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my husband is 75 years old and he has been in remisson for about 12 years from colon cancer they took about 23 inches of his stomach out he also has some reflux problems from trying to swollow at times the dr has him on medication for that every day but he is also trying to take a cold and has been coughing some thank you
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"If the colon cancer was 12 years back and completely cured by surgery then the cold and cough is unlikely to be related to the cancer. It is possible that he is having a flu for sometime with mild bacterial infection, or he is having allergic hypersensitivity to airways. He might do warm water throat gargle twice daily. For the reflux he should be taking small meals at regular intervals and avoid large meals. Please ask him to sit up after meals for 30 minutes to allow the food to pass through. For the cold and could, should it be due to exposure to pollen or house dust then he should be given medicines to control allergy. If cold and cough is increasing without any improvement then clinical test for bacterial infection is required. Please do not worry"
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"Understanding your concern. As per your query you have persistent Chat Doctor. I would suggest you to visit pulmonologist once and get it examined. You should get pulmonary function tests and X-ray chest done. Avoid use of sharp, oily and fried food substances. You should take cough expectorants. You should do warm saline rinses 3-4 times a day. Furthermore, you should avoid cold carbonated beverages. Apply mist humidifiers in room. You should take throat soothing agents such as stretches. Take combination of antibiotic amoxiclav along with anti histamine such as Levocetrizine. Doctor may also refer you to gastroenterologist for proper diagnosis if he/she find this problem to be related with acid reflux (HERD) .",
"I can understand your concern. Your husband is having coughing, difficulty in breathing and hemoptysis (blood in sputum). All these symptoms are commonly seen with bronchitis (inflammation of airways). So better to take him to 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. He will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, he will be alright with all these."
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I just had double bypass surgery felt depressed in hospital wasn t talking much when my children visit every day I m usually deal with things what ever goes on for that day I don t like confortation I avoid it I don t like to go over and agruement once it s done it s over
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"Yes. Bypass surgery is a major surgical procedure, and it is natural that anyone go through such a major surgical procedure feel depressed. This depression is both psychological and due to the intake of medicines. But this condition will pass through when you get used to the thoughts. Try being cheerful and be aware that this depression is normal and will pass. I suggest online counseling for you. 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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"So the symptoms you describe are very common after triple bypass and will resolve within 2 weeks. Spirometry is the best exercise to re ventilate the collapsed lungs and yes lozenges like stress would help, avoid cold food and even cold water. Antihistamines like Allegra 180 mg or benzine 10 mg twice a day and SOS antibiotic as per your doctor should do the trick. Hoping I could help. Regards",
"You have significant blockages in your heart involving all three arteries of the heart. Hence, your doctor has advice you bypass surgery. Angioplasty is another option that can be offered to heart blockages. Bur since he has multiple blockages' angioplasty cannot be done in your case. So please go ahead with CABG. I know that you are tense about going for an open-heart surgery, but its prognosis is very good. The grafts work well for 15-20 years. It requires about 7 days stay in the hospital and then about 15 days to be completely back to normal activities"
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i have been having tests done to determine the origin of my thrombocytosis. my bone marrow biopsy shows increased megakaryocytes, increased WBCs, decreased RBCs, mildly decreased iron, no scarring. any ideas? my doctor said could be myeloproliferative or secondary. negative JAK 2, another myeloproliferative test neg, elevated LDH, normal sed rate
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"JAK 2 mutation is a mutation seen in myeloproliferative syn Chat Doctor. However, negative JAK 2 mutation does not rule out myeloproliferative disorder. Elevated LDH levels are due to increased turn over of cells. You need to consult your hematologist for further work up"
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"I suggest a workup for serum ferritin, TBC and transferring saturation. Those tests tell us whether iron stores are normal-low or high. Some patients have normal to high iron stores but still may have low RBC counts like in anemia of chronic disease. I may also recommend serum B12 levels, as patients on metformin are known to develop B12 deficiency which is another cause of anemia. We may review after the results.",
"The blood reports suggest anemia or reduced hemoglobin. Anemia is caused by reduced hemoglobin or reduced red cell mass. The values indicate low hemoglobin, low hematocrit, low MCHC and low RDW. These values tell that there is decreased concentration of hemoglobin in the red blood cells. An increase in RDW is caused by variation in the sizes of red blood cells. A peripheral blood examination is required to assess the morphology of red blood cells. All this investigation will determine the type of anemia and thus treatment of anemia. An elevated platelet counts is seen in infections, post hemorrhage, post-splenectomy, and rarely malignancies. Correlation with other blood findings is required to know the cause of high platelet counts. Thanks and take care"
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sir i am 60 year old and i am having heel pain. i am also suffering from canal stenosis. Dr. have advised me Febuget 40. Should i take it. Today I took one tab. but I feel gastric and mild un easiness in chest which was all right later on .What should I do?.The level of my uric acid is 7.1.Is it high side? should i continue with Febuget 40? Kindly advise.
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"Febuget has Eurostat which is a medicine which blocks the activity of Antoine oxidase and prevents uric acid build up. Normal Uric acid levels are 2. 4-6. 0 mg/DL (female) and 3. 4-7. 0 mg/DL (male). Normal values will vary from laboratory to laboratory. Also, important to blood uric acid levels are purines. So your uric acid is on the higher side. This medication is contraindicated for acute gout and generally given for chronic and intergout periods. Your heal pain may be a due to worsening of stenosis due to high uric acid which will probably subside once you take the Chat Doctor. Nausea and gastric unease is common with this medication. Hence, I suggest that you continue to take this medication and if the pain is severe take ibuprofen 800 mg s"
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"If the levels of enzyme remains persistently high 3 times the normal then rosuvastatin should be discontinued. Moreover lifestyle modifications like decreased salt intake and to avoid vegetables like tomato, cabbage, Tanzania bhaji, etc. may also keep your uric acid normal. Do brisk walking daily for 30 minutes. I think this will all help to control your BP",
"My suggestion is you try tab arbitrate sublingual and if its getting relieved on it, it can suggest cardiac origin. Also, You can try antacid like pantoprazole 40 before breakfast for gastritis. This can also be related to damage to nerve and tissue after surgery. So at last you can discuss with your physician regarding tab Pregabalin 75 mg bedtime which stabilizes nerve"
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Hello I had hernia repair 2 months ago and a revised tummy tuck , now my belky bottom is getting smaller and smaller, also it still running fluids thats smell, draining I would say .I had to have my abdomen drained 3 time and now its hard on one side, the right side feels like there is a large mass there please advise
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"I am Chat Doctor answering your query. The large mass described by you could be a recurrence of your hernia, or some kind of collection of serum/blood/infected tissue post surgery. I would suggest you to get your self reviewed by your treating surgeon at the earliest possible to chalk out proper management of the same. This needs a personal physical examination of your abdomen and the swelling to know the cause and plan out the treatment accordingly. 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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"Thanks for calling Chat Doctor. Forum. You have pain on right side of abdomen below the ribs. Pain becoming worse and getting vomiting. You are using prevail for HERD, it is also not working. Sleep is disturbed with pain, you have gas and hard stools. Probably the erosion has increased, or you are using more irritant foods. Probably this is the time to change the Chat Doctor. Avoid taking more of spices, junk foods, and oily foods. I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have gastrostomy besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards",
"I am Chat Doctor answering your query. Out of your symptoms, the leaking of poop fluid might not be related to your intestinal hernia. This could be due to an uncontrolled diabetes, and so I would advise you to get your blood sugar tested before undergoing any kind of dental or any invasive treatment. The answer to which surgery to be done first depends on a clinical assessment of your treating doctor for the urgency of the condition and has to be judged by him carefully. Once the sugar is well controlled, and you are made fit by the physician, any of the surgery could be undertaken depending on the priority. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery."
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I had cholecystectomy 1 week ago. I have smoked for 30+ years, just had sex for the 1st time since surgery, had shortness of breath , and then coughed up bloody sputum . The sputum is not a new thing for me but the blood in it is. Did the pressure on my chest and abdomen cause bleeding? Could it be a blood clot that has moved to my lungs?
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". . ! Many thanks for the mail. I have gone through your mail and noted its contents. Blood in sputum a week after laparoscopic cholecystectomy can be many things. Firstly a chest x-ray might have been done just before cholecystectomy, and it would have shown anything ominous or unusual to be a cause of hemoptysis (blood in sputum). Secondly the endotracheal tube that might have been introduced through your throat for general anesthesia could have caused some irritation and caused a little bleed. Bronchitis in itself can cause a small amount of hemoptysis. Surgery in general is very unlikely to have caused you this symptom. Either way it is not ideal to ignore any blood in sputum should be seen by a chest physician at the earliest to make sure everything is alrig"
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"Your symptoms seem to point to your lungs - I worry if there is bronchiectasis (permanent enlargement of airways in the lung due to chronic infection). In fact, the high hemoglobin you have had for the past 4 - 5 years could explain this fact i. e. your blood has had to compensate for the reduced oxygenation by your lung by increasing its oxygen-carrying capacity. The high ESR indicates an ongoing inflammatory or infectious process. A few questions to help pinpoint your problem:1. Are you a smoker? If so, how many pack years?2. Did you suffer a bad chest infection a few years ago?3. Any exposure to fungus (working in moldy environment, stored grain or compost)? I would like to rule out aspergilli. I strongly recommend you see a doctor to get a proper infectious disease panel done (both blood and sputum) along with a proper chest x-ray. Consider doing a high resolution CT as well of the lungs to help pinpoint your problem",
"I reviewed facts of your query in context to your health issues. My Opinion-In My opinion, in the given situation you seem to suffer from-Reactivation of Infection on side of past of surgery for collapsed lung. In absence of further information, general comments could be given. As in most of the cases, collapse of lung(Atelectasis) is due to infection in the lung, many a time this infection, after many yrs could get reactivated. CT Chest after X-ray chest could fix the cause of it. Other cause of sucChatDoctorplaints- needs to be ruled out by consults with attending Chest Surgeon, who would plan further treatment after physical and radiological/blood tests. Next appointment-xxx. If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor. Chat Doctor . com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if you don't have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist M. S"
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I m about 18 weeks pregnant. I recenty had a amniocentesis in which the chromosomes results showed extra material on the chromosome 4. My husband and I had to give blood, the doctors said is either one of us carrier the trait it would be considered inherited from the parents. If neither one of us show the trait, should I be concered, and what health condition (disorders) could my baby have?
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"I am assuming that by \"extra material in chromosome 4\" you mean trisomy of chromosome 4. Please clarify it from your doctor. Trisomy chromosome 4 is a rare disorder. The baby may have structural deformity, cardiac malformations and mental retardation of varying degrees. If you and your partner both are carriers then chances of recurrence in future pregnancy is higher. in my opinion you should discuss this matter with your doctor about the possible effects to the fetus and decide prudently. Please write back if you have any more questions"
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"Given a family history of Cross disease it is pertinent that Crohn's disease is ruled out in your child. The most definitive test for Crohn's disease is to take a small sample of tissue from his colon(biopsy) during colonoscopy and study it under a microscope. It is surely possible that your child can have Crohn's disease with a normal blood work up. I suggest that you consult a gastroenterologist as soon as possible who can help diagnose your children condition and initiate appropriate treatmen",
"This disorder is more common in the latest months of pregnancy, but can occur even up to three months after giving birth. Your blood pressure values are high. I would recommend consulting as soon as possible with your doctor for a physical exam and some lab tests: - complete blood count-fasting glucose-kidney and liver function tests-blood electrolytes- urinalysis for proteinuria should discuss with your doctor on the above issues. Meanwhile, I would recommend reducing salt intake and avoid straining physical activity"
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i had a root canaling done 3years ago, and the filling fell out like after a year. The doctor said it wasnt a problem so i didnt get a new filling. And I was left with a hole in the molar with no fillings. And now i sort of felt like something growing in that hole and apparently i think a new flesh has been growing in it and its red. And i am kinda scared about it. Is it treatable?
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"Root canal treatment is removing the decayed nerve and blood vessels from the root. Once it's done your tooth become lifeless. ThereeafterYou will not have any kind of sense (pain or sensitivity)in that tooth. But to prevent chipping of root canal treated tooth it's always advisable to get a cap or crown for it. Since your tooth hole is opened for a long time without a filling or crown, adjacent gum tissue would have grown into it, becoming red as you chew food particles on it. In rare case, the filling material even from root would have come out and the remnant pupal tissue would have developed into a pupal polyp (painless growth of pupal tissue). Whatever the reason for the growing tissue, its absolutely treatable. You may need a re- RCT if its pupal polyp or else just cut the gum tissue growth (painless with lasers)and fill the tooth. Absolutely nothing to worry."
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"The pain and swelling could be because of the decayed tooth and because of tooth decay food lodgment the gums around the tooth can get swollen or enlarged. Consult an oral physician and get a radiograph to rule out tooth infection. If the decay is extending till the pulp then the tooth has to go for root canal treatment. If the gum is enlarged too much then it can be excised while filling the tooth. I hope my answer will help you. Take care",
"Read your query. The pimple like thing described suggests an abscess caused due the infection from the tooth. I would advise you to visit a dentist and get the needful treatment done after having a radiograph done. Root canal treatment will be required for the complete elimination of infection. For pain, you can continue with Advil, antibiotics amoxicillin for the infection (if you are not allergic to any medicine). Do warm saline gargling."
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sir my grandfather has prostate cancer and he had enlarged prostate gland operation 1 year ago .in that we got to know that he has cancer so according to doctor we got his testicles removed now we came to know from PSA test that he has cancer.his PSA level is 11. so what can be his treatment knoe. his age is 87. he doesnt have sugar .he has bp which can be controlled by medicines
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"This level of PSA is significant of enlarged prostate. If it is not confirmed and the testicles are already removed you need to observe your father and repeat PSA level after three months. For exact treatment you need to have full evaluation of the prostatic cancer like Gleason scoring, status of pelvic lymphadenopathy, any evidence of distant metastasis. For this you need to see Clinical Oncologist if you have not done so who will guide you properly. Treatment of prostatic cancer is stage and symptom dependent. Any more query you are welcome."
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"I can understand your concern. He has cancer spread in bone but if PSA level is 34 then is prostate biopsy should be done. Biopsy will help you find the origin of cancer. If it arises from prostate then biopsy gives you idea. If biopsy is normal then he may have other cancer and treatment is changed. So go for the prostatic biopsy and take treatment accordingly.",
"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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My Haemoglobin is going down. Sometimes, I feel dizzy and I lose balance getting out of the bed or car. Today, I walked for 20 minutes. 5 minutes into the walk, my chest started to hurt, felt dizzy but continued to walk. My chest x-ray was taken about 6 months ago and EKG was done 2 months ago. BotChatDoctore negative. What could it be?
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"Forum. Dizziness, chest hurt, loosing balance, hemoglobin low, chest X-ray & E K G normal (but 6 months the report were normal) . The main cause of all symptoms are anemia, diagnosis can be confirmed by physical examination by a physician. Now question is, why hemoglobin level is so low, however there are so many reasons, and it is very difficult to assess the exact reason without complete history of illness. May be, Hemorrhage (excessive, if female patient), hemorrhoids, renal failure, worm infestation. Get in blood (peripheral blood film) for blood disorder. Urine for U TI, stool examination for occult blood etc. In my opinion consult a physician and get his opinion. Good luck"
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"I can understand your concern and would try to help you in the best possible way. Your problems do not seem to be of cardiac origin as your EKG and other tests are normal. Your doctor may be right that it is due to anxiety or panic attacks. One more possibility could be an overactive thyroid which can be ruled out by a thyroid profile testing. I suggest you can speak to your GP regarding that plan the test accordingly. I would also advise you that you are in a good health right now. Try to divert your mind away from illness. Start some exercise program like walking, gumming and also share quality time with your family. It would definitely help you stay fit and divert your mind of all unnecessary thoughts",
"I have read your concern and below is my answer to your question. You are certainly having mild degree anemia in the attached report (attachment removed to protect patient identity). It could probably be an iron deficiency anemia as you have mentioned low iron and saturation. However, such a mild degree anemia cannot cause breathlessness. So, your dyspnea complaint is most probably not related to anemia. For dyspnea, primary workup that you can investigate with is digital chest X-ray PA view and EKG."
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Hi.. i am 26 years old and i was detected with pcos due to irregular periods from last 3-4 months. and my insulin level is high. my doctor has advice me to take ginette-35, B long F and Bigomet SR for 3 month. Now i am little bit worried to beome pregnant. I am married since last 3 years and we did not plan for a child but now we are trying to have a baby and i found that i have a problem of pcos. My question is after completing this course it will be difficult to onceive?Please advie....
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"nks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about. . . can taking medicines affects changes of conception. right. well. . . YES. it will effect your conception, but it will not harm to your baby. Let us discuss the problems u have. As u told that u have PCs(polycystic ovarian syn Chat Doctor. In these women usually having irregular menses due to hormonal imbalance along with this few r having high insulin level or thyroid problem etc. Due to all these women usually facing difficulty in getting pregnancy. But DON'T WORRY. EVERY PROBLEM HAVE SOLUTION. Once women achieve regular menses along with normal insulin levels, chances of getting pregnancy is high. that's why your treating doctor gave u the all medicines(genette-35, N long r, and Bigoted SR). PCs is not a big deal. it will resolve with medicines with passage of time. RELAX. KEEP PATIENCE. with the above discussion u can try out my suggestions-1. RELAX. . . NOTHING TO WORRY. As u r come under the reproductive age group(age from 15-45 years came under this, in this group chances of getting pregnancy is high). So DON'T WORRY. 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). 3. Feel free to ask your treating doctor regarding this matter. He/she can help u. 4. If u r in hurry then visit nearby infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u"
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"So, it might have ruptured in your case. It can be confirmed on ultrasound. Sometimes biochemical pregnancy occurs after which you can get your periods. So, if you have got your periods, stop all the medicines except folic acid. You can try same medicines next cycle also. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Don't get stressed too much.",
"Please do not panic. If you are already on medication to control your sugar then please continue with the same treatment. I will suggest you to get your HbA1C reports done. I will suggest you to opt for a healthy diet and regular exercise regimen. Avoid refined sugars and deep-fried foods and bakery products in the diet. Include more portions of fruits and vegetables and salads in daily diet. If you can keep control on sugar levels with diet and exercise and current medications, you may not require insulin during pregnancy. Even if you need to take insulin, it is quite safe to take insulin during pregnancy Use of short-acting or mixture of shirt NAD long acting insulin is advisable. Nowadays human insulin formed by recombinant technology is available. It is safe, effective and can be easily used by the patient as per doctors advice. Dosage of insulin depends on the sugar levels. Please also continue with the antenatal Iron and Calcium and protein supplements. Meditate regularly. Learn breathing exercises. Trust fully in your treating doctor. Things will be fine in the due course of time. May God bless you with a bundle of Joy. Thanks"
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Hi my mom is 64 years old and she is suffering from repeated coma which lasts for few days ,all the lab tests shows normal results except for slight elevation in liver enzymes and the serum ammonia is 160 we ruled out neurological issues what could be the reason ? Thank you
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"I can understand your concern. Coma with high ammonia level suggest hepatic encephalopathy. You should go for complete liver function test and ultrasound abdomen to search the cause. Then you should take treatment according to cause. Consult your doctor and take treatment accordingly."
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"I can understand your concern. Yes, diabetes and uncontrolled hypertension can cause coma. High blood sugar level can cause diabetic coma due to solar edema in brain. Uncontrolled hypertension can cause brain hemorrhage and coma. In your mothers case, hypoxic brain damage is another cause. She was having flat line twice. This means that her heart stopped twice. This might cause reduced blood supply to brain and hypoxic damage. To rule out all these possibilities, get done MRI brain and CSF (cerebra spinal fluid) analysis.",
"It would be easier if you've posted the exact liver enzymes findings. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. Wish you good heal"
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my son has been experiencing severe stomach pains since he had colostomy surgery. He has had several CT scans and colostomy but they have all been negative. Drs think he has scar tissues and had prescribed pains meds but doesnt want to any longer so they suggest he takes an acidophilus supplement. Do you agree or do you have any other suggestions. Thank you
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"I am Chat Doctor answering your query. The pain could be due to some kind of sub acute intestinal obstruction due either to adhesion formation inside the abdomen or due to partial herniation of part of the gut nearby the colostomy site. This can be judged only by a clinical examination at the time of pain abdomen, and also a plain X-ray of the abdomen in upright posture could possibly help in it. However, the pain could also be due to the original lesion for which a colostomy was performed. Ingesting acidophilus supplement would not do any harm to him and so could be tried. If I were your family physician, I would refer either to your original surgeon, or would not hesitate to take a second opinion for a judgmental decision by the doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your sons' problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your sons' health problems. I wish him an early relief"
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"Serious causes of sucChatDoctorplaints may be Appendicitis, Intussusception, inflammatory bowel disease etc. Probably your son is suffering from bacterial infection. You may ask your doctor to add dicyclomine with paracetamol for abdominal cramps, ORS solution for preventing deny Chat Doctor. For any further query you may consult me",
"I can understand your concern. Chest pain after eating chunky food is mostly due to gastritis. So tell him to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals. 3. Take pantoprazole tablet on empty stomach twice daily. 4. Avoid stress and tension, be relaxed and calm. 5. Go for walking after meals. 6. Quit smoking and alcohol if he has these habits."
