is, is an ultrasound."
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my cousin has scrotum cellulises. His platellete count is going down. Doctors are giving him monocef 2g injections morning -evening.Will it control the count and the infection? How long will it take? right now the count has come down to 70,000. I dont have a credit card . What do I do?
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"Read and reviewed your query facts in context to your health concerns. Based on the facts submitted in your query, You seem to suffer from-Scrotal Cellulitis. You are getting the Maximum dose of Monomer. Though I am devoid of any info on extent and severity, your blood count seems to be 70,000 and indicate extensive cellulitis. Hence, it would be 1-5 days time, without surgery. If proper surgical care is taken, this would be under control in 2 days time. Diabetes needs to be ruled out for better results, as it may extend the period if present, due to delayed control of infection. Other supportive measures-like-diet/plenty of fluids/ and anti-inflammatory / vitamins need to be monitored carefully."
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"Here no diet restriction is needed. You may give whatever the child wants. In most of the cases platelet count increases over a period of time without any specific treatment. I suggest you to get repeat test done after 7-10 days to know the platelet count. In very few cases low platelet may persist for longer duration. In that case I would suggest you to consult your pediatrician for managemen",
". . Noted you are having typhoid. . . . So because of that you are having muscular pain and so feeling it. . . . Just now consult doc and if needed hospitalization for 3 to 5 days needed. Take intravenous ceftriaxone for 3 days. Then after take oral definite for 10 days. Meanwhile, take small diet with frequent interval. . . . Avoid excess oily and fatty food. Fruit juice best one. . . . Soft and bland diet taken. . . . Non veg food avoided. . . . Egg and pulse like protein useful. Take care. Stool culture after treatment should come negative. . . . USG done in your case."
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a stent is already fixed in a person , can he go for MRImy father had balloning 7-8 years back and stent was fixed at that time, now at this time he has no heart problem. But skin doctor advised for mri for mole having on his forehead, kindly advise.
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"It all depends on the makeup of the stent. Many of the early stents, some 20-30 years prior were of a bare-metal casing and as a result, they would absolutely be a contraindication for any MRI scanning. MRIs are a high magnetic environment and could cause serious damage to your fathers' heart if they were to vibrate and dislodge as a result of the induced forces while under a scan. Nevertheless, many if not most Cardiac stents are devoid of any metal products. As there are dozens of different types of stents I will not surmise as to what type your father could have had placed. Nevertheless, it is commonplace before MRI to obtain a full body X-ray to scan for any metal. I would suggest you obtain an X-ray to rule out any internal metal placements, and if he passes this; to proceed with MRI testing"
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"Maybe an MRI neck might be advised to see the soft tissues from inside. Continue the medication prescribed and if not consulted the ENT for more than 8 weeks needs to consult again for a change of dosage. Do simple breathing exercises in the meantime.",
"). For this reason, I would recommend performing a brain CT scan or MRI (which is a more accurate test compared to the CT scan), in order to determine the possible cause underlying his complaints and conclude if it can be fixed or not."
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Hello doctor,I am a 20 year old female. I have had two sexual partners. The second one is my current boyfriend. I used to shave my pubic hair all the time but started getting razor bumps from it. I decided to stop and let the hair grow out fully before attempting to shave it again. I noticed the other day that I have a few bumps on my labia, some painful. I am not sure what they are and thought not shaving would stop bumps from forming. I have gotten painful bumps on my pubic area in the past when I shave and do not shave that seem to come out of nowhere. I have also noticed a smell from my vagina during the day and even after I take a shower the smell is still there. Is it because of me not shaving for months? Where do you think the bumps come from? My last question is do you think I have an STD?
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"With your description, I can list a few possibilities for the painful bumps over the pubic region: Do you have any discharge from the vagina?Do you have itching as well?Since when did you notice this? Please mention duration in days. I am afraid I cannot make any diagnosis or rule out STD here without seeing your clinical picture. Kindly attach your clinical picture along with your query so that it is convenient for me to comment on your condition and give you appropriate suggestions. Revert with more information to a dermatologist online"
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"I am Chat Doctor answering your query. Even though chances of STD are remote because of your monogamous relationship with your wife, I being a doctor would advise you to undergo tests for it after getting it physically examined by a dermatologist in your area to rule this out. The lumpish swelling could also be due to friction and the foreskin attachment with the penile shaft being pulled up causing a small hematoma in there. This could be said with certainty only after getting physically examined by a doctor. If you are using astride for the first time, sensitivity to this reagent can not be excluded. Whatever it could be, I would advise you to get your self reviewed by your family physician/dermatologist to arrive at a particular diagnosis. 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.",
"I have gone through your case. Most likely it is candidiasis which commonly occurs in such areas when body folds have some friction and on top of it, moisture and tight clothing promote it. No, it does not look like to be part of STD. However, if you have a history of unprotected sex you need to undergo some blood tests to be on safe side. For your current diagnosis: For more information consult a dermatologist online"
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Sir, My mother had a surgery for the bile stone almost one month back , and it is removed. But at the time of recovery period after surgery, she had breathing difficulties, later came to know as oxygen saturation problem was there. Some tests had done at the time while she was at ICU related to this, and the report saying as she is having cardiomegaly. Now her doctor suggested her to do endoscopy and echo test ?,I would lke to know, what would be her problem, is there any chances of cardiac related issues?
