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Hello doctor,I am writing to get a second opinion for my mother. She is 40 years old. She had a seizure on the day before yesterday. She had got it for the first time during the gestation of her second child 18 years ago. She is using Tegretol 200 mg but not regularly. She has a history of high bp, but since two weeks it is normal (120/80 mmHg). On doing an MRI scan, the reports showed right maxillary and bilateral ethmoid sinusitis. Is this sinusitis related to seizures? During the seizures, she gets froth from the mouth and tongue bite. For the first few seconds of seizure, she is conscious, but later she is not able to hear and later on she is good. Sometimes, she says that she forgot things and is not able to sleep properly. Since the past five days, she is snoring during sleep. Does this cause any complication in the brain? Is this dangerous?
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"She is having epilepsy which has recurred due to irregular sleep, stress and irregular treatment. The sinusitis is not related to the seizures. Her snoring while sleeping does not produce any complications in her brain. Her memory problems may be predominantly attentional deficits rather than memory loss per se. Regular treatment will keep her seizure-free and there is certainly nothing else to worry about. For more information consult a neurologist online Take care."
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"it suggests a neurological problem rather than related to dental, though the problem may be minor, so you need not worry and better consult a neurologist as early as you can, because sometimes due to minor lesions in brain such seizure like symptoms may be seen. And the earlier you rule these out and start taking medications for such a thing the bette",
"You seem to be having two different problems at the same time. Calcified granulomas. These are because of old infections which have healed with time. This is not serious by itself but can cause seizures at any time if medicine is not taken. Patients are put on medications to control seizures and treatment may take 2 years or more. The actual problem you have is meningitis which is infection of the brain coverings. This needs to be treated immediately and Rocephin is a strong antibiotic which should be able to treat your condition. It is important that your diagnosis is confirmed as meningitis by doing tests like lumbar puncture and analysis of CSF. Please take adequate rest and flow up closely with your doctors till you are fit and cured. You should discuss any symptoms like dizziness, weakness, inability to walk and balancing difficulties with your doctors. Recovery might take days to weeks"
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I am 36 year old male. 2 & 3 months I have bleeding at my anus I have taken treatment now its ok but now at anus area there is burning & itching problem what can i do doctor . Not I taking treatment ie. oxerute cream for anus age 36 male weight 75 kg height 5.3
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". . Sunil. . . , thanks and welcome to Chat Doctor. , Bleeding per anus previously. . . Now suffering itching. , burning,,,No doubt it could be . Hemorrhoids. . . , First asses the degree of hemorrhoids, According your history, it is only bleeding and itching. , So it could be First degree pile. . . . . hence go for Medical treatment. . . 1) Every day nighttimes. . . use Laxatives. 2) Take plenty of water. . . ,3) Take plenty of fresh fruits and fiber content vegetables. ,4) Tab Ofloxacin and Ornidazole 2 times daily for 5 days. . . ,5) Tab Levocetrizine nighttimes for 5 days. ,6) Apply Proctored cream for every time after passing stool. ,7) Lukewarm and salt water (Site bath) dipping. . . , So follow get good result. good luck"
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"There may be erythematous, vesicular,fissure rash on penis and scrotum. it might occur after insect bite or insect toxin contact. There may be burning pain and itching. You immediately consult nearby dermatologist. He might give antihistamines, antibiotics and steroid in tampering dose. Antibiotic cream may be applied. Avoid soap bath. Use antiseptic like detail for bath. Let him take rest for few days. He might alright in few days. I hope you got my answer. Thanks",
"I read your question carefully, and I understand your concern. First you don't have to be embarrassed from this situation, especially in front of healthcare providers, since this condition is something that healthcare providers have a lot of experience, and it is not seen as something weird, rare or embarrassing. From what I read in your post, it seems like the symptoms might be a consequence of thrombosed hemorrhoids (hard and painful). The conservative measures that might help you are warm baths; ice can relieve the pain of acute thrombosis; high-fiber diet (methylcelulose); stool softener; topical steroids can alleviate symptoms of itching and inflammation; topical nitroglycerin can also reduce symptoms, but it can have side effects like dizziness and hypotension. I recommend visiting a general surgeon or a proctologist in order to be evaluated more objectively and for a possible surgical treatment. I hope my answer was helpful. Best regards and I wish you a fast recovery"
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My son is 12 years old and got hit by a baseball in the chest tonight. He was pitching and the ball was hit strait at his chest. He was pretty shook up and the baseball left a welt but he says hes not having problems breathing. Is there anything else I should watch for? If something was going to happen wouldnt it have happened right away? You just hear so much about kids going into cardiac arrest over things like this.
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"I can understand your concern. Your son is having blunt chest trauma. Musculoskeletal injury is the most common injury after such trauma. Some serious complications like rib fracture, pulmonary contusion, pneumothorax etc. can also occur after blunt chest trauma. But no need to worry about such major complications because he is not having breathlessness. You should watch for coughing, worsening chest pain, breathlessness, redness and swelling on affected areas etc. If any of these is seen then immediately consult doctor and get done chest x-ray. Otherwise, no need to worry much. He will be alright. And don't worry about cardiac arrest."
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"I went through your history and would like to make suggestions for your son as follows:1. There are many possible causes of wheezing in such a young age like viral infections, bronchiolitis, gastroesophageal reflux disease (HERD), etc. Hence, it is too early to say that your son has got asthma. 2. As he has wheezing and cough at present, of course I would suggest you to get him examined by his doctor who will ask history in detail and listen to his chest with stethoscope and decide possible causes of wheezing. 3. Sometimes for such wheezing, nebulization may also be helpful. 4. If he frequently vomits out feeds, your doctor also may think of HERD. In that case, an antacid also may help. 5. Please avoid exposure to dusts, smokes, fumes, air pollution and cold air as much as possible.",
"IN BOTH CASES YOU WILL HAVE PAIN ON DEEP BREATHING/ COUGHING AND WHITISH MUCOID, AT TIMES BLOOD STAINED SPUTUM. SPLENIC INJURY IS MOST UNLIKELY SINCE IT WOULD HAVE BEEN A CATASTROPHIC EVENT Characterized BY BLEEDING, ABDOMINAL DISTENSION AND SHOCK IN 48 ONLY. YOU SHOULD CONTINUE STEAM INHALATION AND DEEP BREATHING EXERCISES. X-ray CHEST IS ADVISED AND PAIN KILLERS SHOULD BE TAKEN, IF REQUIRED, UNDER MEDICAL SUPERVISION"
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My mother has esophageal cancer which has spread to the lung and bones. She is coughing up a large amount of stringy phlegm and is in extreme discomfort. She is currently on a morphine patch and hydrocodone but nothing is helping to manage the phlegm or the nausea she is experiencing. Any ideas on how to help her?
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"I can understand your concern. Your mother has esophageal cancer and it metastasis to the lung. Cough and nausea is due to cancer. He should take chemotherapy treatment accordingly. For Cause ondansetron is useful. For terminal stage cancer pain morphine can be used. Consult your doctor and take treatment accordingly."
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"let's talk one by one1- Sore throat. You just need simple Amoxicillin and some anti-inflammatory aspirin gargles to remedy that. 2-pap smears. If they are abnormal. What are you waiting for? Do you plan to get stage 4 terminal cervical cancer? If you do than continue not doing anything otherwise see a gynecologist and sort things out for you. 3-Gastro intestinal discomforts and swelling hands and arthralgias and menstrual irregularities I am suspecting some Systemic Disease like SHE and Behçet. You need ANA, Anti DS DNA & Anti Smith Antibodies test to be on the safer road and getting treated accordingly. 4- Your HERD is due to hiatal hernia, and it will be like this until you cure the hernia. otherwise it will lead to Barrel esophagus and then malignancy. The three goals of your treatment prevention of reflux of gastric contentsImproved esophageal clearanceReduction in acid production which are achieved by three waysModifying lifestyle factorsNeutralizing acid or inhibiting acid-producing mechanismsEnhancing esophageal and gastric motility really need Dietary modifications. Avoid stimulants mentioned belfries or fatty foodsChocolatePeppermintAlcoholCoffeeCarbonated beveragesCitrus fruits or juicesTomato sauceKetchupMustardVinegarAspirin and other non-steroidal anti-inflammatory Chat Doctor. Lose weight (if overweight) divide your weight to the height in meters twice and if the result is more than 25 reduce the weight. 2. Avoid alcohol, chocolate, citrus based fruits, tomato based products3. avoid pepper mint coffee and possibly the onion family4. eat small frequent meals rather than large meals. 5. wait at least 3 hours after the meal to lie down or sleep. 6. refrain from ingesting food (except liquids) with in 3 hours of bedtime. 7. elevate the head of your bed at least 8 inches8. avoid bending or stooping positions9. don't use nsaids10. don't smoke11. Have a proper sleep routine12",
"I can understand your concern. Sudden onset severe coughing in night is mostly due to way heart failure or asthma. And sorry to say, but no home remedy is effective to control the cough produced by these diseases. Better to take her to hospital and get done 1. Blood pressure monitoring, ECG, 2d echo and stress test (trade mill test) for the diagnosis of heart failure. 2. Clinical examination of respiratory system and PFT (pulmonary function test) for the diagnosis of asthma. She may need diuretics and other cardiac supportive"
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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 ve had a swollen lymph node on my neck for about two months. It s not painful nor does it move when I touch it. I feel fine no sickness and have had an ultrasound on it. It showed no abnormality. My doctor said it was due to my two year old catching all kinds of bugs but he has not been sick or around other kids much at all. I m just after a second opinion on whether or not to ask for a biopsy. I have lost a bit of weight (not much) and find it hard to sleep at night because I get so humid but not sweaty even with a fan on.
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"), other symptoms if you had when the lymph node appeared (like fever, sore throat etc. ). As I don't have them and reading your history I would suggest maybe to ask for a biopsy. The fact that it doesn't move, or it is not reduced through this time, and you get humid while falling asleep and the lost of weigh, it is indicated for a follow-up. Maybe you can repeat an ultrasound, a blood analyze (looking for leukocytes) and then the biopsy. If you can't do all this again, go directly to biopsy. (a swollen lymph node more than 2 weeks and not painful doesn't move it is indicated the biopsy)"
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"I can understand your concern. Your lump on neck can be enlarged lymph node due to reactive hyperplasia, tuberculosis or lymphoma. Or it can be some soft tissue tumor like lipoma or neurofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly.",
"The symptoms you mention in query are pointing towards a condition known as Lymphadenopathy . It is swelling of your lymph nodes. Lymph nodes are small organs that are part of your immune system. It is usually caused by a bacterial or viral infection. I would suggest you to consult pediatrician for proper examination without any delay, because sometimes infection can spread TP surroundings. Doctor may order blood test, X-ray or CT scan to confirm the diagnosis and to rule to condition like cyst . Doctor may prescribe antibiotics course at least for a week. Till then give warm compresses to swelling."
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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 in-law age 26 woke up during the middle of the night with numbness to his entire left side. His tongue and mouth were tingling. He went to the ER and they told him he slept wrong, didn t do any tests. Soon he felt better and they told him to go home. About 3 hours later he got a severe headache and then shortly after started vomiting. He went to work but decided he should go home as he would get a worse headache every time he stood up or bent over. He wanted to go home to sleep said he was tired. Could this be the sign of a stroke?
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"From the history, it can be a stroke like condition or an infection relating to the brain. Severe headache and vomiting preceded by a one-sided numbness requires complete investigations including imaging scans like CT scan or MRI scan brain. Sometimes there is what is known as an evolving stroke and this can come with varied symptoms which are often of short duration and improving with time. This might be followed with severe symptoms of similar nature or entirely different symptoms. Severe headache and vomiting are symptoms that should not be ignored, and I suggest he consults doctors at the ER and gets investigated in detail and also do brain scans to make certain thinks are not serious"
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"I am Chat Doctor. I have read your message. The sensory loss-numbness- from the head, and face and involving one side of the body more than the other is very possibly suggestive of a thalami stroke. So I would suggest a CT scan of the brain. However, you also have a headache. Similar symptoms may suggest a migraine in such a situation. In migraine however, you have on and off headache previously as well. Since you have not mentioned this in the query, I assume you do not have headaches regularly. And therefore, as such I would suggest the CT scan of the Brain. Let us know the report for medication advice",
"Yours is a complicated case, because it involves several neurological aspects which are not explained by a simple stroke. The MRI is the best examination to rule out any structural damages (included stroke) even on the very first hours. Migraine is true that sometimes it can mimic a stroke, but is quite difficult to determine that kind of migraine. So basically, if your complaints (especially the weakness) persist on the next days, you should definitely get another physician consult."
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hello i am a sixteen year old girl and i have multiple problems i want to ask about. the first is this problem i have, mainly when i am alone but sometimes when i am bored, i uncontrolably create scenerios and imaginary friends who i talk to and discuss issues with it is very complex and these scenerios tend to be things like pretending to be another person and living life as though i were them. they are also influenced by things that occur in my life in reality, like if i were to see a film i may pretend to be one of the characters, or i may pretend to be a celebrity. i am conscious that i am doing it but i can t seem to stop myself and i recognise that substituting reality for my fantasy is abnormal and needs to change. the second issue is that think i may have some anxiety problems because when i am alone, although they are decreasing in frequency, i have minor panic attacks which last about 5 minutes but i have 2 or 3 within the space of a hour. these tend to consist of shaking, feelings of nausea and dizzyness again i am unsure why i do this as i know there is nothing to worry about but they still occur. please could you tell me what these problems are likely to be and how to go about rectifying them. thank you, anonymous
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"Your problem is quite interesting & let me know if I am getting it correctly, You are into habit of fantasy thinking & many times you do get so engrossed into your fantasies that you start sharing your problems, your thoughts with this fantasy. You are aware of these fantasy images all the time. So, my question is are you lonely, do you have friends to whom you can easily turn, share things, confide problems? So long as you are not distressed by these fantasy images it's not a problem. You should consult a Psychologist, or your school teacher, your parent or any senior figure whom you can trust about these problems. I am sure your half the distress will melt away as soon as you shall open up & start discussing these problems. Lastly you can try practicing yoga & Panama to get rid of your panic attacks. Do get back to me for further help"
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"I suggest you not to worry much. I sincerely opine that the problem you are facing now is of your own creation. Anxiety is such. Anxiety can make you feel and believe that you have serious physical problems. In actuality all these are simple creations of mind. More over you are trouble with health anxiety which can create chronic physical discomfort and pain without any physiological or neurological cause. In the beginning the patients never accept this fact. They go from doctor to doctor of every specialty. Every doctor tell the same, that this is due to anxiety. Only when there are no other options left, the patient admit. In your case, I am sure that you visited some doctors, and they advised you about anxiety. Therefore, follow the simple method of psychotherapy with dedication. You will be alright, for sure. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems.",
"first I would like to tell you that there is no cause for alarm at the moment. What you are describing happens to be a very common problem in individuals of your age group. It may be due to a number of causes, like an underlying depression, anxiety or adjustment disorder, which needs to be diagnosed and treated if present. Also, significant life stress (particularly financial, social etc. ) further compounds the problem. While in school, a person has very little responsibilities, and is mostly focused on his studies, thus giving attention and retaining study material information is easier. But coming to your age, obviously, you have a lot of other activities and engagements that needs to be taken care off, thereby, diverting your focus. However, once the underlying cause is identified, your problem can be managed more easily. A detailed history, and mental status examination is required to reach a definitive conclusion about your problem. I would suggest you to visit a psychiatrist a give a detailed account of your routine and your problems."
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I have a sudden onset of left arm swelling and pressure/aching over the past week with no trauma or injury. I also have some upper trap pain/tightness and pain in my armpit. Swelling is worse after activity like washing my hair. Usually the swelling is down in the morning. What can this be?
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"There are multiple reason for your pain and swelling in left arm as bellow. 1. If its first time and there is no numbness or radiating pain from neck to arm and hand then it can be only muscular pain at arm level. 2. If it's paining from neck to arm and hand as well this kind of pain use to be there on and off with you then it can be related to your cervical spine. 3. If the pain starts from shoulder joint and this is the first time you experience it after lifting weight or having any jerk to shoulder then it can be related to shoulder joint soft tissue pain also which is coming to upper arm. Now what ever the case is initial treatment is use hot and cold pack at home and look for the relief. If it is not getting all right then you need to visit an or tho for proper examination and evaluation. Here with physical test and x-ray they will evaluate it and may ask for MRI if needed. I do hope that you have found something helpful, and I will be glad to answer any further query"
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"Understanding your concern. As per your query you have pressure in upper left arm. Well there can be many reasons for symptoms you mention in query peripheral neuropathy, carpal tunnel syn Chat Doctor. I would suggest you to stay calm if it happens one or twice, apply warm compresses to arm twice a day, do stretching exercises under expert and eat healthy. If symptoms appear again or get worse than consult orthopedic surgeon for proper examination. Doctor may recommend physical therapy, particular exercises along with nerve supplement. Doctor may also refer you to cardiologist if the symptoms will be due to heart problem.",
"I can understand your concern. Since you have recently started exercise for abdominal muscles, this left chest swelling is mostly due to musculoskeletal cause. Apply warm water pad on affected areas. Avoid exercise for few days. Take anti-inflammatory Chat Doctor. Avoid movements like bending forward. Do all these for 4-5 days. You will mostly improve. If not improving then get done chest x-ray and ultrasound examination of local part to rule identify the cause for this."
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I have been told that I have mild cerebellar tonsillar ectopia, but the MRI showed my cerebellar tonsils only descend 3mm below my foramen magnum. All my head aches started when I was weight lifting. What is the possibility that what I am experiencing is just exertional headaches?
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"The cerebellar tonsils are the most inferior portion of the cerebellum, a part of the hind brain which is important for motor coordination. Normally, these tonsils are wholly inside the skull. A 3 mm low-lying tonsil does not clinical fit into the abnormal category. In the case of Arnold-Chiari, the tonsils are low-lying often more than 4 mm, below their normal level. It can cause severe headaches. The presence of a spring in the cervical cord needs to be ruled out and that will be mentioned on MRI should it be there. Cervical nerve root compression can also cause headache on lifting weights. Please discuss with your d"
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"I studied all details of your query. I understood your health concerns about lump on back of head on right side. Cause of lump in head-Based on facts of your query, it seems that-you could have either Lympadnenitis on right bottom side of the boner, it could be mastitis, as it is a hard lump and sore to touch. -Amongst these 2 possibilities,3 weeks history with hardness of the sore lump on the bone, leads Me to think of the Chronic Mastitis, as you had bad heavy cold with headache/feverish over last 3 months. CT Scan of the Skull would resolve the ambiguity in the diagnosis of your hard lump.",
"The history of the condition you mentioned is suggestive of migraine, or a cervicogenic headache, which is it being caused due to stiffness in cervical spine due to bad posture. A few simple neck exercises will be helpful, like :1. Chin tuck in exercise, 2. Side stretching neck exercise3. Side to side rotations be done frequently, with minimum of 5 repetitions spread 3-4 times in a day. During the headache avoid, lights and music, this may aggravate the headache. Instead, make a towel roll and place it under the neck and lie down for a few minutes, try to gently press it in between for a hold of 10 seconds. DOTS:Lie in prone position, it effects the cervical spine curvature negatively, leading to more stiffness. Physical therapy will prove more beneficial than Cairo in this regard. I hope this information is helpful to you. Take care and have a nice day :)"
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Hi...My husband is 35 years old and suffering from avascular necrosis in both the hip joints (left more than right)from last 2 years.Initially doctors were saying not to worry as blood circulation will get restored itself..he was taking pain killers twice a day. But now pain is aggrevated a lot and the same doctor is saying him to go for joint replacement.Please tell me is there any other treatment for Avascular Necrosis? I have heard about Ayurveda treatment is best for AVN..Please advice me what should I do?