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I enjoy Mexican food however, no matter which Mexican restaurant I choose, within 2 hours I have dizziness, light headed and, upset stomach symptoms, no vomit but cramps. Feel like diarrhea is coming on but it never does. Weakness and at times, slight case of cold sweats. Again, it makes no difference which restaurant-fast food Mexican restaurant chains or very elegant ones. Apparently there is one ingredient that they all use that, no other restaurant uses. I have a clean bill of health and no known allergies.
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"The symptoms that you are experiencing indicate that you may be allergic or intolerant of some aspect of the Mexican food. It may be possible to speak to an expert in this type of food to determine what special ingredients may be used. This way you may systematically determine which is causing your reaction"
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"you experience bloating and abdominal pain after eating food followed by diarrhea? You should avoid spicy, sweet food. Eat more fresh fruits and green leafy vegetables. Chat Doctor. Exercise daily. Get 6-8 hours of sleep daily. Do Yoga, Panama to relax, Consult your Doctor regarding this especially if you feel weak, pale skin and difficulty concentrating, get blood tests done to rule out anemia as well",
"I have noted your symptoms. The most likely possibility in your case could be migraine. In migraine, one can have headache, nausea, vomiting, dizziness, lightheadedness, etc. Symptoms may repeat at frequent intervals. In addition, we need to exclude vitamin B12 and vitamin D deficiency. You should consult a neurologist for detailed evaluation. 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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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi, may I answer your health queries right now ? Please type your query here...hi my baby is ten months and she has a lump in her right breast the lmp look a bit darker than her skin and there is blood coming the nipple can you tell me what the problem could be.
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"I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear Your baby seem to suffer from -Right Mammary duct Eurasia of the breasts with BND(Bloody Nipple Discharge)USG studies with prolactin/estradiol level and coagulation profile tests are needed to fix the cause of this. Does not seem to be Cancer, as this complaint in adults would indicate. No treatment is needed as its self resolving condition in babies and is a part of normal hormonal-acclimatization of baby to the new atmosphere. Other causes like-Hemorrhagic Cystic Lymphangioma needs to be ruled out. If the lump persists or grows in size, Surgical excision could be planned, depending on the severity of situation. this reply would help you to evaluate your case and treat it with your doctors in time to come."
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"I studied your query in all the details put forth by you. I understood your health concerns. My replies are as follows-The problem of lump below the breast with bruise over it needs more information-As to how long this lump was there? How long is the bruise over the lump?if it hurts on pressure? Any recent fever/or viral infection ? Cause of the health problems you queried-In the given situation, when the pediatrician has examined and has ordered X-ray and blood test, I would advise expert opinion from ER Surgeon, who would rule out many other reasons for such a pea-sized lump. As I don't have any photograph of the lump or any direct examination data, its very difficult why your doctor advised x-ray and blood tests. You should wait for the reports and to plan treatment from your pediatrician on the lines suggested to you and get second opinion from ER Surgeon doctor.",
"I can understand your concern. You may have boil or enlarged lymph node. Enlarged lymph node may be due to reactive hyperplasia, tuberculosis or metastatic breast cancer. So it should be tested. Go for examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly."
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Hello doctor,I was recently diagnosed with polycythemia due to increased red cell count of 5.28x10^12/L, HCT 0.466, and hemoglobin of 161 g/l. I stopped smoking two weeks ago. Six months ago, when I started to smoke, I smoke only four cigarettes per day. Would the high red cell count be a case of secondary polycythemia, or would it be due to smoking? If so, would my red cell count decrease after a month after I have smoked? Also, in this situation, would I need to take a low dose aspirin before a long haul flight (12 hours)?
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"You have polycythemia. It can be primary or secondary polycythemia. The primary polycythemia is the cancer of bone marrow, which means myeloproliferative neoplasm. However your total WBC count and platelet count within range. So the chance of primary polycythemia less. You have an excess smoking history. Thus smoking can lead to secondary polycythemia, which is a pure benign condition. Smoking can decrease oxygen level in blood and so compensatorily more red blood cells produced. You have to stop smoking to cure your secondary polycythemia. If you stop smoking than gradually your CBC (complete blood count) will be normal. ChatDoctor. You may need not to use aspirin as per my opinion. I hope I have answered your question. Let me know if I can assist you further."
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"The smoking cessation significantly reduces the risk of heart disease, stroke, cancer. Cessation is not normally associated with weakness and increased heart rate. There is likely another because that needs to be explored via physical examination and blood tests. Blood tests would include a full blood count to rule out anemia and thyroid disease to check for low levels",
"I am Chat Doctor, infectious diseases specialist, answering your query. There are many reasons for the high hemoglobin value. This condition is known as polycythemia. Some people living on high altitude can have high hemoglobin value. So diagnosis of this condition is utmost important. Biopsy is the necessary step require confirming diagnosis. Once the diagnosis is available further management can be possible. 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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Given a question with context from online medical forums, retrieve responses that best answer the question
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I currently work at BCBS and I am on disability for Total Hip Replacement. I had a ua done and they coded it G0431. Can you give me the cpt exact wording for that code. I am familiar with 81000 to 81003 etc, but do not have my cpt book here to read description. Also how does it work when you do a ua in a doctor s office and they send it to a lab to do an intrepreation on it. I received word that it showed up as Meth which I DO NOT DO on any occasion. I do take Amplodipine and took 2 Adderall that particular week because could not concentrate, but normally do not take them anymore. Could any of those constitute the wrong information.
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"They will show up the same way. How it is interpreted varies considerably. Some will just show the result without interpretation. Others have someone make sure the results make sense. In your case, they make sense. If the Adderall is NOT PRESCRIBED to you, it isn't any different from if it were methamphetamine."
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"Also have blood test for CBC, hemoglobin,CRP, ESR to know present stage of diseases process whether progressive or regressive. Gabapentin 300 is ok, but dose should be increased only if kidney, liver tests normal. Talk to a rheumatologist, he may advise. I would add amitriptyline 10 mg once at bedtime, and physical therapy for knee, use of knee brace in daycare only. local infiltration of knee with hyaluronic injection, or if severe pain, methylprednisolone in",
"I suggest you not to worry much. Methamphetamine (Meth) is a neurotoxin and potent psycho stimulant. The physical effects of methamphetamine can include anorexia, hyperactivity, dilated pupils, flushed skin, excessive sweating, increased movement and Chat Doctor. Sexually it decreases sexual libido, and it is natural that your penis becomes very small. Therefore, the problem is meth. Please stop using it for your better future."
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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 a injury on my knee some 12 years when I fell and I had 12 stitches. The wound healed up fine, but since then I had sore knee over the years. Just few months ago I had this boil kinda lump show up which had pus in it, the wound healed up but then it keeps coming back the lump with the pus in it, it just would not heal. The infection dries up but comes back on the same spot on the old stitch mark
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"I studied your query in details and understood your health concerns. -Treatment and Cause of your lump on knee-a-Mostly it is-a retained/buried- stitch thread-which is causing Chronic Abscess with soreness and pus discharge. b-Other Cause of ? Osteomyelitis of the knee bones below the infected but healed stitched scar wound, needs to be ruled out by Dry KNEE with nearby wound area. c-I would advise-to consult ER Surgeon-who would remove the -buried stitch thread. ER orthopedic surgeon would treat it if there is Dry knee lead to treat Osteomyelitis of knee bones. This advice would help you to plan treatment with your doctor."
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"I appreciate your concern regarding this matter and I'll try to help where I can. If one sustains a superficial scratch on the skin, then you should look out for signs of infection at around the third day after the injury. These signs include redness around the site of the wound, pus discharging from the wound itself or generalized fever experienced by the patient. If you start to notice these signs, then I would suggest that you see your doctor as soon as you can so that they may prescribe the appropriate treatment for this issue. In order to prevent an infection from occurring you can continue with the following care. You can clean the wound with a saline solution (salt water) 3 times a day until the wound has made a scab over it. You can then let the area granulate on its own. I hope this helps and good luck",
"I studied your query in depth. I feel concerned about it. In my opinion your hard lump at incision point is -keloid / and or /chronic cellulitis with abscess -at incision point of surgery done 1 yr back-as it hurts on touch. I would advise you to consult the knee surgeon who- would treat it with -antibiotics and NSAIDs with pus smear study-if its chronic cellulitis /and or/ with Injection escort in multiple sittings-if It's proved to be keloid by -USG/Excision biopsy."
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Hello doctor,I am in the 13th week of my first pregnancy. I had two episodes of postcoital bleeding after which USG was done and showed low lying placenta (lower placenta is covering the os). I had been on bed rest and pelvic rest for the past one week and taking Susten 200 BD apart from Folvite. Is it fine for me to go to my work place (I am a pathologist have to sit for three to four hours only)? Any other precaution?
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"If there is no active bleeding you can safely go to work provided the roads and all are smooth and if it is not a very long ChatDoctor. Please avoid intercourse and vaginal douching. Repeat USG after six weeks for a level 2 scan and look for placental migration. Continue Susten (Progesterone tablet). Take care."
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"Multipart women are always associated with recurrent miscarriage. Plan next pregnancy with some initial investigations like USG lower abdomen, Test for chromosomal abnormality, TORCH profile, Thyroid profile, PPBS and Progesterone level. Also take Folic acid & Vitae supplements for at least 3 months in preconception period. Consult with your gynecologist. Try to avoid following things (preferably in the 1st trimester):1) Any type of sexual activity/intercourse2) Long journey/stepping uneven surface/heavy work3) High heel shoe (risk of fall on ground with miscarriage)4) Prescribed/unsafe medication to avoid defective organogenesis. Be well and wish for successful motherhood once again",
"I will suggest you the best possible treatment options. 1) First do not panic. 2) For any woman to get pregnant, 3 things need to be in normal limits. A) Semen analysis and stern count and good motility sperms. Please get your partners' semen analysis done with at least 4 days gap of sex activity. B) PLEASE get tubal patency test like HSG done. This is X-ray test to be done within first ten days of your period C) To determine about structural normalcy of your uterus and tubes and ovaries, USG will be of help. Also, from day ten of the cycle you can do a USG test to know the day of ovulation called as follicle study. You can have sexual activity on at least alternate days between day 10 to 20 of the cycle, this is the most fertile period of cycle. Or ovulation study can tell you day of egg formation, and you can have Intrauterine insemination or sex activity on that day. I will suggest you to take B 12 and Folic acid supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy. I hope this answer helps you. Thanks"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I am confident I have a sinus infection, but I live out of a metro area and cannot reach my doctor. I was recently treated for an upper respiratory infection with a z pack and cough medicine which has improved; however, I awoke two days ago with pain in my neck that has now settled in my head, behind my eyes. The pain is such that I have severe nausea and am dizzy.
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"Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint the symptoms seems to be due to Frontal Sinusitis leading to headache and pressure behind the eyes and nausea and dizziness can be due to infection and pain. I would suggest you to take a course of antibiotics like Augmenting, anti-inflammatory painkillers like Ibuprofen, decongestants like Pseudopod Chat Doctor. . You can also do steroid nasal sprays and nasal decongestants like Xylometazoline. For nausea, you can take Risperidone."
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"Understanding your concern. As per your query you have recurring fever at night with headache which seems to be due to bacterial or viral infection. It could be due to upper respiratory tract infection as well. I would suggest you to visit general physician once and go for thorough examination of blood count along with throat swab test and get it diagnosed and start treatment accordingly. You should get sinus x-ray and a sinus discharge culture done to exclude possible sinus infection. Take steam inhalation. Avoid cold liquids. You should do tepid sponging.",
"Thank you for asking to Chat Doctor. Apart from nasal symptoms, yellow phlegm, temperature, feeling faint, headache since 3 weeks - I would consider sinusitis as 1st possibility here. I feel only analgesics & allergy medications may not help. I would suggest you at least 2 weeks of antibiotics, daily steam inhalation, rest & plenty of warm fluids. If you don't feel improvement, I would suggest you to consult an ENT surgeon who may advise you X-ray of sinus & blood investigations."
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hi, I have had dizzy spells with numbness in my hand and lips and mouth with some feeling of confusion,like I knew what I was thinking but it didn t come out right when I said them, over the past 2 yrs,about once every three months,im not sure what cuses this I have been to the e,r the two times before last and they did several test and the only thing they found is very low potassium levels any clue as to what this could be?
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"Although they carry significance but in an otherwise healthy person minor variations can occur without any reason. The dizziness, numbness on lips or mouth you are having may be due to some anxiety. You are having the symptoms in episodic manner, and it is associated with confusion, so I would advise you to consult a Psychiatrist for opinion."
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"2 value is alright as far as potassium is concerned. If you are on medications such as diuretics that may be a cause for low potassium. If you also suffer from high blood pressure called hypertension with low potassium values we have to rule out a condition called hyperaldosteronism. For this you have to get a plasma renin and aldosterone test done. Another cause for low potassium also called hypokalemia is that you may be losing potassium through problems within the kidney. To detect this we do tests such as 24 hour urine volume, urine osmolality, urine sodium, urine potassium and chloride. These tests are done in most laboratories. As your current treatment seems to be quite effective you may continue the same. You must be alert to excessive exhaustion and muscle weakness because they are symptoms of low potassium. A very low potassium can affect the heart, so you should periodically get the potassium tested. A very high potassium is also dangerous so do not exceed the prescribed medications. From the point of view of dietary modifications, fruits contain potassium especially fruits such as bananas so that's a natural way of getting our daily requirements. However, overconsumption of fruits is not recommended if you are diabetic or have any kidney ailments",
"ecking the blood levels of sodium, potassium and magnesium is essential to rule out such disorders. Kyphosis has nothing to do with that. Its disorder of the skeleton only. If your condition is related to the electrolyte disorders then you can take supplements and of course investigate the causes. Otherwise, cramping is a difficult condition to approach and in many cases no cause can be identified. You can contact me again, if you'd like further information"
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Sir, My son is aged 3.1/2 years suffering with fever since 15 days, On 24/4/12 total WBC count was 14,5000 cells/cumm and polymorphs is 77% and impression : Microcytic Hypochromic anemic bllod picture with Neutrophilic Leukocytosis. While 6 months back Liver mild enlargement of liver is noted and spleen is midly enlarged and shows normal contours and enchopattern, he is still getting fever what i shall i do please give me reply.
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"Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. If you have not typed it wrong and his WBC Count is 145000, with fever and hepatosplenomegaly, this indicates Leukemia. He requires a blood picture and a bone marrow examination further. You should not delay the treatment. This is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask stay Healthy"
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"I understand your concerns. The diagnosis is some recent or present infectious process in organism and this is in most cases caused by Epstein bar virus, or so-called mononucleosis. Hepatitis is less possible cause in his age. At this point there is no need to be concerned and there is no need for specific treatment. He should do follow-up liver ultrasound in 4 weeks and check liver markers in 2 weeks. I hope I have answered you queryKindly regards. Wish you a good heal",
"So get in blood for serum bilirubin level. While your son is having viral fever. Cal pol is the best Chat Doctor. Only cal pol (paracetamol) 10 mg / kg body weight 3-4 times is sufficient. If high fever present, ice massage will suffix. ORS is another useful therapy. Usually viral fever remains for 7-10 days, so don't take tension. If fever persist >7 days then consult a pediatrician and get his opinion"
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Hello doctor,I have a tight foreskin, and during sexual intercourse, I have issues with the ring constricting below my head. I also found out that I have a skin bridge between my foreskin and head. Due to this reason, I cannot fully enjoy sexual activity, and I cannot ejaculate inside my wife. I have tried masturbating and ejaculating inside, but having done that for several months, we are still not getting pregnant. I consulted a urologist, and he said that I should get a circumcision. Does having a tight foreskin and skin bridging affect the ability to have kids?
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"Your problems are not due to the skin bridge. Everybody has it. But the tight foreskin makes the intercourse a bit difficult and sometimes even painful. You are prone to get abrasions while having intercourse. You will be benefitted by the circumcision surgery. It is a safe procedure. If you do not want to undergo surgery, you can go to any infertility clinic and get an Intrauterine Insemination of your semen into your wife\\s uterus and make her pregnant."
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"I have gone through your query. Your problem is most likely tear on place where foreskin attached to penis. In such case ointments with steroid and antibiotic helps. But you should not have sexual intercourse for some to let it heal. If that is not helping then you can see a surgeon and can go for a circumcision if you are willing.",
"Mitosis is a congenital narrowing of the opening of the foreskin so that it cannot be retracted. Mitosis is a very common problem. In most of the cases you can clear the problem yourself. Mitosis could cause moderate to severe pain while having vaginal intercourse. Apply oil on your foreskin and on the glans. Move the foreskin forward and back slowly without hurting you much. Because the oil is lubricant, it will be easier than without oil. Do this forward and back movement 20 times several times in a day. Repeat the same every day for around one month. You will get the elasticity, and you will be able to retract the foreskin completely. In case if there is no result from the above massage, you can always go for a minor surgical procedure called circumcision. 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,How long should I keep gauze in after a tooth is pulled?
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"After a tooth is extracted, it is advisable to keep the gauze in the site for 30 minutes, in the same position. After 30 minutes, do not spit, take the gauze through your hand and discard. This is to arrest bleeding and help in clot formation by pressure method, and spitting will lead to dislodgement of the clot. So, be careful with splitting (do not do it forcefully) for at least one day. I hope you have got the other instructions from your dentist."
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"I would suggest you to start with the course of antibiotics and analgesics under the prescription of Dentist. Take lukewarm saline rinses to give a soothing effect. Use antiseptic mouthwash rinses like chlorhexidine twice daily. You can get the tooth extracted in three weeks.",
"The pain is because of the infection from the wisdom tooth. Consult an oral maxillofacial surgeon and get the tooth removed. Before that for the infection to come down, you can a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days(if you are not allergic). Do saline gargling. I hope my answer will help you, take care"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I have chronic abdominal pain . It is in the center right under my ribs/sternum. This pain is usually more pressure accompanied with nausea but not always. However it is a dull pain. This does not always occur after eating but sometimes does. The other pain is on the right side of my abdominal area. This pain is sharp and makes it difficult to breath or move. This is not as frequent but the worst pain.
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"Thanks for calling to Chat Doctor. Forum. You have got a chronic abdominal pain under the ribs, nausea, it is a dull pain, other pain is on right side of abdomen, it is sharp and difficult to breath or move, it sometimes happen. It appears to be the gastric irritation, due to peptic ulcer, or due to irritant foods. When it is dull limited to middle, but when it is more extends to the right side and sharp. It may be due to gallbladder pain also. I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have gastrostomy, M. R. I. besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards"
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"The pain on the right side of the abdomen with liquid stools and gases can be due to many reasons. I am suspecting this problem as appendicitis. This may be in a retro-cecal position meaning behind the cecum, a part of the large bowel giving rise to backache more than the abdominal pain. The best investigations are CT scan to get a proper diagnosis and if present, get it operated. Till then take a course of an antibiotic and metronidazole, it may resolve",
"Thanks for your query. Your pain in abdomen is for 9 months now - under rib cage on left side - now it is constant, along with constipation and now also started to hurt in the back on the same left side. Read the history and understood your problem. Your problem looks to be due to Costco Chat Doctor. CT scan of the whole abdomen. Test of blood, urine and stool. Colonoscopy and upper GI Endoscopy. This will give a proper diagnosis and a plan for the treatmen"
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I have. Feeling of deja vue. A feeling like l m going to lose it. It comes on suddenly. The dejavue is there always. Like I ve been here (that moment) before. Like someone predicted this exact thing was going to happen to me and told me about it 20 years ago. Headaches nearly every day. I can t seem the think fast enough sometimes. The wrong words come out of my mouth when trying to talk. Don t always feel like lm in the present. Does this sound crazy?
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"This is actually an abnormality of memory i. e. mainly an interplay between short term and long term memory In déjà vu, the person feels unfamiliar things familiar and as if he has undergone that situation in the past. So, to get rid of this, I can advise very simple tips like distracting yourself by engaging in some work, you must make up your mind that it is very common, harmless, may occur to anyone. More over, it indicates presence of good memory instead, the other tips are like counting numbers, rubbing your fingers, following some breathing techniques. first, reduce your stress, have good sleep and get relaxed. If you are worrying about that continuously that may cause your headache. Some psychiatric problems may cause such kind of experience like epilepsy and other, so I would like to know about those conditions if you are suffering with any? Like schizophrenia. If you do not feel any relief with the simple tips, you can try with antianxiety Chat Doctor. Consult your doctor for reassurance post your further questions if any I will be available to take up your follow-up questions"
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"You appear to be having depersonalization and derealization experiences. Feeling as if you're not yourself and the world around is as if not as it looks!! Also suffering from dissociative experiences. All these could be due to depression. You need professional help from a psychiatrist. We can help you by understanding your energy level, sleep and food pattern, ability to involve in work and hobbies, negative thoughts and worries you are getting. For time being use relaxation exercises with deep breaths. After consultation medicines like fluoxetine might help you",
"I believe I understand your symptoms urologist and especially with what you describe is not that uncommon and certainly not that unexpected for someone with a diagnosis of multiple sclerosis. You could have several types of phenomenon that are happening. Some could be related to a headache type of picture while other possibilities include brain lesion that movie present when I fibular or auditory pathway and cortical regions of the brain. There would be several questions that I would want to ask you and other information to obtain which is much more complex than what can be written in this short space. If you would like to write to me for a specific consultation request I can give you more details and help you understand what could be going on. bit. ly/"
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hi can i drink horse gram water for weight reduction and is it possible for consceving while taking the horse gram water i m 24 yrs old weight 66 height 150 and recently got pre delivery problem (6 months before a 5 month baby was normally delivered n dead in 3 hrs) if i drink horse gram soaked water regularly can i get consceieved...