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"I have reviewed your query and here is my advice. Cardiomegaly is general term and has multiple causes like heart blockages. Does she have any chest pain, if yes it suggests it can be due to blockages? Now we should evaluate her, she will need lipid profile, Sugar level done, ECG, thyroid test, echocardiography. Depending upon the result further test will be done. Get back with the report. Also let me know how she was diagnosed as cardiomegaly, was it on chest X-ray. If it was diagnosed on chest x-ray then it can also be false. Sometimes chest x-ray wrongly show cardiomegaly."
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"I can understand your concern. Possibility of congestive heart failure is more likely in your case. Congestive heart failure causes water retention in the body. This in turn causes edema in legs, chest congestion, cough, breathing difficulty on exercise. Your heart size is also on higher side of normal. So possibility of worsening cardiomegaly and heart failure is more. So get done 2d echo and coronary angiography. You may need digoxin, angioplasty and other cardiac supportive Chat Doctor.",
"Electrocardiogram and echocardiogram is a must. Explanation: My opinion is that heart palpitations have many causes. Simple causes are more common such as anxiety, stress, excess coffee, and anemia. Other diseases as thyroid problems and hypertension are also causes. In your case, you have accompanying symptoms such as lightheadedness and dyspnea and that is a source of worry. I suggest my patients the following: general and local heart examination is a must, EKG and echocardiogram to see any structural or functional defects are present. 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 family history of similar conditions, relation to exercise and also history of syncopal attacks. Conclusion: I suggest you check with your cardiologist to investigate accordingly."
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Ive recently started taking Yasmin birth control and first of all Ive had my period for the whole month and 2 days ago i started drinking the white pills from the pack so im assuming that that is when my period starts. Secondly my breast have become a bit bigger and they are a bit tender. is all this normal???
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"In fact, they are supposed to regularize otherwise irregular periods. If with the pills you had continuous bleeding for the whole of the month, it means that either the pills were not taken regularly or they are not suiting you, and you may have to switch to some other dosage combination, may be with higher dose of estrogen in them. Heaviness and tenderness in breasts is known while on birth control pills. It is due to the water retention property of progesterone component. Soon you will be used to the size and the tenderness will not last long. If it is becoming too uncomfortable, you may try restriction on salt intake"
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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.",
"I understand your concern. There are two possibilities with your spotting around periods along with breast tenderness since few days -In case bleeding is scanty stops in a day or two (unlike routine period) . . . and home pregnancy test with a clean urine collected in a clean container . done after an 8 days later turns +ve. You are pregnant. -OR -Breast tenderness could be premenstrual . the spotting may be followed by normal menstrual bleeding. . . the menses may get few days late due to anxiety of getting pregnant. *please don't be scared . . . provided both of you are normal (checked for fertility-before planning for a baby) you will conceive in months to come. Thanks"
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I take xarelto every day and while in hospital they give me asprin and I brushed my teeth and I bleed a lot from my gums and after I got home and didnt take asprin they didnt-lastnight I took and asprin for chest pain and woke up and blew my nose and blood come out
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"Thanks for the query. Both Carlo and Aspirin are blood thinning medication. Taking blood thinners can cause increased episodes of bleeding. Gum bleeding can. be due to these Chat Doctor. . Soy suggestion is to consult an Oral Physician and get your teeth and gums checked for Infection. Also, you should consult your Physician and get evaluated so that the dose of the medication can be titrated. As of now available vigorous brushing and use cool compresses on gums to reduce bleeding."