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"I am so sorry to hear about what your husband is going through. AVN of the hip joint can be caused by a number of conditions like sickle cell, clotting abnormalities, gaucher disease, trauma, etc. treatment is often tailored at ad Chat Doctor. If this fails, then the next best option is going to be a hip replacement. I think your doctors' suggestion are right. I will suggest that you meet with an orthopedic surgeon who will evaluate him fully and consider whether it is the best option for him now or not. Ayurveda is very unknown to me and i very much doubt if it is better option over total hip replacement in AVN management. Please, just ask your orthopedic surgeon in case he has any idea concerning this. I wish your husband the best outcome as he figures out what the best option is for him right now. Feel free to return to us with more questions if need be"
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"(osteoarthritis)for your understanding arthritis is a degenerative disease, it can't be curable. it can be managed with some ayurvedic external application and some ayurvedic internal medication for certain level. That you have already done it. Diabetes can also worsen the condition. If your mother is under good control of diabetes you can try knee replacement surgery by consulting orthopedic surgeon for opinion. Thank you hope I answered your query",
"So it has to be there. Yes, I have suggestions. Only criteria your wife n you have to believe in holistic Ayurveda remedies. Painkillers are of no use except in very severe pain sometimes. Start giving her Turmeric powder in warm milk or water (1 tsp to 1 glass of liquid) twice a day. Its tasteless, safe, side effect less and healer, anti-inflammatory, bacteriostatic herb. Useful in cancer too. whatever little"
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My Daughter in-law is in the hospital, she was given Divan, she was told when she was younger that she was Bipolar, now she is talking about people who have been dead for a few years coming to there wedding. is this a side effect? She went in for a fall but all test came back clear.... Kathy
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"ivan is mood stabilizer, and it used in bipolar disorder. Talking about dead people is not a side effect of divan. It is one of the type of psychotic feature and is part of bipolar disorder. This can be treated with olanzapine or aripiprazole add to Divan. Usually it takes time up to 2 to 3 weeks to respond. So please consult your treating psychiatrist and get advise. Thank you. Get well soon"
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"A patient having a cancer can also have a heart problem and the two being unrelated if that was there from before or can be a recent development after the cancer. The heart is a biological pump and helps in pumping blood to other parts of the body. It might happen that he previously had a coronary heart disease which led to decreased blood supply to the heart and when he had a collapsed lung, this problem aggravated, and he suffered a mild heart attack. The heart gets weaker with age and since your husband is having cancer and has been getting chemotherapy, some medications can also cause side effects on the heart. You should discuss his echocardiography findings and cardiac enzyme test report with the treating doctor. Please do not worry",
"It has some side effects & it varies from woman to woman like irregular period, headache, Weight change, DVT, abdominal discomfort, nausea, fatigue, mood swing etc. Do a USG lower abdomen & some hormone test to rule out underlying pathology if any. Take some analgesic for headache and multivitamin supplements with your diet. Avoid stress, control body wt by regular light exercise, Chat Doctor. If you need further consultation with me, then you can visit http://www."
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I have had two surgeries in my neck (plate in the front, rods in the back )and 10 spine surgeries with 4 rods and 50 or so pins from the base of my spine to the top of my shoulder. Real recently, my left hand, especially my thumb have lost a lot of strength. What could be causing this?
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". In my opinion that may be due to cervical disc herniation or compression on your nerve roots that causes loss of strength or any inflammation of the neurovascular bundles of your thumb which is supplied by the radial nerve. For my patients I recommend rest, avoid heavy lifting and vigorous movements, Advil tab when needed, B12 multivitamins supplementation, hot massages with topical gels will be effective . Please consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask"
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"Having cervical ribs isn't a major deformity or disease. And these are the cervical ribs that are causing all the numbness of your hands and arms when you wear a seat belt. The problem is, cervical ribs tend to compress the nerves of brachial plexus, that control the sensations of your arms and hands. Compression of brachial plexus by cervical ribs, become more severe by wearing seat belt. So this is one problem. You may consider removal of cervical ribs by surgery, consult a surgeon. Moreover, as far as your other problems are concerned, I must say that, one can't give you a better opinion or advice without asking more questions and examining you, especially you motor and sensory system of all the limbs. And one would also ask for your old MRI and CT scan reports. . I would suggest you to see a specialist and get his advice. If you have more questions, feel free to ask. Regards",
"efinitely, it can be due to vitamin B12 deficiency (quite likely since you already have a history for the same). However, there are other reasons like cervical disc diseases (neck related problems), carpal or cubical tunnel diseases (local compression of the nerves) or tennis elbow (local damage to muscles and tendons). Even diabetes and thyroid related problems can also cause such symptoms. Since you also have problem with equilibrium then we need to look for ear and brain (infections and swelling) diseases also. Basically, we need to have a detailed evaluation to find the reason for the same. I feel first take care of your diet - good balanced diet, lots of fruits and vegetables. For non vegetarians' food like animal liver is good source of vitamin B12. In vegetarian diet also many cereals fortified with vitamin B12 are available. You can even start taking some multivitamins. If still the symptoms persist then you need to go for some investigations like complete blood count, vitamin B12 levels, TSH and sugar levels and if further required ENT check up and brain imaging (CT head). Take care."
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I have seizures randomly...I am 48 and never had them in my life till last year. I see a heart doctor and a neurologist...and they put seizures off the list and thought I was just passing out...well today I had a seizure at the doctors office and woke up in emergency room. It started by a light on a machine in doctor office...I felt it coming on....I had temporary amnesia is that normal...that happens to me sometimes when I have the seizure and my body does have convulsions...this so scary....My diagnosis today was Seizure Disorder HCC and was put on levETIRAcetam 500 mg My question is will this hurt me to take if I am not epeliptic?
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"First I must say that looking at the description of the last episode it does look indeed like a seizure. You should have an MRI and an EEG if not done already. As for Levetiracetam, as all medications it can have some side effects. Side effects are similar whether you have epilepsy or not. Among the antiseizure medication it is one of the safest ones which has made it one of the most popular in the last years. However, in a percentage of patients there may be some side effects like somnolence, dizziness or character changes such as hostility and aggressively. I remain at your disposal for other questions"
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"mplex partial seizures (or temporal lobe epilepsy seizures) can mimic all this clinical scenario. Gastritis or gastroesophageal reflux can not be excluded either. But, I would exclude the heart as a possible cause. Coming to this point, I would recommend consulting with your attending physician for some tests: - a chest X-ray study- an EEG- a resting ECG- carbamazepine (regret) plasma levels-complete blood count- PCR, ESR for inflammation. If all these tests result normal, I would recommend trying an antacid. If it helps relieve your symptoms, a fibrogastroscopy would be necessary. You should discuss with your doctor on the above issues",
"Your assumption is right, Levetiracetam causes behavioral disturbance as a side effect. There are two options now, 1. To taper off the Levetiracetam - if you have not experienced any seizure or aura in the last four years then we can go straight away with gradual tapering of the medicine, for that we need to know the last seizure/ aura episode, but with this, there is a risk of recurrence, you need to be cautious and under the watch of someone for few months. 2. Substitute Levetiracetam with Sodium valproate - in this risk of seizure is less, but still, it is there, on the fact the Sodium valproate is a mood stabilizer. Please do not do any of the above by self, you can consult a neurologist locally let him manage or get a telephonic consultation."
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After masterbating/ejaculating, these red bumps appears on the head of my penis. The STD nurse said it is fungal and when I use the fungal cream they do go away after a few days, but then they come back after masterbation. Could it be something other than fungal?
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"The visible problem is, you are trying to relate the fungal infection with masturbation, but in fact, it is not. Continue using the cream for a few days. Keep the area Chat Doctor. Maintain hygiene. Within a week the problem will be sorted out. 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 checked your image (attachment removed to protect patient identity) if you have itching need to think of fungal infection. If no itching it can be PPP (pearly penile papules). Please share a clear image as it is blurred. 1. Do you have pain? 2. Did you have recent unprotected sex? 3. Do you feel any odor?",
"The fungus is the normal comedians of the genitals, which will be kept under control by the helpful bacteria. Whenever there is an imbalance in the genital environment these fungus gets activated, and it will produce its symptoms. The genital are prone for this because the fungus will persist for longer duration of time in the moist and humid regions like genitals. As you are having fungal infection, it should be properly treated with topical antifungal cream and maintaining good personal hygiene. 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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hi i am 35 i conceive quickly normally it has took nearly 6 months now i am o neg blood group i had my last baby in december as it was christmas eve they were late giving me my anti d is this why i am not getting pregnant we are active 2-3 times over the whole of my fertile days and few days before also
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". . thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about. can delay in giving anti d causes delay in future pregnancy. right. my straight forward answer is- NO. anti d not related to delay or getting pregnancy. Let us discuss the anti d. anti d is the antibody(immunoglobulin), which are given in the negative blood group women to protect the future pregnancy from the harmful effects of the antibodies against the positive blood group baby. So during pregnancy when mother with negative blood group giving the birth to a positive blood group baby, the anti d is given to the mother within 72 hours after delivery. Because during this period the protection effect of Chat Doctor. It can be given up to 28 days after delivery, but it is less effective. Lastly I want to tell u that anti d will not cause delay in future pregnancy. It is only having protective effect for future pregnancy from antibodies against positive blood group. I hope the above information is useful, informative and helpful for u"
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"Perhaps you might take little long to conceive because of difficulty in implantation. O. C. pills does not reduce fertility neither sitting for long time reduces sperm count. after leaving o. c. pills it takes around month to obtain your complete fertility. If your cycle is of 28 to 30 days then you will ovulate on 13th to 15th day. Usually on 14th day. . . you can confirm by it looking your vaginal secretion it will become thick, take your temperature on morning before getting out of bed. Start taking it from 12th day. If ovulation occurs your temp will increase by 0. 5 to 1 Celsius. 12 TH to 18th day of your cycle considering first day of your period as a first day of your cycle will be fertile. During this period have intercourse 3 to 4 times or more if possible. . . keep trying for at least a year then too you are not able to conceive then you need to worry. hope this helps you, Chat Doctor.",
"e. on 5th & 14th Nov. Your last period finished on 30th Oct and you are carrying 7 wk plus pregnancy with EDD 5/8/2013. So your ovulation occurred around 14-16th Nov if previous cycle was regular. Here probability of father is 2nd Guy as after ovulation ovum lives only 24 hrs whether sperm can live 3 days inside vagina/ cervix. Better to do a DNA test to confirm paternity. Consult with your gynecologist and do periodic check up. Take folic acid supplements and protein rich diet. Avoid heavy work, stress and need adequate rest. Be 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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I am having Hodgkin disease and it was cured after the treatment. Now my age is 40 years. As a part of regular checkup I went for the blood test. ESR is 26 mm per hour. It s means is that disease is in my blood. Please give me the information.
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"Good to know about your concerns about your health. Also, I congratulate you on a wonderful journey of getting rid of Hodgkin Lymphoma. So far as your question is concerned, first let me tell you something very basic about the ESR, it is a very non-specific test, and it shows that some inflammatory or infectious process is going on inside the persons body. It, if elevated, by no means can indicate that Hodgkin's disease is back there. So you don't need to have a worry about that as far as you don't have any symptoms for a hematologic problem (fever, fatigue, weight loss, enlarged lymph nodes or enlarged liver or spleen). For a further confirmation, you may need to visit your primary physician to get yourself examined and investigated further if indicated. Wishing you the best of health. Regards"
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"ese symptoms occur only at night? Have you noticed any similar troubles during the day? Are your symptoms associated with difficulty breathing, changes in blood pressure or chest pain? Anxiety could also mimic this clinical situation and would explain the fact that you notice this only at night. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray and some lab blood tests (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, thyroid hormone levels, etc. ). An ambulatory 24-48 hours ECG monitoring and a cardiac ultrasound would be necessary to rule in/out possible cardiac arrhythmia if suspicions are raised. But, if all the above-mentioned tests result normal, the main cause of this clinical symptomatology would be just pure anxiety. In such a case, you should discuss with a specialist of this field to help you manage your anxiety. I would also advise reducing caffeine intake and perform a lot of physical activity.",
"This would mean any conditions affecting your immune system that may be predisposing you to repeated infections e. g. (a)diabetes, (b)use of immune suppressants such as steroids, (c) poor immune system due to conditions such as lymphoma, leukemia-rare cause(d)wearing clothing that keep the vaginal area hot - should use cotton underwear, skirts etc. (e)excess weighty may want to consider seeing your doctor for assessment including physical examination and blood tests (screening for diabetes, complete blood count and ESR)ESR is an inflammatory marker that goes up if there is any reason for inflammation in the body e. g"
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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 heart beat has been jumping or doing a hicup ever two beats for the last couple of days off and on went to the emergency room and they said id be fine it was from stress, i made it quite aware to them that i had wpw syndrome and had surgery for it and its been ten years since i had problems like this. I feel like this is dangerous but they said id be fine unfortunately my heart leveled out at the top or bottome of the ekg every two heart beats instead of making a point after every beat. This is very uncomfortable and i dont have inusurance no family doctor and i feel like this is unhealthy.
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"I can understand your concern. Yes, stress can cause rapid heart rate. But since you had WPW (wolf Parkinson while) syn Chat Doctor. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about major heart related diseases. Your rapid heart rate is mostly due to stress. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution"
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"I can understand your concern. Normal ECG does not rule out heart diseases in all cases. ECG can be normal at rest despite heart disease. You are having risk factors for heart diseases like age of 50 years, hypertension, high cholesterol levels etc. So we should definitely investigate thoroughly for heart diseases in your case. So get done 2d echo, stress test (trade mill test) and Coronary angiography (if required). If all these are normal then no need to worry about heart diseases. Sometimes, simple musculoskeletal pain can be the cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Take simple painkiller like ibuprofen. Don't worry, you will be alright but first rule out heart diseases.",
"I can understand your concern. Yawning and Fluttering sensations in chest are commonly seen with arrhythmia (rhythm disturbances in heart). So consult doctor and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes, uncontrolled stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi, my names amber my sister had just started having seizures about a week ago. now they are getting worse and last night she had a new symptom during her most recent seizure, she said her face had went numb and as well as her tounge, the doctors said they are stress seizures ... is this a symptom from stress seizures?
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"Numbness of face and tongue can be an integral part of a seizure, or it can be a manifestation of cause of seizure. (a brain stem lesion or hyperkalemia can lead to a numb face and tongue and a seizure). a stress occasionally can lead to start of seizures. I would like you to go for an MRI brain and rest of basic chemistry profile including electrolytes calcium and magnesium."
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"I have read your message. I think I can help you. The episodes that you have mentioned are definite episodes of seizures the way you have described them. There is no other possible cause. A seizure comes suddenly-so a person cannot protect self-hence the fall from the ladder. There is no way one can protect oneself. The patient has no consciousness of self and that explains why you don't remember the episodes, despite even speaking in the episodes. Most convincing of all, people think there is a psychological effect. This is because they do not know that seizures are not just the shaking of limbs - a version of seizures which is widely known. So, I am quite convinced that you had seizures-most likely focal seizures with generalization (that is to say that you develop just a part of the seizure first and this becomes more extensive as the episode progresses-hence you could remember your daughter-in-law walk in, but not the rest of the episode). From your last line, I surmise that your neurologist has told you the same thing. From the same line, I feel that you have been initiated on medicines that you are not taking. I should tell you that you need to take the medicines, to avoid further episodes. In case there are episodes despite the medicines, you need to meet your neurologist to get the dose modified and to change the medicine if needed. If it persists, a scan, preferably MRI Brain will be needed. I have tried to make it as simple as possible. Please feel free to contact me for clarification on any particular point if needed. Please do start your medications",
"It is unclear what do you mean by seizure, does she have shaking of the limbs, abnormal sensations etc. ? At times what you may consider to be a seizure the doctors may consider to be a different phenomenon. If your doctors agree it is a question of seizures then even if EEG and MRI are normal she should start treatment as epilepsy is first and foremost a clinical diagnosis, it's not made by tests. There are many treatments for seizures like Valerie acid, Aborigine, levetiracetam, carbamazepine etc. , the choice depends on seizure symptoms and should be discussed with the following neurologist. I hope things will work out for the bes"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello, Ive recently had unprotected sex with my girlfriend and I did not ejaculate or climax until 10 seconds after I got out of her vagina. But when I was out, I felt something sticky at the tip of my penis.. Could it be that I prematurely ejaculated? We had sex just last night around 11 p.m.
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"A sticky liquid at the tip of penis before ejaculation is mostly a what is called as pre-cum. It is a mucus secreted by mucus secreting glands located in Bulgar part of urethra which acts as lubricant for free passage of thick semen in the urethra during ejaculation. What you have noticed at the tip is this thick mucus secretion and not the semen and nothing to be worried about ."
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"This is called as pre-ejaculatory secretions or Pre-cum. Pre-cum is expelled out unknowingly and the male is completely unaware of ejaculation of pre-cum. Since he with Chat Doctor. Pre-cum does contain some sperms. These sperms are capable of fertilizing an egg and cause pregnancy. You have mentioned the dates of your menses; however have not mentioned the date of your sexual exposure. It would have helped me to assess the risk of pregnancy. Now, I will give you the information by which you can assess the possibility of pregnancy yourself. Egg is released 14 days prior to the next menses. Egg is having 24 hours life while the sperms are active for 72 hours. Hence, a period of 8 days around the day of egg release is fertile window. If you had this venture during this period, you stand the risk for pregnancy. If you have not crossed 72 hours after the intercourse, it is best to take emergency contraceptive pill. If you miss your period, you may get pregnancy test done on the urine 8-10 days after missed period. Done earlier, these tests may give false negative results. Another very reliable option for you, though costly, is to get Beta Chat Doctor test performed. This test is very specific and hence highly sensitive and may give reliable results even few days prior to the missed period. If you are pregnant, you have option of Medical Termination of Pregnancy available. I am sure, this helps you",
"Whatever you are experiencing is not premature ejaculation. Do not misunderstand. The liquid emanating from your penis while watching porn, is Pre-ejaculate. This helps to lubricate your penis while entering into vagina. You are experiencing premature ejaculation because of these unnecessary anxieties. No misunderstandings of wrong knowledge. If you have any doubt, you should consult a psychologist. 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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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 had radiation to my brain in 1998. I have also been treated for Hypothyroid since 1990. I have recently had a hard time keeping my TSH 3 within limits. I had a Thyroid U/S last month and they identified several heterogenous, hyper vascular nodules, nodule Nodule 1- 1.6 X 1.1 X .9cm and Nodule 2- 1.8 X 1.4 X 1.1cm I was scheduled for a U/S biopsy today, and they canceled saying the nodules were to small and they want to follow up in 1 year. To my understanding, due to they fact that I have had Radiation treatment in the area I am at higher risk for thyroid cancer . Is this an acceptable protocol for my situation.
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"And biopsy is a good method but as the doctor said that nodules are so small to take biopsy then you have to wait for 1 year to undergo ultrasound thyroid to see if the nodules have increased in size or number or not. Till then be careful about your thyroid hormone status. And try to keep TSH within mid-range. If you have any further query then you can come back to Chat Doctor I will definitely help you. With Regards,"
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"e goiter would not \"stop growing\". And yes it is due to iodine deficiency. You could control it by taking in your prescribed medications. Also, you need to do regular follow-up with your doctor for imaging and thyroid function testing for monitoring. Definitive treatment is surgical especially when the tumor or the \"goiter\" is large already and have the possibility of obstructing your food and airway",
"Based on your symptoms, I would like to rule out thyroid hormone imbalances (due to inadequate therapy), heart pathology (atherosclerosis, rhythm disturbances). I would:- get a detailed medical, personal and family history. - do a thorough clinical exam. Check for edema (water retention), signs of cardiac compromise. - get an electrocardiogram, and echocardiogram, chest x-ray -run blood tests (complete blood count, TSH, free T3, free T4, lipid profile, blood glucose panel, kidney & liver function tests). And a urinalysis -do a sleep study if indicated, to rule of obstructive sleep apnea. Based on the above results and findings, we could arrive at a diagnosis and treatment plan. To answer your query, I recommend that you consult a physician who could run these tests and examine you to rule out heart disease. If present, you would then need to see a cardiologist. Any chest pain should be immediately checked out. History of HERD and medications for the same should be reviewed and treatment continued only if necessary as long term treatment of Proton pump inhibitors (Commonly used to treat HERD) can affect kidneys. My recommendations :- quit smoking /alcohol (if you do) -eat well-balanced and nutritious diet especially that rich in fiber, and colored fruits and vegetables -stay well HY Chat Doctor. ."