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"Horse gram have less carboy Chat Doctor. Proteins require more calories to be metabolized and decrease your appetite which help with weight loss. During weight loss process a diet rich in proteins help maintain muscle mass. However, after conceiving, there should be a healthy amount of weight gain throughout the pregnancy. Since you are trying to conceive, I recommend that you take folic acid 400 mg tablets daily, exercise regularly, follow healthy eating habits, quit smoking and avoid alcohol during pregnancy"
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"More important is the nature of the stool, whether too hard or watery. You can compare stool consistency by matching with Bristol stool chart(search in google). If the stool consistency is not normal you should visit your doctor. Moreover, good appetite and gaining normal weight (at 6 months her weight should be double her birth weight) is also an indicator of normal digestion and absorption. At this age you should take advice from your pediatrician regarding starting of complementary feeding",
"There are several factors that influence conception, pregnancy maintenance and delivery. You are slightly overweight, and please try to lower your weight by 5-6 kg. through exercise and this also helps to tone up the body since you are young. Maintain a healthy diet and avoid stress. Do not unnecessarily worry about the consequences. You can conceive happily and enjoy motherhood."
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83 yo female, s/p angioplasty 4 days ago, w/ stents. No complications reported. Discharged home after 23 hr obs. Just transported to hospital with significant nausea, HR: 46. O2 sats: 92 on RA, BP: 132/78, responsive , denies abdominal pain, chest pain or Headaches. With this brady rate, and not seeing the monitor, not sure if in A-Fib/ Flutter or not. comorbids: type II diabetic , insulin dependent... BS unknown at present s/p CABG 20 yrs ago, with multiple caths and angioplasties since. + CVA , with freq. TIA s. Hypertension. Deconditioned. I am thinking several things for treatment: pacemaker, if a candidate. But again, not sure what is interfering with the heart s electrical system. Plus, not having a full knowledge of meds on board is also a minus. Your thoughts?
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"Post angioplasty, post CABG, recurrent TIA & Diabetic, now with bradycardia & nausea looks like patient has been suffering from complete heart block. She is an ideal candidate for pacemaker. If the ECG shows arrhythmias & her left ventricular ejection fraction is low, pacemaker with ICD(intro cardiac defibrillator), is the treatment of choice. Pacemaker does not destroy the electrical system, but rather supports for improved functioning"
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"I can understand your concern. Your husband is having ECG abnormalities and symptoms (tightness of chest and shortness of breath) suggestive of Brady arrhythmias and heart block. So better to consult cardiologist and get done Holder monitoring (24 hours continuous recording of ECG), stress echo and electrophysiology study (EP study). If he found to be had heart block then pacemaker insertion is the treatment. So consult cardiologist and discuss all these.",
"I can understand your concern. She is a ideal candidate for bypass surgery. Triple vessels' disease with hypertension, diabetes, high cholesterol are an absolute indication for Coronary artery bypass grafting (CABG). She is symptomatic (breathlessness) despite medicines. This also favors surgical management more. So better not wait and get done CABG. Consult cardiothoracic surgeon and discuss all these."
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6 year old male diagnosed with high lead levels. has been treated with chelation intramuscularly and then with the medication given by mouth. level receded to high normal level for one month. current blood test shows a significant elevation and the chelation medication is to be started again this evening. are there any other suggestions that you can make as far as treatment to permanently diminish this problem to a safe level. surroundings, toys, etc. have all been tested and show no lead content that is harmful.
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"Its treatment include 1. Identification of source of exposure. It may be due to eating soil, paint, some herbal remedies etc. 2. Behavioral modification to reduce non-nutritive eating habits. 3. Dietary counselings to insure sufficient intake of essential elements calcium and iron. 4. Chelation therapy to decrease lead level"
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"I can understand your concern. He has high ferritin level, but It's not too high. He should take Chat Doctor. Repeat ferritin level after a month. Ferritin is also an acute phase reactant, so it can also be increased in some inflammatory conditions. Consult your doctor and take treatment accordingly.",
"So many possible causes are there. Two of your medicines need to be switched, Singular needs to be stopped you can take other inhalations anti-asthmatic which are equally effective, You are taking excessive doses of iron- I would suggest 100 mg thrice a day after meals, which is most tolerated dose. You might have post-surgical bands which result in intermittent obstruction and pain, that is more so a case if you are totally well in between the episodes. Another prominent possibilities is tuberculosis of abdomen. If your problem does not get resolved soon please review with your gastro-surgeon, and possibly you would need an exploratory laparotomy for a diagnosis and intraoperative intervention if possible. You need a physical examination by your physician and get baseline investigations like Chest X-Ray, Electrocardiogram, Complete Blood Counts, Renal Function Test, Liver Function Test, Fasting and Postprandial Blood Sugar, Thyroid Profile, Lipid Profile, Ultrasound Abdomen, Urine Compete Examination. This work up is expected to detect the underlying problem, so a definite treatment could be started. I hope this advice would be helpful for you. Still if you have any queries or doubts, please write me back, I would be happy to solve them"
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Two questions: 1) Can syphilis be transferred when a person with syphilitic chancres on his fingers prepares food for others? 2) If transfer of syphilis requires direct contact with a chancre, how can syphilis still be passed to another person after the signs of both stage one (chancre) and stage two (rash) have subsided?
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". . your question is two part . the 1st part answer is no syphilis can't be transmitted through preparing food as it is transmitted mainly by contact with mucous membrane (mainly sexual contact). . . so you need not worry about that. . . . . . . 2nd part : syphilis has four stages primary and secondary and latent and tertiary. . . primary and secondary stages are most infectious stage as bacteria multiplications and increased number of bacteria will be transmitted early by contact. . . . latent stage bacteria decreased and not multiply, and it may be infectious in early latent and after that it will not be infectious . . . in the tertiary stage although severe complication but is not infectious. . . . thank you for your interest about that. . ."
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"I am so sorry to hear about what you are going through. Not all cases of primary syphilis really stand out clear that you may suspect having the infection. You may not have ever noticed you had the infection though you have suffered from it. These are cases of asymptomatic primary infection. For this test to be positive consistently, and FTA which is specific to Syphilis being positive deserve to be treated. I will strongly advise you get treated and so like syphilis which has lasted more than a year because we don't really know when this happened. The side effects of the commonly used Chat Doctor. Treating now is the best way to go. If you don't have any infection, the side effects are still the same and not any more dangerous than with having the disease.",
"Please take care of this and observe universal precautions in the future. An infection can not pass through and intact skin. As you had no cuts on that hand, so there are no chances of you getting the infection. Cuts on the other hand does not mean anything. The best we can do during such accidental exposures is to wash our hands well with soap and water which you did."
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I have had all the checks done, ct scan of chest, abdomen and pelvis, and my bloods came back normal, but I still have B symptoms, Night Drenches, fever, chills, Pain, my nodes are swollen to me, but docs say its because im slim. If so WHY have I never noticed them before?My Question is, could I still have Lymphoma?
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"Lymphoma is a neoplastic condition of the lymphatic system. It is mainly a cancer of white blood cells. There is no single type of lymphoma and many types exist depending on the type of abnormal cell proliferation which is found on histopathological examination. The symptoms are unexplained weight loss of more than 10 percent over past 2 months with night sweats and fever which has not showed any significant cause after doing routine testing. Many patients show painless lumps in the armpit, neck and other places where lymph nodes exist. Rarely lymphomas might also originate as lumps in any organ of the body. It might also affect bones in few patients. The spleen is usually enlarged in most patients of lymphoma. There might be abdominal pain from lymph nodes or enlargement of the spleen. Some lymphoma patients have occult disease and the symptoms stay undetected until it has manifested in to later stages. If your doctors have examined you and confirmed that the lymph nodes are prominent due to you being slim then you do not lymphoma. Please do not worry"
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"I can understand your daughters situation and problem. Diffuse B cell lymphoma is very rapidly progressive in almost all lymph nodes in the body. It causes lymph node enlargement and obstruction in the lymphatic channel. So end stage symptoms can be bilateral lower limb lymphedema, superior vent cavalry syn Chat Doctor. Opportunistic infections are also common due to lower immunity. So tuberculosis, fungal infection etc. are common in end stage of disease.",
"THIS CONDITION IS VERY UNLIKELY TO BE SKIN CANCER FROM NON HODGKIN LYMPHOMA S SHE HAS BEEN IN EXCELLENT REMISSION SINCE THE PAST 20YRS. . . . THE BLOTCHES ON HER LEGS COULD BE DUE TO INFECTION, UNCONTROLLED DIABETES, NEUROPATHY,HOT WATER RELATED ETC. . . . SO YOU TO CONSULT YOUR DERMATOLOGIST FOR EXPERT MANAGEMENT, ;ALSO SUSPICION HAS TO BE HIGH FOR Tumor RECURRENCE. ALSO KEEP IN TOUCH WITH AN ONCOLOGIST. THANK YOU"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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PTSD vs bipolar. I feel like I have PTSD. After years of sexual abuse by my father. Doctors seem too clump everything as bipolar.I m not bipolar I take valium twice a day 10mg. I usually take them at night to sleep I suffer from anxiety and depression ,although I do disaster relief volunteering.I go to the gym,I quit smoking I take care of my grandson. Depression comes and goes Anxiety stays
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"To comment, whether it is a bipolar disorder or not, we need to have a detailed history of you and the same is lacking in the information given by you. We agree that there was a significant stress in your childhood, but the same can predispose you to depression, PTSD as well as anxiety disorder. Although you are taking \"Valium\" its more of a cosmetic relief, and you may land up with benzodiazepine dependence and hence it will be always wise to start you on some form of SSRI medications. The other best option will be to consider psychotherapy and cognitive behavioral therapy. Basically you need to see a psychiatrist for a detailed history and evaluation, who would like to run a few psychological tests on you, before he starts you on either psychotherapy or pharmacotherapy or both. I hope this answers your concern"
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"I suggest you not to worry much. You know yourself better than anybody else, this includes your doctor. I think you are being treated by psychiatrist for the last 43 years. You must know about bipolar disorder to diagnose it. You don't have enough knowledge. So leave the job to your psychiatrist or psychologist. Just present yourself in front of them and relax. They know how to do the job well, and they will do it. Worrying increases your anxiety and mood swings. Learn to relax. Relaxation is possible when you be free of thoughts. Such a state is possible when you understand life and its value. I can help you as a psychotherapist if you post a premium question with all details about your illnesses and lifestyle and family etc.",
"I have gone through your question in detail and I can understand what you are going through. Depression and anxiety can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. These therapies have to be tried one after the other until you find the best fix."
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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 mother is worried about her bfs son. he has low wbc .02he has fevers of 104he is throwing up bloodhe has clamy sweatingand there have been spots located on the lungs. the 1st xray showed only 1 spot and the other, the next day, shows 2 spots. what could this be?the kid is 18, in college, male,
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"I can understand your concern. Spots on chest x-ray can be due to infections like pneumonia or tuberculosis, cancer etc. But possibility of infection is more in his case because of young age (18 years) and symptoms like cough, fever, sweating, hemoptysis (blood in sputum). Rapidly developing spots on chest x-ray is another thing favoring infection because cancer does not grow rapidly. So better to consult pulmonologist and get done clinical examination, sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis), sputum culture. He needs antibiotics. So consult pulmonologist and discuss all these."
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"Noted your child having fever with breathlessness. So here it could be viral bronchitis or pneumonia like condition if associated with chest pain also. Chest x-ray will be useful for it. CBC also done to look for lymphocytes (in viral) and necrophilia (bacterial). If needed antibiotic needed. . . . Your child physical examination also done with auscultation for CREPS or rhonchi if heard. If excess stress taken then by panic attack also such presentation can occur if no respiratory cause detected. Meanwhile, motivate your child to lose weight. Because by high cholesterol and induced fatty liver also liver enzymes can be elevated. USG useful for it. . . Motivate him for yoga and daily exercise. It will be beneficial in reducing weight as well as in relieving depression . . .",
"etailed answer:Hi, welcome to Chat Doctor. I have read your question in detail. Your child has high grade fever for almost 8 days, TLC is high and composed of mainly neutrophils this suggests that your child has active infection. In my opinion, you should do some tests like typhoon IGM, malarial antigen test, x-ray chest and ultrasound abdomen. Sometimes, there is pus collection beneath the diaphragm which requires an ultrasound to detect it. I suggest you to immediately do the above tests and revert with reports. I hope this will help you. Wishing your child good health. If you have any more questions, I will be happy to help you. Take care. Regards:"
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Hi, if there is multiple gall stones and a possibility of mass in gallbladder, is always necessary to have an operation to remove the gallbladder? When I will know if that mass is not or is bad (meaning can be cancer?) Also a fatty liver, can be serious ? Thank you for your help in this questions. Sincerely grateful, Maria
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"I am Chat Doctor. The only definitive treatment for multiple gallstones is surgery. If it is not causing any symptoms you can leave it as such. But if it causes cholecystitis, then it has to be removed. It can be removed laparoscopically. A histopathological exam would say whether the possible mass is malignant or not. Simple fatty liver is harmless. But over a period of years/decades it can cause serious issues. Fatty liver is reversible if the precipitating factor is treated. Some causes are alcohol intake, obesity, diabetes and high cholesterol. I hope that answers your question"
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"You do not need any additional tests to confirm the presence of gall stones. But not all gall stones need treatment. In most cases, the stones do not cause any symptoms to the patient. It is especially true if there is a single stone. In some cases, when there is a small stone, it can spontaneously get expelled from the gall bladder. It is usually accompanied by pain and occasionally jaundice. The main danger of gall stones is when the stone blocks any of the ducts (tubes) Chat Doctor. The stone can get stuck at the opening of the gall bladder (cystic duct) or in the main bile duct (especially at the lower end where it is joined by the pancreatic duct, and together they open into the intestine). It causes bile to back up and will cause pain in the abdomen and vomiting, fever and jaundice. This scenario is more common when the stone is small enough to pass through the gall bladder opening, but for some reason gets stuck in the bile duct. It will need an ERCP to extract the stone. It is much more common when the gall bladder has multiple small stones. In 99% of the cases, the treatment is accomplished by laparoscopic cholecystectomy (removal of gall bladder by making three small cuts on the abdomen, guiding the surgery through a small camera inserted). It is a fairly routine surgery and could be done at most hospitals safely. Unfortunately, there are no medical therapies available once the stones have already formed. In your wives case, there are multiple small stones. Since you are apprehensive about surgery, I could suggest a wait and watch policy with a very low threshold for operation, meaning I would get the gall bladder removed at the earliest and the mildest of symptoms.",
"I thank you for posting your query here and I'm definitely going to help you out. I being a surgeon, we encounter so many such cases day in and day out. Furthermore, I read your question completely and have understood it well enough. Furthermore, I will analyze all your points and provide necessary explanation. 1. You say your report came back negative for stones! Meaning, you had stones?? As far as my experience of 12 years goes, gall bladder stones once they come, they stay. Unlike Renal stones, they do not pass down the tract. So, either. A. The 1st report is wrong B. You need re scan. All this is in case you have had earlier scan which said gall bladder stones. 2. Gall bladder shrunken has no clinical significance. Some Radiologists report this. But as a surgeon, there's nothing to worry about this finding. As long as gall bladder functions, we don't have an issue out of this. So chill, do not worry. 3. Polyps of 6 and 5 mm should not bother you again. Generally, in size more than 1 cm or some say 2 cm and associated problems like A. Diabetes, Uncontrolled B. Along with stones which is symptomatic like pain C. Episodes of infection like cholecystitis These need surgery. If you are fine without fever episodes, jaundice and pain then do not worry. We can follow up with regular scans, may be once or twice a year."
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I receiced a steriod injection in my rt wrist around 6 months ago. the Doctor did tell me that my skin pigmentation around the injection site would get lighter( hypopigmentation ) The hypopigmentation lasted for about a month or so The area around the injection site is now darker ( hyperpigmentation ) Can you please tell me why and what can i do to even my skin tone even?
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"Hypopigmentation is common of them but your hyperpigmentation around the site of injection might be a reactionary/ compensatory state of melanin synthesis. If you have no other commentary disorder of skin or any history of use coloring agent on hypopigmented site then cause can be steroid. You can try HY Chat Doctor. With regards"
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"Post inflammatory hyperpigmentation results due to activity of melanocytes in the superficial epidermal layer of skin. Lightening agents such as Comic acid or atelier acid cream application which you can use under dermatological guidance. Eat healthy diet containing a lot of vitamin A and vitamin C. The most important part in treatment is by sun protection by all measures. Take a proper guidance and follow up with a good dermatologist so that all the problem of pigmentation can be dealt best for future time",
"The hyperpigmentation on your face as described by you could be due to plasma. I would recommend you to use a face wash twice a day ideally a one containing glycolic acid as it helps in exfoliation and to even out the skin tone. The most important product will be a sunscreen. Half an hour before going out apply a sunscreen and reapply it every three to four hours. Continue the creams that you have been using. You could consider chemical peels like glycolic acid peels and retinol peels. You can get these done by a dermatologist. Have healthy diet consisting of anti oxidants (fruits and vegetables)."
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hi! i had an unprotected sex more than 12 hours ago. i might be fertile in 2 days and i dont want to get pregnant. can i use althea as an emergency birth control drug? i havent used any pills.. ever. what will be the dosage and frequency if i will use althea. pls help. thank u.
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"Althea is a birth control pill that is taken in 21 day cycle. It gives protection against pregnancy if you have unprotected sexual intercourse while already taking the pills regularly. In your case, you will not get protection from Althea. You need to take an emergency contraceptive pill (I Pill, Plan B etc. ). These pills are available over the counter in all medical stores. You just have to take this one pill preferably within 24 hours of unprotected intercourse. Make sure you take it within 72 hours by latest as it may not have any effect after 72 hours. The sooner the pill is taken, the more the protection. I would advise you not to make these pills a routine as they may have severe side effects. Make sure you do not take it more than twice in a month. Use other contraceptive methods like condoms for future birth control. I hope this information helps. Thank you for choosing Chat Doctor. Take care"
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"However, since she has taken 4 pills, it should act as an emergency contraceptive pill also. The first 4 pills were sufficient, and they were retained. Next day, she has repeated the same dose again. Then she got vomiting after 4 hours. Within 4 hours, the pills leave the stomach, so the pills would not get vomited, and they will have their effect. She would avoid pregnancy due to this unprotected sex. 8 pills was quite a high dose and hence she vomited due to stomach irritation. Now please give her a tablet of Pantoprazole every morning on empty stomach for a week or so to control the stomach irritation. I hope this helps",
"These pills do not offer any protection against pregnancy from the unprotected intercourse performed after the consumption of the pills. Hence, for such intercourse after the pills, the dose of the emergency contraceptive pills needs to be repeated within 72 hours of that sex. In fact, emergency contraceptive pills should be taken only in an emergency situation and its routine use as a regular contraceptive is not advised. If you are engaged in a regular sexual activity, I would advise you to adopt some regular routine safe and reliable contraceptive method like condom, oral birth control pills or condom. I hope this clarifies your doubts"
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I was in a car accident several months ago where my right breast and nipple area where brused from the seat belt, now the nipple has become inverted and skin has started to pucker I am also in alot of pain. I have had mamograms, ultrasounds, and an MRI, which doctors now think I have breast cancer also had biopsy ( waiting on results as we speak ). My question is could the accident have anything to do with whats going on now?
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"I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. The accident does not have anything to do with the breast cancer. Most of the breast cancers are genetic or runs in family. It can be treated by early recognition and treatment. don't worry you will be alright."
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"I can understand your situation and problem. You are having blunt chest trauma due to fall on metal pole. Your symptoms like shallow breathing, pain on breathing are suggestive of possible lung injury. Blunt chest trauma can cause rib fracture, pneumothorax, Pulmonary contusions and muscular injury. And all these cause similar symptoms. So better to get done chest x-ray first. If chest x-ray is normal than no need to worry about major lung complications. Avoid movements causing pain. Avoid strenuous exercise and heavyweight lifting. Start painkiller and muscle relaxant Chat Doctor. Don't worry, you will improve in 1-2 weeks. But first rule out internal lung complications.",
"I reviewed all the details of your query, in context of the breast lump. Based on the facts of your query, You seem to have Fibroadenoma /or Breast Mouse lump, as it is missed in routine examination and needs careful palpation of the breast. Other possibilities of -Fibroadenomas/or Early malignant breast lump needs to be ruled out after FNAC Biopsy with Hist- path examination / Mammography tests. Advise-Get the lump checked from Surgeon, who would investigate and fix the cause and would treat it accordingly. This needs to be checked with flat of your hand while lying or standing. Don't worry till the Homeopath report confirms the cause of this lump."
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I have had dull achy chest pain on the left side for about a week now. It was worse the first time it happened, on Sunday, and occurred more frequently throughout the day. Now it happens once or twice a day at random times. It may be psychosomatic but i sometimes have a weird feeling in my left arm.
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"I can understand your concern. Since your chest pain is on left side and is associated with left arm discomfort, we should definitely first rule out heart diseases. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. This kind of pain is also due to psychosomatic issues like stress and anxiety. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright but first rule out heart diseases."
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"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",
"I can understand your concern. In my opinion, you should definitely consult cardiologist and rule out angina pain and other heart diseases. Left sided chest pain and left shoulder tingling sensation (pins and needles) are commonly seen in heart diseases. So get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. 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, if you have and be relaxed and calm. Don't worry, you will be alright. But first rule out heart diseases."