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"This commonly occurs due to vitamin deficiency. Please do visit your dentist and take treatment according to that. Please do not take antibiotics without medical supervision. Take tab. flanzen-100 mg,thrice daily for 3 days and tab. wysalone-5 mg twice daily for 3 days. These tablets after consulting with your dentist. Also get your teeth professional cleaned as your gums are bleeding due to gingivitis. Check also whether any of your impacted wisdom tooth is inflamed i. e. , pericoronitis. if present, get operculectomy done or extraction. peritonitis can cause sore throat. Continue gargling salt water. Maintain good oral hygiene. Take care",
"m. I had gone through your question I can understand your concern about your teeth. As per your history and symptoms it seems to me you are having apical periodontitis (that means infection blow tooth root) because of that there is pus and tenderness while you put pressure on it. If I had been your treatment doctor I would have prescribed the antibiotics like Amoxicillin clavulinic acid thrice daily, dosage adjusted as per your weight and anti-inflammatory too like Ibuprofen. You must visit a doctor and take medication as prescribed and if you want proper treatment plan upload an n image and write to us back."
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Have copd ,and for a month have had bronchitis . My dr. gave the cocktail shot and cefdinir ,also using albutrol in nebulizer every 4 hours and Adair 2x a day. 2weeks later extreme soreness in chest underarms and upper back,very congested , hurts to breathe. Having trouble recling from the soreness, feels like bones are broke in chest and back. Went back to dr. Got rohcefrin shot and prescribed budesonide also to use in nebulizer. How often should I use the budesonide?
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"By your history and description, you are having acute exacerbation of COPD (chronic obstructive Pulmonary disease). And infection is the most common cause for COPD exacerbation. Your symptoms like cough, chest congestion etc. favors lung infection more. Control of infection should be priority to treat exacerbation. So consult pulmonologist and get done sputum culture and sensitivity report. Culture will isolate the organism and sensitivity report will guide you about effective antibiotic therapy. Budesonide is inhaled steroid and should be taken twice daily. Along with budesonide, you should also take nebulization of LAB (long acting beta 2 agonist). This will give you more symptomatic relief. Also start chest physiotherapy, Multics, expectorant and anti-inflammatory Chat Doctor. So consult pulmonologist and discuss all these"
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"I can understand your situation and problem. You are mostly having seasonal bronchitis. Your treatment is partially correct. According to standard guidelines, instead of domain 40000, you should start inhaled bronchodilators and inhaled corticosteroid. Domain is having doxophyllin. It is a oral bronchodilator. Inhaled bronchodilators are the treatment of choice for bronchitis as they are having very less systemic side effects and quick onset of action as compare to oral bronchodilators. So discuss this thing with your doctor and get prescription for inhaled bronchodilators and inhaled corticosteroid.",
"Your child suffer 2 weeks. It seems he has acute obstructive bronchitis. If I were your doctor I would prescribe you antibiotic, which can treat inflammation and nebulizer inhalation. What you wait at home? If you don't see effect then go to hospital and do inhalation with albuterol, aerosol or Pulmicort or fluticasone, because when medicine will go inside of lungs then you will see real effect. Special vibrational massage is also helpful 3 times during 5 min, baby will cough easier. You should do x-ray examination of lungs for excluding pneumonia, because it is often complication of bronchitis, check blood test, urinalysis for excluding complications from side of kidney. Take care am I wishing you speedy recovery"
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Hi, I ve some pain/discomfort in my right abdomen . While I ve pain in the lower right back and near the rib cage (of back), I ve internal pain/burning/discomfort in the front side. I suffer acute pain on the front side when I m starving. I do not know what is the exact region. And further if I hold urine for a long time and pass I experience pain in the right testicle and burning under my right foot. If I stretch with my hands up I get a muscle pull just under my ribs at the back side on the right. I ve shin splits on the right limb. I also experience complete squeeze out of energy in the right limb some times. Could you please explain to me whether this is more related to a muscle, like a spasm , OR something related to Gastrointestinal disorder OR something related to kidney stones? Thanks
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"Thanks for calling Chat Doctor. F. Pain right abdomen near the rib cage, and to the front, acute pain when starving, all these suggest gastric irritation, or peptic ulcer. This is to be treated first to solve the confusion. If you stretch your hands up you get muscle pull under the ribs, at the right back, lack of energy in the right limb sometimes, this is all suggestive of muscle pain due to some systemic infection, cervical spondylosis, If you hold urine for long time and then pass urine you get pain of right testicle and burning in the foot may be due to kidney stone on the right side or urine infection. So it is to be treated as a second step. Muscle pains could be secondary to the U. T. I. or kidney stones. I advise you to consult a physician for diagnosis and treatment. You may need to have M. R. I. of the urinary system, and cervical spine and gastrostomy for confirmation, Wishing for a quick recovery. Best regards"
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"Pain in this region can arise from part of the stomach, small intestine, large intestine liver , gall bladder and sometimes the kidneys. If you are feeling severely disabled by it and cannot contact doctor immediately a USG abdomen, if feasible may be helpful to rule out the urgent causes",
"Forum. I think you are somewhat confused as the pain on the left side just above pubic area means pain in abdomen not in stomach. Anyhow, the possibilities may be of, Any kidney stones which may present such type of pain with desire of defecation and frequent urination. For this purpose you need to get an ultrasound abdomen and kidney areas. Loss of appetite, lack of energy are due to sharp pain. I suggest you to consult a physician and get an Ultrasound of abdomen (left). Get in blood as well urine tests. Good luck"
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I have been taking Cymbalta for about 4 years now, but I was unable to get my prescription for 5 days. Is 5 days (cold-turkey) soon enough to start feeling the effects of not taking my medicine? I ve been completely anxious and upset the last two days...