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my daughter is 5 and she has had a fever and stomach ache for the past two days. she has had no appetite and some throwing up not much. the no appetite has been for five days and two days ago she was complaining about her head hurting. I live in joplin mo where the tornado was and was trying not to make a trip to the er tonight. pls help
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". . . by what you quote I feel that your kid might be having a viral illness. Fever without any localizing signs like this could be a viral illness or a starting stage of diarrhea. Even if she is not throwing up because of the pain in the abdomen she might be having a nausea. This is the reason she is not able to eat well. You can give any over the counter antiemetic medication if you have in hand. For fever, you can give Paracetamol in the appropriate dose"
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"Your 5-year-old daughter who was very active before is being very lethargic, tired, loss of appetite and stomach upset without fever since few days. Sudden onset of lethargy and other symptoms need to be taken care for cause. You should meet with pediatrician. If I was your treating pediatrician, I would ask about color of urine, is it yellowish. And then would advise test for to rule out any liver problem. But nothing to worry. So a per my view you should meet with your pediatrician. To rule out any problem",
"Thanks for your query about your 5 years old daughter. Noted that she had a fall and now has pain in abdomen. This can be a serious problem and needs MRI of the abdomen to see if there is retro-peritoneal hematoma. If this is so, I may be treated conservatively, but the child has to be admitted and kept under observation. Do not give her anything orally. She may also need Standing X-ray of the abdomen and ultrasonography and also the tests of the blood, urine and stool. The treatment will depend upon the findings"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I have been noticing changes in my testicles the left scrotum hangs lower than right sometimes saggy scrotal skin I have no pain recently seen a doctor no sighn of hernia or infection or torsion if she elimnated all of those why do I still feel uncomfortable and I usually get a fast errction but now it seems difficult to accomplish please help I am very worried
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"Left testis normally hangs lower than right testis. It is normally found in every male. Scrotal skin appears also changes with changing conditions and emotions. I presume that you have been properly examined by a clinician. It is good that there is no sign of infection or hernia. If your doubt persists then you can go for ultrasound of scrotum. Ultrasound can detect abnormality. Take Care"
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"As a Urologist, let me advise you, that a varicocele and hernia surgery, has no effect of temperature changes on scrotal skin. If you're feeling that much discomfort, you should get examined by a doctor urgently. The basic test to do is a scrotal scan, to know if there are any changes, inside the scrotum. You should do a blood routine, sugar, and show the reports to the doctor. You can also send a copy of the reports to me, for an expert opinion. Chat Doctor. Mang",
"Varicolectomy on the left side might have damaged some nerve twigs which may be the reason for this kind of diminished sensation over left scrotum and penis. This will not cause any problem and you need not worry about it. The herniated disc is of small magnitude which is not expected to cause neurological damage except for lower back pain. It might not have gone back to its original position though pain subsided. You should avoid strenuous activities (lifting heavy weights, extreme bending, etc. ). But if you have diminished sensation in whole of your left side of body, you should look into spinal cord lesion in neck region or brain lesion."
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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 doctor just put me on the generic form of Ritalin to help with the vegetative symptoms of major depression I have had. I only take half of a 10mg pill, and I have had very painful stomach cramping, feeling like a bad case of diarrhea. What should I do?
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"I suggest you not to worry much. Ritalin (methylphenidate) is a central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control. Stomach pain, nausea, vomiting, upset stomach are side effects associated with this Chat Doctor. Please consult your psychiatrist for further advice. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition."
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"in regard to your diarrhea recommend you to use -plenty of fluids -Tibetan with a glass of water- HY Chat Doctor. in regard to your pack pain, I believe it may be real, so you can do:- massaging -you can use sometimes opioid analgesics like tramadol,-avoid stress as it possible in regard to your liver and acetaminophen use, it is toxic for the liver. You take 3 grams a day for 20 days per month, it is a high and toxic dose for liver, so you should do balance biochemistry",
"It is possible that your symptoms (abdominal pain and bloating) may be related to focal nodular hyperplasia. However, we do need to rule out problems like gastroesophageal reflux disease. In this regard, small meals at regular intervals; an early dinner and Tablet Prevail OTC 20 will help. It is unlikely that the amoxicillin and potassium will actually help relieve your symptomsHowever, the fluid retention in the ankles and the hands needs to be looked into. To help you further in this regard, I would like to know the reason that you are taking metoprolol, and Maxine. Awaiting your reply"
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Hello, I had a hysterectomy in Sept 2013, shortly after the surgery an abcess developed above the stitching which had to be drained. A catherer was inserted for drainage. After it was removed I started to slightly bleed and had a discharge. It has been treated with silver nitrate every month since the surgery, I also applied Primerin creme, nothing s helping the situation (bleeding stopped but not the discharge). I am desparate for ending this problem. Would there be any other treatment I could have beside the silver nitrate? Thank you.
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"I am Chat Doctor, infectious disease specialist, answering your concern. In my opinion you should do culture and sensitivity from the discharge. Silver nitrate act as a good antiseptic agent against variety of organisms. But in your case some resistant organisms has grown in the wound. With Grams stain, culture and sensitivity we get the idea about organisms, and so we can treat accordingly. Continue your primer in cream it helps in healing. Please maintain the local hygiene and cleanliness. It will help you in healing. Glad to answer your further concern contact me on bit. ly/"
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"ear madam you should ensure that your dad has some competent staff by himself who can manage catheter reinsertion. It is usually not successful to treat cancer by medicines. Hypertrophy can be treated, but cancer will cause urine flow obstruction sooner or later. Only surgery can help in these cases. Catheter can help if there is no significant urine flow obstruction. And this obstruction must be managed as soon as possible. Sometimes catheter become useless and permanent solution is ureterotomy. Wish you good heal",
"Funding is an antibacterial cream and will help to clear any infection there, but won't help granuloma to disappear. Treatment of granuloma requires the excess tissue to be burned / destroyed by some or other means (and hence any treatment modality will cause some pain / discomfort). We commonly use salt application or chemical cauterization with silver nitrate. Salt, by its osmotic effect, clears the granuloma and can be done at home. Although somewhat irritating, most babies will be comfortable after initial few applications. Your doctor has given the right advise-need not worry."
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I am a 57 year old female. I have lumbar spinal stenosis. I have been living with chronic low back pain since 1978. In 2008 I had bladder repair surgery. One month later after the surgery I started getting shortness of breath. It started all of a sudden. Could this be from the chronic debilitating back pain.
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"These two problems are independent. Shortness of breath is unrelated to chronic backache. It may be due to many causes such as heart disease and anemia and many more. You can discuss with your Doctor about it."
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"After going through your query I came to know that you are suffering from chronic backache. It may be lumbar spondylosis. Back exercises, Diapering, glucosamine sulfate neurotrophic such as methycobalamin and analgesics (DICLOFENAC) give relief. Avoid long continuous standing. Sit in a straight posture. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care",
"A lot of things can cause shortness of breath, but it is interesting that you say you only get it when lying down. If you arrived to my clinic, I would evaluate you for congestive heart failure. Do you ever get swelling of your legs? Do you have a cough? Have you been using more pillows lately to sleep? Do you wake up in the middle of the night gasping for air? If you said yes to some or all of these question, I would talk to a doctor about potentially measuring a BNP level and/or getting an echocardiogram (ultrasound) of your heart. As far as tonight, you could try to prop some more pillows under you so that you are sleeping more upright. Try to limit your fluid and salt intake, and make an appointment to see your doctor this week"
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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 am writing about my mother. She is 78 and has been taking medication for depression for the last few years. She lives in Asia and is on paroxetene 30 mg daily. She has been improving a lot but always wakes up from an afternoon nap very depressed and desolate. Her doctors answer is that she shouldnt sleep, but she does need a nap because of not sleeping too well at night. I was wondering if this may be a low blood sugar issue which can be addressed by a hot sweet drink as soon as she wakes up. Thank you for reading this!
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"It is necessary to sleep whole night or up to 7 hours in old age. Depression is common after wake up, and it is called melancholic features. Avoid nap to avoid depression in afternoon. Meanwhile, avoiding afternoon nap to achieve sound sleep at night. Shifting dose of paroxetine to night is useful for sleep. Avoid any medicine at afternoon to prevent nap. Add on low doses of benzodiazepine like lorazepam in night for maintenance of sound sleep. Psychological counselling will help her for depression. Take advise from your treating doctor before taking any medicine. Glad to hear from you. Thank you"
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"She should be taken to a psychiatrist as soon as possible as these patients may become violent towards self or others due to baseless suspicions. It is like that lorazepam has some role in its beginning, but it should not be taken to be the main reason. Her sleep would most probably be disturbed now. She will show good response to risperidone 0. 5-2 mg at night. Along with this a sleeping medicine like- collided 12. 5 mg might be needed for initial few days. Please ask her family not to leave her alone for some time and superwise her treatment Such patients donor take treatment easily but with support and help from friends and family one can. Persuade them",
"n you kindly specify your age, gender, your current work profile & whether you are in habit of consuming alcohol, tea, coffee, smoking cigarettes etc. during evening hours usually post 8pm? Based on current information, I would say that many people after a certain age (50-60 years) tend to become light sleepers with frequent sleep disturbances with the slightest changes in sleeping patterns, habits etc. Hence, to avoid this, we can practice some good sleeping tips known as sleep hygiene. These are 1. Waking & sleeping at a fixed time 2. Avoid over/under sleeping 3. Avoid daytime naps 4. Avoid cigarettes, tobacco, caffeine after 8pm 5. Use bed for sleeping only 6. Don't stay in bed for more than 20 minutes if you are unable to sleep after retiring to bed. Additionally, there are Chat Doctor. Lastly, I would like you to get back to me with what makes you excited or when do you feel stressed out, how is your mood, energy levels & since when do you find it hard to recover from stressful situations"
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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 sharp pain at the top of my butt crack.. It is excruciating when touched and hurts when sitting or lying down on my back. There no is bump to be seen. The pain feels like a large stabbing sensation. I can feel a little swelling on the right side.
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"The pain you are feeling in your butt crack can be due to a condition called, Coccydynia, (tailbone pain or coccyx pain), generally feel worse when sitting or with any activity that puts pressure on the bottom area of the spine. 1. To treat this, do Chat Doctor. 2. Use a tube or a soft cushion while sitting on a chair. 3. Take an ultrasound therapy from your nearest PT center. The pain if not chronic should take 2-3 weeks to disappear. I hope this information is helpful to you"
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"I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have bruise leading to boil with cellulitis at top of the butt crease and just nearby to tail bone. Treatment is - by anti-inflammatory Chat Doctor. Don't guess more. I would advise ER Surgeon Consultation to avoid further complications with it.",
"First do not be scared. From your description the lump is benign soft tissues lesion. The pain indicates some inflammation. If the lump is close to the butt crack, most probable reason if this lump is colonial cyst. This condition is caused by ingrown hair which irritates the tissues and leads to inflammation. If it's located in other part of butt, hair follicle inflammation or sebaceous cyst can be the case. The best she can do is to consult general surgeon. In case of any doubts, soft tissues' ultrasound can be done."
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good day Dr. Robert Galamaga. i would like to ask question regarding my monocytes, in the test results my monocytes is 02 i am worried about the result, i am working night shift, in the morning i go to school to study.. is there relevant causes regarding my work?
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"Very rarely people with low monocyte counts can get some unusual infections such as mycobacteria, listeriosis, brucellosis etc. But I have seen many patients with less monocyte counts, but doing absolutely OK. As long as you don't have repeated bouts of fever, I would consider you as perfectly normal individual. Certainly low monocyte count is not related to your night shift work."
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"Any increase or decrease in levels beyond the harmony level range can cause problems. It is possible that your symptoms can be due to excess thyroid harmony levels since your menstrual cycles are also prolonged. But your other symptoms can also be because of viral illness",
"Based on your query, my opinion is as follows. 1. Platelet count of 124 is not to worry. Mild variation can be seen in day to day. 2. Gilbert syn Chat Doctor. Improve your nutrition particularly proteins and It B12. 3. Get a bone marrow biopsy to rule out any specific bone marrow occupying lesions. However, repeat test after a month - it could return to normal. Not to worry."
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dialogue
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Hi,I have tonsillitis and I was not sure if this is a gonorrhea throat? I had an aggressive kiss a year a go but rather than that I haven t had another sexual contact of any kind. Is it possible that I have gonorrhea throat? Is it possible to get HIV through kissing?
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"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint Tonsillitis is most commonly seen due to bacterial or viral infection in throat leading to inflammation and swelling of the tonsils. As far as Gonorrhea is concerned, it is a sexually transmitted infection and is mostly transmitted via urogenital contact. As you kissed on year ago and has no other exposure after that therefore chances of gonorrhea or HIV are negligible, and it can be most probably bacterial or viral throat infection leading to Tonsillitis. I would suggest you to consult a General Physician or an ENT expert and get evaluated and a thorough clinical evaluation and investigations throat swab culture can help in ruling out the exact cause of the infection and treatment can be done accordingly. In case of bacterial infection antibiotics like Azithromycin or Augmenting can be advised along with anti-inflammatory painkiller like Ibuprofen, doing warm saline gargles, steam inhalation and use a humidifier in your room. Chew a vitamin C pellet daily. Suck throat lozenges. Avoid spicy and chilled foods. Sip plenty of warm water."
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"Thanks for calling Chat Doctor. Forum. You had mono infection since 9 months, and no relief. You are also getting strep throat, laryngitis, and yeast infections. Mono is a viral infection usually transmitted by saliva, that is by kissing. So by avoiding kissing and sex with other people can prevent the reinfection. I advise you to consult a dermatologist for diagnosis and treatment. Wishing for a quick and complete recovery. Best regards",
"I can understand your concern. Your wife is having tubercular pleural effusion. It is classified as extrapulmonary tuberculosis. And so it is not infectious to you or others. Only pulmonary tuberculosis (involving lung) is infectious. So you can do kissing, sex without fear of spread of infection as your wife is having extrapulmonary TB."
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I am 68 yrs old, 140 lbs. I came off HRT on doctors orders approximately 3 months ago. Apparently I had a small stroke but with no symptoms and I am undergoing tests to rule out (hopefully) heart issues. For many years I have had, difficult to describe, nightly chest discomfort (not pain). Since coming off HRT this discomfort has developed into pain. It always preceeds a hot flash and is happening many times a night. I get the flashes during the day but not the chest pain. Can you suggest anything to help?
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"As you have not mentioned from how long have you started HRT post menopause, and you had history of small strokes would suggest you to go for an ECG 2D echo(to rule out any problem to blood supply of heart), a s many times' angina does not present as frank chest pain, but it presents as a chest dis comforts you say it precedes hot flashes again menopause and HRT wi"
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". . Here according to history you are having simple musculoskeletal pain by muscular strain. . . . I am suspecting this because pain aggravated in some position which indicating it. . . . Apply hot pads over chest wall. . . Avoid strenuous activity . . . . Heavy exercise avoided. Try to limit movement causing pain. . . . Rest taken. . . . Proper sleep position needed. . . . . If still pain remain consult physician for that . . . . Then detail investigation might need. Take care",
"I can understand your concern. First no need to worry about heart diseases because you're all reports are normal. Sometimes, muscular spasm can also cause sudden onset momentarily chest pain. So avoid stress and tension, be relaxed and calm. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas of chest. Take calcium and vitamin D 3 supplements as deficiency of these can also cause muscle spasms. Don't worry, you will be alright with all these."
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HI, For the last one month, I have been experiencing tiredness, sleepyness, dizzy and pain in the temple area. Got my tests done and my doc says that this is due to the rise in insulin and has advised me to avoid sugar or sugary food at all. Before the test he had given me some multivitamins but in vain, post test diagnosis, he has given me some medicine to control the insulin level I believe. However, its been a week now and I dont see improvement. I am worried. Please help and suggest which doc (specialist) i should consult for this issue. Regards Rajesh
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"It is possible that you have higher than insulin levels circulating in your blood. This is causing the blood glucose levels to go below normal and that can cause problems like tiredness or dizziness. This if confirmed might be the opposite of diabetes where the insulin does not act on receptors. You should consult a doctor who deals with conditions of pancreas. They can be gastroenterologists or endocrinologists. They have to do certain tests to know the source of high insulin and few tests like insulin levels in blood and ultrasound and CT scan might be asked for. There are small tumors called insulinomas in the pancreas which secrete excess insulin and a search for such tumors is indicated. Insulin is a benign tumor of the pancreas in 90 percent of patients and removal of the tumor cures the patient of the symptoms. Please do not worry"
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"Understanding your concern. As per your query you have cold and dizziness which seems to be due to upper respiratory tract infection known as common cold which is a viral infection along with low blood sugar and iron level in body. I would suggest you to Consult ENT specialist for proper diagnosis. Doctor may order certain test like CT scan, blood test, MRI, viral culture test and examination with horoscope. Doctor may prescribe anti-emeti",
"The symptoms you mentioned (increased frequency of urination, tiredness, this etc. ) can be due to diabetes as you say and also may be due to some other causes. You checked your blood sugar and found out that it was 508 mg/DL, which is rather higher than normal. But to confirm Diabetes, you should have specific blood test, HbA1c check. Fasting blood sugar (after no calories for 8 hours) which should be 80 _ 108 mg/DL. You should have a good and balanced diet plan with low carboy Chat Doctor. Regular exercises such as walking, jogging is advisable. The further specific medications and treatment will be better consulted after your HbA1c level result has attained. Thank you. Best of luck and have a nice day"
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I have been on Yasmin birth control for 9 years, and have never had a problem with it before. I got off of it last year in March, but by October I got back on it. Was on it for a few months, then stopped for 2 months, back on a month, now off again. For the past week now, I have been getting dizzy, light-headed, my tongue feels like it swells in the back of my throat, my mouth gets dry, I feel like Im going to faint, shaky throughout my body, blurred vision, cold hands & feet... What is going on? And could me not taking my birth control be affecting me?
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"Nausea and light headdress is a rather common side effect of contraceptive pills, as such it is entirely possible that they are the reason you are feeling this way. Stop taking them for a week and see if your condition improves, if it does we've identified the cause. If it doesn't, see a doctor so that he can run some tests and try to identify the cause of your problems. I hope this answered your question"
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"There are many causes of this dizziness, imbalance. Can you elaborate more as to what else happens?nausea? Missed/ heavy heart beats? Sweating, loss of consciousness? Do you fall down?have memory of the event?it may be a heart rhythm disorder, anemia, autonomic imbalance, neurogenic syncope etc. pl. feed more details for a better answer. I hope to have answered your query satisfactorily. Take care, and please keep me informed of your progress. Good Luck ! May I request you to rate your experience here before you close. Thank you",
"Blood or urine tests may be needed to check for unwanted effects. Me Chat Doctor. Talk to your doctor right away if you have more than one of these symptoms while you are using this medicine: blurred vision, dizziness or fainting, a fast, irregular, or pounding heartbeat, increased thirst or urination, irritability, or unusual tiredness or weakness. NSAIDs like Advil, muscle relaxants are recommended. Please give positive feedback if the information was helpful."