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Dear Doctor,My wife is suffering from this strange disease of hearing voices of people whom at times she says spirits at other times not. But she does not recognise no know any one of them. She has been suffering from this from the year 2005. At present she keeps swinging her mood , remains irritated , short tempered and always talks to herself. Does this problem of hers have any medical treatment ? If yes How and where ? Whom to approach ?
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"I suggest you not to worry much. From the description it is clear that your wife is suffering from a mental disorder named schizophrenia with hallucination and paranoid personality disorder. Hearing of other voices are actually a delusion and are common for these patients. Medical treatment is a must. Please consult a psychiatrist for further advice. 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."
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"From your description its is quite certain that she is having a phobia of doctors and hospitals. This could have generated by some past bad experience that would have had. There are two types of treatment:1) Pharmacotherapy: Paroxetine, Escitalopram, sertraline and clonazepam are good Chat Doctor. But these should be combined with. 2) Behavioral therapy : systematic desensitization. In combination, they work good and will help your wife. Do fix an appointment with a psychiatrist.",
"from the detailed history you have provided it is clear that she had been diagnosed correctly, and she has been given right medication. But as you have mentioned she is not showing much improvement, it is clear that she needs trial of other Chat Doctor. There are many options available, and you can give this medication. But for that you need to visit a nearby psychiatrist and get the required prescription. As far as your desire to give her medication with her knowledge, then you need to admit her in an institutional setup as in her illness patient consider them self absolutely fine and think that there is no need of treatment. Another question you asked is about her marriage. Mostly people advice that get such people married and change in place will make a difference. But I would suggest you to think many times before taking such step, as marriage does not cure such illness, and it may even act as a stressor and aggravate it. Also, you should let the other party aware of her condition pre marriage because after marriage they will eventually get to know her condition, and you may have to go through a lot of legal hassle. So overall consult a good psychiatrist, do regular follow up, and she can be better wi"
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I developed Neurapathy in my feet and hands after my Chemo which ended in March, 2014.It is still bothering me but I can still function.How long will this continue?I am taking a drug and Vitamins currently. My Chemo consisted of Cisplatin and Gemzar.
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"Usually there is a 3 to 6 months period after stopping chemo, symptoms of neuropathy subside, but may take longer. A few patient suffer from permanent peripheral neuropathy. If you feel you're getting a little better from time to time then there is hope that your symptoms will go away."
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"Secondly, medication for arthritis should be continued for at least 2 months before switching on to the second option, as your treatment had been started only a month back you need to remain calm and wait for improvements if there is going to be any. Arthritis medicines range from simple NSAIDs to biological Awards. Treatment strategy is to change from one to the other based on the effect harm ratio. In the meantime, get yourself tested for vitamin D and calcium as well. Take care.",
"The recovery depends on the amount of nerve decompression achieved after the spine surgery. It also depends on whether there was any other reason for nerve pain in hands and feet such as diabetes or vitamin B12 deficiency. As of now, you could take pregabalin capsules for pain relief. 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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Hi sir I am Abhishek Purakayastha from West Bengal kolkata, my age is 19+ and my problem is acne pits. I only just want to know that is here any remedy to get rid of this ance by homeopathic process because since my childhood I use to get treatment by homeopathic doctor and homeopatChatDoctoredicines are very effective on me. Please sir give some suggestion or medicine or syrup name to cure this problem.
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"I am happy to know that you have always used Homeopathy with good results. At the age of 19 years, the acne pits are bound to gradually reduce on their own because of the constant restructuring of the skin layers. So unless the scars are very unsightly you need not worry about them. The best thing would be for you to visit your nearest classical homeopath who would be able to assess your constitution and then give the best possible homeopathic treatment to you. If you are in a hurry then you should visit a qualified dermatologist who would possibly give you skin peeling treatments to lessen the pitting and scarring faster. Feel free to put forward any other queries, I shall be happy to answer them to the best of my capability"
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"It can be treated with proper homeopatChatDoctoredicine without side effect. This problem is connected with many factors in physical and mental sphere like stress anxiety, shock, etc. So it is necessary to understand detail case history for permanent cure. HomeopatChatDoctoredicine can be selected after analysis of detail case history. So if you want proper homeopathic treatment for permanent cure then consult to good classical homeopath or contact me. I think homeopathy can help you, and you will be free from this disease. Have a better health. subhashponkiya@gmail",
"Pardon me for my prejudice, but homeopathy is certainly not the solution and if someone has claimed it you have the result in front of your own eyes, there are very effective medications available in our poor branch of modern medicine called allopatry, but please give it a try. Also let me warn you at the onset that RA if confirmed cannot be cured it can be kept under check and life quality can be improved"
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my daughter, 50 years old diagnosed since 20 years old. Married 20 years. How to talk with her during phases of mania, her fast talking thinking she knows all. Ive been just letting her talk. She seems to go back and forth depression and mania. I no longer contribute my ideas. Im not sure how to deal with her, even after all of these years. today she called and talked non stop for an hour and said dont you think Im better. Im tongue tied, cant say yes but dont want to upset her. Whats the best way to deal with her? She is bipolar.
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"Thanks for your query. I understand that it must be difficult for you as a mother to see your daughter suffer multiple episodes of mania and depression. As you would know by now, these episodes can cause a lot of disruption and dysfunction in a persons' life. So, the only way of avoiding this suffering is to prevent such episodes. There are good medication available (called mood stabilizers) which can prevent such mood episodes. But it is important to take this medication regularly and be under periodic follow up in order to prevent relapses. So, I would suggest that you discuss with her husband and take her to a psychiatrist nearby for a detailed assessment and further treatment. During the episodes of mania, when she is taking a lot, sometimes, even irrelevantly, the best approach is to be neutral. But it is also equally important that you ensure her safety and have a close watch over her as such people can do rash or reckless things when they are in a manic phase. Wish you all the bes"
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"However, I can guide you what may be there. First possibility is features of bipolar disorder. And symptoms you described may be part of manic or mixed episode. Second thing you may be in stress either of your study or work which you may not able to cope up with. Third it may be due to some development issue during your growing period. Consult a psychiatrist with your parents so can reach proper diagnosis. And later on you van be treated with medicines and/or/ counseling",
"I suggest you not to worry much. Leading life with short-tempered people are not so easy. You should never say, when or for what purpose, they get angry. Therefore, you cannot act according to her behavior. You being strong is also futile. You can approach her differently. Furthermore, you should make her aware that she is short-tempered. Then take her to a behavioral therapist and get the therapists' suggestion. Then she shall take care of her own short temper. You do not have to worry about it. 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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Yesterday we went to hospital for growth profile to be evaluated, she has been scanned, the impression given is GA 30W 1D, HC 251, FL 53, AC 261, Cephalic Presentation, FH 167 bpm, Placenta Right lateral wall extending anterior and posterior, Single intrauterine gestation, cervix measured 3.7 cm, stitch seen in situ (she underwent encirclage on 13th week) Doctor said baby is under weight head and legs are small in size for the GA, advised B-Protein to intake and review with Doppler Scan. my question is presentation of fetus is cephalic will it cause any birth indication before due date, since she was given 2 times preterm birth, this is 3rd conception. we worried for that please suggest ...
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"It means babies head is down (in the correct position). The cephalic presentation should not affect whether she goes into preterm labor or not. As far as the growth is concerned, I agree with your doctor. Doppler's need to be evaluated to make sure baby is getting enough blood flow. Your wife will likely need monthly growth scans until she delivers"
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"Just want to know if this is your first pregnancy or have you had a cesarean before? As if you have not had a cesarean before the anterior placenta has no significance. The 0. 87 CMS gastrochisis needs to be rechecked again after 2 weeks by ultrasound. It should subside but if still persists you will need a fetal medicine consultation and will need to speak to the neonatologist prior to delivery. The baby may require a small surgery after delivery to rectify it. This is best discussed after a repeat scan confirming that this finding persists.",
"Backache at this stage of pregnancy could mean increased stress on the back muscles, cervical incompetence that could be causing the pain, fetal movements and position of the fetus in the uterus causing pressure on the cervix and so on. Urinalysis and a spectrum examination can rule out local causes and infections. A sonogram can detect a short cervix and the need for further management including a cervical encircle. Please get the sonogram done as soon as possible to clarify. Wish you safe motherhood"
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Hello doctors.I m suffering from allergic cough since eight years.I had too much medicine but it comes back.now recently I m having again much cough nd running nose.I have pft test which shows small aiway pass.Now I am taking telekast f,momeflo and combihale from past fifteen days but didnt recover fully.plz advice me best medicine and precaution...and also wat should eat. Thanx alot
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"I went through your history and would like to make suggestions for you as follows:1. I would agree with your current medications - Monteluakst-Fexofenadine (Telecast), Model (Mometasone nasal spray) and Combinable (I would like to know strength of medications within). 2. First, I would suggest you to make sure that your technique of using the inhaler is perfect. If it is not perfect, there are chances that adequate amount of Chat Doctor. 3. If despite correcting your technique, you are not experiencing relief, I would like to increase dose of Combinable (at present I don't know what dose you are taking)4. I would also suggest you allergy testing as it will help you identify the substances causing symptoms to you as well as the measures to avoid them. 5. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works like a vaccine to improve your allergy symptoms. 6. I would also suggest you a healthy diet and regular breathing exercises to improve your immunity and lung capacity in a long run. 7. As you have specifically asked about diet, I would suggest you as follows:a. Please avoid the foods you are allergic to. b. I would suggest you to avoid too much eating. Please do not eat up to full stomach."
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"This means either some sort of allergy or throat infection. When such type of patient visit I usually advise them to take dextromethophan + chclopheniramine male ate + guaiphenesine cough syrup (2-3 T S F three times in day). Take some dextromethorphan longer for throat clearance. Take some antibiotics like among clavulanic acid three times in day. This treatment will cure within 5-7 days. Avoidance of dust, mite, pollen, molds will help. Hot coffee also provide relief.",
"You had mostly flu like viral infection in past most probably. So you have cough that has not gone still now. Following is some remedy for you. Take antimissile cough serum containing dextromethorphan. Green tea is useful. Chat Doctor. Eucalyptus cough lozenges helpful. Plantain leaf is useful home remedy to ease cough and sooth resp tract. OSHA root, ginger also useful. Onion having anti-inflammatory action so useful. Take green leaf vegetables. Avoid smoking and spicy food. Take fried food minimum. If still symptoms not relieving then chest x-ray done for further investigation. I hope my suggestion will surely help you"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,I am male, 35 years old and weight 70 kilos, height 173 cm. Every year I do a medical checkup. In a recent medical check-up, there was a note related to heart rate (bradycardia), the result was 49 bpm. I also have checked manually and also using pulse meter, the result around 51 to 55 bpm. In the last eight months, I do morning run three times a week (30 minutes). Actually previously instead of running, I also have done sports exercise (static bike) with the same intensity. One thing that differs with the previous conditon is I lost 8 kilos (in 7 to 8 months time). There is no symptom related to my health, instead, I feel comfortable and fit. I have consulted with the cardiologist and he said it was okay as long as I do not feel any symptom (faint, dizzy, etc). But the doctor quite worried regarding the heart rate at night since based on ECG result (using Holter monitor for a full day), it showed the heart rate plunged to 35 bpm at night (sleeping). The doctor gave me Terbutaline sulfate, with a low dosage (two times a day at 2.5 mg). My question is whether bradycardia is related to my sports activity? Does it relate to my weight loss? Is there any reference related to normal heart rate for atheletes (with sports heart) when sleeping at night?
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"It is quite common and normal for regular athletes to have sinus bradycardia, I saw some with heart rate down to 40 to 45 bpm daytime. At night usually, the HR is slower and it can get down to 35 bpm. As long as you remain asymptomatic that is no lightheadedness and no fainting or collapses, then no further action is required. It is not related to weight loss which could be secondary to increased physical activity and exercises. If weight loss is not deliberate, then this needs to be investigated. Weight loss and bradycardia could be seen in malnutrition patients and people with severe depression sometimes. I do not think it is the case here as you do regular exercise which is a good sign. Please be assured. Take care."
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"ffee, tea, alcohol, other weight loss Chat Doctor. Few conditions like arrhythmia, hyperthyroidism, hyper metabolic states, anemia, beri may cause rapid heart rate. Just at sleeping heart rate if it is normal then alright. Consult your physician if you have continuous rapid heart rate he may change to beta blockers to decrease blood pressure same time decrease heart rate.",
"It is very unlikely (considering his age) that these symptoms are related to any cardiac disorders. Besides, the increased heart rate could be related to anxiety and also muscular pain (normal autonomic reaction). But, if this problem repeats, I would recommend consulting with his attending physician for a careful physical exam and some tests: - a resting ECG- a chest X-ray study-complete blood count for anemia- inflammation tests (PCR, sedimentation rate)- thyroid hormone levels for possible thyroid dysfunction. If all the above tests result normal, you should consider anxiety as the main cause of all this clinical scenari"
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I was seen in the er for right flank pain. Blood work, urinalysis , and a CT was done. Urine was clean, I have an elevated white cell count on my CBC, and kidney stones in my right kidney. Dr said the elevated white count was due to the prednisone I was given for an allergic reaction I had the day prior and could not give an answer for the flank pain. Could the kidney stones be causing the pain? I have had at least one of the stones found in my kidney since Oct of 2009. And would only 3 doses of prednisone elevate my white blood cell count?
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"Your elevated white cell counts can indeed be due to prednisone treatment, or it also could be because of any underlying infection. As you say that you have kidney stone the pain could be caused if the stone is small enough to have passed into the ureters that is the tube that connects you kidney to the bladder. The passage of these stone give rise to flank pain. Even a single dose of prednisone can give rise to elevated WBC counts but then tend to come back to previous levels once the Chat Doctor. If the pain continues it would be a good idea to get a Labor MVP done to rule out stone in the ureter and a permanent treatment. Neglected cases may lead to kidney damage in the future. Your urologist will be the best guide in such matters"
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"Such pain is most likely caused by urinary tract infection or kidney stones. You may have frequent urinating, burning while urinating, lower abdominal pain. Trace of blood can be seen in urine from time to time. Stomach issues like peptic ulcer can sometimes give such symptom as well. Blood work is not enough to find the reason. I suggest you to have urinalysis and abdominal ultrasound as well. Gastrostomy should be considered.",
"There is possibility of kidney stones or crowns ulcerative colitis. You may need to investigate in form of complete blood count, ESR, CRP. Ultrasonography abdomen and pelvis will help. Hip and groin pain can be radiating pain. You may need clinical examination also to confirm diagnosis. Till time, you can start medication and antibiotic consulting your treating doctor."
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Dear Sir,I was diagnosed with osmf yesterday by an oral and maxillofacial surgeon yesterday in delhi. He advised to take Lycored (twice a day)and Rebagen(thrice a day) and kenkort ointment. Will these medicines make any improvement in future and what the risk of oral cancer in this situation. However I have stopped chewing tobacco bit I smoke and drink. Plz suggest.
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"I will suggest you to quit your habit of smoking and chewing tobacco completely that will good for you, as you are asking for medication prescribed by your oral surgeon yes these are the medicine given in OSF condition take this medication regularly and keep in contact with your oral surgeon for examination and evaluation."
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"I can understand your concern. Oral cancer is mostly squamous cell type. Lump can be metastatic squamous cell carcinoma. Or it can be lymphoma, some soft tissue tumor or lymph node enlargement also. You should go for fine needle aspiration cytology or biopsy. It will give you exact diagnosis. Then you should take treatment accordingly.",
"I have gone through your query. As far as the pain is concerned, it can be because of the gum infection that has resulted in bone loss(as you described as it is in OPG). Nothing to be panic, consult an oral physician and get it evaluated. For the severe pain, you can take retool tablets which will reduce the pain in 10 minutes. Along with the analgesic, you need to take a course of antibiotics like amoxicillin and metronidazole combination(if you are not allergic) till you consult your oral physician. Once the diagnosis is confirmed, If it is a gum infection, it can be treated with scaling and root planing. I hope my answer will help you, take care"
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Hi. My 3yr old son has possible bronchitis and is on erythromycin (6mls twice a day). He has had three doses so far. When he got undressed this evening i noticed a rash all over his hips, thighs and upper arms. It is raise and reddish shapes a bit like clouds formations, they are just outlines though. The centre of each marbled shape is not filled in. Is it an allergic reaction to the antibiotic? Thanks for your help.
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"I can understand your concern. Erythromycin is Caroline group of antibiotic. And it can cause allergic skin reaction. So his rashes can be due to erythromycin induced skin allergy. Another possibility is viral rashes. Viral infection also cause similar kind of rashes on skin. He is also having bronchitis and viral infection is the most common cause for bronchitis. So viral infection can be the cause for bronchitis and skin rashes. So better to consult dermatologist and get done clinical examination of rashes. Also discuss possibility of viral infection and erythromycin related rashes."
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"Red rashes on inner thigh could be due to fungal infection of thighs mainly Tina, as it localizes on body folds and thigh area. Need not worry. I would suggest you to start with oral tablets of Terminating for 1 week. You should clean the skin with soap and cold water and apply petroleum jelly. Wear loose cotton clothes. You should visit dermatologist once and get it examined and start treatment after proper prescription. Take tablet of cetirizine 10 mg once daily for symptomatic relief from itching.",
"Thank you for asking at Chat Doctor. I went through your sons' history. I would like to know more details about him like - what kind of infection did he have? Does he have any other complaints apart from rashes? Do rashes cause him itching/excessive crying? Does he have any digestion related complains - constipation/frequent diarrhea? Does he have any other allergies? Does he have any family member with allergies? Do you give any medicines frequently to him (for fever, pain, etc. ) apart from anti-allergic medicines? From your given history, I would like to make following suggestions for him:1. Were I treating him, I would prescribe him montelukast and levocetirizine for 1 week and review his response. I would suggest you to apply lotion like calamine over his itchy areas. 2. An infection related rash can sometimes last for 4-6 weeks after infection. If he has persistent symptoms beyond 6 weeks, I would suggest him to investigate for food allergies, intestinal worms and other intestinal infections, urinary infections etc. 3. Some"
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Hello. I have what I believe to be a wheat allergy rash on my hands and arms. I have antihystamine tabs and cream for it, but wondered how long before it starts recovering. I first noticed it about 5 days ago but paid it little heed until it got worse. I started treating it today 6 july. Is there anything else I should be doing to aid recovery? Thank you.
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"Allergic rash secondary to wheat allergy is unusual, and this might be a coincidence. You are more likely to have idiopathic urticaria that might get worse after eating certain foods and long-acting antihistamines for 4-6 weeks is recommended. If you continue to have itchy rashes, continue for 3 months. Fexofenadine 180 mg/90 mg and/or cetirizine 10 mg is standard treatment options. I hope that was useful"
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"From the description it seems you have hand eczema. It might have started coincidentally when you developed food poisoning, however it is not related to the same. Now to treat the same continue using a good emollient cream preferably urea and lactic acid based. Also use a potent steroid cream like clobetasol or clobetasol or a lesser potent one like mometasone to help the lesions heal. If the area develops fissures and oozes too then a steroid can be used in combination with antibiotic cream. This would help in faster resolution of lesion. Avoid using harsh soaps, detergents or chopping vegetables i. e. use a glove while doing household chores.",
". . most likely you have got Hand eczema. You should apply dexamethasone 0. 05% ointment on your affected area. . . twice a day. for around 15 to 20 days. then gradually taper by applying once at night for 10 days. . . gradually decreasing frequency. . . until u just apply on weekends or when it flares up. . . . also most important that u keep your skin HY Chat Doctor. . you should be careful about using detergents, paints,antiseptic soaps, gardening. . . . as these are important factors in flaring eczema. . . Take care. Happy to help"
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My daughter aged 22 an MSW student studying at Loyola College of Social Sciences, Trivandrum is suffering from coughing for a long period to say for the last two-three years from the time she was studying for BSW at Rajagiri College of Social Sciences, Kalamaserry, Kerala. She consulted Allopathic Doctors and have blood checks, ECG, X Ray Esynofil tests and have medicine for some time. Only time being relief and it starts again. She consulted Ayurvedic and even Homeopathy Doctors, but still she suffers from the coughing and sometimes she is not able to breathe properly. The coughing is more in the evening and after going to bed she can sleep properly. Doctor I need your help and advice. I head of a Medicine namely Telekast (R) F. Is it good for her coughing. Please suggest a medicine for my daughter who always has to go out for Field works twice a week for last three years with the field agencies. I hope your advice/suggestion will help her. Thanks.
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"Thank you for asking at Chat Doctor. I went through your daughters history and conclude that she has chronic cough since long and also at times difficulty in breathing. I assume she does not have any other illnesses like recurrent infections, fevers, weight loss, reduced appetite, chest pain, vomiting, etc. If she does not have any of the above-mentioned complaints, first I would think of asthma. In that case Telecast F (for which you have asked) would benefit her. If she is not benefited completely by that, I would suggest consulting an Allergist who will advise her allergy testing & spirometry and then will suggest her inhaler therapy for asthma. Allergy testing will also guide her about what she is allergic to and how to avoid them. I would also suggest her to avoid dust, cold air, smoke & air pollution as much as possible. I would advise her to cover her nose while traveling. Regular breathing exercises, Yoga & Panama and a healthy nutritious diet will help her in a long run."