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"If your illness and depression has not properly recovered, and you stopped to take medicines then it may result in worsening in illness. Cymbalta contain duloxetine and it may cause re-emergence of symptoms within 1 week of discontinuation. So if you feel then consult psychiatrist and get prescription as early as possible. Need to maintain proper compliance and continuity un medicine for better and faster control in illness. Thank you. Get well soon"
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"Most probably, the symptoms you are facing could be of two reasons put together. One is abruptly stopping your medicines and second is your self created obsessive thoughts about the aftereffects of stopping the medicines. In any of these cases, the best coping method is to start the medicines again. If you require more of my help in this aspect, please use this URL. http://goo. gl/aYW2pR. Make sure that you include every minute details possible.",
"Thanks for your query. Noted your history of 5 little bumps without any head or leakage of fluid in a kind of group on the chest for 6-7 days. You are also taking Wellbutrin/bupropion 140 mg for about 6 weeks, plus, have been eating an occasional MM lollipop (40 mm/lite dosage). Since you have been taking the above said medicines for 6 weeks, it is not likely to cause such a skin reaction after 5 weeks of usage. Hence, it may be due to some reaction to insect bite or may be just ill formed sebaceous cysts. I would advise you the following:Keep them under observation. Consult your Doctor to get a proper diagnosis and treatment if any. Please do not try anything at home as it will change the character for diagnosis to be made difficulty. You would have posted pictures for me to do on-the-spot diagnosis"
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My step daughter is visiting on vacation. We were having our nails done and the place smelt strongly of chemicals. Here finger got a small cut and they put something on. At that moment, she says she got dizzy, couldnt see and got nautious. I took her outside and had her sit on the ground. She lay down for at least 10 minutes until her dad arrived and we took her home. She has low blood pressure and anxiety, and she has had panic attacks in the past. When I Googled her symptoms, it came up with panic attack. I had just finished telling her that when my husband showed up, asked her what was wrong, and she began to cry. Does this sound like a panic attack to you?
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"It is basically stress reaction due to injury. Everyone has that type of reaction for a while got injured. These symptoms arise due to sympathetic hyperactivity and nor epinephrine dishrags from brain. But gradually it will decrease by time. No need to do extra treatment. It is not panic attack. Just do support to her and explained to her how this all occurs and common reaction. Strengthen her confidence. Thank you"
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[
"I suggest you not to worry much. From your description, I am to believe that you are having panic attacks and not nerve related problems. You should also understand that panic attack often show palpitation, sweating, restlessness and general uneasiness. If this is panic attack, you need not worry. The problem started just a few days back. Means if you are treated properly, you can be cleared. Treatment starts with basic psychological counseling and then mild psychotherapy techniques. Psychiatry intervention may not be necessary at this point. 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.",
"I can understand your. Yes, possibility of stress, anxiety and panic attacks is more in your case. These all can cause chest pain, chest tightness, suffocating feeling, breathlessness etc. during that period. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You will also need anxiolyti"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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age 68 years sex male tlc count 54000(getting reduce from last two days earlier it was 65000) current status : he is on ventilator at present. diagnosis chronic kidney disease stage5 urosepsis hypertension type II diabetes mellitus prostatic abscess pyonephrosis post dj stenting
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"TLC is very low that indicates his body immune power is very low. The CKD result from DM and Hypertension. There is also an abscess in prostate and also infection in kidney. He may be in septicemia condition now. He is under ventilator as you are telling. So prognosis is not so good. Wishing for a rapid cure"
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[
"Burning micturition with urgency is early sign of urinary tract infection. What is your age? Always mention your age while giving history. Diagnosis can very depend on age. For example if you are elderly all these symptoms points towards benign prostatic hypertrophy. This needs to be investigated with 1) urine examination for blood, sugar and crystals. 2) fasting and postprandial blood sugar levels 3) ultrasound of pelvis to see prostatic volume. You need to consult your physician with all reports so that appropriate treatment can be started",