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Hi over the past few months i have noticed a small bubble like size lump located right next to my tonsil. Its about the size of a bb and its the same color of my mouth. It does not hurt at all but i have noticed some other things along with this. My breath has had a foul odor and ill taste in the back of my throat. Also, i have noticed that my neck has hurt a lot lately and swallowing feels a bid awkward than usual. I have had a lot of saliva too. I would like to know some information about this before i go to my doctor. Im extremely nervous because everything i read online involves cancer or other extreme conditions. Please any advice would help. God bless and thank you.
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"Understanding your concern. As per your query lump near tonsils which is of same color as that of mouth along with bad odor and taste is due to Chronic Tonsillitis which is a condition you need to panic about. It is due to throat infection that is causing inflammation of tonsils and lumps over there along with inflammation of papillae of tongue. I would suggest you to antibiotics like Azithromycin or Augmenting along with Ibuprofen that is anti-inflammatory painkiller for around 5 days. You should dew warm saline gargles. Steam inhalations and using a humidifier at home will help. Avoid hot and spicy food, and you should take soft food. Maintain proper oral hygiene by brushing and flossing. Visit ENT specialist once and go for throat culture test to rule out ant hidden systemic pathology. Start treatment after proper diagnosis."
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"I can understand your concern. You may have thyroid swelling or some other midline neck swelling. You should go for examination. If your lump moves with swallowing then it must be thyroid. You should go for ultrasound neck, thyroid hormone study and fine needle aspiration cytology of thyroid. It will give you exact diagnosis. Then you should take treatment accordingly.",
"Understanding your concern. As per your query you have lump under tongue. The symptoms you mention in query can occur due to many reasons like traumatic fibrous, papilloma, lingual thyroid, lingual manual which is a cystic swelling, or transient Lingual Capsulitis. It could be due to allergic reaction to certain food substances. I would suggest you to consult oral pathologist for proper examination. Doctor will examine carefully and will make proper diagnosis and start treatment accordingly. Doctor may prescribe antibiotics, anti-inflammatory or vitamin B 12 supplements. Go for FNAC or Excision biopsy as prescribed by doctor. Doctor may prescribe MRI for further investigation. For now do warm saline rinses several times a day and maintain proper oral hygiene."
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Rescent MRI result I received: L3-L4 shows some Disc Desiccation there is narrowing of the disc space, flattening and loss of the normal posterior disc margin with broad-based protrusion. The Facets are intact. Some prominence of the Ligamentum Flavum noted, and a combination of Ligamentum Flavum prominence and Broad-Based bulging contribute to some relative narrowing of the Dural Canal. It should be noted that visually the Dural Canal is to the small end of normal in it s AP Diameter. Again no severe stenosis is seen but some relative narrowing of the overall dural canal is noted for the above mentioned reasons.
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"You should see a neurosurgeon. Detailed Answer:Hello, Thank you for using Chat Doctor. It suggests there is a lumbar spine (L3-L4) disc herniation with degenerative changes resulting in narrowing of the intervertebral disc space and disc bulging (broad-based posterior disc protrusion). These findings, associated with flavor ligamentum prominence, contribute in spinal canal narrowing, although only a mild stenosis is noticed, indicating no severe articular compression or severe pain. This means that may be you don't need to repair it surgically for the moment, even though you should see a neurosurgeon to explain to you the follow-up plan and the physiotherapy exercises that may relieve your symptoms and which movements should be avoided. In case of pain you may use non-steroidal anti-inflammatory Chat Doctor."
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"Anoop, thanks for writing to Chat Doctor. Your MRI findings depict that you have degenerative disc disease. Simple disc bulges without root compression is not a matter of concern as they will result only in backache. But, you have L5-S1 disc extrusion with migration and compression of nerve root which is significant. If you don't have any articular symptoms (pain from back going down up to toes), then only conservative management is advisable as follows :- Rest with analgesics / muscle relaxants- Methylcobalamine preparations- avoiding bending & jerky movements (riding a two-wheeler)- avoid lifting heavy weights- intermittent pelvic traction-using lumbar back support during prolonged sitting. If all the measures fail to provide relief, and you have severe articular symptoms, then surgical intervention may be needed",
"That report indicates that while there are some mild changes in the cartilaginous disc present between your last vertebrae and the sacral bone, there is no tearing and no compression of the nerve root which exits at that level. So since there is no nerve compression and no spinal stenosis (narrowing of spinal canal) or other rarer conditions are mentioned, it means that you need no surgery and must continue conservative treatment with physiotherapy and painkillers (I'm assuming you have pain as it is the most frequent presentation in lumbar spine conditions). The symptoms should subside gradually overtime. I hope to have been of help"
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if the stool pathogen Enterobacter cloacae can grow on my toothbrush, why am I not getting sick? If I bite the side of my cheek and then i am brushing my teeth with this bacteria-laden toothbrush, why is this bacteria not infecting me, yet it is cause for such serious infections in hospitals?
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"I can understand your concerns. Enterobacter cloacae is a member of the normal gut flora of many humans and is not usually a primary pathogen. In other words, it is a communal or friendly organism having a symbiotic relationship in which one organism derives benefit while causing little or no harm to the others. Few healthy humans are colonized, but the percentage increases significantly with long term care facility residence or hospitalization. Colonization is an important prelude to infection. Individuals who have previously received antibiotic treatment, have comorbid disease, and are being treated in ICUs are at greatest risk for infection"
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"Other conditions and situations that can cause blood in the stools include colon cancer non-cancerous growths, such as polyps intestinal infections (bacterial enterocolitis) that can be caused by foodborne pathogens, such as salmonella and E. coli inflammatory bowel disease (Crohn's disease, ulcerative colitis). I would advise you to get a sigmoidoscopy done. I hope I have answered your query",
"e. inflammation of gums to severe level. It could be due to poor oral hygiene and compromised immunity which is making susceptible to infections. Maintain proper oral hygiene by brushing and flossing daily. Take antimicrobial mouthwash rinses such as Listerine. Take antibiotic such as Azithromycin to prevent further infection. Visit oral physician once and get it examined and go for scaling and root planing of teeth. Chat Doctor. Avoid taking sticky food such as chocolates, toffees and chips."
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i have weezing in my chest [bad] i have a cold and have had high fevers the fever has let up and now the wheezing took its place i cough but mostly when i have a lack of breath. im taking robitussin chest congestion 4 tsp-4hrs 1st dose. is this ok or should i still need to worry
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"I can understand your concern. Wheezing suggests bronchospasm. And bronchospasm needs bronchodilator treatment. Robitussin syrup is cough suppressant, and it will not be useful in your case. So better to consult pulmonologist and get done clinical examination of respiratory system. You will need inhaled bronchodilators (formoterol or albuterol) and N acetyl cysteine (NAC - bucolic and expectorant). Don't worry, you will be alright with all these."
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"Understanding your concern. As per your query you have breathlessness. Well there can be many reasons for symptoms you mention in query like asthma attack, pneumonia, heart attack, atrial fibrillation, pulmonary embolism or anemia. I would suggest you to consult chest specialist for proper examination. Doctor may order chest x-ray along with sample from lung for lab testing. Doctor may prescribe antibiotics along with anti-inflammatory and decongestants. Doctor may also refer you to cardiologist for heart problem. For now take proper rest and take steam twice a day.",
"I can understand your concern. You are having chronic chesty cough (cough with expectoration) since 2 months which is not improved by routine OTC (over the counter) Chat Doctor. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test) to rule out lung infection and bronchitis. You may need higher antibiotics, inhaled bronchodilators (formoterol or albuterol) and N acetyl cysteine (NAC) depending on the reports. Don't worry, you will be alright. First diagnose and then start appropriate treatment."
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My son was outside playing with a friend and was struck in the gum. There is a pretty good cut above his front tooth (this is a permanent tooth that is growing in, he is almost 8 years old) The tooth doesnt seem loose and the bleeding is stopped but the gum is cut pretty badly. Is it necessary to take him to a dentist immediately or see how it heals?
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"Thanks for sharing your concern. As your history suggests that there is only gum injury then you can avoid going to the dentist. But if you suspect any trauma to the tooth structure, you must keep a close watch on the concerned tooth, as the teeth is still in development stages. If you find any discoloration or associated pain, it is good to visit your dentist and get it evaluated clinically for its vitality. For now, you can just deb ride the wound and leave it to heal on its own."
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"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint due to trauma the tooth has got PARTIAL AVULSION from the socket and due to it is has hanging in mouth leading to difficulty in chewing and speaking and even there can be pain, along with it there is a possibility that the tooth will completely get abused from the socket and there will be loss of tooth. You need an immediate dental assistance and should consult an emergency room and there you may get a dentist available or can guide you to reach a dentist as soon as possible. In case if the tooth falls you should store it in either milk or mild salt solution or saliva so that when you see the dentist he can replace it in the socket and splint it to save the tooth. In case if the tooth is partially abused the dentist can gently place the tooth back in position in the socket using aseptic precautions and splint it using orthodontic wires along with initiating root canal treatment of the tooth and gradually the tooth will take its place in the socket and starts healing. But you cannot wait for long, and you need to take her to a dentist immediately. As of now you can give her Tylenol or Ibuprofen in case of pain.",
"For bleeding gums, you should consult a dentist, who will perform professional cleaning of your gums and will advise you gum paints and multi-site. vital and vital along with antiseptic mouthwash. Maintain your oral hygiene with brushing twice daily along with flossing to prevent its recurrence. if your throat still hurts after 7 days of following all advice then you should consult ENT surgeon. If your age is around 18-25yrs, then erupting third molar can be the cause of pain in throat. As the tooth erupts your pain will subside. meanwhile use sensitive/soft toothbrushes, antiseptic mouthwashes, give finger message to your gums with astringent and increase your Vital BC intake via citrus juices and fruits. take care"
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Hello doctor,I am 13 weeks pregnant. I have not felt any movement, this is the second pregnancy. I recently went to the hospital two weeks ago and did a blood test, they informed me that I needed a Down\s syndrome test done and I have straight Medicaid and no one in my area covers straight Medicaid. What else can be done? I just want to make sure my baby is fine.
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"During the late first trimester, nuchal translucency test by ultrasound and double marker test (BhCG, PAPP-A) are done to rule out 80 % cases of Down\\s, Edward, Patau syn ChatDoctor. These are normal screening methods, generally covered in Medicare. If you are screened positive and been suggested for some confirmatory test, I am afraid, you need to spend out of pocket. Secondly, fetal movements can be felt only as early as 15 weeks, so be patient regarding that part."
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"There are certain tests like triple marker tests, nuclei translucency test, etc. which help predict the affection of the fetus. Some gross abnormalities may even be visualized by ultrasonography. If you are so much concerned about the probable abnormality in the development in your fetus, please suggest your obstetrician to get these tests done for you. Other option is to report to the Fetal Medicine Specialist and narrate the whole story in details. This specialist will advise you to regard the confirmation of the status of baby. I hope this helps you",
"Blood test to check for hemoglobin level, total count and differential count. Cough in pregnancy. Revert back after the investigations to an obstetrician and gynaecologist online. - Take care."
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What is the path traveled from the distal ileum through the mucosal membrane and into the superior mesenteric vein to get the the left kidney and what major body structures will be passed by? Is there any further digestion process at this point? What is the process that happens in the kidneys to end as urine being excreted?
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"Blood when travels through the renal arteries into the kidney gets filtered by numerous filter like structure knows GLOMERULI. The fluid whicChatDoctores on the other side of the filter contains lot of waste products such as urea. This is the final urine which is collected in the urinary bladder and is removed by the act of micturition. You can write back with your queries"
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"The kidneys have an outer cortex and inner medulla. This outer part is called parenchymal and in some kidney conditions, the parenchymal gets thin and this can mean you have a kidney condition. Since your age and history of any condition predisposing to kidney problems is not mentioned, therefore it is important to get your kidney function tests done in detail. This includes serum creatinine and complete urinalysis. Excretion of proteins in the urine is also to be evaluated. Any secondary kidney infection needs to be ruled out. It can mean that you are having early medical renal disease and there is some problem in the processes leading to formation of urine. Please talk to your nephrologist and start taking treatment at the earlies",
"Based on the facts that you have posted It seems that your mother has landed in Chronic Renal Failure (CRF) and your Chat Doctor. Kidneys are the organs that are involved in maintaining fluid and electrolyte balance and throw away end products of protein metabolism (Urea and Creatinine)through urine. Kidney failure results in accumulating these end products which are poisons to our body These products have to be expelled out by means of using artificial kidney which is achieved by Dialysis. Dialysis expels these products in urine and lowers levels these products in blood and help to carry on normal bod functions. Since production of these products is a continuous process it is mandatory to undergo Dialysis fat frequent intervals Generally it has to be done every week or two (Not every six months)which depends upon the level of Urea and Creatinine in blood"
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MY SON PLAYS FOOTBALL AND GOT HIT IN HIS PRIVATE PARTS BECAUSE HE WASNT WEARING A CUP. THIS HAPPENED ON THURSDAY. ITS SUNDAY AND HE CAN BARELY MOVE. HES IN QUITE A BIT OF PAIN. SHOULD WE BE CONCERNED, AND IS THERE ANYTHING WE CAN DO TO RELIEVE THE PAIN?
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"Your son is getting severe pain in testicles after sustaining injury due to football 3 days back. In view of the hit over private parts the possibility of injury to the testicles has to be ruled out. Consult qualified General surgeon for clinical examination and get Ultrasound Scanning of the scrotum done to confirm the same. Taking anti-inflammatory Chat Doctor. Further treatment will depend upon result of the scanning and final diagnosis"
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"From description it seems that your son had injury over back, and now he is on Physiotherapy. As it looks like muscle strain, I suggest-Avoid lifting heavy weights and forward bending activities. Use a lumbosacral back support. Give rest to the injured part and do not involve in activities which puts additional strain on the injured tissue. Applying muscle relaxant gel and doing hot fomentation will be helpful to relieve the spasm. He can take anti-inflammatory Chat Doctor.",
"As a Urologist, i can understand your concern. It's unlikely to be due to, injury to the kidney. The kidney is well protected by the rib cage. However after an examination by a doctor, you should get a scan done. Get an ultrasound or CT scan of the abdomen. This will give an accurate idea, of the cause of pain. If you've any doubt, send the report, as a direct question. Chat Doctor. Mang"
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Hi. I have spinal stenosis in C5 and C6, impacting the nerves, according to MRI. While I know the hand, shoulder and back tingling and pain I m having are related to this, I wonder if there could also be effects on my left eye. All the nerve issues in the hand and back are on my left side, and now I ve been having bouts of uveitis and high pressure in the left eye. I ve been tested for Ankylosing Spondylitis, RA, Lupus, MS, you name it, all negative. Help?
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"Thanks for your question. Be rest assured that spinal stenosis is definitely not directly related to uveitis and high pressure in the eyes, thats is there is no 1 to 1 cause and effect relationship between them. Rheumatological conditions like Ankylosing Spondylitis are associated with a spectrum of disorder which include uveitis and back pain related to sacroiliac joint related inflammation. These are only associations and definitely there is a no cause and effect relationship between they. The association is due to the fact that the conditions affects certain soft tissue structures which form part of our eyes and some parts of our spine(the tests you have undergone have hopefully ruled out such conditions). It would be best to follow up with an ophthalmologist for your eye related issues. The spinal stenosis seen in your neck has no casual association with your eye related issues and would require follow up with a spinal surgeon."
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"First, I would like to reassure you that your symptoms are not suggestive of any serious neurological illness. Symptoms such as pins and needles and blurring of vision are non-specific and are not diagnostic of multiple sclerosis (MS). These symptoms can occur with anxiety, peripheral nerve problems, vitamin deficiencies, etc. However, if you are very concerned about MS, then, you. An get and MRI of brain and spinal cord done. A normal MRI study would exclude MS and other serious neurological illnesses. I hope it helps. Best wishes,",
"Your cervical spine MRI shows spondylitis in the form of posterior disc bulges at C5/6, C6/7 and C7/T1 levels indenting the thecal sac (attachment removed to protect patient identity). There is narrowing of neural foramina at these levels with indentation of right exiting nerve root. This may cause tingling numbness in hands. Rest of the spinal cord shows normal signal."
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Hi, I wonder if Citalopram or escitalopram (medication for depression treatment ) can be used for cavanous angioma (in spinal cord ,had hamorrage 2 years ago) patient? will them cause or increase CA hamorrage or bleeding? What antidepresant (treat major depression)would you suggestion for CA patient (18 years old)? Thank you very much!
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"Regarding the relation with the cavernous Angola you shouldn't worry much as there is no harmful effect on the cavernous, no increased risk of bleeding. As for the choice SSRI (citalopram) are a good choice, but they have frequent effects on loss of sexual Chat Doctor. It should be discussed with a psychiatrist though, especially in an 18-year-old, because there is worry about potential increased suicide risk in use of these antidepressants before the age of 21. I hope to have been of help"
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"epression can be a very distressing illness not only for the patient but also for people around him, especially for those who are involved in his care. I would suggest you seek a psychiatric consultation for your husband. Current lot of anti-depressants like Escitalopram sertraline, venlafaxine are effective options for depression. They do take time for showing their effect, and you will have to be patient about it. But they will definitely help in controlling depression and will help your husband face life in a more effective way.",
"I can understand your concern. You are taking a sufficient dose of Celexa (Citalopram), and if the 40 mg dose is not acting properly. the symptoms should be re-evaluated properly. The addition of some another antidepressant as an augmentation agent can help control the persisting anxiety. Bupropion is a good option. The ChatDoctor. For health anxiety, proper reassurance and psychotherapy also help to a great extent. For symptomatic exacerbations, you can take Xanax (Alprazolam) on an SOS basis. There is no harm in taking this"
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Hi, I have been in hospital the last few days with many kidney stones. I am a 17 year old Male, and had a stent installed on thursday night around 8pm. It hurts to urinate, I was wondering if it would hurt to masturbate? Ejaculation etc? Is sexual activity with another person a bad idea?
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"J stent has been put in your renal unit. The pain that you get urination is due to irritation of trig one of the bladder by lower end of stent which will go away over a period of 2 weeks. As regards your query for masturbation you can certainly go for it There should be no problem in ejaculation."
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"Your current frequent urination could be due to inflammation of urinary tract which could happen due to the frequent masturbation you had last week. Delayed ejaculation could also be due to the same fact. Masturbation should not stress you or your body. You can use it occasionally to satisfy your sexual thrust, but not as frequent habit. You can take plenty of liquids for the time being and if within two days your urination not ceases, please consult a physician. 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.",
"This can at times cause severe pain and colic, and therefore I suggest you get at least an X-ray taken and an ultrasound of your kidneys to find out if the stone has indeed disappeared from the kidney and ureter. If the stones are in the ureter and are stuck causing you severe pain, a stent might be required to be placed to relieve you of the discomfort. Sometimes some"
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hello, two days ago i started getting these hard red lumps on my chest, there are about 7 or 8 of them quite spread out around my chest, they are painfull if i touch them. and now i just noticed one lump on the side of my neck. im extremely worried, i have a feeling it could be hiv. im going to see a doctor later today but wanted to get some advice from this site aswell. thanks for your time and looking forward to the response.
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"I can understand your concern. You may have enlarged cervical lymph node in your neck. It can be due to reactive hyperplasia, tuberculosis or lymphoma. In HIV reactive lymph node and tuberculosis both are common. However, it depends on your sexual history. If you have high risk sexual contact in past then there is chance. You should go for fine needle aspiration cytology of that lump and HIV testing. It will clear all doubts. Then you should take treatment accordingly."