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"You had mostly flu like viral infection in past most probably. So you have cough that has not gone still now. Following is some remedy for you. Take antimissile cough serum containing dextromethorphan. Green tea is useful. Chat Doctor. Eucalyptus cough lozenges helpful. Plantain leaf is useful home remedy to ease cough and sooth resp tract. OSHA root, ginger also useful. Onion having anti-inflammatory action so useful. Take green leaf vegetables. Avoid smoking and spicy food. Take fried food minimum. If still symptoms not relieving then chest x-ray done for further investigation. I hope my suggestion will surely help you",
"I went through your daughters history and would like to make suggestions for her as follows:1. There are many possible causes for breathing problems in child Chat Doctor. They can be as simple as allergic rhinitis or anemia or more serious such as asthma or other lung/heart disorders. 2. As your daughters previous health is almost good, please do not think of any serious cause at present. Please follow a step-by-step approach for identifying the cause. 3. Were I treating her, I would take her history of symptoms in great details which would guide me towards possible diagnosis. 4. In general, I would suggest complete blood counts with ESR. If she has repeated/longstanding nose symptoms, I would treat her for allergic rhinitis with antihistamines & montelukast. If her symptoms are suggestive of asthma, I would suggest her spirometry/PEER testing and would treat accordingly. If she does not have any of above, I would advise chest X-ray and also would think of stress-related causes such as anxiety, etc."
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Hello. So I bought and used the over the counter yeast infection depository. About a week about. It started coming out over the next couple of days but then this chunky consistecy has turned into a thick white discharge. I have all of a sudden started my period even thought I just had my last cycle two weeks ago. And its still coming out in the blood. I am not sure what it could be. I am no longer itching. But the blood is very clot chunky and grossing and starting to worry me. Idk what to do. Also the period is not coming out on to the pad I m wearing. I can wipe and it s so much. But not leaking as normal
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"I have gone through your query. If you are getting more chunky discharge than better to rule out pelvic inflammatory disease or infection. It is better to have a pelvic examination by gynecologist and a swab for this. Ultrasound examination will be needed in case of positive signs. White cheesy discharge can be most likely yeast infection. Clotrimazole cream (monist at)for local application and fluconazole tab orally will be helpful to rule out this."
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"Thick milk discharge could be due to vaginal yeast infection, pregnancy. I would suggest consulting the gynecologist and undergo examination, urine pregnancy test and or blood Chat Doctor, vaginal swab test and USG scan to confirm the cause:Doctor will give following advise for infection:Vaginal suppository of clotrimazole and lactobacillusSingle dose of fluconazoleWash vagina with warm salted water and then apply apple CIA",
"I am Chat Doctor a consultant gynecologist and I will be helping you in your queries. There are no chances of pregnancy if ejaculation was outside the vagina. The white discharge may be infection. Pregnancy tests will come positive 7 days after the missed period. Stress may also delay periods. Just wait for a few more days for periods. It is better to get examined by a doctor for the white discharge as it may be an infection. Do not worry so much. Chances of pregnancy are not there without penetration. I hope this answered your query. Thanks for using Chat Doctor. Have a good day"
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I am a 43 yo female 5 7 165lbs, I am in perimenopause no serious health issues except for breast density and cysts in either breast that come and go since i was 38. Ive had a mammo/sono every year since then I ve had BIRADS OF 1, 2 and 3 in the past..my last mammo was November..BIRADS 2...3 months ago I found something like a nodule under my Left armpit, its moveable and hard to the touch my guess is its about 1 1/2 to 2 cm, 2 months ago my gyno wanted me to see a surgeon and have it removed but i figured it would go away..last month i was doing my exam and discovered those same nodules but smaller and grouped between 1 and 2 o clock on the upper outer quadrant of my left breast, should I ask for another mammo or is it my hormones?
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"Yes, it is all related to your hormones and no need to ask for another ammo!these nodules/nodular hardness, pain, cysts or any whitish nipple discharge, vague lump are all related to hormonal influence and correlates well with BIRADS1/2/3. Better to stick to medical management and avoid surgery in these cases as surgery doesn't treat the actual cause! If still worries you may go for an FNAC test for confirmation of fibroadenomas or fibrotic disease. . ."
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"I can understand your concern. You may have fibroadenoma, fibroadenomas other benign breast lesion or breast cancer. You should go for mammography and biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly.",
"Based on the mammogram report (attachment removed to protect patient identity), you have heterogeneously dense breasts (Category C). There is no visualization of obvious breast lesions. However, I would surely suggest you do an ultrasound of the breasts for interpreting the mammogram findings. As you have not mentioned the side, I find markers in some images over the left breast, and I guess that there are lumps in the left breast. Please correct me if I am wrong. You have small axillary lymph nodes on both sides (more on left than right) and though they are small and not significant, getting it reviewed on an ultrasound scan is suggested."
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my wife fall on ice and pain start two days after she fell,pain starts in right upper leg ,after that is increasing in pain and burning sensation,she had already steroides shots and some therapy ,also she had x rays and mri done ,what i can do to relief her burning and pain in her right knee? she is taken now norco and using some burning cream that happen in two weeks all
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"Since you mentioned MRI & X-ray are done you haven't mentioned which region and what was the conclusion given by the radiologist. You didn't mention either where the steroid was given. let's assume that your wife had injury in the knee and the treatment was directed towards the knee. So now as you say she is having burning sensation that may be due to the steroid dose which is at times common. The effect of burning sensation stays for 72 hours +/-. Post that the burning sensation comes down, and the pain is lowered. Since you are at home you can help her by giving icing around the knee joint, and it will help her to an extent by desensitizing the skin texture"
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"Since you mention the knee I will recommend you to get it examined and also an MRI on a safety basis as sometimes the inflammation in the tissues get septic and needs proper medical attention. For now, you can do quick icing to reduce pain and inflammation. Any ignored injury leads to problems in the latter stages of life.",
"Your wife is having degenerative disease with multiple disc prolapse. If she is having tingling and numbness or weakness of legs, then she may need to get the offending prolapsed discs should be operated. This prolapsed disc causing pressure over her nerves. Along with that conservative measures are a must:Avoid forward bending, lifting weights. She can take painkiller and muscle relaxant combination prescribed by your doctor for pain relief like Tablet Diclofenac and Thicolchicoside twice a day. Shee can put hot water bottle to the painful areas for relief from muscle spasm. If the medication isn't working then she can get Epidural steroid injection in the back, to treat multiple disc prolapse. I do hope that you have found something helpful, and I will be glad to answer any further query"
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Hi, i was diagonised with TB in my spinal cord & lungs. I have been prescribed with akurit 4 -(five in empty stomach) & i have been taking ths from past 3 months, but the pain in my spinal cord has not come down & finding very difficult while sleeping & getting out of the bed. Could you please suggest me if iam on the right medication & period of time to completely come out of this diseases & the pain.
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"You are taking the right medication if you were clinically diagnosed as TB spinal cord (?spine) and lungs. The pain is because of nerve irritation in your spine. The time taken for healing of the spine and recovery from pain may differ according to the spinal involvement. Your doctor may ask you to get repeat X-rays and MRI to know the disease activity. Usually patient is advised rest and minimal physical activity till such time that the disease is under control and becomes stabilized. You must continue to take medications till your doctor feels it is required"
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"Physiotherapy like ultrasound and inferential therapy will give quick relief. For these symptoms analgesic and neurotrophic medication like pregabalin and methylcobalamine can be started consulting your doctor. Till time, avoid lifting weights. I will advise checking your it B12 and it D3 level. Your lumbar scan also shows some discs bulge. So continue physiotherapy for lumbar spine also. Epidural injection shot may help if no relief. Avoid lifting weights. Avoid bending forwards.",
"For these symptoms analgesic and neurotrophic medication like pregabalin and methylcobalamine can be started. Till time, avoid lifting weights. Continue your Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. You can do MRI spine and send me reports so that I can help you better."
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I have been having left lower side pain about 3in left of my belly button and in my lower back feels sore like my muscle is sore. It really hurts if I drink alcohol and I only drink on Saturdays when we go out with friends. Coffee also makes my whole lower abdomen hurt. I have 25/f I had Lapband surgery July 20,2011. What could this be?
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"Alcohol, coffee known to be gastric irritant and may cause pain. Left lower abdominal pain may be due to constipation, commonly seen in post Lapland surgery"
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"Thanks for your query. The possible reasons for a chronic pain on the left side of the belly button can be:*A small hernia from this area; as it is small it is not easily noticeable. Needs a high resolution ultrasonography of the abdominal wall and a thorough clinical examination. *Inflamed lymph node of the abdomen or inflamed part of the intestine getting stuck to the abdominal wall. *Tumor of the rectus sheath; it is known to occur at this site and only in female patients. *You have already ruled out the female problems and colon problem. Ultrasonography and thorough clinical examination and if required the contrast enhanced CT scan of the abdomen, abdominal wall in particular will definitely help to get the possible diagnosis and a proper treatmen",
"It is a matter of great concern. Dear, I am sure, your pain has no connection with your knee surgery. Upper left abdominal pain is most often due to a condition afflicting one or more organs or structure in the LUG (left upper qua Chat Doctor. It may also be due to conditions in the thoracic cavity or lower left abdominal area that either refers or radiates to the LUG. Constipation, Pancreatitis , enlarged SPLEEN, stone in kidney or ureter, conditions that may cause left side abdominal pain. Any of the above conditions may because of your present agony The severe pain Ultimately a diagnosis by a medical professional is necessary so that the appropriate treatment can be commenced as soon as possible. Your doctor may suggest abdominal ultrasound, x-ray, CT scan or MRI are often necessary for a definitive diagnosis. Meanwhile, Rest until you are feeling bette"
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Hi doctor,From the last one week, I am suffering from nose blockage, fever, sneezing, and coughing. And from yesterday, I got my periods also. So my body is feeling totally weak. I am unable to stand properly also and also have a reddish color in the throat. What to do doctor?
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"The symptoms you are having are suggesting of possible viral flu infection. If you have a reddish color in the throat, then it is possible bacterial tonsillitis. Should get further checked by your physician as might need prescription medications. Meanwhile, you should take iron supplement together with ChatDoctor. Use nasal saline spray to keep your nose unblocked. Apply cold balm on your chest and upper back to relieve congestion at night. Aerosol therapy can help together with taking anti-histaminic orally. Let me know if you have further queries. Wish fast recovery. For more information consult a family physician online"
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". . . Your treating doctor is right. . . . See you were had sore throat and nasal rhinitis infection. . . . It can descend downwards and can lead secondary acute bronchitis. . . . In this condition blood in sputum can be there. . . . your x-ray also clear so no other resp cause can be there. . . . Take full course of antibiotic. . . . . For congestion antihistamines Chat Doctor. . . . Avoid excess coughing . . . . Take rest. . .",
"I can understand your concern. You have upper respiratory tract infection. So your fever, weaknesses and sore throat are due to that. You may have cervical lymph node enlargement due to your infection. It leads to reactive hyperplasia of lymph node. No need to worry should take a course of antibiotics like azithromycin, anti histamines and paracetamol according to your doctors' advice."
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Hi my 9 year old son hit his head on his teammate knee at soccer camp today. He have a big bruise the size of an egg. The swelling is slowly going down. We are giving him motrin and applying a heat pad. What else should we apply to decrease the swelling?The swelling has gone down but he still have a big soft bruise and we have place a heat pad on his head and he is taking some motrin. What else should we apply to decrease the swelling?
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"It takes a few days for the swelling to decrease. Motrin can be used for pain and headaches, but it will not heal the bruise itself. That is a matter of time and the bodies efficiency at healing itself, which is usually pretty good in child Chat Doctor. Keep a close eye on him the next couple of days to be sure he doesn't develop any symptoms suggesting a more serious injury. He should be seen at emergency if he develops excessive sleeping, severe vomiting, change in personality, weakness or numbness on one side of the body, severe persistent headache, difference in size of the pupils, anything that looks like a stroke. These could indicate that the injury has affected the brain. Most kids do well with injuries like this and feel better within a day or two. The swelling should go down fast but the bruising color itself may take a week or so to go away."
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"Well it is most likely be a soft tissue injury and swelling and bruising is an outcome of injury leading to inflammation and swelling. Chat Doctor. . Yes, it is better to get him checked by an Emergency doctor so that the exact condition can be ruled out. He can be advised anti-inflammatory painkillers like Motrin and along with it do cool compresses over the swelling. After a clinical examination if needed an x-ray can be done to check for fracture of the brow bone if the blow was massive.",
"Take rest. Do not walk for 2-3 days because the strain on injured area may increase the swelling and pain. Take ice therapy for 20 mins which should be applied during the first 48 to 72 hours after injury. Don't apply the ice directly on the injured area and don't use warm therapy until 72 hrs of injury. Use compression bandage or stockings for the swelling reduction. Keep your affected leg raise from the heart for the swelling reduction. If you don't get the relief consult your doctor and get X-ray or MRI scan to rule out the exact cause."
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I had knee surgery this past thurday to fix a meniscul tear, clean out my knee, and remove a spur on my right knee. I am not walking on my knee and have developed a lump above my knee and several times my leg feels as if it is locking up, almost causing me to fall. This is my second knee surgery (first on left knee), Im 38 yr old female with a family history of degenerative joint disease. Any help would be appreciated.
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"Their is possibility of instable meniscus, loose body or simple knee stiffness which may be a cause for that locking sensation. Your knee lump as per your history appears to be a suprapatellar bursitis, or it may be a gross knee swelling. So firstly you need to have a MRI knee done."
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"When the knee swell quickly, it means some trauma has occurred within the joint. It could be a Meniscal Tear or an ACL/PCL Ligament injury. The most appropriate thing to do would be to visit an Orthopedic surgeon nearby and let him Chat Doctor. Later when the swelling subsides, an MRI scan should be done to rule out any injury to the Menisci of the knee, or the Internal Ligaments as mentioned above. Ice pack will help initially",
"Stop massaging the joint and weight-bearing on that particular leg. MRI is a preferable scan to see knee joint pathology, specially ligamenta and meniscal tears if any and which may be treated by medications, physiotherapy or arthroscopy in most of the cases. Depending on the type of injury and extent of injury, knee joint takes time from 3 to 6 weeks to improve, and it generally takes months to regain the full streng"
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Hello Doctor, I recently took my three year old daughter to a reputed ophthalmologist (MD) just for regular eye checkup as she used to keep rubbing her eyes frequently. The ophthalmologist told me my daughter has cylindrical number as high as -3.5 in both her eyes and will have to wear specs for the rest of her life. I was surprised as my daughter never ever complained of any vision problem to me. How bad is her vision? Should she wear her specs 24/7 (she has zero spherical number in both eyes) Are there natural therapies, yoga, exercises that can help her get rid of this cylindrical number? Thanks Christie
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"So this is not unusual and one has to go for Colin Chat Doctor. Good on your part is that you have got your daughters eye check-up in time. Your daughter needs to wear glasses all the time when awake otherwise no. can worsen and wearing them 24/7 will keep the no. constant. Important is gone for regular eye check-up, look for any watering of eyes or any other symptoms and consult your ophthalmologist. Yoga and exercise are good anyway but can't help get rid of glasses, give her good diet rich in vitamin A and carotenoids. . . . . . . . . ."
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"However, I would recommend you to try with hot fomentation, it may make your kid feel better symptomatically. If the symptom persists for longer days, please consider visiting ophthalmologist once.",
"myopia or nearsightedness is the common refractive error seen in child Chat Doctor. 2. astigmatism which is abnormality in cornea can result in association with myopia/hypermetropia if the condition goes on worsening. 3. Any symptoms of headache/eye strain or eye fatigue you noticed?4. In Ayurveda, apart from herbal treatment we have specific panchkarma procedures related to eye which helps in improving eyesight and lessening the chances of developing squin"
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I have been on a regular excercise routine now for about a month. After my time in the gym, I always have excruciating menstrual-like cramps, but its definitely not time for my period. It keeps me up at night, and its usually just after my day in the gym...any ideas what may going on?
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"Thanks for your query. Pains in the abdomen after a day in the gym definitely suggests the muscular cause. Due to the already ailing muscles being subjected to the strains and sprains of the exercises, it never gets rests enough to regains its normalcy. Hence, this is something like a repetitive stress injury of that particular part of the muscles which when strained gives you menstrual like cramps. But, to be sage you have to undergo an ultrasonography of the abdomen and the abdominal wall just to see there are no other causes like ovarian cyst getting twisted or PID getting exacerbated and so on. I would suggest you to be seen by a Surgeon for physical examination of the abdominal wall for the muscular problem or a hernia and to get an order for ultrasonography and a prescription for the anti-inflammatory medicine with a painkiller property. No exercises till you get alrig"
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"After going through your wife suffering, it seems she has developed muscle spasm (cramp). The cramps are caused by hyper excitability of the nerves that stimulate the muscles. Chat Doctor. A simple way to prevent cramp is-1. Warm up and stretch your calf muscles before running stretch your calf muscle before going to field 3-4 times and each time holding for 10-15 seconds. 2. Talk to qualified trainer for proper running form and footwear. 3. You may run in a heel-toe pattern and avoid letting the balls of your feet hit the ground first. 4",
"Terrible night sweats experienced by you are probably part of post surgical menopausal symptoms, other related symptoms are hot flashes, Chat Doctor. You may discuss starting Hormone Replacement Therapy for relief of your symptom/s, with your gynecologist, after evaluating about the pros and cons of the therapy. Tk CR"
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Yes, Thank You. I was diagnosis with ovanian cancer. in 2012 and was cancer free for all this time. Now I find out that it has returned as many tumors. It is a rare type called an yolk sac tumor even rarer because I am 62 years old. Can you explain this to me?
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"Yolk sac tumor at your age is quite rare as it mainly affects young women. So first thing you should do is to make sure you have the right diagnosis. If you are showing at a standard cancer center then its alright, else take a second opinion from one. If it indeed is yolk sac tumor, and it has come back, then the best option for you will be to have chemotherapy and then if there is any residual disease after that then to undergo surgery"
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"Ribs are bones and to be specific they are flat bones. Tumors on any type can originate in ribs but Ewing's sarcoma is the commonest and seen in young adults. However, bone malignancies can occur in variable age groups. Ewing's is one type of bone cancer that is due to uncontrolled proliferation of round cells. This tumor responds well to chemotherapy and radiotherapy and patient survival is good. I suggest the person should get a CT scan done, and then an image guided FNAC or biopsy is required to confirm diagnosis. Once confirmed, treatment is by a team and might include surgery, chemotherapy and radiation. Patients must follow up regularly when taking treatment for best outcome. Mastication is the act of chewing food using our jaws. Please do not worry",
"I can understand your concern. Possibility of brain cancer is very, very rare in your case because of your age. Brain tumors are common in child Chat Doctor. So at your age of 19 years, no need to worry about brain tumor. Possibility of benign tumors like lipoma or sebaceous cyst or Desmond cyst is more in your case. So better to get done clinical examination of swelling and ultrasound examination of swelling for the diagnosis. You may need surgical removal of the swelling. Usually brain tumor causes constant headache, vomiting, difficulty in vision, unconsciousness etc. All these are absent in your case, so don't worry about brain tumor. You are mostly having benign skin tumor."
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hi,my sister (39 yrs) is having mental health issues. we had kept her on medication for last 2 years.during the course, she has put lots of weight.she was even able to continue her job but lately the issue has increased. she hellucinates alot about siblings being in trouble, talks which some times dont make sense and investigates a lot about siblings well being (on phone). she call any time of day or night. can some one help or direct to a psyiciatrist?it will be great help...S Garg.
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"I suggest you not to worry much. From the symptoms, it looks like your sister is suffering from schizophrenia. Illusions and hallucinations are part of it. Medication for schizophrenia is lethargic, and she is bound to feel tired and gain weight. In the meanwhile, you should also check for thyroid complaints. The best course of action should be to continue treatment with a psychiatrist as well as with a clinical psychologist who can provide Cognitive Behavior Therapy (CBT). Both in tandem definitely shall be of help. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some CBT techniques which should help you cure your condition further."
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"Thanks for your query. If you would like to consult a specific doctor or a specialist, please use the premium service. You brother seems to be suffering from a psychiatric disorder called Schizophrenia. This is a chronic disorder, which needs regular and long term treatment. Stopping medication or irregularly taking medication will lead to relapse of symptoms. Please take him to his psychiatrist for further treatment at the earliest. If he is refusing to take medication or co-operate, then other treatment options such as in-patient treatment or long acting (depot) injections have to be considered. Please discuss these options with his psychiatrist. Wish you all the bes",
"I suggest you not to worry much. I sincerely feel very sorry for your fate. Inspire of being suffered for these many years, you never thought of right treatment. Suicidal tendency and social anxiety is supposed to be treated by a psychiatrist. Please do so at the earliest. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo. gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques."
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My INR was 4.1 Order was do not take Coumadin for 2 nights continue with 4.o mg. of Coumadin. and repeat INR test in one week . Should I keep taking 4 mg of Coumadin. Seems 4 too high. I dont get results for two days after the blood is drawn. What foods should I avoid. Which foods have High Vit. K ? Thank you How low should INR be for normal and safe avoiding clots? I Am very confused . Please Help My E Mail YYYY@YYYY
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". . to prevent clot formation INR should be >1. 2 (normal INR 1. 0) . But if it is too high(>2. 5-3) there will be chances of internal bleeding /stroke. Hence monitoring INR is very important for adjusting the oral anticoagulant dose. May be with the consultation of your treating doctor you need to reduce the dose of Coumadin but not to take your own decision. Moreover, you cannot even stop taking these medicines also. . . by the way it K is rich in green leafy vegetables, alfalfa plant is the richest source . . . take care do write us for further queries . ."