"For calculation purpose I am assuming the patients weight to be 60 Kg as it is the reference weight for Male. The formula used in his case is Weight In Kg X (140-Age in Years) divided by Serum Creatinine X 72 which is about 10. 11 mL/min in our patient. Now as per the 2005 European Guidelines-1. Dialysis should be initiated when GFR is 2. Before GFR has fallen to 6 mL/min irrespective of symptoms. Diabetic patients may get the benefit from an earlier start, hence your doctor has advised Dialysis. Alternate Options to Hemodialysis (HD) would be Peritoneal Dialysis (PD) and Kidney Transplant. Considering the age Dialysis would be the only available option. Choosing between HD and PD-Continuous ambulatory peritoneal dialysis (CARD) is preferred in young child Chat Doctor. If the patient has some residual kidney functions then you can start him on CARD, and later he can be shifted to Hemodialysis once he becomes an uric (means urine output is less than 100ml/24 hours)"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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This is lakshmi. Actually my father is having problem in liver. He used to drink alcohol , but now he reduced but unable to stop. and he use to have lot of nonveg also. my question is what are the foods he can have and what are the fruits he can have.
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"I can understand your concern. Your father has liver disease. First he needs to stop taking alcohol completely. If he can not stop then consult psychiatrist. He will assist to stop alcohol. Low fat diet is preferred. High protein diet should be taken. Avoid oily and spicy food as well as heavy food. Take frequent light meals. All fruit can be taken. Go for regular liver function test including GOT and SGPT."
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[
". . Noted you have fatty liver in scanning report. . . Because of high cholesterol level you are developing fatty liver that is stenosis condition in which fat accumulate in liver hepatocytes. Along with Chat Doctor. . Avoid alcohol. Fruits more. . . Grenn leafy veg taken more. . . Avoid bad fat food like pizza, junk foods, meat, cheese etc. . . Regular one hour exercise done. . . . Use very less oil in diet and use only sunflower like good oil. . . In your dinner and lunch include carrot, spinach, tomato containing salad more. . . yogurt good for health. . . . . You will be alright with time. . . Don't worry and follow above advise. . . .",
"You have not mentioned cause of jaundice. It seems to be viral hepatitis. Your Sept and got coming down that suggesting recovery phase. Your bilirubin will also eventually come down. Follow below instructions. . . . . Avoid fatty and fried food. More fruits. Green leafy veg useful. Regular exercise done. Avoid refined food and sugar. Avoid junk foods, pizza, cheese, burger etc. Cumin seed with milk can be taken daily. Licorice with honey also good herbal remedy. Papaiya also good in jaundice. As far as Chat Doctor. I hope your concern solved. 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 had my wisdom teeth removed yesterday and the bleeding has stopped for the most part, but on the right bottom side, the suture has a dangling thread about an inch long. Can I trim that a little shorter? Its making me gag and Ive gotten sick twice because of it.
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"Read your query. Yes it is little annoying when the thread is dangling which is supposed to be trimmed to avoid further irritation. But I would advise you to get it done by the dentist itself as u may end cutting the suture itself and this may prevent the early healing or may cause bleeding in itself. Continue with medication and hope this was helpful. Thanks and regards"
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"You should definitely not get recurrent infections in those areas unless something was done incorrectly. My suggestion to you is to get a second opinion by a local board certified oral and maxillofacial surgeon. You can (if your stitches have dissolved) rinse your mouth twice a day with warm salt water. 8 oz water to about 2 tablespoons of salt - dissolve and rinse. It might take a few days before you see results",
"The white stuff on the area where the stitches have been put is nothing but a soft tissue slough. Nothing to be panic, it is common after surgery. The other possible cause can be food debris over the stitches. Do saline gargling and keep the area clean. Rinse your mouth thoroughly soon after eating anything. Regarding the swelling, it will be there for another one day, because the damaged lymphatics will take 24-48hrs of time to recover so nothing to worry. You can take analgesic with anti-inflammatory"
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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 just been told I have MRSA as does my 2 year old son (from nose swabs). Son had boils on his face, clearing slowly. I seem to have had one but have used his antibiotic cream (Bactroban 2%) and this seems to have worked. My son has also been prescribed Erythromycin ethyl succinate 400mg, I have not yet been prescribed this. We are told to put Bactroban inside our nose for 14 days. I have a pimply rash on my stomach under my chest ( has been there for a long while). My feet have felt quite strange (pins and needles in the last couple of days). I am breastfeeding a 4 month old. How concerned should I be. I feel run down but put it down to having a 4 month old. I have started thinking about trying to conceive as I am 40 both children were conceived via IVF and took a long while. How concerned should I be about this with respect to my plans.