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"1-I feel concerned that you are serious about the possibility of the cancerous lump on the right of your neck below ear. ?2- In my opinion dear, the lump under the skin at the hickey 2-a-might be a fibrosis hematoma of the old-hickey you got, 2-b- or it may be the small lymph node-enlarged /discrete, which you incidentally found, while feeling the hickey site. So don't worry about it being the cancer. 4-I would advise you to keep a watch on that lump on the right of your neck, and if it increases in size, then you should consult the ER-surgeon, for the needful treatment. 5-",
"use of the red lump on the neck-I studied your query and understood your health concerns. In my opinion the red lump is mostly due to the non-specific lymphadenitis in JD area. Its asymptomatic and hence you seem to be worried more. From the facts of the query, I assure you that it is not cancerous or of lymphoma. Else they would have done further investigations and told you the severity of it to you. I would advise you to consult ER Surgeon who would help you out by FNAC Biopsy if need be."
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Hi there, I m a 22 year old asthmatic male, for the past at least 5 years, maybe longer I ve had strange fluttering on the top left of my chest, above the heart but it feels like its above the rib cage/just under my skin. It doesn t always happen, but when it happens it s always when I exhale nearly all the air from my lungs or if I laugh for an extended period of time. There is no pain or discomfort with it, just feels strange. I ve seen doctors before and nothing wrong was found.
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"In asthma patients spasm of lung or tachycardia can cause fluttering feeling in chest. Since your all reports are normal, I think you might be having anxiety related chest fluttering. But I still advice you to get done ECG and PFT (pulmonary function test) to rule out tachycardia and lung spasm respectively, as a cause for your fluttering. If both are negative than no need to worry much. Anxiety related problem appears more. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions to identify stressor in your life and start working on i"
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"Thank you for asking at Chat Doctor. Yes, you are right. It's rare. Heart murmur usually is a sign of heart disease, but there are other causes also. Also, sometimes very faint murmurs can be present in otherwise healthy persons. Longstanding asthma is not commonly related to heart disease. Although, a long-standing, uncontrolled asthma can affect right-side of heart after many years. So, at this point I would suggest you not to worry, and personally I would suggest you to get an Echocardiography done to know the structure and functioning of the heart. If it is normal, you should not worry.",
"Left side chest pain is what we are always afraid of as heart issues can give such symptom. However, if the pain has appeared suddenly with shortness of breath and some radiation to the arm, pneumothorax is possible. This condition can appear with no reason. Sometimes sudden cough or sudden lift of heavy object can cause it. It is more possible if you smoke or have chronic lungs' disease like asthma or bronchitis. If nothing like that is present, strained muscle is the most probable reason. Strained muscle usually appears only when the chest is moving, and should be completely gone when lying down and not breathing. If the pain is sharp and well localized, more intense when breathing, rib nerve issue is the most probable reason. In both cases, rest and anti-inflammatory medicines like Diclofenac should help. If the pneumothorax sounds possible, you should have chest x-ray done as soon as possible do hope that you have found something helpful, and I will be glad to answer any further query"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi doctor,I have had a CT scan with contrast and they found this: The noncoronary sinus of valsalva is prominent. At this level, in the coronal plane, the aortic root measures 4.0 cm in diameter. What does this mean and should I do anything about it? I am 37 years old male, exercise a lot. Resting pulse is 45. My father died in the late 40s of heart disease.
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"Your aortic root is mildly dilated. If you do not have any other systemic diseases like any diagnosed syn ChatDoctor. , then this needs no treatment at present, but just observation. At this borderline dimensions, we just observe the patients and if it increases more than 50 to 55, then needs surgery. However, if it is genetic, then surgery is done at lesser dimensions. So, you will need regular follow up and 1 to 2 yearly CT scan to keep watch over the dimensions of the aorta. This could be done with echo as well. You should also have an echo if you did not have any. You should get yourself examined by a local doctor once to rule out syn"
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"I have carefully reviewed your case and understand that you are worried about your heart beats and pulse after doing Valsalva maneuver. Hope it helps. Please feel free to contact me back if you need further assistance. I would be happy to help. Regards.",
"Thanks for using ChatDoctor. in your information there is some paradoxical information. ECHO can not be normal if heart is enlarged. But sometimes thickened wall of ventricles produce enlarge shadow on X-ray chest, this may be a possibility. Commonest cause of such thickened heart walls is high BP. few normal readings of blood pressure do not rule out hypertension. I suggest you to get Ambulatory BP monitoring RO rule out hypertension in your case. I need to review your ECG, echo to guide you properly best wishes"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi doctor,I am feeling sick with a blocked nose and a sore throat from yesterday. It may be a viral infection due to cold, or it can be due to smoking for the first time. I am feeling tired and sick. I am taking vitamin C 1000 mg every day for the past three days. I have a feeling that I do not have immunity. Is it right to take vitamin C 1000 mg every day? Can I take them more to boost my immunity? Also, I took Panadol cold and flu. Please advice.
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"You are suffering from an upper respiratory viral infection. Vitamin C supplement is right and take them for one week. It is better to stop smoking for at least one week. Panadol cold and flu (Dextromethorphan hy ChatDoctor."
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"I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. 1) First do not worry. 2) I will suggest you to practice breathing exercises. Indian traditional technique of Panama will be of help. 3) Also try to avoid precipitating events. Avoid cold water and cold beverages. Use of vitamin C tablets 500 mg twice a day for ten days will be of help. I hope this answer helps you. Wish you a healthy pregnancy",
"Glutathione is a natural product and for maximum efficacy, it is given intravenously. However, it is impractical to get intravenous every day hence oral Glutathione is given widely. Ideally, it is given 500 mg twice daily but 1000 mg per day can also be given along with Vitamin C. The side-effects are minimal when taken orally. Though FDA has not approved this product, it is widely consumed in some parts of the world. But remember one thing before you start the treatment, this effect will be present until the pills are consumed. Once you stop, you will return to your normal color."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Sometime after my swim on Monday I noticed my mouth was irritated. My son complained about the chlorine but I didnt notice it. Then Wednesday he complained again and I realized that when I lay down at night I could still smell chlorine on my skin despite immediate long soapy showers and washing my hair. Then Friday there was a sign about high chlorine levels. Could the chlorine be the reason my mouth is irritated?
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"Adding more chlorine to pools with unbalanced pH further degrades the quality of the pool water. Highly acidic pool water can erode dental enamel. Team swimmers most often experience this damage; the more hours spent in the pool, the greater the effects of chronic exposure to acidic water. The mouth irritation could be due to it,you could apply topical anesthetic for reducing the pain, also HY Chat Doctor."
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". . read through your query. . . and accordingly I feel that it can be due to ulceration due to trauma or due to stress and tension. . . but nothing to be worried. . . first and foremost is the oral hygiene. . . brush twice daily. do tongue scraping. . . do chlorhexidine mouth rinse. Chat Doctor. . have multivitamin tablets. . . and also have nice leafy vegetables. . . follow this for few weeks. if still it doesn't resolve meet dentist and get it treated based on the clinical presentation. . . . besides all these reduce stress and tension . . . be cool and happy. happy mind and stress free life can resolve any probs. . . hope your benefitted something from this reply",
"It is one of the side of chlorhexidine gluconate mouth wash. It is not due to infection. Some other usual side effects. 1. Tooth/tongue staining 2. Increased tartar3. Mouth/throat irritation4. Change in taste of food/ Chat Doctor. 1. To decrease staining of teeth and mouth surfaces, brush with toothpaste 3 times daily, brushing more on the stained areas2. Use of a \"tartar control\" toothpaste and electric toothbrush may be more effective. 3. To decrease the effect on how food tastes, eat first, followed by tooth brushing and then chlorhexidine rinse. 4. See your dentist at least every 6 months for tooth cleaning/tartar removal. 5. Staining from this medication that may occur on dental work (such as crowns or veneers) usually can only be removed by a dentist/hygienist. Wishing you good heal"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi, I just received my blood results, because I am always a bit low on iron. Iron is 16 ( 10 - 250?), but also RDW is a bit high - 14.9 (max. 14.5). I take iron daily, is not helping all that much. Should I be pursuing this with my doctor? How? Many thanks.
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"I have gone through your question. I can understand your concern. You have iron deficiency. You should take iron supplements. If oral iron is not helpful then you should go for injectable iron therapy. Because you may malabsorption. Your RDW is slightly high and It's due to iron deficiency. Consult your doctor and take treatment accordingly."
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"). For this reason, I would recommend consulting with your GP and performing some tests (complete blood count, blood electrolytes, thyroid hormone levels, vitamin D levels)",
"Your symptoms seem to be related to anemia. I see that you have already taken iron supplements to treat these diagnose. I recommend continuing this medication at least for 3-months. After this period of time I recommend repeating the complete blood count check if the treatment was effective."
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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 cervical mild spinal cord stenosis c3-7, bilateral radiculopathy and having sleep onset myoclonus and brain zaps (not connected to SSRI as never taken) my neurologist has discharged me and says my neck is normal for age and just being hypervigilant. No sleep what can I do?
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"A mild stenosis is not a matter of spinal surgery. But, it can cause chronic pain in this region. For this reason, holding a cervical collar may help. Besides, I would recommend starting Gabapentin or pregabalin, which would help improve the pain and also reduce the myoclonus"
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"Understanding your concern. As per your query you have throbbing pain behind the head. Well there can be many reasons for symptoms you mention in query like viral syn Chat Doctor. I would suggest you to consult neurologist for proper examination. Doctor may order certain test to confirm the diagnosis like CT scan MRI . Doctor may order blood test along with checking vitals. Doctor may prescribe antiviral like acyclovir along with anti-inflammatory, grosgrain, beta blockers, furosemide and physical therapy of neck. Doctor may also refer you to orthopedic surgeon for muscle and bone problem. For now take paracetamol along with taking proper rest.",
"As per your symptom and history there is possibility of acute muscle spasm in neck due to bad posture or there can be cervical disc compression. Due to compression of this nerve root there is pain associated with it. For these symptoms muscle relaxant with analgesic and neurotrophic medication can be started consulting your treating doctor. Till time take rest and continue analgesic available over the counter take rest, and hot fomentation. Physiotherapy like ultrasound and inferential therapy will give quick relief. You may need to do MRI cervical spine if symptoms persist. I will advise checking your it B12 and it D3 level."
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Hello doctor,I had erythema multiforme because of drug allergy and currently left with post inflammatory hyperpigmentation. How long will it last and how and what should I do or apply to let the pigments fade? I have my liver, biopsy test, and I need someone to explain the results.
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"I have gone through the pictures (attachment removed to protect patient identity). Your lesions are not only hyperpigmented (which shows the healing phase) but they are still erythematous (which shows the active phase). So, right now you should not worry about the pigment of these lesions. It will take some time like three months to recover. Even then some pigmentation may remain. But you should keep yourself relaxed as you had a serious condition and that is good you are in the safe phase now. I did not receive your liver biopsy report. Only CBC (complete blood count) was there. For more information consult a dermatologist online"
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"You need to get complete blood count done to see if there is eosinophilic in blood. In people with allergy generally there will be eosinophilic. In that case, you need to take a course of Genocide Forte or Betrayal tablet 3 times a day for 2 weeks. This will bring down allergic reactions. Kindly discuss this with your doctor. Till then just avoid whatever things that is causing you allergy.",
"To treat the same, use a Comic acid, Glycolic acid or HY Chat Doctor. Also avoid sun exposure and use a good sunscreen. You may also consider taking sessions of chemical peels for the same as it helps in effectively reducing the post inflammatory hyperpigmentation."
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Hello doctor,I did my blood test. The hemoglobin is astonishingly low at 4.1. I did ferritin test and B12 test and the results are attached. Blood transfusion was done - one bottle. The hemoglobin increase to 5.5, but again reduced to 5.1. I have a fever on and off. What problem do I have? I am feeling very weak. How long will the treatment go on?
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"Your hemoglobin level is very low. In low hemoglobin state, the oxygen-carrying capacity of blood is affected and so weakness and other symptoms occur. You need to be given blood transfusion or iron injections. But, your ferritin level is high. So hemolytic anemia has to be ruled out first. For low B12 level, cyanocobalamin injections are to be given once a week for eight weeks. You need further investigations with peripheral smear examination report, serum LDH, serum bilirubin estimation, etc. Consult a nearby physician for physical examination and accordingly discuss your treatment plan. Hope this will help you. For more information consult a hematologist online Take care."
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"I can understand your concern. Low he level with viral fever need hospitalization. Your he is very low. You need hospitalization and blood test to find out the cause of your severe anemia, and then you should take treatment accordingly. If you had fever then tidal test and malaria test need to be done to find out the cause.",
"I am sorry that your granddaughter is not well. Most of such fevers are caused by viruses. Antibiotics are ineffective and all you need to do is to keep the temperature in control by cold sponging and use of medicines like paracetamol. There is a viral condition called infectious mononucleosis which looks similar to Strep throat and should not be treated with antibiotics. Gurgle with lukewarm water should help. Only in case the blood work reveals raised WBC count, it would indicate a bacterial infection which can be treated with antibiotics. If the fever lasts for more than 7-10 days a test should be done to rule out typhoid. With the little information that I can get from your query this is all that I can say in order to guide you. Feel free to revert in case of further queries if any"
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Hello doctor,I have had three pilomatricomas removed surgically since I was 12. I still have five left in my body. My father also had them too. Is this something that eventually stops occuring?
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"Pilomatricoma is a small benign tumor arising from the base of the hair follicle. Usually, they are not hereditary but very rarely 1 out of 100,000 cases, it can be genetic. Once cured after surgery they do not occur at the same place but in your case, one cannot guarantee you that it will not occur again. All you have to take care of is that it does not become infected and do not squeeze or pinch it."
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"Hope you are doing well. At your age, pimples are very unlikely. Pimples seen after 30 years of age is called adult acne, most of the times it is because of a hormonal cause. I am really sorry, I cannot suggest medicines for pimples without seeing your clinical picture. This is because I am not sure if it is pimples, as there are many conditions which mimic pimples. However, I would like to mention few skin care tips for pimples. Now regarding your ChatDoctor. For more information consult a dermatologist online",
"It is probable that your brother has a recurrent pituitary tumor which has grown after surgery. It is 7 years after his surgery and therefore the tumor has been growing steadily to cause his eye to get protruded. Furthermore, it is important to see his pre-operative MRI scan and interval scans to know the extent of the tumor and the pressure it is causing on the adjacent structures. If the tumor has grown slowly in few years then it is possible to assess the condition and suggest a surgery. You should consult doctors in head and neck oncology and a neurosurgeon at a specialist cancer institute in your location. They will do imaging evaluation and know which approach of treatment is better for your brother. There might be a requirement of radiation treatment, chemotherapy and surgery which needs to be carefully planned. Many doctors can handle such cases, and it is important to get urgent consultation because if the optic nerve gets damaged then vision will get affected. Please do not worry"
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Hi i had a opp last week as i broke my femor, I had a rod and four screws.My Question is. Since the opp i have noticed a small amount of blood in my flem it only happens about once a day should i be concerned???? Allso will i be able to Fly in a month??? Thanks Caleb
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"But if this blood is fresh then consult your orthopedic surgeon. Small amount of oozing is not a cause of concern. Since this is applied for 3 months in normal circumstance, so plate screw fitted, you can fly after one month, not a cause of concern. Within next 3-5 days this blood oozing will stop"
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"I would suggest you to get it extracted before you leave. Yes flying causes change in pressure that can lead to toothache. But take a second opinion whether that tooth (#14) can be saved with RCT or not. Even fractured tooth can be saved these days. If RCT is not at all possible then leaving that tooth like that may spoil your trip. Even if you get it removed and stitched properly you can be back to work within 24 hours and can take a flight. Keep some emergency medicine with you. For pain diclofenac plus paracetamol will help.",
"However, as you said it was an urgent procedure, I presume that she had a heart attack in Peru, now in such circumstances all the complications are more common during first 5 -7t days. As it is going to a BS a long flight, personally I would like she waits for 7 days before embarking, just to be on safer side"
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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 had two 3- teeth bridges slide off recently; two back teeth that needed to be pulled; and a root canal . All of this happened within 2 months. Something is draining from what looks like under my teeth - usually it s slick and today it s foamy. It has a horrible putrid-sweet-sour taste and I haven t even eaten anything. Could it be some sort of bacteria under my teeth?
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"The foamy liquid is due to the abscess formed at the periapical area of involved tooth. The pus usually contains bacteria. I would suggest you get the tooth either root canal treated or extracted depending on the condition of tooth. Take complete course of antibiotics too. The sour taste will disappear once the pus Chat Doctor. Maintain good oral hygiene. Please get the treatment soon as it can lead into sinus infection if left untreated."
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"Read your query. Since you have not mentioned what kind of tool you have used for cleaning, it is not advisable to judge the category of trauma to your gums. The signs and symptoms described is suggestive of trauma to your gums and subsequently bleeding from the gums causing the different taste in your mouth. I would advise you to use salt water gargling or an antiseptic mouthwash for a few days. Use the proper method of brushing. Visit your dentist and have your gums evaluated.",
"The tooth infection can be secondary to the deposits below the gums leading to abscess formation resulting in pus discharge and altered taste. The medicines will work for a short period of time, if you keep taking you might develop resistance to that Chat Doctor. So consult an oral physician and find out the cause for tooth infection and also take an opinion regarding previously done root canal treatment. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole combination. Do saline gargling. I hope my answer will help you, take care"
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doctor,my blood platelets count is below 150.and i have black spots in my penis and when i consulted a doctor she said that it is annular lichen planus,and the co-doctor said that this is a symptom of HIV .im bothered as of now..what is the reason for this disease?
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"Based on your query, my opinion is1. Low platelet count is not linked to lichen plans. 2. Presence of lichen plans does not indicate HIV. 3. If you have got a blood test done and that is seropositve, then it indicates HIV. 4. Your platelet counts are below the lower limit of normal range, so it can cause skin or mucosal bleeds with trivial injury. 5. If you have bleeding symptoms seek immediate medical attention. 6. Lichen plans is a sclerotic condition of the skin, not an infection, so not of much concern."
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"Warts: They may be due to papillomavirus Infection may present on penis or other parts of the body2. Pearly penile papules3. Force spots4. Molluscan contagiosum5. Skin ulcers et ceteraUntil examination of the lesion is not done, it is difficult to treat. Please consult your dermatologist, he will examine and treat you accordingly.",
"The blister could be because of lichen plans calledbullous lichen plans or herpes virus infection. The lump be a periapical abscess secondary to tooth infection or gum infection. Consult your oral physician and get it ruled out. If it is because of lichen plans the can use topical steroids. If it is tooth infection take a course of antibiotics and get the tooth treated. 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 m a 29 year old female. I had open heart surgery in January 2015 to replace my tricuspid valve due to endocarditis, and a pacemaker placed in 3 days later. Then I got a new pacemaker (biventricular) a few weeks ago in July 2015 due to continuing heart failure. I ve had the hiccups daily for the last week. Pretty much every time I stand up and move around. Each day I m taking: Methadone 12.5mgs Xarelto 20mgs Tizanadine 4mgs Today i started taking Carvedilol 3.125mgs twice daily. I ve heard hiccups can be related to heart problems. Any advice?