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"I understand your concern. If I am your physician, would suggest you to avoid or limit(to one serving per day maximum)of the following list of green leafy vegetables while on warfarin therapy like 1)kale2)spinach3)Swiss chard4)turnip greens5)beet greens5)mustard greens including brassica6)lettuce7)broccoli8)cabbage9)Brussels sprout10)asparagus11)coriander leaves including parsley12)Collard greens which possess high amount of vitamin K, to avoid chances of clot formation.",
"nditions like warfarin doses, vitamin K deficiency, liver disease, etc. raises PT INR value. Its normal value is 0. 8-1. 2, however with ongoing warfarin, a value of up to 2. 5 is acceptable, rather maintain high INR is our intention when on warfarin therapy. The reason for which you have been on warfarin, is what I would need to know before making further comments."
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I STARTED TAKING AN ANTIBIOTIC TODAY AND NOW I AM ITCHING LIKE CRAZY, CANT SLEEP FOR ITCHING THE NAME OF ANTIBIOTIC IS AUGMENTIN 875-125 MG I NEED TO KNOW WHAT TO DO TIL I CAN A HOLD OF MY DOCTOR IN MORNING, CAN YOU HELP ME? YYYY@YYYY
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"I have reviewed your query and here is my advice. Itchiness you have after antibiotic intake is an allergy reaction to this antibiotic. Stop taking it and report this side effect to your doctor. Itchiness will disappear after stopping Augmenting. Can take OTC antihistamines to relieve itchiness. Wish fast recovery. I hope I have answered your query. Let me know if you have any further questions. Take care"
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"I would suggest that you use a topical broad spectrum sunscreen throughout the day, that which offers both UV B and UV A protection, till your skin returns to normal, which might take a few days. An OTC antihistamine e. g. cetirizine 10 mg once daily would help you symptomatically with the itch. If I was the treating doctor I would have started you on oral antibiotics for acne e. g. either doxycycline or azithromycin, would be good for acne flare. Topically you could use clindamycin phosphate 1% gel twice daily over active acne. Use a gentle cleanser for face wash e. g. detail cleansing lotion, twice daily",
"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"
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My wife has esr count of 65.recently a small lump of 17 mm detected in one breast.FNAC has been advised and to be done shortly.she has hypothyroid problem forlast several years and takes 50 mg medicine every day.is high esr due to possible breast cancer?
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"I can understand your concern. There are many causes of high ESR. Anemia, infection, inflammation, tuberculosis, autoimmune disease, paraproteinemia, malignancy all can lead to high ESR. If your wife has breast lump then she has chances of breast cancer. She should go for mammography and fine needle aspiration cytology or biopsy. It will give you exact diagnosis. Then she should take treatment accordingly. Continue her Chat Doctor."
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"I can understand your concern. She may have enlarged thyroid or some enlarged lymph node. SHR should go for thyroid function test and ultrasound neck. It will give you exact diagnosis. If needed go for fine needle aspiration cytology or biopsy. Then take treatment accordingly.",
"I have gone through your question. I can understand your concern. Your ESR is very high. There are many causes of high ESR. Tuberculosis, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR. You should go for investigation to search the cause. You should go for x-ray chest, ultrasound abdomen, complete kidney function test, liver function test to search the cause. Then you should take treatment accordingly."
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I have recently been diagnosed with pcos and due to start metformin my consultant said if I had heavy periods he would want a biopsy of my womb but said I should t need one I do have very heavy periods but only one or two a year he seemed to think this was ok I m not due back for 6 months but am due a Pap smear would that pick up endometrial cancer if I had it ?
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"The pap smear is a test by which cells from the lips of the uterus are smeared on to a glass slide and examined under a microscope. This uses a special stain called pampanicolaou stain and shows the presence of any abnormal cells in the cervix portion of uterus. The endometrium is the inner lining of the uterus and is examined by a biopsy for endometrial cancer. The pap smear will not look for cancer in endometrium. However, your doctor is right and if you are persistently having heavy periods only then the endometrial biopsy is required. Please have a detailed discussion with your doctor. Please do not worry"
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"You seem to be experiencing periods irregularity since last two months where I believe your stress levels have been high, which could have delayed your menses. The presence of continued spotting from the mid cycle to till date in this cycle is possibly due to serum progesterone deficiency or luteal phase defect (phase after ovulation and before menses). The presence of ovarian pain was probably indicative of ovulation called mittelschmerz, which was normal guess. Anyhow, you need to get an ultrasound pelvis to rule out any adnexal masses or even PCOS (polycystic ovarian syn ChatDoctor.",
"Getting periods in between only means that the follicles were not healthy enough. This is usually triggered by poor ovulation induction. Endometrial growth depends on the estradiol release from the follicles. So if follicles are not good, estrogen levels are not correct, so, the endometrial lining will not be healthy enough. In short, I would suggest, if I may, just forget this cycle. During the next cycle, it is better not to have injections as the ovarian response will be poor if stimulation is given every month. Month next to that, have CCQ (Clomiphene citrate) 100 mg from the third day of periods and at the same time start on HMG (Menotropin) or Humog (human menopausal gonadotropin) 75 or 112. 5 IU. Further dose depending on follicles response."
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Hi I am 33 n always had acne prone skin. By now in life its mainly black heads n 2-3 white heads at a time. When I woke up Sunday morning I had red pimply rash on my face w 15-20 white heads. By Monday evening the rash was starting on my left shoulder. Shoulder itches, face not so much. I havent changed anything not soap washing powders food nothing. I did get a lip piercing a week n a day prior to rash starting
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"There may be some cause. You have oily skin on face, and you are prone to develop acne on face. But the reddish rash on face and shoulder may be most probably allergic in origin. You consult dermatologist for firm diagnosis. After thorough history and examination he might give you perfect treatment. Culprit factor may be found out and removed to improve the condition. Antihistaminics, steroid in tampering doses and mild steroid cream may be considered to relieve the lesions. I hope this would be helpful to you. Thanks"
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"I can understand your situation and problem. In my opinion, you are mostly having allergic skin reaction. Itching, redness and spreading nature of rashes suggest possibility of allergy more. Allergy can be due to anything like bad sheet, pillow cover, inner wears, soaps, shampoo, night clothes etc. So better to change your bad sheet, pillow cover. Wear cotton clothes at night. You may need anti-allergic and antihistamine Chat Doctor. You may also need steroid containing cream on skin lesions",
"As you were already having fever it seems that the rash you have developed can be due to fever due to some viral illness. Fever which is viral in origin, can be related with rashes all over the body. Acne does not cause such acute eruption of generalized rash. Possibilities that can be considered are rash with fever could be due to: -Dengue fever -scarlet fever, -measles, -other viral exanthems need supportive treatment with paracetamol for fever and antihistamines for itching and to decrease rash. It will subside gradually in 5-6 days. Rash can also occur due to the"
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I have a soft squishy lump, about 1/2 inch diameter on my lower left calf that protrudes only when I am standing. When I am not putting pressure on my leg, there is a slight indentation in that spot. The lump does not hurt, although sometimes after exercise the area aches. I noticed that in the exact same spot on the opposite leg, there is an exact same type of lump, although not nearly as pronounced. I have been an athlete all my life, in great shape, 54 years old, no disease history or current health problems.
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"Based on the facts of your query, as the lump on left calf with slight indentation at the spot, which is painless which appears only on standing and with similar lump on the opposite leg, it seems to be caused from Varicose veins due to short saphenous incompetent vein valves. Throughout the life as an athlete you did not get this, but with aging and addition of increased intra-abdominal pressure, these Long and short saphenous veins have become incompetent lately, which needs to be investigated and investigated after Venous Doppler study and treated from a Vascular Surgeon. So don't worry it. Consult your Vascular Surgeon, after consulting your Surgeon and GP doctor, who would treat this lump with all the care it needs. This reply would resolve your current issues and would reduce your anxiety with it."
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"Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You seem to suffer from-Varicose Veins with Incompetent perforator vein just above ankle, with slight burning sensation due to Rural Neuropathy from Cellulitis of the leg tissue around the long saphenous tract, along which the rural nerve passes down the leg. Color Doppler Study of the Deep and Superficial Long and Short Saphenous Vein would confirm the accompanied DVT with incompetent perforator vessel causing the soft sore lump in the leg above. Thus, the cause of this lump could be due to DVT of the Deep Popliteal Vein with Varsity of the perforator vein. Pain throughout the leg on standing, indicates the Short Saphenous Varsity.",
"Reviewed your query details. You seem to have a Ganglion Cyst of right Foot. Pain in this lump after heavy work out is due to the friction edema from friction inflammation with surround bony and tedious parts. This lump mostly is Histiocytoma and is a benign hamartomatous tumor arising from the synovial sheath of the small bone joints of the right foot. CT guided Arthroscopic Laser Ablation, is the latest and best treatment option currently, with the least recurrence. So don't worry about it being Cancer. And is very well treatable lump. This reply would help you to plan treatment with your doctor. Contact after 2 weeks time with a Followup Premium question to ME. Will appreciate your Hitting, thanks. Will appreciate review with your excellent review write up comments. Welcome with any other further query in this regard, if need be. Good Day!! Chat Doctor. S"
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MOUSUMI, F-34, WT-64KG, SUFFERING FROM EPILEPSY FOR THE LAST ONE YR. ATTACK DURATION IS ABOUT 15 MINUTES TWICE A MONTH. KOLKATA DOCTORS STARTED VALPARIN CHRONO AND INCREASED FROM 200 MG TO 700 MG TWICE DAILY AT PRESENT AND LOBAZAM 10 MG AT BED TIME. PRESENTLY SHE HAS STARTED ACUTE BREATHING PROBLEM. THE EPILEPSY ATTACK HAS NOT OCCURED FOR THE LAST 30 DAYS. PL SUGGEST AND INFORM IF I SHOULD COME AND SEE YOUR OFFICE. YYYY@YYYY
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"I can understand your concern. Epilepsy patients are more prone for aspiration pneumonia. And this can directly cause breathing problem. Aspiration pneumonia also causes bronchitis and bronchospasm. And this can also cause breathlessness. So take her to pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). She may need antibiotics, inhaled bronchodilators and inhaled corticosteroid on the basis of reports. Don't worry, she will be alright. Also continue anti-epileptic Chat Doctor."
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"Your mother\\s situation seems to be very complicated. I would like to explain that it is true that Carbamazepine (Zeptol) can have no good effect or even worsen idiopathic generalized seizures. The valproate plasma levels should also be performed, to know if she is being treated with the right doses of Encorate Chrono. I would recommend performing a brain MRI and a careful EEG to establish any possible cause of these seizures, which could be treated by a possible brain intervention. I would also reconsider the treatment with Escitalopram (Nexito), as it is an SSRI(Selective Serotonin Reuptake Inhibitor) and in rare cases has been shown to aggravate the seizures. Hope it was helpful. Take care.",
"Taking extra together with Mizoram can increase the risk of cardiac arrhythmia (irregular heart rhythm) which may be serious and potentially life-threatening. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or palpitations during treatment with these medications, whether together or alone."
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my wife aged 52had ent problem which extended to brain and seizures started she was recomended 100 mg thrice she has been regularly taking for last five yrs. once or twice she forgot to take medicine and she had mild attack of seizures. please advise precautions.
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"I have read your message. I think I can help you. The symptoms that you have put up in the query-ear infection extending to the brain-can possibly suggest a venous sinus thrombosis or meningoencephalitis. Now these are treatable conditions. But sometimes, it does leave damage behind, and therefore the seizure medicines need to continue. Your wide is taking 100 mg tablets thrice a day. The most like medicine should be phenytoin. If not, please let me know. My advice will concentrate the precautions based on phenytoin (of course, some of them are generalized precautions and can be followed irrespective of the medicine in use). Precautions are as follows-1. Avoid flickering lights. 2. Avoid sign boards. 3. Avoid blinking lights. 4"
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"Anyway the decision to stop taking medication is on your neurologist and It's decided if no seizure occurs for 3 years, at least 2 and if EEG is normal. In my opinion 1000 mg is a small dosage so you don't have nothing to worry! Wish you all the best, don't hesitate to contact for further questions",
"Tramadol is known to cause seizures. This is more common with tramadol injections and high dose tramadol treatments. The muscle twitches are not of much concern, and they are not suggestive of or related to seizures. In the future, it is better to avoid tramadol for pain relief. Percent is fine and quite safe for her. 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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Unprotected sex happened on the 16 th of June 2014, I took an unwanted 72 at the 50 th hour. I m expecting my period on the 5 th of July ie tomorrow around evening. But off late mt breasts have been sore and I ve been feeling bloated. Coukd this be an early sign of pregnancy? Or is it too soon to panic? Could it be because of the pill?
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"It is not only too soon to panic, it is unnecessary to panic also. Unwanted 72 is very effective emergency contraceptive pill when taken within 72 hours of the unprotected sexual intercourse. You have taken it within 50 hours. You are well protected. Few days after these pills, usually little amount of bleeding occurs. This is normal and not an issue of concern. Moreover, following menses after these pills may get delayed by few days to a week. These pills contain Progestational medicine; hence some gastritis can take place leading to temporary gaseous disturbances. Some antacid tablets will give you relief from this. Also, due to progesterone, some heaviness in the breasts may be experienced. Wait patiently, and you will; get your menses, may be delayed by few days. I hope this helps you to shirk off the stress"
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"Lower back pain can be considered as a side effect of the Unwanted 72 pill or as a premenstrual symptoms as your girlfriend is expecting periods in a week. There is nothing to worry about and as the medicine is taken in 3 hours after unprotected sex, the chances of pregnancy are nil. I hope this answer helps you. Thank you for choosing Chat Doctor. Let me know if you have follow-up questions",
"Any woman who has been having unprotected sex without using contraception is at risk for pregnancy. However, pregnancy symptoms vary widely between women, and many of the symptoms people associate with pregnancy like breast tenderness, cramping, bloating, and mood changes are also common with PMS. So it really is not possible to predict pregnancy based solely on those type of symptoms. The most reliable sign of pregnancy is a missed menstrual period. So if you are at risk for pregnancy, see if your period arrives on time and if it does not, then perform a urine pregnancy test according to the package directions. The urine pregnancy tests sold in stores are just as accurate as the ones in a doctor's office and are accurate even on the first day of a missed period. I strongly advise against testing before you are late for your period as the results can be less reliable and conflicting. I hope I was able to adequately answer your question today and that my advice was helpful"
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hi, I have been feeling very nauseous for the last 3 days. ive experienced vomiting within the first day and diarrhea by the second and continuing on the third. I have been very dehydrated and so I have had a headache. as well, ive had both subtle and piercing pain in my lower abdomen, been fatigued, and on the first day I had joint pain all over my body. what could this be?
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"Understanding your concern. As per your query you have nausea, vomiting and joint pain all over body. Well there can be many reasons for symptoms you mention in query like food poisoning, diabetic ketoacidosis, gastroenteritis or peripheral neuropathy. It can also occur due to viral infection or allergic reaction. I would suggest you to Chat Doctor. If condition doesn't get well then consult general practitioner for proper examination. Doctor may order stool test, blood test, check vitals"
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"Forum. This is a very peculiar history. Nausea , fatigue, loss of appetite are due to PAIN. Now the nature of pain. Pain threshold is different in different persons so at present keep it a side. As temperature goes down i. e. 94 F i. e. HYPOTHERMIA. Hypothermia obscures most of the symptoms and signs of INFECTION, notably fever and leukocytosis. Excessive, extensive cultures and repeated physical examinations are essential. As I mentioned above Infection may obscure, so we have to consider for abscess in Liver in initial phase, tuberculosis of intestine, Kidney functions (MAIN EMPHASIS over this). Once again get in U/S whole of abdomen at least from 3 (three) different centers and then consult a doctor who will match these reports and adjudge what is the disease. Once again I would advise you please get in Blood for E S R (C B C)",
"Pain can be associated with that, also you can have fatigue, nausea, bloated stomach. Usually pain is not in that spot, it would be more around umbilicus or colicky pain. The pain you're describing sounds more like urinary, gynecological problem or musculoskeletal disorder so focus on these 2 except u have more abdominal symptoms i ve mentioned. Wish you good heal"
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Hi my neice is 22 years old and she has been in hospital on and off and the doctors did loads of tests but dont actually know whats wrong with her. On her report i read she had Citrobacter Koserie(diversus) can you help me out here in laymans terms?
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". coterie and other Enterobacter are commonly found in water, soil, food and intestines of humans and other animals. Citrobacter infection generally affects mostly the aged and immunocompromised. It may be responsible for infections like UTI, respiratory infections, wound infection. . . . The treatment however, depends on its antibiotic sensitivity test since these group of bacteria have shown growing resistance to most antibiotics. Her Doctor will take care of her antibiotherapy. Results are however good on antibiotic sensitivity test based prescriptions"
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". . first your husband had urinary tract infection and these symptoms of burning sensation upper thigh and testicles occurs with UTI and no need to worry about that. . . . from your words your husband not completely treated from infections even if he took Cipro for 3 weeks, but that is not enough to say he recovered from infection. . . . discuss with your doctor to do urine culture and ultrasound scan of inguinal area. . . it is very helpful for you. . . . if symptoms persist and urine culture give negative results we do seminal analysis . . . seminal analysis will indicate if there is pus cells and bacterial infection to testicles and appropriate antibiotics administered according to antibiotic sensitivity test. . . . . . the most common problem with bacteria causing UTI is the resistance to antibiotics so we advise doing these simple steps to complete recovery. . . . . . . . . . briefly urine culture and ultrasound and semi analysis will detect the accurate cause and treatment will be simple and effective. . . . . . . wish you and your husband healthy life. . . . . .",
"Based on the facts that you have posted it appears that your five years old daughter has UTI and has been taking antibiotics since one week, The high colored urine she is passing could be due to medication that she is taking or due to concentrated urine due to less water intake. There is nothing to be worried about. Please continue taking antibiotics and give her more water to keep her urine dilute."
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Hello doctor,My daughter has a fever for the last two days. She has tonsils. The doctor has given half Dolowin Plus twice a day and Ziprax 100 DT twice a day. Yesterday she had 103 fever. Fever does not come down by Dolowin Plus. So I gave Meftal P 100 mg. But in the night and the day she did not have fever. But now again she has 102.4 fever. Can I give PCM with Dolowin Plus?
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"I can understand your concerns. Dolowin plus has already got Paracetamol in it so there is no need to give Paracetamol with Dolowin plus. You can give Dolowin plus every four hourly if fever persists. If there is a fever in spite of giving it, then cold sponging of the child should be done. If fever persists then Widal test and malaria antigen test and complete blood count should be done."
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". . Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 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. Meftagesic DS contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Mediagenic DS. 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 d",
"Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Metal contains Metonymic acid which is an NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal."
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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 sticky sweat, light headness. I am diabetic, have heart palpitations, high thyroid and under severe stress which my heart doctor is aware. My question is I have sticky sweat, tired, and light headiness, any ideas. YYYY@YYYY
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"I understand your concern. Heart palpitations are very common in diabetics and also in thyroid disorders and weakness is also more or less common in such disorders too. In your case all I want to suggest is that kindly get your thyroid profile along with fasting and post radial blood level done. That will clear the picture that whether your symptoms are related to diabetes or thyroid disorders. Well, your palpitations demands urgent advice from cardiologist as he might start any medications related to palpitations. In my opinion you can start 0. 25 mg of alprazolam to reduce your anxiety as this will in turn reduce your palpitations and sweating too. So far as your sticky sweats are concerned, it is quite common in diabetics. You can use any good quality Persians for i"
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"Soreness in the feet can be due to multiple causes, and we can not pinpoint without proper investigations. It is common in diabetics and thyroid patient and also seen in vitamin B12 deficiency. You need to take following tests. 1. B12 and D 3 estimation2. Blood sugar3. Thyroid level And if any of these tests are abnormal then you can contact your doctor or write to us. Also, there is role of hot water fomentation. I hope these steps will be helpful for you. Let me know if there is any other followup questions",
"I carefully read your question and I understand your concern. You should know that this palpitation has to do with a rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause premature heart contraction that it's not a normal one. You feel like a skipped beat, anxiety, difficulties in breathing deeply and palpitations. There are different causes of this rhythm issue like simple emotional stress, coffee and alcohol consumption or pathologies like anemia, hyperthyroidism, electrolyte imbalances or ischemic heart disease. The fact that you have already done a stress test, and it results ok than you have excluded active ischemic heart disease. If I was your treating doctor I will recommend a full blood analyze to exclude anemia, hyperthyroidism and a holder rhythm monitoring to evaluate your rhythm tendency and the frequency of this rhythm issue. Only after this we can better judge what we are dealing with and how to treat it. If we find a cause and treat it they might disappear. So don't worry just do what I mention before."
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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 daughter is diagnosed with viral fever since 2-3 days. I am worried can viral fever turn into degue ? Because the doctor told us that if blood platelets count lowers then it can be dengue. But till now her blood platelet count is quite good . Please guide .
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"Welcome to Chat Doctor. Yes, there are chances that a viral fever can turn into dengue. But there is no hard and fast rule for it. Usually the viral fever subsides on its own by 7-10 days. During this period you can monitor your daughters' platelet count, if its normal then it is absolutely fine. If its low then you can consult your Physician and get it further evaluated to confirm it as Dengue. Try the following things so that your daughters' fever subside soon. 1. Tepid sponging. 2. Have boiled and cool water. 3. Enough bed rest. 4. Have healthy food."