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"Since you are a feeding mother, you need to be extra careful not to contaminate the baby. Please see a physician and get the rash examined. If needed, go for oral antibiotic therapy. Mupirocin (Bactrian) has very good proved efficacy. The infection as well as the need to feed the baby apart from taking care of a toddler, put together must be causing the weakness. In the current scenario, I would suggest some delay in trying to conceive again. This is needed to recoup and become healthier once again to cope with yet another pregnancy."
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[
"I've gone through your query. I can understand your anxiety. With the presenting complaints it may be due to bacterial infection like scarlet fever, but laboratory investigations to be done to confirm it. Your daughters present with Fever, rashes started on the face and spread all over the body are classical picture of scarlet fever. I advise you, 1. To check for any swollen glands in the neck, also for sore throat in the future. 2. Do a rapid streptococcal test to confirm 3. Continue antibiotics for 10 days. 4. Consult your child specialist further",
". . . your baby is having only a simple viral upper respiratory infection. It is very common for babies in this age group to pass motion like this when they cough or sneeze due to lax anal sphincter. Nothing to worry about it. . . it will settle spontaneously. Regarding usage of antibiotics - I suggest you stop them. . . actually ANTIBIOTICS are causing antibiotic associated diarrhea in your baby. 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 fever, Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol"
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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 doctor,I am 64 years old. I am nondiabetic. I did a complete health checkup and found my Hb1Ac at 6.5 %. I have a CRP of 35 mg/L. I have PSA at 4.4 ng/mL. My urine culture report shows a negative result. Is there anything abnormal? Please suggest.
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"I have gone through the reports (attachment removed to protect patient identity). The most concerning result is about your blood sugar levels. It seems that you can have diabetes. Please consult an endocrinologist for a proper evaluation. Your HbA1c is high, and blood sugar levels are also high. Avoid taking sugars in the diet and do physical activity regularly. PSA (prostate specific antigen) is very commonly high at this age group. It alarms you to have a regular follow-up visit with your urologist. It is good to check your prostate soon. Your C-reactive protein levels are also high. It can happen due to any specific inflammation."
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"Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These symptoms are suggestive of reinfection and this is common in your age and usually is manifested with pain during urination, fever and changes in urination frequency. Also, blood traces may be present in urine which can have odor or color change. Other common cause are urinary stones. Diagnosis is established by doing urinalysis and monoculture and after this antibiotic treatment may be started if necessary. If there is negative urinalysis then you should do ultrasound of kidneys to check for stones. You should Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good heal",
"As a Urologist, I must assure that the urea and creatinine values, show your grandfather has kidney failure. A faulty diet, is not the cause of kidney failure. The most likely cause in an 80-year-old, is an obstructive prostate gland. That will need to be evaluated, with a urine culture, PSA, and an ultrasound scan of the abdomen. Treatment of prostate gland will depend on the reports. Dietary advice is to restrict salt intake to 6gm daily, avoid fresh fruits, coconut water and any potassium rich food. Also try to restrict protein intake more than 40gm daily. When you visit your nephrologist next, meet the dietitian and get the diet sheet. You must check your urea, creatinine, sodium, potassium and uric acid. You may contact me for any doubts. Chat Doctor. Mang"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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The front of my tooth keeps developing puss from the gums I have to drain the puss through out my day,and also one puss spot on my gum keeps coming back after I squeeze the puss out. This makes my breath bad....could u pls tell what kind of antibiotics is used.
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"Thanks for the query. As per your complaint pus spot on the gums that is also Chat Doctor. . It occurs due to deep Infection in tooth that is leading to pus formation below the root tips of the tooth that perforates the bone and accumulates into the soft tissues. Bad breath is due to infection and infected pus formation. In case if you do not have tooth decay then it can be probably due to gum abscess formation. I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigation like x-ray can be done for confirmation of the cause. If there is tooth abscess then Root Canal Treatment can be done under antibiotic and analgesic cover. If there is gum Abscess formation then deep scaling and Curettage followed by antibiotics and topical application of gum paint can help. As of now antibiotics like Augmenting and Metronidazole can be taken by getting prescribed by a Dentist or Physician. Gargle with flavored antiseptic mouthwash."