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"Thanks for using Chat Doctor. Hiccups have many causes . most of the time it is due to metabolic or electrolyte disturbances. But it can originate due to inferior wall ischemia. But at your age it is unlikely. You should check for any pacemaker lead In right ventricle producing irritation. But it is very rare. In your case it may be due to electrolyte disturbances or Infection above or below diaphragm. If your hiccup is persistent inspire of PPI and antacids. You should he investigations in the form of X-ray chest, Ultra sound upper abdomen and electrolytes. My best wishes"
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"Let me know you do you have hypertension or positive cardiac history ?? First to rule out heart problems do ECG of chest there might be fibrillation present that can lead it. The palpitation could also be physiological. In increased metabolic activity palpitation can occurred like fever, hyperthyroid etc. After ruling out cardiac problem move toward musculoskeletal pain. Note you have pain esp after getting up. So it might be by improper sleep posture. Sleep in supine position rather than lateral. By heavy exercise or heavy weight lifting muscular strain can occur. Simple analgesic taken. If ribs are tender to touch then Costco Chat Doctor. Try to avoid stress. I hope these suggestions will help you a l",
"I can understand your situation and problem. In my opinion you are having mostly HERD (gastroesophageal reflux disease). Caffeine containing Chat Doctor. It actually causes laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms like chest pain and tightness. So better to start Proton pump inhibitors. Avoid coffee for few days. Avoid stress and tension. Don't worry, you will be alrig"
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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.just recently my 2 year old son was diagnosed with astigmatism in both eyes as what as the pedia optha said to us.doctor said 500 and 400 in both eyes,is it too high?we went to other doctor for second opinion and he said that my son can see well,he observed his activities and it seems that it is not blurred.now,we are confused on what to do.the first doctor prescribed eyeglasses for him..the second one said that he cannot get the accurate grade because my son does not cooperate on other tests and eye exams coz he just cries when being force to do it.please help me answer my questions.tnx
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"eyeglasses for a 2-year-old needs cajoling and using methods to make them keep it on. It is not easy. Moreover, the glasses for astigmatism are different type and can cause other symptoms Astigmatism the grades that you mention I take it moderate. My advice will be to keep regular appointments at ophthalmology center for child Chat Doctor. May be modern methods of Laser treatment suggested as he gets a little older or complications of squint or short-sightedness develop"
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". . . I understand your concern. By what you say I feel that your son should be evaluated for viral hepatitis, which goes on like a chronic active hepatitis I suggest you consult your sons pediatrician or a pediatric gastroenterologist regarding this. He needs to be worked up for heat tropic viral diseases and also autoimmune hepatitis keeping his age in mind. I suggest you also not to neglect this as you are saying that the white portion of his eyeballs are yellower than normal",
". . . I understand your concern. You are very much right. As the text value is just above the upper limit of normal you need not panic. I do not think your pediatrician would have started thyroid supplements. Probably this is the reason why he is also waiting for the second test because the range is just above the upper limit of normal. If I were your pediatrician I would repeat the test in another 7 days and if the trend of the TSH is rising then I would prefer to start the child on thyroid supplements"
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Hi, I m 28 yrs Old. In 2005 I was having a pain in my chest for which my family doctor suggested me that I was suffering my tuberculosis & diagnosed me for 1.5 yrs. Later when I didnt got well, I tested my body reports in Bombay Hospital for which doctors suggested me that I m not having tuberculosis but bcoz of wrong treatment now I m suffering from bronchititis. Kindly suggest me how to get treated with it without using any inhaler ? Currently, I m not taking any medicines but sufering from cough ? Does this effects sexual Life as I m getting married ?
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"I can understand your concern. Bronchitis is inflammation of airways. And best treatment for this is inhaled treatment. Inhaled treatment reaches lungs directly, so onset of action is fast. It acts on lungs only, so systemic side effects are minimal. Hence, it is better to take inhaled treatment as compare to oral treatment for bronchitis. And if untreated, this bronchitis can gradually worsen over period of time. It can cause coughing, expectoration, breathlessness on exertion, weakness etc. Sexual activity is considered as heavy exertion. So untreated bronchitis can also interfere with your sexual activity. So better to treat bronchitis by inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright with all these."
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"I can understand your concern. No need to give antibiotic directly because she is not having fever. Better to take her to doctor and get done clinical examination of respiratory system. If she is having wheezing on Auscultation then possibility of bronchitis is more likely. Then she will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). So don't give any Chat Doctor.",
"I appreciate your concern for the possible spread of TB. Active TB involving the lungs is highly contagious if it is not treated. TB spreads through the air. When a person with active TB sneezes, coughs, or talks closely to others, bacteria are passed through tiny Chat Doctor. Kissing or having physical relations with your husband will not transmit the disease. However, all the close contacts including your husband should be screened for active TB and if found positive should be given the treatment. TB only cause infertility when it involves the fallopian tubes"
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hi,I have been diagnosed with Chronic lymphocytic lukemia and the have been refered to a hemotologist .. my local gp doesnt know a lot about the disorder and has said not to worry as it is not a cancer..the net tells me other wise.. i am 46.. and have a 67 percent reading in my blood.. should i be concerned in regards to it being a cancer..
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"I have gone through your question. I can understand your concern. Chronic lymphocytes leukemia is a cancer. You should concern about that. However, prognosis is somewhat later than other leukemia. You should consult hematologist and take chemotherapy according to his advice."
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"I can understand your concern. Her lymphocytes count is low. It means she has high neutrophil count. It suggests infection. You should not worry about cancer. It's not a cancer. Don't worry. Just be relaxed. Just consult your doctor and start treatment accordingly.",
"I am Chat Doctor answering your query. Although it is a matter of concern, one has to wait till the histopathology diagnosis and then the appropriate treatment could be planned. There is no need to panic and the treatment of any such problem like a lymphoma has improved over the years with better prognosis then what it was a few years back. Whatever it comes to, one has to face the reality bravely specially you and other members of the family to strengthen your husbands' morale in receiving the appropriate treatment. 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 all the luck."
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Yes, my sister recently had her gall bladder removed and developed infection affecting her pancreas and liver...still in the hospital and cannot eat...feeding her intervienously....to weak for surgery right now so they are sending her to a rehab hospital which will be followed by surgery on her pancreas....not sure if they plan on removing all or part of the pancreas...liver is somewhat involved now but now sure to what degree...family is concerned obviously and is ofterntimes confused by what the array of doctors are telling us....the question is can a person live without a pancreas and what will be the quality of life?
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"Thank you for the query. Yes, it is possible to live without pancreas because its function can be replaced by certain Chat Doctor. She'll need to take enzymes and insulin till the rest of her life, but quality of life is not very affected. She just needs to be patient and be aware that much serious consequences may happen if pancreatitis progresses, even the worst thing. Wish you good heal"
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"The decision of to remove your gallbladder is not related with 54% functioning, is related with your symptoms. If you have constant pain in right rib area (area of gallbladder) increased after eating, your gallbladder must be removed. However, say you that surgical intervention is with minimal incision and with a few hours of hospitalization (48-72 hours). I wish you good health. (If the answer has helped you, please indicate this)",
"You must stop the intake of alcohol. If not you are having tendency to develop chronic pancreatitis which can be life-threatening. Take healthy diet. Avoid spices and oily food. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query"
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Hello, I recently fell complete upside down on my head sending a horrible crackling sound throughout my body and neck. Needless to say, I got concussed (and an indent on the middle left side of my head). I couldn t move my head for a week or so, and now movement is back, but very limited. No pain or tingling in arms, head is mostly fine except at nights and mornings, but I hear a horrible grinding every time I move my head to the right). Yawning and sitting too long is very uncomfortable, and I m worried. It s been over a month and the pain is still there. Got an X ray, and they say its ok. Please help. THank you, Brendan
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"Thanks for asking from Chat Doctor. I can understand your concern. It is good that your most symptoms have resolved. Now coming to your first symptom, grinding sound on turning head towards right might be due to Petrus bone fracture, muscle spasm of right side neck muscle or cervical vertebral fracture right side. It can only be confirmed after proper examination and CT head and cervical spine. Meanwhile, you can observe for any watery discharge from right ear, decrease in hearing on right side, weakness of limbs, pain on pressing right side of neck. It will help in reaching to some diagnosis. You can take painkillers like Diclofenac sodium for pain relief after proper prescription. Prolonged sitting and yawning causing discomfort might be due to post concussion effect. It will resolve with time. You can simply stop it by avoiding prolonged sitting. Start doing some activities, which will keep you busy. That's how you will forget about it. You can consult neuropsychiatric if you still feel stressed. He/she will advise you some anxiolytic and mood elevators to relieve stress. Thanks."
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"Since back is responsible for absorbing shock, thus in acute injury [take down during wrestling], can place pressure on the nerves and resulting pain, and pain leads to dizziness. 2. If he experiences double vision, slurred speech, numbness, and severe balance issues, these could be signs of a medical emergency, thus seek a Neurologist Opinion [relevant examination and investigation], prior to these possibilities. 3. Bed rest/ Icing can help ease pain & Inflammation, avoid lifting heavy weight. In the meantime you can take OTC [over the counter] medicines like Ibuprofen/naproxen to reduce back pain",
". In my opinion it may be a kind of muscular spasm due to heavy lifting, vigorous movements or even wrong sleeping postures. You may begin with avoiding such movements, overstretching and extending your elbow sometimes an arm sling is helpful. Usually it resolves simultaneously within the first week but may extend to 2 weeks according to the trauma or injury severity. For my patients I recommend NSAIDs painkillers like Advil tab when needed, hot massages with topical gels will be ok if not you may need MRI to exclude any kind of nervous injury in your spine or shoulder for proper evaluation and treatment. Please consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask"
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Hi, my 47 year old sister was bit by a black widow spider about half an hour ago. She is nauseated, and has a bad pain moving up her leg. She also has a blister at the bite site, when she busts this blister, it drains, then will be back in a few minutes. Ice did not seem to help. She does not have money to go to hospital, what can I do to help her?
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"Pain relief may require the use of narcotics and antivenin (antitoxin to counteract the effects of the spider venom). The decision to seek emergency care should be made early. If the person who was bitten by a black widow spider has more than minor pain or has whole-body symptoms, seek care at a hospitals Emergency Department. If symptoms are severe, for emergency medical transport so that evaluation and treatment can start en route to the hospital. Home remedies for treatment of black widow spider bites are few. Hot and cold compresses are suggested remedies; as are baths with hot water. Over the counter medications for pain relieving are available and may be helpful in some minor cases. A paste of the content of charcoal capsules and water is believed by some people to be helpful in extracting the venom. A slice of potato may also be placed over the bite. Turmeric and olive oil applied to the bite may help to reduce the pain. Garlic and onion may also help to encourage recovery"
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"It could be anything from a boil to cellulitis to an insect bite. Since there is no pain at present all you need to do is to give her anti-inflammatory medication, and in case of she started having fever or local rise of temperature you need to add an antibiotic as well. Dosages of these medicines are according to weight, so you have to visit a nearby clinic. Take care.",
"Most presumed spider bites are actually bites from other bugs. For your symptoms, I would suggest you to clean the site of the spider bite well with soap and water. Apply a cool compress over the spider bite location. If the bite is on an extremity, elevate it. Aspirin or acetaminophen and antihistamines may be used to relieve minor signs and symptoms in adults. Talk to your doctor if you have concerns. Thank you"
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hi, every month , a lump apperes on calf of leg, just the right leg, this has been going on for months now, lately its happening all the time , with really bad pain, im scared its clots, i have been trying to get my doctor to send me for smear but im not allowed until 2012, as i had one in feb 2009 which was normal, but 5 year ago i had treatment done for abnormal cells . what am i to do, i have 4 kids , and really worried and in a lot of pain,
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"ear, Based on the facts of your report, in the background of abnormal cells' treatment 5 yrs back, and with a recurring painful calf lump in right leg, You seem to suffer from -chronic infected Venous Lump ulcer. A color Doppler study would fix the cause of it. Treat-Rule out diabetes by Fasting/and Post-meal Blood Sugar studiesContact dermatologist and treat it with antibiotics / antipyretic/ and anti-inflammatory, with a long term followup. If no relief Check with Color Doppler and take treatment from Vascular Surgeon, for the resistant calf lump with pain."
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"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",
"Thanks for the query to my Chat Doctor Clinic. I studied your query in depth. I am concerned about the worries you have. In my opinion, a 3-inch lump on the calf of your husband-is -boil which has grown into abscess. Treatment-I would advise you to URGENTLY consult an ER-Surgeon, who would Chat Doctor. This is the remedy for your lump."
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Hello doctor, I am a 38-year-old male. My height is 5 feet 10 inches and weighs about 90 kg. I am a non-alcoholic and non-smoking person. I have two children. Now I am facing erectile dysfunction problem. First time I used Suhagra 25 mg and I enjoyed successfully. How long I have to use this tablet for natural erections? And what are the habits to overcome this problem?
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"You can use this tablet for the long term as this tablet does not cure your erectile dysfunction. It works when you use it and its effect lasts for few hours to days. Now coming to the habit to overcome this includes daily exercise or morning walk for at least 40 minutes. Avoid too much oily food. Consume low fat diet, whole grain foods, fruits, and vegetables will be useful. If having diabetes or hypertension then manage them effectively with the help of ChatDoctor. Take care."
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"Do you have any history of diabetes or hypertension? Confido helps in improving libido but if this is not working then ChatDoctor. Two tablets two times a day for about two months will help to make your erection strong and you will be alright. You can visit a good chemist for this",
"In absence of any major health issue cause of ED and Premature Ejaculation is mind related and due to what is a called as Performance anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E. and Zinc3)Take anti oxidants like Almonds 5-6 every day. 4) Avoid alcohol and smoking. Taking medications Sildenafil(Viagra) on demand will help to get good hard erection and delay ejaculation. Please consult your family Physician to get prescription and to know timing and dosage of the"
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woke up 4 days ago with a swollen bump on my left ear/temple area and also a marble sized bump on my head near hair line it is on the left sized near my ear. There is no redness as of now but is making my ear hurt, I can not see my Dr. until monday. Is this some kind of infection?
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"I am Chat Doctor answering your query. Although it would need a clinical assessment of the bump near your ear and temple area, from your history of 4 days and aching ear, this could be an infection, viral parotitis being one of the common ones in the area, which might get a bacterial super added infection if not taken care of. If I were your doctor, I after a clinical assessment would advise you for some anti-inflammatory along with a proton pump inhibitor Chat Doctor. In a viral parotitis, usually it subsides with this regimen, but might need antibiotic if there is super added bacterial infection or the intensity increases. 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 got pain on left side since few weeks. Worst in the morning, hard to bend down, and to get up from sitting position. About five months ago you had a kidney infection. As you think it is not the kidney infection, and in that you don't find difficulty of movements, and will have a change in urine like frequency, urgency, and burning. It appears to be the inflammation of the bones and joints. You need to have neurotrophic injections, anti inflamatories etc. I advise you to consult an orthopedic surgeon for diagnosis and treatment. You may need to have MRI, besides other routine tests for confirmation. Avoid taking more of potato, other tubers, tomato, egg, chicken, and seafoods. Wishing for a quick and complete recovery. Best regards",
"Thanks for your query and an elucidated history. This is just an inflammatory swelling of the mucosa and submucosal swelling. The pain in the ear is definitely due to a referred pain. This itself confirms the nature of the problem. If the swelling is of a long-standing duration, it is worthwhile to go for FNAC also. CT scan will help to get a more appropriate diagnosis. Get a course of an antibiotic, anti-inflammatory medicines and oral steroids for 5 to 7 days. The swelling may just vanish. You need a discussion and prescription of a Doctor for this"
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I recently did an ekg and it came back with abnormal results. makred left axis deviation and lafb septal infarct. I have high blood pressure that is under control with meds. I did a stress test a year ago with no problems. My doctor seems to think that this was present last year but does not have those results to compare it to. What would cause this in the ekg.
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"I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that the electrocardiogram apart gives an automatic interpretation based on the amplitudes and impulse. But we never judge on a cardiac history based on paper interpretation but on the cardiologist interpretation, meaning that the electrocardiogram should be interpreted by the doctor, not the machine. So, left axis deviation is not something to worry about. It is a normal ECG pattern in people suffering from hypertension. About infarct diagnosis, it is not made only by the electrocardiogram. To make the diagnose of infarction we rely on different characteristics like chest pain, electrocardiogram, cardiac enzymes and echo cardiograph. If your doctor said that you had this changes, it might mean that this is not an infarction but just an electrocardiogram pattern. So, to definitely make the diagnosis I would recommend a cardiac echo to evaluate heart walls if it is a problem or not, cardiac enzymes and to talk this with your cardiologist."
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"The symptoms of myocardial infarction are chest pain sweating, left arm pain, chest discomfort, chest tightness, breathlessness. EKG machine interpretations are due to protocols which are fed into the machine. So some amount of normal EKG's are also interpreted as pathologies. You must be having an early repolarization pattern on your EKG that's why the machine reported it as MI. since your doctor has already conducted tests on you which are negative, you need not worry about machine interpretations",
"But an ECG change along with raised Troponin level is highly suspicious of cardiac disease (blockage in arteries of the heart) and also you had the chest pain. Plus you are a Diabetic. I could not think of anything other than a cardiac-related problem. We do not recommend doing a stress echo in patients with positive Troponin, dynamic ECG change and with chest pain. I will advise you to see another cardiologist and get an Angiography done soon."
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Dear Sir, My wife is very arogant, Becomes angry every times and when she is angry she can do anything, she can pluk her hairs, beat me, my daughter, beat the mate servant, tells slangs, beat her mother even tries to suiside also... But when she is good (which is a rare situation) or if somebody outsider meets her cant understand anything.. she is a housewife , not much educated, she have a brother who is a brilliant student. Her parents always campares her with her brother and made her feel bad about that. After we got married, mu mother also reacted badly with her and didnt try to fulfill the place of her mother. we are basically from West Bengal but stay at bangalore..I took her once to the mental doctor, but there she acted like she is very normal as I tols you earlier. Doctor have asked for family therapy. What happens in this family therapy? Is this curable? How can I get my wife back and lead a good life??? I want to visit you also if required...Please help me....
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"Based on your description; your wife seems to have some set of personality disorder (PD) most probably cluster B (emotionally unstable, borderline type). PD per se not an illness cured by medications but a form of extreme behavior defying societal norms, causing distress & dysfunction for patient himself/herself & family members. PD is usually treated by talk therapies known as cognitive behavior therapy (CBT). Additionally, considering that your wife has endured a lot of adverse conditions at her parental home & with mother-in-law; family therapy (FT) was advised to you. FT is also a talk therapy; where a set of desirable & undesirable behaviors; contingencies for family members; behavior modifications etc. are suggested. Additionally, if your wife is suffering from mental health problem like depression; that too can be diagnosed & treated. Since you live at Bangalore; you can visit SIMIANS Bangalore for all these therapies or revert to me for further help"
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"So whoever straight they always face this issue. Now coming to your family issue 1. You are living separately from your husband from the beginning of your marriage I believe so what happens here is understanding between both of you won't stand for longer though both of you feel that you know each other in very aspect. Openly in the beginning of any marriage living relation is must understand each other open heartedly2. Now coming into your in-laws anyone even you when you become in-law think in the same manner no one is exceptional for this so always try to understand them by keeping your legs in their shoes. 3. Everybody talks uncontrollable when they are in anger, but it is our own consciousness we should be aware before we deliver our words. Finally, I would suggest you to be calm and think what to do to control your anger and make your husband to understand you better only this helps you. I believe this is not a serious issue to be considered since I see everything is in your hands you have already mentioned your husband is so understanding he will be ready to accept you for his lifetime if you can control your anger and words. Do meditation for mental peace and to get control over your anger which helps you bette",
"Thanks for your query. I understand that you are quite concerned about your mothers recent symptoms of auspiciousness, violent behavior, etc. From the description of her symptoms it appears that she may be suffering from a psychotic disorder. However, a detailed history and psychological assessment is necessary in order to arrive at a correct diagnosis. Since you have mentioned that she is having significant symptoms, it would be best if he has a proper evaluation of her problems, so that a correct diagnosis can be made, and he can be helped. So, I would advise you to get her to see a psychiatrist for a detailed evaluation and further help. If she is not willing, you can contact the community health team to arrange for a home visit. Wish you all the bes"
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10 weeks ago I was diagnosed with a stress fracture on my right fibula down near the ball of my ankle. I went off work for 4 weeks (I m a cable installer and spend the majority of my days on my feet) during which I wore a walking boot and was on and off crutches during this time. I ve been back at work for about 5 weeks now and although the pain from the fracture is completely gone I m still feeling some soreness and discomfort around the ligaments and muscles surrounding my ankle. I ve tried some of the strength and stretching exercises but they seem to make it worse. I regularly wrap my ankle with a heat pad for about 30 minutes every night before going to bed. I m looking for any other recommendations that will help me get back to full health and allow me to enjoy my regular physical activities like running and lower body strength workouts. Thank you!