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"A low platelet increases the suspicion of viral fever especially Dengue Fever. Low platelet is also seen in Malaria and Leptospirosis. Kindly ask your doctor to test for the above infections. Glucose challenge is done to check whether the patient is diabetic or not. Maybe his blood sugars checked be on the higher levels and hence they want to confirm it.",
". . . I understand your concern. By what you say I feel that your child is going through a viral illness too. Your doctor is probably right. I will explain to you how the viral illness behaves so that you can be more confident. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active"
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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 suffer from chronic asthma, possibly COPD. Im short of breath day and night, when i suffer an exacerbation i recieve emergency Nebuliser/Oxygen treatment from my GP or local A&E, which helps immensley. Should i ask my GP to prescribe Oxygen to use at home, as this would give me more energy, i get breathless just climbing the stairs to use the toilet ! I need a boost of energy via a 10minute blast of oxygen. i want to cope better with my young children and housework etc
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"In Asthma or COPD treatments aims to reduce the obstruction and dilate airway passage. Oxygen is used in sever conditions or respiratory failures. You should use Inhaler Aerosol which works like Nebulizer and dilates airway passage. Inhaler is kept in pocket and can be used any time you need it. You can also purchase same Nebulizer to use it at home, In all cases dose must be followed directed by your doctor."
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"Having night symptoms mean that your asthma is not well controlled and upgrading the treatment is required. Foracort Inhaler 400 mg is a right combination that is used daily. I recommend you take Singulair 4 mg tablet (Montelukast) once daily in the evening. Use blue inhaler during the time of exacerbation every five minutes till 20 minutes. If there is no improvement, you should visit the nearest ER (emergency). Also, let me know if you have a PEFR (peak expiratory flow rate) chart.",
"I can understand your concern. Yes, you might be having asthma. You are having breathlessness on exertion (running). And at your age (14 years), asthma can cause similar symptoms. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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my son is very sick and he is acting really weird he is coughing having cold sweats feverish and running nosie i can t lay him down cause he will start crying he has to be sitting up on my chest to even sleep put he keeps wakin up he is sweating but he is cold
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". . by what you quote I feel that your son is having a wheezing problem. Inability to lie down and feeling better on shoulder signify the same thing. It could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc. ?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place"
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"*In my opinion this is due to decreased lung immunity to fight against external pollen. *You require taking steps which give you slow but long-lasting results by enhancing his pulmonary immunity, which will not come by current media. @ Regular walking in fresh air to fill his lungs with adequate oxygen levels. @ Deep breathing exercises along with YOGA 30 minutes daily without failure. @ Keep him away from dusty atmosphere containing excess pollen, @ Try to make him wear Protective mask where there is more crowd where he is prone to get immediate infections. @ Avoid exposure to excess cold environments. @ Avoid continuous exposure to air coolers / air conditioners. @ Avoid excess cold Chat Doctor. @ Give high protein & iron diet to boost up his immunity. @ Tulsa with Turmeric are the best Herbs for your kid on this earth. @ Maintain chart of his weight, height & follow properly. @ Maintain his anxiety episodes, give him more moral support. @ Regular Spirometric exercise at home which is fun for him along with definite treatment & definite measure to evaluate building up of his lung capacity very easily. @ Pediatrician consultation in case of severe cough / rhinitis / fever / any discomfort in breath / decreased appetite / weight loss.",
"Noted your child having fever with breathlessness. So here it could be viral bronchitis or pneumonia like condition if associated with chest pain also. Chest x-ray will be useful for it. CBC also done to look for lymphocytes (in viral) and necrophilia (bacterial). If needed antibiotic needed. . . . Your child physical examination also done with auscultation for CREPS or rhonchi if heard. If excess stress taken then by panic attack also such presentation can occur if no respiratory cause detected. Meanwhile, motivate your child to lose weight. Because by high cholesterol and induced fatty liver also liver enzymes can be elevated. USG useful for it. . . Motivate him for yoga and daily exercise. It will be beneficial in reducing weight as well as in relieving depression . . ."
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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 my name is Sandra hall I have been having blood test I have a infiction that the doctor can not fine. my red cells have does not have a lot oxygen. I itches all over my body. white cell are going up platlets are going down .can you tell me what I should do?
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"Among the white blood cells, neutrophils are elevated. Red cells not having enough oxygen suggests low hemoglobin or anemia. Itchiness can occur due to many causes namely,1. Polycythemia2. High bile salts in body3. Skin ailments etc. A clinical assessment is required to look for focus of infection and site on body whether itchiness is more. In case of low hemoglobin, relevant investigations are required to know the type of anemia. Thanks and take care"
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"I saw high level of PLT, these cells usually destroy in spleen. That's why you should do ultrasound of liver, spleen, pancreas. A low RDW can indicate microtic anemia, which can causes insufficiency of iron, proteins, vitamins in diet, very often cause-worms in intestine. That's why we start to treat anemia from antisemitic medicine and recommend you to give 1 tablet of albendazole 1 time, then you should start to give iron, panir, eggs, chicken according your taste, I don't know if you are vegetarian give proteins powder, multivitamin syrup-zinkovit 1 teaspoon 1 time 1 mon",
"I can understand your concern. She may have viral infection. In viral infection blood work shows high lymphocytes count and low platelet count. Lymphocytes become reactive. So according to these findings we can say that its viral infection. Red patches may be due to low platelet count or some other cause. You should go for platelet count and coagulation profile also. Consult your doctor and take treatment accordingly."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I just need advice and I apologize if I waste your time for such a question that a friend or family could probably answer. But how can I get over a past relationship? How do I get over it and stop thinking about it mostly every day? It s like I can t let go and it s upsetting. I got out of a serious relationship last spring and I though I was over it but it just keeps coming to my mind still to today.
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"Relationship problems are such. These relationship problems are life separation anxiety and grief. Somehow something we love is leaving us. Naturally there will be some trouble to adjust with the new situation. Accepting the fact is difficult and pushing the thoughts aside can make the thoughts come back vehemently again and again. The best option is to mentally accept the fact, gently. Do not force the thoughts away. Accept thoughts as your sweet memories. No ill about those thoughts. Whenever you are aware that the thoughts are present, gently divert yourself into some creative activities. On top of everything, you should not have any hope that the relationship can be refurbished. Close the chapter completely. Relish the sweet past and memories. You will not forget the whole episode, but definitely you will be happy to recall those memories and those memories will not hurt you. 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 suggest you not to worry much. Why are you putting up a point for which you and everybody know the answer? You know about your inner beauty, Then why not accept it? Once everybody talks about it, and is being talked for ages, as it is correct, why don't you accept it? Why become rebellious and ruin your present? Think twice. Accept what you are. Everybody in the world does that and try to be happy. Then they succeed. Acceptance is the key. Any other ideas? No one has. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.",
"I suggest you not to worry much. This happens due to negative impressions which happened when that guy called late night. You did not mention what that guy told you. Whatever, such negative impression was deep. That is why you are feeling it so often. Nothing to worry. Just ignore the \"freaking out\". Let it be there and don't worry about it. It should take some time for it to get normal, but it will be, for sure. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo. gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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HELLO DOCTOR,I RECENTLY HAD A WEELL WOMENS CHECK AND FOUND THE RESULTS TO BE NORMAL EXCEPT MY BLOOD TEST THE WBC COUNT WAS 4.8 AND THE LYMPHOCYTE COUNT TO BE 1.3. THEN THE PCP HAD ADVISED ME TO REPEAT THE TEST AND THE NEXT TIME THE WBC COUNT WAS3.7 AND MY LYMPHOCYTE COUNT WAS 1.2 WITH THE PLATELETS COUNT 127 WHICH WERE NORMAL FOR THE FIRST TIME. I HAVE NO TOHER SMPTOMS LIKE LETHARGY, WEAKNESS ETC... THE PCP HAS SUGGESTED ME TO GO TO THE HEMATOLOGIST. WHAT DO YOU SUGGEST.THANK YOU
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"I can understand your concern. You have slightly low WBC count. Your platelet count is also at low normal range. Most common cause is viral infection. If you have no symptoms then no need to worry. No need to consult hematologist. Just go for repeat blood test after a week. If you have abnormal results then consult your doctor and take treatment accordingly. Right now no treatment is required."
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"I can understand your concern. Your platelet count is slightly low. There are many causes of slightly low platelet. Even mild viral infection can lead to this. So if you don't have any symptoms of low platelet then no need to worry. Just be relaxed. Just go for repeat test after few days. It will come back to normal",
"Low hemoglobin suggests anemia. The white blood cell count is also low. The differential white blood cell count is showing low neutrophils and relative increase in lymphocytes. A peripheral blood smear examination and red cell indices are required to find the type of anemia. The cause of low white blood cell count also needs to be found out. MPV is the parameter assesses the platelet size. The parameter is within normal range. Thanks 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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Hi, I have what Im guessing is an abcess on my gum, top left. It has a very large white soft swelling like a large pea, my face is extremely swallowing, mainly under my eye and close to my nose, will the disperse on its own, I have taken ibuprofen for the swelling. Should I apply ice. It is currently pain free, but has been agony for 3 days untill the swelling appeared. Thankyou Stephanie
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"I am so sorry to hear about this gum swelling. From the information you have provided, this swelling needs to be properly examined and investigated if need be. For real, if it is an abscess, Chat Doctor. Ibuprofen may control the pain but the underlying infection that is the root cause of all the problems is ongoing and not making things any better. Please, contact your dentist, get examined and be treated accordingly. Failure to do so may lead to infection spread to adjacent tissues with serious complications. I wish you well"
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"I understand your concern. The swelling on right side of throat can be inflamed tonsil. . . . warm saline gargles / Chat Doctor. Over the counter pill of Ibuprofen 200 mg thrice after food can be taken for 2-3 days. If there is no relief. . . you would need antibiotic. To be advised after health check up. Please consult your family physician(inform him about your pregnancy) Bleeding you had might be miner injury during brushing/ pregnancy gums inflammation, You can take vitamin C with vitamin B complex preparation for such bleeding",
"Your description indicates symptoms of an infection spreading. You may have a tooth abscesses causing gum irritation or periodontal disease with a pocket of infection. Please try to take anti-inflammatory medication. Try and acetaminophen or an ibuprofen. An antihistamine such as Ben Chat Doctor. Antibiotics by prescription would be best to control the spread of infection. A dental visit with a clinical exam and diagnosis would allow treatment. A root canal or periodontal scaling may be indicated. Warm salt water rinsing may help. Continue to practice good home dental care. You could have inflammation from the start of a respiratory infection. Allergic reactions are possible as well. Any trauma to your gums? Your description being isolated to one side makes me think of an underlying dental problem. Erupting wisdom teeth can cause similar symptoms if an infection occurs. X-rays may indicate a tooth under bone and gums that needs extraction. I hope my suggestions offer relief. I would encourage you to plan a dental visit soon"
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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.. about 5 weeks ago i spent an afternoon in hospital because i was having chest pains and felt tightness around the upper adomen and chest area and back. the hospital did xrays and blood tests but every thing was all clear. only they found i had a heart problem on the ecg. i have a leaky valve... already knew that. i take 75 mg of asprin daily.. my question is was it anything to do with my leaky valve? i passed my diploma level 2 in health and social care and carrying on with my level 3 appreniship. i met a good guy we in a relationship.. my life is good... dont want nothing to happen.. it kind of freaks me out...
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"I can understand your situation and problem. Yes, leaky valve can cause chest pain of sudden onset. So I advise you to consult cardiologist and get done1. 2d echo2. Stress test. 3. Coronary Angiography if needed. Your valve problem might be worsened over time, and now it is symptomatic. So get done above-mentioned investigation s to rule out valvular heart disease as a cause for your symptoms"
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"Thanks for using Chat Doctor. Your echo suggests that you have got Mitral Valve Prolapse with moderate to severe leakage of valve. This may need surgical repair or replacement in the future. Ramistar is the medication which would minimize leakage of valve and Em beta will control your symptoms. You may need Angiography if you are above age of 40 and if you need surgery, As on today you continue same medicine with regular 3to 6 monthly echo follow up, My best wishes",
"According to the history, your husband seems to be hypertensive and is having chest pain. Even though the ECG was normal, I would suggest getting an Echocardiography done. The enzyme test sometimes comes normal if done too early in a heart disease. As far as age is concerned, yes he is young, but it is quite common these days to see young hypertensives to have heart disease. I would suggest a repeat visit to your cardiologist, get an Echocardiography done and take medications as advised by your doctor."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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hello Dr. my name - ankit khandelwal age - 39 year heigh - 59 weigh - 65 problem - i have long time OCD diseases for exm - again to again wash hand
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"I suggest you not to worry much. I see your problem. OCD is common in simpler terms. Every person has some compulsive behavior, and they carry them throughout their life. What you should understand is OCD is certainly curable. Washing hands over and over is due to the hygiene sense you have developed. Such a behavior is not bad unless it hinders your normal activity. Such behavior goes on only when you do not have any other activities. Fare enough, that means, keeping yourself busy and ignoring the behavior, more or less, can reduce the incidents. Over and above, do not worry about your obsessions. Take them as just part of life. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further."
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"You have not mentioned the exact timing since the problem is present. There can be multiple possibilities of the problem as per this short history. It would be better to fix an appointment with a dermatologist to check for the best possibility of the problem. Even then till that time there are certain suggestions which can be does to reduce the problem:-Apply over the counter calamine lotion 3-4 times a day over body and not on scalp. -Do cold water compresses to reduce the intensity of itching. -Do not scratch or rub the skin as it can lead to further aggravation. -The best measure is to take oral anti histamine like loratadine or levocetrizine under medical advice.",
"The symptoms that you have told indicate about abnormal behavior, but detailed evaluation is needed before putting a diagnosis ahead - as you mentioned that he is having symptoms of bipolar and schizophrenia (however it needs detailed evaluation by professional, as symptoms lists can be deceptive and overlapping. One more thing that taking bath for long, slowness in activities can also be part of obsessive compulsive disorder. all in all now a formal diagnostic evaluation is needed by a psychiatrist, and you have to pursue your son for that - you can take help of his batch mate or relative like cousins, whoever is close to him - tell him that you are suggesting for his own good and that doctors can help. If he still refuses and persist to have abnormal behavior you can take help of local mental health authorities, who will decide his suitability for involuntary admission and treatment as per the local law"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I am 57 yrs old and use to be a meth head several years ago. Having a CLD and new work testing policy i gave it up. I take Warfarin because of my heart problem. I have my INR checked monthly. My INR usually stays pretty constant. My last blood test showed my blood thinner than it has been. Can smoking meth causing my blood to be thin and with the med cause it to be thinner. I know the other dangers of smoking meth. A friend was around for about a month and a half and he had some almost daily. I wasn t high the whole time but it was more than I had had in some time. He has since left town and I don t have access to it any more.
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"My dear friend, blood thinning is due to warfarin. Warfarin act as anticoagulant and prevent clotting formation in blood after making blood thin. Doctor regularly check I. N. R to check proper thinning of blood whatever is required regarding patient heart condition. Actually blood thinning meaning is that it will take more time to clot than earlier. Blood thickening means that it will clot faster than earlier. Than for query"
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"I can understand your concern. No need to worry about blood clots unless you are high risk person. Blood thinner can not be taken before surgery because it can leaf to increase the chance of bleeding. You can take blood thinner or warfarin after the surgery to prevent blood clot and pulmonary embolism. Consult your doctor and take treatment accordingly.",
"At the age of 45 in a smoker who has heart failure can have the following causes. 1. He might be long-standing hypertensive either silent or irregular on treatment. 2. Ischaemic heart disease I. e. blockage in arteries supplying blood to heart. 3. Cardiomyopathy, primary disorder of muscle of life. First 2 conditions may be reversible once properly treated and evaluated. Last condition is progressive. But if your husband stops smoking, takes proper medicines and regulate his physical activity. He can have fairly good life span"
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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 was in hospital for 3 weeks after having sezures i have had eeg that show i am not eplieptic i have high prolactin levels of 844 and a micro tumor has been found on my piturity gland im waitingto see endroconlgy. they have dischargedme from hospital saying i havent got epilepsy and that the piturity tumor would have nothing to do with the sezures, i am worries as i haveread that you can have sezures threw these tumors. im not on no medication or being treated for anything as of yet. i see endroconlgy in august 13th. i havent been given any advice what so ever ive just been left to have these sezures at home and told i have a brain tumor . please educate me and help me .. thanks
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"Pituitary tumor is a benign tumor in most cases. Also, for small pituitary tumors, surgery is not required. Medications such as Caroline or bromocriptine is used to treat this condition. Prolactin levels would Chat Doctor. Regarding seizures, they are not connected to pituitary tumor. They are an unrelated problem. EEG may be normal in about 50% cases of epilepsy. So, your doctor may start anti-epileptic medications to prevent any further seizures"
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"Pseudoseizures refer to seizures of psychological origin, and are also referred to as non-epileptic seizures. They result due to underlying mental disturbances. A psychiatric consultation would be useful. Since your MRI and EEG are normal, we are most likely not missing anything serious. Please get back if you require any additional information. Best wishes,",
"I understand your concern. I would say that both you and your doctor are correct. Your doctor diagnosed epilepsy because: 1. Primary epilepsy is more common in those adolescents who had febrile seizures. 2. Along with the fact, the EEG (electroencephalogram) was supportive of epilepsy, because, the febrile seizure would not start in a single region and spread over. Your concern is also justified because: 1. The child is a very classic case of febrile seizures. 2. The night when the child had a seizure, the child had a fever and the anti-pyretic was not given. I think what would have happened is, doctors would have thought that at 12 years it could not be a febrile seizure, along with that they found probable origin in the frontal lobe, so they prescribed AEDs (anti-epileptic ChatDoctor. Have patience, as of now continue the medicines. But three months down the line repeat an EEG when he does not have any fever (after taking off the medicines in a controlled environment, if we can do sleep-deprived EEG, would be better) if he has an epilepsy syn"
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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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Hello doctor,Is there a difference in alcoholic and non-alcoholic mouthwash. Which is better at combating bad breath due to smoking than alcoholic? I am in a hygiene school and want to know whether or not to recommend non-alcohol mouthwash for the complaints of bad breath from smoking. I have recommended tongue scraping, alcoholic mouthwash. Anyways, they are not going to stop smoking or drinking. I was looking at a way to have them not dry out the tissues, but stopping the obvious factors do not seem to be an option.
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"You can definitely prescribe alcohol-free mouthwash in such cases, in fact they are better in the patients who consume alcohol and smoke. Alcohol-free mouthwash should not contain Benzalkonium chloride (allergen), Sodium lauryl sulfate, Saccharin, or alcohol. On the other hand, it should have Sodium benzoate, Sodium bicarbonate, and other ingredients that actually help to eliminate bacteria from the mouth. You can check the commercially available mouthwashes in your country."
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"ewing tobacco will not only affect your teeth but also the surrounding tissue. I would like to inform you that nowadays nicotine substitutes like chewing gums are available for people who are unable to quite tobacco. You may easily get it from a pharmacy. And for the stains, kindly visit your dentist at regular intervals for full mouth scaling. I wish you good heal",
"Thanks for the query. Bad breath also known as Halitosis can occur due to a number of causes like poor oral hygiene, oral and dental infections, post nasal Chat Doctor. . If you brush too much and for long duration then teeth can become sensitive, so it is advisable to brush your teeth twice a day only and that too not more that 2-3 minutes. You should consult an Oral Physician or an Otolaryngologies and get evaluated and a thorough clinical evaluation and investigations depending upon suspected cause can help in diagnosis. Treatment of underlying cause will relieve the symptoms. As of now you should start gargling with a flavored mouthwash twice a day. You should chew flavored sugar free chewing gum. Do warm saline gargles twice a day. Limit the intake of high aroma foods like onion and garli"
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I have had excessive teeth staining (brown) for the past 4 yrs which requires that I have my teeth cleaned every 3-4 months. My dentist cannot quite figure it out. The worst staining is located on my bottom teeth in the front and especially behind the front bottom teeth. My dentist thinks I may have colored saliva, or he thinks it may be something in our water (well water). No one in my family has this problem. I do not smoke, I drink 3-4 glasses of red wine/week, I eat about 3 oz. chocolate every day and I drink 1 cup of coffee or 1 can of cola/day. Any ideas what this staining could be a result of?
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"nk you for sharing your problem with Chat Doctor. All three cola, coffee and red wine cause teeth staining. As your dentist said if your water contains excessive fluoride then it too can tooth staining. Try to avoid above beverages for three months we will get idea if stain was due to it. You also should brush your teeth properly with proper brushing technique. Including brushing back of your teeth. You can recons ult for further queries. Wish you good heal"
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". . reading your symptoms I feel that there is nothing to worry in this case. . . it can be stains caused by mouthwash(long term use) . it is scrapable(extrinsic)so nothing to worry at all. go to dentist get scaling done(it can't be removed with brushing). tobacco chewing can't cause much problem to tooth. . . it can cause problem to the gums or cheek. (best is stop that chewing habit slowly). be cool. . . hope your benefitted something from this reply",
"ding to the history provided by you, it seems to be a case of periodontitis which is responsible for foul smell, until diagnosed clinically by a dentist. I would recommend, stop smoking, get professional cleaning of teeth every 6 months, use antibacterial mouthwash twice daily, and brush your teeth twice daily. I wish you good heal"
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dialogue
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I have a hard lump on my left calf that I noticed in January 2014 after a run and don t know what it is. Went to my Dr and he was not familiar with it as he had never seen a lump on a calf before. Then I had sonogram and I was told they dint see anything malignant. Im a 34 yo male and take Bystolic and albuterol.