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"Thanks for sharing your concern. Swollen gums and glands indicate clearly towards infection. it's nice that you have started antibiotics, but it seems with your history that it is not responding to antibiotics. Based upon history given, it could be due to deep periodontal pocket, or one or more abscessed teeth in the same arch. It requires immediate attention, clinical exploration along with x-rays should help. If required, antibiotics can be changed based upon culture sensitivity test, as your present antibiotic is not responding well. Also, please remember dental abscess once developed must be Chat Doctor. Meanwhile, you can continue warm saline rinses. Especially after food, as it maintains good oral hygiene and visit your dentist soon.",
"Thanks for the query. It looks like due to decay in the teeth there has been pus formation leading to tooth abscess. It is a painful condition as the pus does not have an escape way and causes pressure over the nerves. I would suggest you to consult an Oral Physician and get evaluated. Most probably Root canal treatment along with antibiotics and painkillers will help in resolving the Infection. So first to rule out the exact condition of tooth and severity of infection an x-ray will be done. If tooth can be saved then Root canal will be initiated but if the decay is deep then removal of the tooth under antibiotic cover is the best resolution. For now, you can consult an Emergency room and start a course of antibiotics and painkillers for reducing pain and Infection. Do cool compresses over the swelling."
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Hi I have a sharp, poky pain in my abdomen on the right side directly along where the belly button is but on the right side. The pain woke me up last night and when I take a deep breathe, it feels like something poking or stretching that hurts. This episode has happened to me 3 times off and on for the last 2 1/2 weeks and its sometimes hurts to walk. I also had a migraine yesterday and a slight one today
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"Thanks for choosing Chat Doctor. Forum. You have got a pain abdomen, on right side of bellybutton. You are getting the pain on and off, with a gap in between. It may be due to urinary tract infection, stone in the urinary tract, or some infection of the cecum, or ascending colon. 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. Best regards"
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"Thanks for calling Chat Doctor. Forum. You are 33 weeks pregnant, had pain on the right side of the stomach, It comes suddenly and remain for few minutes. It is your 2nd pregnancy, and the first was C section. You had all sorts of pains, but this is different. After 32 weeks of pregnancy the funds of the uterus enters the upper part of stomach, and stomach and other parts of the abdomen has to be adjusted accordingly, till it is accommodated, and uterus get anti vertex position, and stomach is lacking space for its movements. Some of these facts may cause stomach pain. Other causes are pressure on the parts lying on the right side of stomach. Though the problem is not unbearable, it is always better to consult a doctor for diagnosis, for healthy maintenance of the pregnancy. Wishing for a quick and complete recovery. Best regards",
"You have got pain in the lower abdomen, and back, shooting up to the shoulders. No fever or bleeding, but chills are there. Most probably it is urinary tract infection, or meiosis. I advise you to consult a physician for diagnosis and treatment. You may have to take M. R. I. for confirmation, besides other routine tests for confirmation. Wishing for a quick and complete recovery, and thanks for choosing Chat Doctor. F. Best regards"
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I woke up in the middle of the night 3 years ago and since then,my head is hurting on the right side of my head, starting bellow the neck and covering all the scalp it hurts 24/7 every second of my life with big neurological signs like vison and light problemes and some mouvmeents problems and a lot of equilibrium problems ( i cant jumb run or anithing else). I had mri and ct scan, it came back normal but still it hurts so much that i want to kill myself every second. Do you have an idea what it might be?
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"I can understand your discomfort on account of constant pain, going on for three years. However, I wish to reassure you that it is not due to any serious problem of brain, as both CT and MRI scan of your brain are normal. The most likely cause for your symptoms could be chronic migraine. This would improve with medications such as beta blockers, flunarizine or divalproex, which reduce the frequency and severity of headaches. If medications do not help, then, Botox injections would be helpful. For relief of headache, you can take sumatriptan tablets. 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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"The question now is how long have you been feeling this pressure in your head and how bad is the pain you feel? If you've had this condition for a while now or the pain is intense then I recommend you see a doctor and get an MRI or CT done. These will show us what's going on in your head. I hope this helped",
"It is not very concerning and need some weeks to recover completely. Do you have any other symptoms like headache, dizziness, Chat Doctor? In such case, you should go to the ER for a brain CT scan. Otherwise, there is nothing to worry about. You should just try to have some rest and avoid possible repeated head trauma during these days. Painkillers (acetaminophen, ibuprofen) can be really helpful for the pain"
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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 2 stents placed, but now I continually feel sleepy..while I now also have high blood pressure, which I never had before taking medicines. Since one of the medicines is a blood thinner, I would think my blood pressure should reduce, not increase.. This is just a con to get money...