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"If I were your therapist, I would recommend you exercise therapy along with some ligament strengthening exercises, because after fracture the exercises which we do they only strengthen the muscle not ligaments. Ligament only get strength with stabilizing exercises. I would recommend you to go for this therapy program which includes, hot fermentation for 10-15 minutes around the affected area, start with some stretching for ankle muscle (in all movements of ankle)per stretch hold for 7-10 minutes and repeat it 5 times per action, just stretch up to pain starts just stretch in limit. After that go for stabilizing exercise like stand with both hand support and try to balance on affected leg just for 1-2 minute and repeat it for 5 times. Apply ice after every that, so it will not cause any pain after treatment. Start this with patience and I hope u will get improvemen"
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"As this pain looks to be more of muscle fatigue. As the fatigue is going to set in because of a less muscular part in the leg region. Mostly the anterior portion of the leg pains which is the fascia pain. You can use icing to reduce the pain. For having a good sports fitness you need to do some small warm-up and stretching exercises before the game. Also doing regular jogging for 20 minutes should give a good outcome score. Most sports injury happens due to lack of fitness levels and performing warm-up and stretching before sports can help avoid pains and Injuries.",
"Physiotherapy like ultrasound and TENS will help in early healing of torn ligament. I will advise doing MRI ankle for soft tissue involvement if pain remains persistent. Till time, you can continue physiotherapy and also use supportive splint or brace. You can start tab tender for early healing of ligament consulting your doctor."
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I had to have what my doctor termed emergency lithotripsy due to my vomiting and malaise. I was recovering from a bout of whT was most likely viral bronchitis as it was not improving with antibiotics, but with a nebulizer and prednisone ect. I had litho in both kidneys and stent in the left that was removed at the end of procedure. I awoke in agony only on the left side and my recovery has been very painful and slow with daily fever (usually in evening). Any where from 99.3 to 101.2. My doctor showed no concern for the fever. Finally after 2 1/2 weeks we insisted on a cat scan which showed my left kidney is twice the size of the right kidney and there is a large hematoma. He still shows no concern for fever or this kidney. He says it will resolve on its own. I went to my primary doctor and she ordered chest X-ray and CBC looking for infection. Every thing came back fine except my hemoglobin is low. What could possibly be causing my fever?
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"Fever indicates some kind of INFLAMMATION somewhere in the body. Given your history and clinical condition, it most likely is emanating from the Kidney/ urinary tract. Not is always fever from infection, but it is the most common cause, so urinary infection or infection in the hematoma needs to be ruled out. I suggest you get repeat blood count (CBC), CRP, Kidney function tests (Sodium, Potassium, BUN, Creatinine), urine routine and urine culture at the earliest. You might need to start empirical antibiotics (unless you are already on one) until you get the results of the above. Hemoglobin is probably low since you have had bleeding and possible infection as well."
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"After the treatment still fever present though low grade i. e. 99. 4 degree, this is the cause of concern, that too in the afternoon and in the evening. So such type of symptoms may be due to these possibilities, these include:1 Tuberculosis, as the duration of fever is more than 15 days, so get in chest X-ray as well sputum for AFB and tuberculin PCR test. 2 Jaundice is another most common cause. Get in blood for HBase for A B C E (hepatitis 03 Dengue, because after initial stage in dengue causes low grade fever. Get in blood for platelets count as well as serology test for dengue. However, there are so many other reasons of such fever but physical, clinical as history of illness is important so consult another physician (2nd one) and get his opinion. Good luck",
"I read and understand your concern. I am Chat Doctor answering your concern. Negative tidal test is suggestive of cured typhoid infection. As you are saying that he is currently on the treatment for urine infection, this spike of fever is because of the urinary tract infection. I advise you should go for urine culture and sensitivity. This will guide us regarding the possible pathogen and its treatment protocol. Take the treatment under your doctors' guidance. Please take plenty of water, this will flush the organisms from the system. Please maintain good local hygiene as this can be help full in the treatment. I will be happy to answer your further concern on bit. ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist,"
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Hi i have an lower respiratory tract infection. I have been prescribed on luminac for 10 days, tamiflu for 2 days and azilide for 3 days.. is it advisable for me to try to conceive while i m on this medication?.I have completed my course of tamilflu and azilide.. left with luminac for 8 days.. can i alternate tat with a natural medication and try to conceive??
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"I can understand your situation and problem. Yes, you can conceive without any fear. Temple (oseltamivir), eyelid (azithromycin) and luminal (N acetyl cysteine), all are safe for pregnancy and fetus. N acetyl cysteine is anti oxidant, anti-inflammatory, bucolic and expectorant in nature. It is having good beneficial effect in lower respiratory tract infection. It is safe during pregnancy, so you can conceive while on luminal"
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"Once you get clear from tuberculosis treatment then try to conceive. If then you don't get success then you have to evaluate some simple tests for you. 1. Ovulation profile, 2, hist salting graph (SG), this is to evaluate the path of fallopian tubes and uterus. BCO as you had treatment for tb there may be possibility of fallopian tubes blockage. As far as thyroid is concerned 1. Serun TSH 2. T3 and t4 level should be in normal range. So consult a gynecologist and he or she will advise you further. . . Get well soon",
"I understand your concern. Since you both are normal, it could be unexplained infertility. You can take an ovulation induction Chat Doctor. Have intercourse in and around the time of ovulation. Take phaeton from the time of ovulation for 10 days. This can be repeated for 6 months along with GUI. If still NT conceiving, go for tube testing after 3 months."
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I had a tattoo on my shoulder 5 days ago. It is not red or pussy, it is scabbing a lot. Anyway last night I started getting cramps from my shoulder to my hand. Paracetemol seemed to help. I just wondered if this is normal or a symptom of an infection. Thanks.
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"I read and understand your concern. I am Chat Doctor answering your concern. No tattoo never causes cramps and pain. It must be something else. Tattoo is only superficial. It never reaches to deep to cause pain. I suggest you to take paracetamol under your doctors' guidance. You can apply polypoid powder under your doctors' guidance. Please maintain good hygiene as it is equally important in preventing infection. I will be happy to answer your further concern on bit. ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist,"
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"Keep applying newsprint twice daily after cleaning with soap and water. Give paracetamol if there is pain. It will heal in 5-7 days. Just watch him for excessive Chat Doctor. Also, if the swelling progress beyond 2 days, he develops fever, redness or bad smell happens around the wound-we will need oral antibiotics too.",
"For how long you're suffering from it? Any other associated problem? Like diabetes or hypertension? Are u having fever? Any other lymph node swelling in your body? Is swelling on both sides of neck or not? In my opinion it is better to diagnose it by examining rather than illustrating, anyway, based upon your history, if these are red pimples with a pus then it is a myogenic infection mean it may be due to staph, plus strep can also cause it , BUT, it can be a viral infection with super added bacterial one too. As far as vibration is concerned i don't think its indication here in this scenario. If you're having associated URINARY TRACT INFECTION then it can be justified. if you don't get any improvement then consult your doctor again meanwhile stay calm and use acetaminophen to relieve pain get well soon"
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My cousin developed vocal chord paralysis and is unable to swallow following a procedure to remove dead tissue from his leg (he has diabetes and sores that do not heal easily). He was given general anesthesia for the procedure. They performed a cat scan but did not see signs of a stroke. An MRI was not done because he has a pacemaker. He is now in this state, with a feeding tube , for two weeks. He had a fever of 104 last night and given Tylenol. A spinal tap showed elevated levels of protein. What are possible causes for his symptoms?
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"Elevated protein in the spinal fluid indicates inflammation that could be caused by an infection affecting his brain. Diabetes lowers the bodies ability to fight infection. The dead tissue most likely resulted from an infection, which could have spread from there into the bloodstream and then into the brain. The fever also suggests some kind of infection. If an infection affected the lower part of his brain, it could damage the nerves that go to his vocal cords and cause that paralysis."
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"Thanks for your query and an elucidated history. Read the history carefully. IT looks the aspirin has caused all this problem added on by the fever you had. This may be severe gastritis, causing all the symptoms you have. Excessive salivation is present as a reflex mechanism, body trying to dilute the effect of gastritis. I would advise you the following: (You need a prescription)Antacid gel with anesthetic 5 SF every three hours. PPI and / or RanitidineDomperidonecold milk / water orally only if tolerated. Consult a Doctor /Gastroenterologist- you may need to undergo upper GI Endoscopy, and to have investigations and treatment for fever too. Do not self treat. Consult a Doctor for proper diagnosis of fever, present problem and proper treatmen",
"The Symptoms you have described could be due to 1. ACM 2. Anemia 3. Neuropathy due to Diabetes all of which are easily treatable and curable I need few clarifications from you 1. When was the last time, Blood Sugar was checked 2. Whether an MRI of CV Junction or Cervical Spine has been done Please clarify these, and we would be happy to help you you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions"
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I had a bad accident and the doctors had to remove my spleen, this was over twenty years ago. I was told then that the surgery will not affect my health. My question is what does the spleen do in the body and what is its effect on the immune system. Thank you I am sorry but I thought that this was a free service. Sorry I can not pay but thank you anyway
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"I am Chat Doctor, infectious disease specialist, answering your concern. Spleen is the vestigial organ of the body. Removal of the spleen won't affect one's health directly. The function of the spleen is to filter the blood coming in to it. So that calculated bacteria like pneumococcus and other gets filtered. If you do not have spleen they won't get filtered and chances of its infection increase. But such situation arises very rarely. And if such situation arises other body organ can come up to clear the infection. So we can say removal of whole organ won't cause any major problem. I will be happy to answer your further concern you can contact me here, or you can contact me on bit. ly/"
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"They protect the body against the foreign materials and infections. Reduction in white blood cell count leads to weakened immune system, as these cells are an integral part of the immune system. A person with low white blood cell count is at higher risk of bacterial, fungal and viral infections due to a compromised immune system. The infections of gastrointestinal system, lungs, throat and bladder are some typical examples of low white blood cell count infections. When you notice the symptoms of infection due to leukemia, you should immediately consult the doctor. Complete blood count and absolute neutrophil count are the commonly recommended tests for the diagnosis of leukemia. Sometimes, a bone marrow examination is suggested by the doctor for an accurate diagnosis. Besides that have a balanced and nutritious diet. Add more fresh fruits and vegetables to your diet. Avoid all junk and fast foods",
"I read and understand your concern. I am Chat Doctor answering your concern. You should remove the spleen. Your platelets are low. Which puts you on risk of bleeding. But you can take platelet concentrate. This will increase the platelet count and your bleeding risk will decrease. Your low platelet is because of the enlarged spleen. This much enlarged spleen is at the risk of rupture. Even slight injury can cause rupture and life-threatening injury to the spleen. In my advice you can take the platelet transfusion and then go for surgery. Once the enlarged spleen is removed you will be free from threat of the rupture. Till you go for surgery please avoid the heavy exercise and the thing which can cause injury to the abdomen. I will be happy to answer your further concern on bit. ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist,"
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The medial compartments of the knee joint space is reduced in height.The lateral compartments of the knee joint space appears normal.Early tibial spiking is seen with small osteophytes formation along the articular surfaces.The rest of the visualised bones shows normal architecture & density.There is no abnormal soft tissue swelling or calcification.- GRADE I - II OSTEO ARTHRITIS.
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"The mentioned grade is mild osteoarthritis. Normal knee joint should have equal non compressed space between femur and tibia. Your case need medical treatment of glucosamine tablets, but you must not stand longtime or climbing stairs. Donot worry, this case is more with progress of age and doing the instruction is sufficient for your prophylaxis"
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"epending upon your age the further guess work can be made. If you are 40+ then there are chances of early degenerative changes in the bone. If you are lower than it than chances of soft tissue injury chances are there. Now to help you better, I will advise to take an MRI scan of the knee to understand the internal structures of the knee. As without knowing the internal structures of the knee, it will be a provisional diagnosis, and the use of the technology will help provide good inputs. Furthermore, you need a thorough lower limb musculoskeletal assessment as to check the strength in the muscle and based on that the exercises will be implemented by the physical therapist. Also, once the MRI confirms the knee internal structures it will help further to plan the rehabilitation. RegardsJay In",
"I suppose you had a knee pain or injury and were referred for MRI scan of the knee. The report shows. 1. A complex tear in the spongy ring of tissue known as meniscus which is present in the inner side of the knee. It is mentioned as complex tear. 2. There are degenerative changes in the knee with inflammation of the underside of the knee cap (patella) and lower end of thigh-bone (femur) with softening of the cartilage. This can be considered an overuse injury. 3. Small amount of fluid is there in knee joint (called effusion) with a benign cyst usually found at that location (Bakers cyst)4. There is also tiny bone out growths seen in all bones at knee joint do to aging and wear and tear changes. The decision of a total knee joint requires the images to be seen and the range of movements that you are able to perform without discomfort. If you have had a recent injury then your condition needs to be reviewed clinically after taking rest and application of ointments for few days"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I had a root canal started on tooth #4 after feeling like it was abcessing - I was having pain behind my eyes and getting nauseous and shaky/weak - but the tooth didnt hurt! The dentist confirmed the tooth was dead (no sensation), and then drilled it and cleaned the roots a little. He left a hole filled with cotton to let it drain for 7 days while I wait for the final root canal appt. Is there any danger to having cotton in the hole and draining this way - i.e in bacteria migrating up the cotton filled drainage port? Also, the back of my head is tender where this root is emanating, and my neck is stiff ..... and I feel weak/tired - how dangerous is it to wait for this procedure? Ive been on antibiotics since having this procedure -still 2 1/2 days until the final procedure.
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"The cotton kept after the cleaning procedure in a root canal treatment is common. It is done when the canal is not Chat Doctor. In that situation a medicated cotton pellet will be kept for 3-5 days. Nothing to be panic, Complete the course of antibiotics, the infection will come down. The stiffness in the neck is not related to this. I hope my answer will help you, take care"
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"Your tooth needs a dentist attention, as the root canal treatment will have to be performed again in order to remove infection and fill the tooth with fresh filling material. I will advise you to see your dentist, but if seeing your dentist is not an option for a while then I will advise you not to chew anything from the affected side. Take antibiotics and painkiller if possible, after every 8 hours. Do not overdose with medication due to side effects. Also, you can perform warm saline rinses 3-4 times/day, Antibacterial mouth rinse will also help in relieving pain and swelling to some extent. Kindly visit your dentist whenever its possible as this instruction will provide temporary relief only. I hope this answer was useful, i wish you good health, take care",
"You may be feeling headache similar to migraine due to the existing dental infection in your oral cavity. According to your history I can suspect some remnant of the infected pulp tissue has left unexplored during the root canal procedure or there is a missed canal due to which the infection has gone worse, and it has spread to the underlying tissues. Because of the infection you are experiencing pain and discomfort. The infected tooth needs to be explored again for root canal procedure. You need to get an x-ray done the affected area to confirm the presence of infection, approach a dentist for the treatment. Antibiotics and analgesics will give you temporary relief, once the tooth is devitalized by root canal procedure all the symptoms will subside. I hope this helps, take care"
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I am a 59 y.o. male who is having difficulty achieving and maintaining an erection or reaching orgasm. I take sertraline and bupropion for depression, corvedilol and propafenone for a-fib. I also have had a rather weak urine stream for quite some time. is it just age or are my meds interfering with my sexual problems? thank you
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"As you mentioned your symptoms and medicine used, the above-mentioned medicine in which carvedilol is a beta blocker which cause erectile dysfunction, alonh with sertraline that also cause ejaculatory disturbances. Bupropion increase the libido in some reports and propafenon decrease the libido. The second thing regarding your stream of urine that may be due to enlargement of prostate due to age factor, it also includes frequency, urgency,poor stream. If such patient come to me, I will advise Chat Doctor. So its better to consult a urologist for your symptoms."
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"You have been indulged in frequent masturbation since the age of 12 years. Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and reason for sexual problems in the future. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate.",
"This is a common problem and there are medications that can help. In my practice I see plenty of men with this problem and I use a medication called fluoxetine. This helps to reduce premature ejaculation. There are similar medications called SSRIs that may also help if you can't tolerate fluoxetine."
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I frequently have a burning, achy sensation in my arms and legs, usually in the evening and upon waking. I have had it for years but it seems to be getting worse. I am female, 55. It is not my joints. It is in the top layers of my skin. I am in pretty decent shape otherwise.
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"As you are 55 years old we need to understand that the body has a principle to undergo the wear and tear as age prolong and also Degenerative changes occurs. As you are having itchy and burning sensation in the arms and legs it can be due to any of the two reasons. 1. Increased uric acid levels2. Degenerative disc disease if the uric acid levels are increased than with medication it can be controlled. Incase it is degenerative disc disease than a Thorough clinical assessment is advised along with MRI as to see the soft tissue status. With simple short term medication the sensory symptoms can be controlled. Also, physical therapy helps by Therapeutic ultrasound therapy and TENS therapy for inflammation and pain. Exercises play a key role to strengthen the muscular system and also avoid pinching of the nerve roots. In my clinical practice most patients are thoroughly assessed and based on it the clinical laboratory tests are performed and treatment is guided accordingly. RegardsJay In"
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"By your history and description, you are mostly having heat burns of skin. It is due to inflammation in skin caused by excess heat application. This is normal tissue reaction. You need to do following things. 1. Wear only cotton clothes. 2. Avoid friction in that part. 3. Apply calamine lotion and antihistamine cream. 4. Start anti-inflammatory Chat Doctor. 5. Avoid too much moisture and keep proper hygiene of that part. You will mostly improve in 1 week. If not improving in 1 week then consult dermatologis",
"Of course, it would have been even better if had told us about your smoking habits. 1) since your pain is present on the inner side of your thighs, there is a possibility of AVN of the hip joints. What it means is that blood supply to the ball of hip joint socket decreases, causing death of the femoral head(ball bone). This can give rise to pain primarily and also secondarily due to arthritis in the hip 2) PVD. Peripheral vascular disease means narrowing of blood vessels due to high cholesterol. This is the same phenomenon that occurs due to a heart attack, but this is albeit happening in the peripheral vessels. Also, a combination of cigarette smoking, alcohol, and atherosclerosis can give rise to what is called as claudication pain or simply pain due to narrow vessels 3) Creator can cause muscle pain. This is a well known cause of muscle pain in people using anti-lipid lowering agents. Either way you will require a full assessment by an Orthodox with x-rays of the pelvis with both hips, and perhaps MRI of the pelvis looking for AVN, and an arterial duplex looking for narrow blood vessels, if any. If you are diabetic it is imperative that sugars are under control and if you smoke, quit it as soon as you con."
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In the scanning result, i got follicle not imaged fluid pod+. what is the actual meaning. In the scanning result, i got follicle not imaged fluid pod+. what is the actual meaning.