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"As per your history of finding the lump on the calf after a run indicates me for the most probable diagnosis of herniation of the muscles through a small tear through its covering (herniation). This can be nicely seen on sonography if examined with a high frequency probe. You may please consult an Orthopedic surgeon to get a proper diagnosis and management, may need to require a small surgery. Please keep me posted about the results f diagnosis and treatmen"
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"You said you can push it. So it is not bone tumor. It seems a soft tissue lump. Any lump can be treated. There may be chances of a simple lipoma, or some benign or malignant tumor. Please consult the doctor in detail. Here without examination cant be said anything. I hope I answered your query. Wish you good heal",
"A type of lipoma called neurolipoma can very painful when you touch. . . It's difficult to say what is it without seeing. I advise you to get an aspiration test done from the swelling. In medical term we call it FNAC. If the swelling is not clearly visible go for an MRI of calf."
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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 my name is nikita i recently found out that i am pregnant,i experience dizzy spells occassionally,black out ,constantly tired,diahorrea,severe pains in my stomach and back and diabetes also runs in my family what can i do to stop this and can it be severe to the baby that i am carrying
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"It is likely that your diabetes which was in latent phase so far has become overt now. Pregnancy is a diabetogenic condition. Therefore, please report to your Obstetrician and get your blood sugar investigated. If diabetes is detected, it needs to be controlled by either Insulin or by oral medicines. Diabetes leads to many complications in pregnancy which includes high blood pressure, anemia, urinary infections, fetal anomalies, diabetes to baby, oversized baby, etc. You will have to keep a watch on this. Diabetes itself with or without high blood pressure. And anemia can cause all the symptoms you have described. Get your blood pressure and blood for hemoglobin checked. Accordingly, you may require treatment. If you are not taking iron-folic acid tablets, please start them. Consume high protein diet. Diarrhea with stomach pain can be due to amoebic dysentery or worms. Stools examination will clinch the diagnosis. Amoebas can be treated with Metronidazole or Secnidazole. If worms are found, you will have to take deforming medicines with Obstetricians advice as some of them can affect the baby. Most urgent step should be to get investigated for Diabetes. I hope this helps you"
] |
[
"I can understand your concern. Dizziness can have all kinds of different causes, as it is a symptom of many ailments, diseases and conditions. That all is the outcome of your weak Immune System due to our faulty food habits and derailed lifestyle. Dear, your worry about some other serious health condition, may have leaded you such a situation. Hyperventilation, dehydration, Anxiety , Iron Deficiency, Poor blood, lack of sleep . Circulation or Lack of blood, High Blood Pressure , stress are some causes. By removing the cause you can reinstate your health. That all is the outcome of your weak Immune System due to our faulty food habits and derailed lifestyle. A proper diagnosis is required, so that you can treat the cause of the dizziness rather than just treat the symptoms of dizziness. By removing the cause you can reinstate your health. I would like to suggest you to modify your lifestyle and food habits. A regular balanced diet including all essential nutrients natural form sufficient hydration sleep - fresh fruit, veges, ginger, garlic, AMLA, Aloe vera juice, a spoon of turmeric powder + Almond oil with a cup of hot milk at bedtime help stay healthy. And for eliminating gas /acidity, do exercise, brisk walking, yoga, Panama -deep breathing, Vajjarassan, Kapalbhatti help alley acidity help stay healthy. Avoid fried fast foods too much of sugar, tea, coffee, alcohol, smoking, stress, constipation.",
"Understanding your concern. As per your query your baby have symptoms of fever and loose motion which seems to be due to acute gastroenteritis which is a type of viral infection. It could be due to electrolyte imbalance in body. Need not worry. I would suggest you to give proper rest to child. You should have plenty of fluids to rely Chat Doctor. You should give child diet rich in fibers and proton pump inhibitors. Furthermore, you should give diet rich in multivitamins. Visit pediatrician once and get it examined. You should get blood tests done to find out underlying cause of your condition whether bacterial or viral and start treatment accordingly. Your symptoms will resolve in 3-5 days. You should do tepid sponging as well."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,I was diagnosed with a left branch bundle block a few years back. I have been under the care of a cardiologist to make sure my heart is fine since then. I have done stress echos yearly or every two years since and have been told my heart is otherwise fine. I just had to switch the other doctor because of insurance and my new doctor says old stress echos are irrelevant, that only chemical or nuclear echos work in patients with lbbb. Is this true? I have a strong family history of heart disease, my father survived two heart attacks, mother survived double bypass and my maternal uncle died from a heart attack, all were smokers with high cholesterol and high blood pressure. I am a former smoker. I am a 43-year-old female. I have been exercising six days per week for over 20 years. My cholesterol is high 213 but HDL is 140 and triglycerides are low. I am a little put off by a nuclear stress echo and would prefer the regular exercise. But I want to know what this new doctor says is true? Then I guess I will have to go nuclear. I am currently taking Spironolactone 100 mg for acne, Omeprazole, and multivitamins. I just had an ultrasound of heart and EKG past monday. Doctor did not mention anything other than lbbb that was previously diagnosed.
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"Stress thallium is the best test to be done in you. I guess you did not have any symptoms like chest pain or heaviness during stress test and if so it will still suggest the absence of significant heart disease. In my opinion, there is not much difference between exercise echo and chemical stress echo and not invalid, but nuclear scans like stress thallium is certainly a better test. I would advise for a nuclear scan as it would be more informative. Anyhow, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have a low salt diet and monitor your blood pressure regularly. Do regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and 5 days a week. Eat lots of green leafy vegetables, fruits, and fish once or twice a week. Avoid meat, smoking, and alcohol if any. There should not be any abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Take care."
] |
[
"I can understand your concern. You are having strong family history of heart diseases. So we should definitely rule out heart diseases for your symptoms. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). 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 first rule out heart diseases.",
"I can understand your concern. In my opinion, we should first rule out heart diseases for his symptoms because left sided chest discomfort is common in heart diseases. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes in young age, stress and anxiety can cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic Chat Doctor. Don't worry, he will be alright. But first rule out heart diseases."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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i have a sore shoulder blade and neck. i have a injury . which resulting of a bump on my shoulder blade. i went for three MRI and first one they only did my spine and second one shoulder only , third one was only around the bump... i feel where i hurt is over the bump and continuing in my neck.. is it possible they are missing the mucule that hurt. ty connie
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"If I were your treating doctor I would require much more information regarding the bump you have on your shoulder blade. . . You could have share with us the reports if MRI taken to help you move precisely. . . I would also like to know the pain details as in which site on shoulder. . . . how is that came up initially. how bad is it. is there any movements limited. was there anything that increases or decreases your pain. The bump can be a trigger point or a shortened muscle point. . . that can cause pain on pressing it. because of the shortening of the muscle and constant irritation there is always associated spasm which could be responsible for your neck pain. . . MRI images gives an enlarged and detailed study of screened joint or muscle. so it is very unlikely to miss out key information. as it basically magnifies and displays the image. Don't worry. . . . I recommend you to keep icing your shoulder frequently to get your spasm and pain under control."
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[
"Understanding your concern. As per your query you have pain and pressure in the upper shoulder blade area. Well there can be many reasons for symptoms you mention in query like poor posture, compressing or pinching a nerve, arthritis, gallbladder diseases or heart attacks. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan, MRI or physical examination. Doctor may prescribe muscle relaxant along with anti-inflammatory and recommend physical therapy and stretching of trapezius muscle. Doctor may also refer you to gastroenterologist for gallstone or cardiologist for heart problem. For now apply warm compresses, do not sit or work in one pose for long time and take ibuprofen or acetaminophen for pain.",
"As mentioned by you the mechanism of injury I will advise to first get it clinically assessed. As we need to see any muscular or bony injury is present. Also, as you mentioned you were not able to close the jaw, there may be an inflammation of the joint as well as the muscles of the post. May be to come closer to the diagnosis the CT or MRI may be advised to see the bone and the soft tissue status. As head and neck are really an important part of the body, negligence is not advised. Usually due to injury there may be three possibilities - no injury at all, injury to the bone or injury to the muscle & nerves. For coming closer to the issue, a proper assessment is advised. Also, in the front of the neck there is a presence of cartilages which needs an attention. Post that clinical assessment & if needed an MRI or CT the next treatment plan will be initiated based on the symptoms and signs. I wish you a good health and advise avoiding such fights in the future. Life is very important and precious. regards Jay In"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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My daughter had a frontal lobe stroke 25 years ago and last year had two strokes, one in the frontal lobe and one in the cerebellum. I don t know what type of stroke the cerebellum was, others were ischemic. This past Sunday, she fell off the couch, unable to move her left side, face drooping. Husband called 911 for ambulance. Doctor told her they don t think it was a stroke, probably a pseudo stroke which can happen a year after original stroke. How could we tell the difference?
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"Pseudo-strokes are non-strokes which manifest rapid neurologic deficit progression and therefore mimic a stroke. These account for 2% to 3% of strokes. Causes of pseudo-strokes are included in the differential diagnosis of a stroke/TIA. They are due to other causes of stroke like symptoms which includes hypoglycemia, tumors, old strokes, encephalitis. To an onlooker, the difference between a stroke and pseudo stroke will not be clear, and it is not possible to tell the difference. Even next time she gets these symptoms, it is important to take her to hospital and then treat the cause of pseudo stroke after clinical examination"
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[
"The fact that she has started responding and moving is gladdening. One and a half week in coma is a long period, and it may take a longer time for her to return to normalcy. The undamaged brain slowly adapts to perform the role of damaged portions of brain. It is a slow process, and she will need medical care and supervision during this period. The final outcome in such cases can not be predicted during the early part. Good luck",
"Ischemic stroke is a condition where there is incomplete blood supply to a certain part of the brain leading to permanent damage to that part of the brain. Consequently, the function carried out by the affected part of the brain is lost. The only way to recover function following permanent damage is physiotherapy which enables the existing normal part of the brain tore-learn the function that was earlier carried out by the now non-functional brain. In the case of your mother, physiotherapy is the only way to improve the lost function. In addition, we can make things in the house and around in a way that is easy for your mother to navigate such as having a motorized wheelchair, etc."
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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 smoke around 7 - 10 cigs a day... Lately I have noticed a thick jelly like mucous (around 6 -7 times a day) wat is the reason for this mucous discharge from my throat (this is very different from the usual cough discharge, this is clearer and sticker and thicker than that)
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"Smoking is the cause for your thick sputum production. Smoking actually cause irritation and inflammation in the airways. These causes' edema in the airways. This causes inflammatory exudates in the airways. This is thick exudates. Smoking causes continuous irritation and inflammation of the airways. So if you continue smoking, this irritation and inflammation will be more, and it will also cause bronchospasm and wheezing along with thick mucus expectoration. So better to quit smoking as soon as possible. It is not good habi"
] |
[
"welcome to Chat Doctor . 1. It's just you're feeling, not to worry. 2. Smoking is one of the cause for sure, but for regular smokers. In your case you have mentioned that, you have smoked only 7. Don't worry it will not affect. 3. Try not to make smoking habit, if you do so- then you have to worry about many things. 4. Not keep anything in your mind, unless its evident symptoms.",
"The problem you are suffering is a viral illness that is temporary. You also need to check for any triggers that cause the mucus to increase. If you started with a ChatDoctor. The feeling in your throat may possibly be due to"
] |
Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,I am a 49-year-old male. 100 kg. 180 cm. I exercise Cardio regularly however carry a little extra weight. I suffer from anxiety and are presently on inderal lyrica and Prozac. Over the past 2 weeks I have noticed my resting heart rate on my smart watch is about 48 bpm. Traditionally it has been around 58 bpm. Other than anxiety I do not have any symptoms. What could be the causes of this and is this of concern?
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"I understand your concerns, do not worry you will be fine. The Inderal you are taking is what is reducing your heart rate. A 48 bpm to 58 bpm is not bad so long you are not experiencing symptoms like fainting or shortness you are fine. I advise you to countinue to monitor your pulse to make sure your heart rate isnt dangerously low. For now it is not a cause for concern. Take care."
] |
[
"I understand your query and concern. Yes definitely your symptoms are suggestive of AF due to undue stress and anxiety. . Increase in heart rate is known to alter the blood supply to the brain leading to impaired function in a transient way. Few Chat Doctor. I advise you to have a complete 24 hour holder ECG which can accurately determine the cardiac conduction abnormalities. Monitor your blood pressure and heart rate",
"Anyway, before concluding that it is just pure anxiety, I would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for other possible causes that may trigger this clinical scenario: - a chest X-ray study-complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid dysfunction- blood electrolytes for possible electrolyte imbalance - an ambulatory 24-48 hours ECG monitoring to investigate for cardiac arrhythmia. If all the above tests result normal, you should consider anxiety as the main cause of your complaints"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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had ct scan i am not over weight was given results yesterday but nothing was said why i got this fatty lump and no offers of any treatment i am really worried ive gone off my food and when i eat i feel fully bloated it looks like i am pregnant ive also got gall stones can you help me please from mags age 58
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"I can understand your concern. Your fatty lumps can be due to lipomatous. There is no need of any treatment for that. For gall stone you should go for ultrasound abdomen. If you have obstruction or infection in gall bladder then you should go for cholecystectomy. Otherwise, medical treatment can be taken. Consult your doctor and take treatment accordingly."
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[
"Thank you for your query. I understand your concerns and I will try to help you as much as I can. Yes, this may be gallbladder issue but if only ALP is elevated then I don't think that urgent measures are required. If other liver markers are fine than it may be just small gallbladder stone that passed so only lab follow up in few weeks is required. You can do ultrasound to see if stones are present, but CT scan is not necessary. You need to change your dietary habits first. Need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. Some other causes are less common and include biliary tree pathology, but this is not likely at this point if no symptoms are present and liver markers are fine, 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",
"I studied your query in full details. I understood the concerns you have. By no means the lump in the lower left side of your abdomen and weight gain suggests pregnancy. I would advise you to consult ER Surgeon for opinion on left lower abdomen lump and ER Gone/Oust Doctor and ER Psychiatrist if your doctors advise you so. Don't worry and things will be right after this check up. Your doctors would rule out pregnancy and would take all due care to investigate and treat it accordingly."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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little red bump with a black spot in the center on the top of my baby toe. when i break it open and squeeze there is either/both clear fluid and blood. no pain with direct pressure, slight pain with pressure on the sides but i have been squeezing fluid out the last half hour. had it several months, havnt paid much attention to it. hasnt affected normal life in any way. what is it and should i do somehting about it?
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"use of the red lump on the top of my baby toe-I studied your query and understood your health concerns. In my opinion the red lump is mostly due to chronic infected boil-of the toe. It has not affected the normal life of the baby and is due the thickened chronic abscess wall of the toe boil. To avoid any further septic complications from it -I would advise you to consult an ER Surgeon ASAP."
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[
"If the pain is only in the bump area, and no swelling, redness of surrounding tissues, no need to visit a doctor earlier. Such bum is most likely a ganglion. It's a kind of cyst filled with gelatinous fluid. This fluid comes from the joint as ganglion is kind of joint herniation. It does not increase the risk of cancer. So you can wait till the scheduled surgeon consult. In case of doubts, ultrasound should be done. The lump should be removed.",
"If I am your doctor I suggesting you there is two possibility of such a fluid first is hematoma which is black, it has blocked the passage to fluid go away, which is shown as fluid filled area. Second possibility is infection. You can start with antibiotic like definite, analgesic like diclofenac and partaking tablet. Locally you can use juridic acid ointment. This remedy is helpful to you in both cases. If you have to ask me anything you can contact me. Chat Doctor. Infectious disease specialist. Thank you"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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I have been ill for 6 weeks and my GP suspected pneumonia and I was put on antibiotics. The third one has almost cleared the infection. However, I had an X-ray and it apparently showed nothing at all, although all my symptoms were in line with pneumonia and my GP had definitely heard a lot of crackles in the left lung. Is it possible that I had pneumonia if the Xray was clear?
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"I can understand your concern. For diagnosis of pneumonia, chest x-ray need to have infiltration. With normal chest x-ray, pneumonia is not possible. Cough, congestion, crackles on auscultation are also seen with bronchitis. And bronchitis shows normal chest x-ray too. So it is quite possible that you improve within antibiotic because antibiotics also work in bronchitis. So I don't think you are having pneumonia because your chest x-ray is normal."
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[
"I can understand your situation and problem. In my opinion you should consult pulmonologist and get done chest x-ray to rule out lower respiratory tract infection (LETI). Pneumonia appears more likely in your case. It causes pleurisy (inflammation of pleura). Chest pain on coughing is characteristic feature of pleurisy. You are also having fever, which also favors pneumonia. So better to consult pulmonologist and get done chest x-ray to rule out pneumoni",
"I can understand your concern. Your x-ray reports are mostly due to old, fibrotic densities. You might be having lung infection like (pneumonia or tuberculosis) in the past and now after healing it is showing old densities. Since these are old, healed lesions, you will not show any symptoms like cough, expectoration. So in my opinion, if you want to clear medical examination then get done CT thorax and bronchoscopy. CT scan is more reliable for old densities as compare to chest x-ray. Bronchoscopy is more appropriate to rule out active lung infection. If both of them are normal then no need to worry about active lung infection and so you will get medical clearance easily."
] |
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 hives just around where the suprasternal notch (jugular notch) is... its been there for a few days but today it seemed to be getting worse. I normally dont eat fast food but today my friend kept on insisting that I eat kfc so i did... would that be enough to trigger this
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"As per your query you are suffering from hives around substernal notch (jugular notch) which seems to be due to external stimuli such as environmental factors, cosmetic product or side effects of any medicine, food product. It is very important to find out what exactly causing hives or what factor is responsible for their occurrence, because treatment depends upon the causative factor. As such hives are harmless but when they start interfering in vital activities of life like breathing difficulty in your case then the condition become a kind of medical emergency. So I would suggest you to consult allergy specialist for proper diagnosis Doctor may prescribe other steroid cream, anti-inflammatory"
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[
"Yes, it may be due to insect bite. When ever any insect bites, it releases some fluid in the skin layers and cutaneous vessels. And this fluid immediately causes inflammatory reaction at local site. So it becomes red, swollen and itchy. This is local reaction to the fluid. But after sometimes when fluid absorbed in the blood and reach the systematic circulation it can cause tachycardia (rapid beating of heart), which can give you feeling of fluttering in chest. So better to take antihistamine and anti-allergic Chat Doctor. If not improving in 1 day than get done ECG",
"This picture is usually due to a stone or infection, but the only way to know if you have indeed passed a stone or not is to get some minimum tests done like an ultrasound of your kidneys and bladder area along with an X-ray of the same area with a urine examination for any evidence of infection. On the other hand your hives are not likely to be due to the kidney problem, and if you have upper abdominal discomfort that gets worse with alcohol, you might have sever gastritis and try avoiding anything that exacerbates it like alcohol, coffee, spicy food. You can try using antacids and medications like Sanitizing but if things get worse, you might need an endoscopy"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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My sister has a diagnosis of hyper mania that she just shared this information with me recently. I have always suspected that she may be bipolar. She is 55 years old. Every since we were young children she has always told lies. Now as an adult she lies constantly. I have always just overlooked her lying until recently Ive started to question her on the stories she tells. She almost lives in a fantasy world when it comes to reminiscing bout our childhoods. I just tell her that I dont remember what shes talking about. Should I come right out and tell her that I dont believe her? What really set me off over the holidays was my sister is a collector of vintage Christmas ornaments. She gave a box of ornaments to my 35 year old son and told him that they were his grandmothers ( my mother who is deceased ) these ornaments were never my mothers! When I told her that I dont remember ever seeing these ornaments while we were growing up she replied mom gave them to me a long time ago. I dont know how to deal with her anymore. Do you know of any good books on dealing with someone like this?Thank you
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[
"Thanks for your query. I understand that you are experiencing some difficulties in dealing with your sister. You have mentioned that she has been diagnosed to have \"hyper mania\", but in psychiatric diagnosis there is no such diagnosis as hyper mania. There is a possibility that she may be suffering from mania or hypomania, which are classified under Bipolar disorder. Regarding the lying, there can be a variety of reasons for this - and just based on this symptom, it is not possible to arrive at a definitive diagnosis of her condition. I suggest that you discuss with her psychiatrist to clarify what her actual diagnosis is so that you will know how to deal with her better. In case the frequent lying and making up of fantasies are due to a psychiatric illness, then it would be best to ignore this and rather ensure that she is receiving appropriate medication for her illness. Wish you all the bes"
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[
"The stroke like thing happened 7 years before presented your wife with amnesia. I hope you are continuing treatment for it continuously. The present symptoms you are mentioning corresponds with the symptoms of paranoid schizophrenia. You should consult the neurologist and if required on his advice, you may consult a psychiatrist. Do not oversee the present symptoms. Take care. 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.",
"She is now having hallucinations, and she has started talking nonsense at random times. Such type of symptoms can occur due to some psychotic disorder or due to some mood disorder most likely due to bipolar disorder. If she is having violent abusive behavior, demandingness, risk taking behavior etc. symptoms apart from what you have mentioned then most likely the diagnosis is bipolar disorder. In psychotic disorders hallucinations especially auditory type, auspiciousness, fear etc. symptoms are seen. Visit a psychiatrist for evaluation and treatment. Medicines like anti-psychotics as Olanzapine, Risperidone, Aquitaine etc. can improve her hallucinations and will also help in decreasing her abnormal behavior. Consult a psychiatrist for prescription of these Chat Doctor. Thanks, hope this helps you"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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