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". . * Brief Answer: your sleep disorder has nothing to do with your anti ischemic or stents. You need to control your blood pressure. *Explanation: My opinion is that ischemic heart disease is a bit of concern. Treatment of this condition is through anti ischemic, coronary interventions or surgery. Excessive sleeping after coronary intervention is not related side effect. I suggest my patients the following follow-up blood pressure and see if they should take a medication. 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 medications that may cause sleepiness as a side effect. *Conclusion: I suggest you check your medications with your doctor. 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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"At present, I agree with your doctor in starting antihypertensive medicines. With this you should also do following to have relief and with time following will help in decreasing dose of your medicines:- Start doing meditation and yoga under supervision of an expert. - Start doing exercises and morning walk. - Avoid high fat diet and spicy food items. - Get frequent blood examination and health check up for your cholesterol.",
"The concern is sleep apnea. It is often present in people who are overweight, particularly those who snore. If you are very tired in the morning, sleep easily during the day and snore loudly, you may have sleep apnea. Sleep apnea may cause or worsen high blood pressure and is a common cause of abnormal heart rhythm requiring treatment. This is a great excuse to stop smoking. Call your doctor to discuss these symptoms and report on any of the above if present. If you can skip cigarettes until the appointment, you're on track"
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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 recently became involved with a man who is grieving from the loss of a long term relationship. It as been 1 1/2 years. I do not know how to be supportive. How can you support someone in grieving when it looks like they are too pained to want to go there?
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"I suggest you not to worry much. Losing a close person is necessarily sad and grief is natural. But for how many days or months? This needs sincere answer. The man you are speaking about is under severe grief because he does not have anyone else to give the same affection he experienced earlier (Mind you, Every person goes through bereavement and almost everyone accepts it as part of life. This happens with other people supports. Also, the bereaved person slowly tries to ignore the negative thoughts when he starts working again). Your man do not have any other intimate relationship and I think he is idle nowadays. Both multiplies the problem. You can be with him, give him love and affection, and slowly he should start talking to you and accept you. God is great. Time is a great healer. 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 men condition."
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"Having trouble in relationship with the person you care about a lot really makes us feel bad. Your symptoms of being sad and having crying episodes suggest that you are developing depression as a result of your marital conflicts. I would suggest that you consult a psychiatrist. Ant-depressants will help in overcoming your sadness and other symptoms. In addition, you and your husband must consider marital counseling as an option. It will help out ease the tension between you two and help you both feel better. I do hope that I was able to answer your query. Best wishes",
"I suggest you not to worry much. You are 63 and you had almost enough. Means enough is enough. You know what is life and what it means to be separated. In this case, I don't think you have any emotional togetherness. Even if it is there, it should be negligible. Emotional attachment is supposed to be with those people who love you, show affection to you. You do not have to carry on like this because you need enjoyment at this period, not stress. I think this stress, is due to your wrong decision. Take the right step. For stress, 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."
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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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Over the past 5 years, my liver enzymes have been up and down, mostly up and now I just found out my liver is enlarged from CT scan. I also have a marble size hard spot in the upper right quadrant of my abdomen that hurts to touch. My Dr. says I have fatty liver, which I believe, but I do eat mostly healthy foods and not much meat. So my question is how do I have fatty liver and it is that, that is really causing my tenderness and pain? I m also a redhead and fair skinned. Sometimes that plays into medical diagnosis. Thanks!
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"I am a Gastroenterologist (DM). There are many causes of fatty liver disease apart from taking high fat diet like hepatitis B/ C, metabolic disorders, autoimmune disorder, alcohol or Chat Doctor. So for this you require evaluation and then appropriate management. So I will suggest you to visit a gastroenterologist for evaluation. Fatty liver leads to enlargement of liver and thus stretching of the capsule that covers liver leading to pain. So it may be the cause for pain under the right ribs 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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"I can understand your concern. You have elevated liver enzymes. It can be due to fatty liver, hepatitis, cirrhosis, alcohol, Chat Doctor. You should go for complete liver function test and ultrasound abdomen. It will give you exact idea about cause. Then you should take treatment accordingly.",
"Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Pain and elevated liver markers are sign of certain liver disease or damage from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good 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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dialogue
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