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"The free fluid can be present as a remaining part of infection in the pelvis which may have happened recently or in the near past. If there is no pain or discomfort there is no reason to worry about the fluid in pod. Just carry on with the imaging of the follicle"
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"The treatment of it needs to know the infection causing it by a blood culture/sensitivity test and to be put on antibiotics. POD is an ovarian disease where the is defect in ovulation leading to an-ovulatory cycles and irregular periods. Consult your Gynecologist for evaluation and treatment of PID. Thanks fore visiting",
"It appears as if you have POD (polycystic ovarian disease)It is a condition of basic hormonal imbalance, where there is problem in ovulation and conception. Please consult an infertility specialist. Lose weight if overweight. Women with POD often need help of ovulation inducing agents like camphene citrate in order to stimulate the ovaries and help in follicular growth. Then you have to monitor the cycle with serial ultrasound and try for conception in this way for 3 - 6 months. After that, IVF or GUI is an option. Take regular folic acid tabs. All the bes"
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how do i know if i should test for leukemia? my grandpa might have it and i was curious as to what the symptons were. so far i have all of the symptomsl; anemia, bone and joint pain, abdominal distress, swollen lymph nodes, and difficulty breathing.
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"I can understand your concern. Leukemia can be hereditary. And you're all symptoms like anemia, joint pain, bone pain, swollen lymph node, breathing difficulty, abdominal pain etc. are seen in leukemia. You are also having positive family history for leukemia. So better to consult oncologist and get done lymph node biopsy and bone marrow biopsy for the diagnosis of leukemia."
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"Thanks for your query about your son. Read and understood the history and the concerns. He has pain in abdomen pain in legs and lymph nodes enlargement. You have not mentioned the site of the lymph nodes. With the history your have provided and the reports of the blood tests remaining normal, it is imperative to have the following:- Get a clinical evaluation by a Pediatric Surgeon. Further investigations as may be required by Him. Most important is the FNAC or biopsy if the lymph nodes as it is possible TOI get a proper diagnosis and a plan for proper treatment. CT scan of the abdomen if required. I hope this answers your query",
"The symptoms you are stating may not necessarily be related to the disease. . The enlargement of spleen has many other causes and can be ruled out by simple ultrasonography. Headache, shoulder ache, leg cramps have many other causes like hypertension, anemia, nutritional deficiency essential nutrients and minerals like magnesium, calcium, It B1, B12and so on. Another imp. Factor may be stress related. These all need to be ruled out and patient reassured and I am sure these symptoms will wane off. With good nutritious diet and reassurance. There is a chance of recurrence of the disease for which you have to be under supervision of your physician. Since it is not known what stage of non Hodgkin lymphoma your wife had and what was the histological type of NHL, prognosis cannot be predicted. I am sure your wife will be well and there is no cause of pani"
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I had some lab work done my clinic called and said that most everything was good however they said my kidney functions were a little low nothing to worry about. They said they would do another lab in june to keep an eye on it. My tryclrides were a little high the doctor told me to go on a low dose asprin daily.also was told to go on a low fat diet. I do drink a light beer every now and then.should I stop drinking a beer every now and then.I am on snytroid and my numbers were fine.what foods should I eat for my kidneys .
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"You must definitely be surprised about it, since you don't have symptoms, and that's why it is called as silent disease. Your doctor must have checked up your creatine levels in blood and albumin levels in your urine. They must be some borderline high and that is the reason, your doctor is wanting to repeat the test in another few months so that kidney functions can be monitored and seen whether they have decorated any further or not. Any deterioration in kidney function would have to be taken seriously as CKD is a progressive disease which means that it can get worse over time. People with family history of kidney diseases and having high blood pressure and diabetes are called as high risk people. A prompt and early detection can help prevent the progression of kidney disease to kidney failure. Since your triglycerides are high, your doctor has rightly advised you to take aspirin. You must also start doing exercises and avoid consuming beer. Reduce your weight also. As far as food for kidney is concerned, nothing specific is to be done at the moment. Keep your thyroid status in check"
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"Please find my suggestions for kidney stones which you can practice. These are my own opinions and I suggest this to my patients. Dos for kidney stones(i) Chat Doctor. 5 to 2. 5 liters a day may help flush out your urinary system. This will also allow small stones to pass through. (ii) Visit washrooms regularly and empty your bladder when you feel like doing urination. (iii) Please take fruits like apple, papaya, watermelon, pineapple, sweet lime, bananas and orange, vegetables like, white gourd, ladyfinger, pumpkin, pulses and legumes. (v) If you have sharp pain then you should consult your doctor and take pain reliever medications under strict supervision. Dots for kidney stones(i) Please avoid holding urine for long intervals. (ii) Please reduce foods containing oxalate like non veg, vegetables like spinach, tomato, cauliflower, brinjals, nuts like cashew, pasta and almonds. (iii) Decrease extra salt in foods. (iv) Avoid spicy pickles. (v) Please eat meat products in normal amounts, avoid eating too mu",
"It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be related to beer intake in your case. GOT is non-specific, and it increases in many conditions. You should avoid beer completely. You may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, ultrasound of abdomen. I also suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Get well soon. Take Care"
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I m very terrified. I just noticed a very dark purple almost black lump in the back of my mouth about half an inch or so after my moler. Causes no pain unless messed with. WHAT IS IT?! Is it deadly?! Can I cure it at home?! Please say yes! WHY IS IT THERE PLEASE HELP!!!
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"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a dark purple lump next to molar tooth can be due to a dilated vein also known as Varicose vein or a Varix. The lump might be due to formation of a small blood clot that got lodged in that area forming a Thrombus. It is not AA serious condition and will not cause any serious problem. It can gradually reduce in size on its own. If it is not ruled out as the cause other causes can be like mucous cyst or Muscle, Hematoma or a Hematoma. Confirmation can be done by getting a clinical evaluation done by an Oral Physician or an Oral Surgeon."
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"Understanding your concern. As per your query yellow lump at back of tongue is due to enlarged circumvallate papilla. This can occur secondary to any bacterial or fungal infection or trauma. It could be due to allergic reaction to any medicine or food product. I would suggest you nothing to worry about it as it is normal anatomy. Use can use an interdental brush and soft bristle brush to prevent food lodgment there and for cleaning that area to prevent microbial accumulation. Do gargle with warm salt water. Chat Doctor. Avoid allergens and irritants, such as smoke and chemicals. Take Ibuprofen and Acetaminophen combination. Symptoms will resolve in one week and if it keeps on persisting visit ENT specialist once.",
"Such lump can be caused by a stone in salivary glands which has moved to the salivary ducts. It is more possible if you have had pain when swallowing. If you do smoke, malignant lesions like mouth cancer or tongue cancer should be also considered. I suggest you to consult palynologist with this issue. In case of stone, it needs to be incised and removed."
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My son suffered hypogycimia ,hypoxia at third day of bearth
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"It can be due to lack of surfactant to difficulty in breathing. It can also be due to ischemia at birth. Hypoglycemia can be due to various reasons like high insulin etc. Since it was on the third day it is a late reaction and hence considerably harmless. I would advise you to consult a pediatrician in this regard and get a complete work up. Continue regular immunization as per pediatric prescription. I hope I have answered your query"
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"It may be related to perinatal hypoxia. It is important to know birth history. However, other causes may be declination etc. She may need to follow up MRI. It is important to see progression of lesions. She may need conservative treatment for above findings. Lateral and third ventricle are also mildly prominent. Get well soon. Take Care",
"I can understand your concern. Your son has jaundice. His bilirubin and liver enzymes are still at higher side. He should take high protein diet and avoid fatty diet. He can take egg and meat. Furthermore, he can start regular food after a week. But repeat his SGPT, SEPT, Bilirubin and alkaline phosphatase. Once everything comes down to normal, and he does not have any symptoms then he can start regular food."
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Hello, was wondering if someone could help me, I have lost a lot of faith in my gp surgery and looking for answers. I keep getting dizzy/faint spells and feeling like Im going to vomit. Also when I get just a small graze, it seems to bleed more than it should and takes a long time to heal, help???
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"Based on your query, my opinion is as follows. 1. Dizzy/faint spells are more commonly due to deny Chat Doctor. 2. Get your hemoglobin levels along with your blood pressure evaluated. Take plenty of water. 3. Low hemoglobin reduces oxygenation and can delay wound healing. If hemoglobin is low, depending on cause, appropriate treatment is necessary. Do get a complete hologram done."
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"I have gone through your query thoroughly. I will provide you with my best possible advice. First I would like to tell you that always discuss problems with your doctor because it will help him/her to make more accurate treatment plan. Blood in the spit may arise due to many causes. But the most common cause is gingivitis(gum inflammation) or periodontitis(pyorrhea). Usually it gets corrected after scaling. Meanwhile, I am advising few things- * Use ultras oft toothbrush and brush your teeth twice daily. * Use gum astringents like stolen/dentakind-L 3-4 times a day for 15 days. * Eat more green leafy vegetables and have diet rich in protein. * Warm saline gargle 2-3 times daily.",
"I can understand your concern. No need to worry about major heart or kidney disease because your ECG and blood reports are normal. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of nausea, vomiting, chest pain, tightness, pressure etc. And this HERD is mostly due to stress and anxiety. These stress and anxiety gives you shortness of breath, clumsiness, dizziness etc. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. For HERD take pantoprazole and risperidone tablet. Don't worry, with all these, you will be alright."
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hi im 27 yr old try to conceive bt my doc has said i got pcos n taking treatment for that . tried 4months on goodova. what should i do wait for 1 year for futhere fertility treatment or try naturrally. my follicular size is gd n had taken hsc injection for ruptuing
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"What you can do is to go for a natural cycle tracking of follicles on ultrasound. If ovulation is happening naturally you can try for 6 months to 1 year, and then you can opt for fertility treatment. But if you want to speed the process you will have to take medical support."
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"Just confirm that you are ovulating or not by repeated ultrasound or ovulation detection kits. If you are ovulating, you can try naturally for 6 months before undergoing any fertility treatment. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy.",
"So, you can 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 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after the rupture of follicles. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. It will increase chances of your pregnancy."
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Hi, my mother is 72.She has scoliosis so constant back pain. She swings between faecal incontinence to constipation. She also had an op 6 months ago to tighten muscles to help with the incontinence. A few days before the op her back suddenly became very painful but not a pain she was used to, she felt it was more around the kidney area, but accepted it as scoliosis. She then was diagnosed with an abdominal aortic aneuyrism and is being monitored for that. The change in back pain has continued since.She has complained for 10 days now of constipation and has taken huge amounts of Movicol and sennacot. There has been liquid faeces passed but she feels like there is huge blockage and is complaining of extremely uncomfortable bloating, nausea etc. After reading a little about about AAA could the back pain and bloating be symptoms of that?
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"Thanks for your query for your Mother. Read the history of multiple problems she is suffering from and tried to correlate all. The pain in abdomen looks to be due to overdose of Senna cot and SYVICOL. They are known to cause this sort of pain. If she is still feeling of block, this can be due to impacted xenoliths which can be seen on ultrasonography and a Soap-Saline enema may solve her problem. This is probably not due to Abdominal Aortic Aneurysm. If it expands there be will far more severe problems than just bloating and nause"
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"A severe low back pain, combined with hip pain, may be due to the following reasons -mechanical back pain Spinal problem, including anatomical abnormality like Schumann disease, lumbar scoliosis lumbar spondylosis Pivoted causes not related to the musculoskeletal system like urogenital infection, enterocolitis, spastic colon may also cause similar pain. Now, considering your isolated symptoms, I think the problem is mostly musculoskeletal and related to faulty posture. A X-ray of LS spine - app, lat view will be first needed along with clinical examination by a consultant orthopedic surgeon. Now, till the diagnosis is done, you can have Tab Paracetamol 650 mg twice daily after meals for pain along with muscle relaxant Tab Bendy 15 once daily at bedtime. Physiotherapy along with local heat therapy may help. Plenty of oral fluid should be taken along with high fiber diet to avoid constipation. Please avoid stooping, carrying heavy weight etc. You may also need an MRI of lumbar spine if clinical examination and X-ray are inconclusive. If you have any other questions, please write back directly to me. I shall be happy to help you out. Wish you a good health. Regards.",
"It seems your mother is suffering from age-related osteoarthritis of the spine,2. Forward slipping of L4 over L5 vertebra is called anterolisthesis. Sideways curving of spine is called as scoliosis. Since both are minimal, they can be age-related changes / osteoporosis. 3. SI = sacroiliac joints. These are the joints connecting the spine / sacrum with the pelvic bone. 4. If your mom is suffering from pain in low back more on lifting objects / on prolonged forward leaning posture = indicates instability at L4 and L5 segment -→ than you might need CT-scan to find there is any defect in the spine and MRI to rule-out any nerve compression / canal stenosis / associated disc disease. 5. If she is otherwise able to tolerate pain, then few analgesics along with calcium supplements will suffice"
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My mom had colon cancer almost 3 years ago now. but now they have found a mass in her liver, and they are still calling it colon cancer that has spread. she is 83 and doesnt want to go through chemo, so she is eating a very healthy diet in hopes it will help. Is it possible for a healthy diet to cure her cancer?
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"I can understand your concern. Your mother has colon cancer with metastasis in liver. It is stage 4 cancer. No treatment will cure the disease. Healthy diet can not cure this. Cure of cancer has no relation with diet. It just helps to avoid weakness. Even chemotherapy can not cure this cancer. So according to my opinion no treatment should be taken."
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"I can understand your mothers situation and problem. Vocal cord cancer is curable only in early stage where unblock resection is done. Chemotherapy and radiotherapy suppress the growth of tumor cells, but they can not cure the cancer. So she is still having the cancer. And possibility of worsening of growth is more in her case. Growth causes obstruction in the lumen, so patient feels difficulty in swallowing, breathing difficulty etc. White thing might be due to fungal infection. So she may need antifungal Chat Doctor.",
"I can understand your situation and problem. Cancer patients tend to have low immunity. And radiotherapy further decrease it. So cancer patients are at great risk of infection. And gastrointestinal infections are the most common due to poor food hygiene. So try to follow these. 1. High protein diet is recommended to build the immunity. 2. Also give him multivitamin tablet to avoid weakness. 3. Give him freshly prepared food only. No stale food. 4. Homemade food is best as it is devoid of contamination. 5. Give him warm food only. As heating kills most of the organism"
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MY DAD RECENTLY HAS TWO STENTS PLACED INTO HIS HEART AND ALSO AT THE SAME TIME BEGAN DIALYSIS. NOW A MONTH LATER HE STARTED HAVING SEIZURES. THE HOSPITAL HAS TRIED ALL DIFFERENT WAYS TO STOP THEM BUTNOTHING HAS WORKED. THE DOCTOR SAID THEY HAVE ON MORE MEDICATION TO TRY BUT IF THAT DOESNT WORK THAN WE MIGHT HAVE TO LET HIM GO. I WANT TO KNOW IF THE STENTS OR DIALYSIS COULD HAVE ANYTHING TO DO WITH THIS. AS A SIDE NOTE MY DAD HAD A BRAIN TUMOR REMOVED AOUT TEN YEARS AGO AND THERE IS SCAR TISSUE. PLEASE HELP ME. I JUST LOST MY MOM 8 MONTHS AGO AND HAVE A SON WITH CANCER. IT IS TOO MUCH TO DEAL WITH. THANKS STU
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"It is unfortunate that for dad is suffering from seizures, which are difficult to control. In addition, you have recently lost your mom and your son has cancer. In my opinion, the cause of seizures in your dad is the scar tissue in the brain due to his old tumor surgery. Kidney failure may be contributing to it. There are good medications to control the seizures, such as levetiracetam, oxcarbazepine, glucosamine, etc. Please discuss these with his neurologist. 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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"It is unfortunate to note that your father is paralyzed after the surgery and convulsions. It is not common to have seizures (convulsions) and paralysis after surgery. However, in some cases, it may happen. We need the following information to answer your query better: 1. Where was the tumor located and its size etc-MRI report would tell us all this information. 2. What surgery was done-you mentioned frontal bone, which seems to be incorrect-the discharge summary would mention that. 3. Was there any complication during surgery, such as bleeding at the site of surgery. Please get back with the details. Best wishes,",
"est heaviness may indicate some prob like stenosis going on again BCS your father aging history of HD with CABG n angioplasty, if he was my patient I would like to do proper exam n history that is this heaviness really symptom, or he is just feeling BCS of fear that he already had symptoms of HD n will do X-ray to make sure it's not pulmonary after it will do ECG n ETT to see it's not ischemia again or Anglo to see whether some artery is blocking or either stent is going to block BCS it can be . I would like to make sure that no serious damage is occurred n do echo too to see is there enough ability of heart to pump blood n optimize TX n advice him for lifestyle changes like not smoke if he is, not eat fatty food e"
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Hi, i have a hard bump on the left side of my crotch, below the skin, with no marking of any sign on the actual skin. Ive had it for a while on both sides, but ive noticed the left one has got considerably bigger in the past week or two, what are these lumps?
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"I studied your problem in depth and I understood your concerns. Treatment of the hard lump on left side of your crotch-You mostly have Catholics Cyst from the facts in your history. Its not cancerous lump and so be relived and stop worrying. So don't worry and take opinion from ER Surgeon, who would resolve the treatment issues with crotch hard lump,-Who would treat it by Surgical Excision if need be / or treat it by antibiotics for few days time. Hence, you should attend to ER Surgeon. This advice is based on the facts from the history you give. Hence, I would advise you to check with ER Surgeon urgently. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you."
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"I went through your query and understood your health concerns. In My opinion-that lump on left side of clitoris-could be due to -cyst of the Bartholdi gland, with retention due to infective blockage of the Bartholdi gland, may be caused from trauma/ viral/ bacterial infection. -Please show it to ER Doctor who would treat it accordingly. Treatment-a-Tb NSAID for the pain antibiotics for to control infection c-Most of the time it subsides in 5 days time. d-If it persists and grows -then Excision of the Cyst would be done by Gynaec-Surgeon. No need to worry as its retention cyst of the Bartholdi glands mostly. -",
"madam you did not mention your age and the size of fibroid at the time of diagnosis. even without the fibroid in your uterus,you will feel a lump in the lower abdomen with full bladder. . . but it does not assume conical shape. other common swellings in the lower abdomen are ovarian masses etc. ,. do an ultrasound lower abdomen and pelvis to diagnose what that lump is. swelling near the groin is most probably hernia. fibroid is visible as lump when it grows to a very large size. consult gynecologist for further suggestions and diagnosis. . . thank you"
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My wife is 20 weeks pregnant and has an abnormally high heart rate. She did a 24 hour test and her average heart rate is 115. Her blood pressure is normal. The echogram showed no problems. She has to do a thyroid function test next week. Is this anything to be concerned about?
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"Many women experience a fast heartbeat while they are pregnant, and as long as the doctors' evaluation of her heart as well is for other medical problems the can cause rapid heartbeat, such as thyroid disease, are negative than the symptom is likely just due to pregnancy. A pregnant women blood volume increases to one half times greater capacity during pregnancy to provide the placenta with oxygen as well is prepare her body for childbirth, so during the adjustment period, her body may just be under some additional stress. Furthermore, if your wife has gained a lot of weight since the beginning of the pregnancy, even ordinary activities can make her heart race compared to when she is not pregnant. So in summary, as long as your wife is under proper medical care and receiving an evaluation, there really is no reason to worry. Furthermore, your wives rapid heartbeat does not have any negative effect on the fetus, so there is no need to worry about the baby in the situation. I hope that I was adequately able to answer your question today, and that my advice was helpful"
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"I can understand your concern. No need to worry about heart diseases as your heart reports are normal. Yes, hyperthyroidism can cause similar symptoms if it is uncontrolled. So first get done Thyroid function test. If this is normal then hyperthyroidism is not a cause. Sometimes stress and anxiety can be the cause for your symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm.",
"A thyroid dysfunction could also mimic this clinical scenario. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray, a routine blood test, kidney and liver function tests, blood electrolytes, thyroid hormone levels. If all the above-mentioned tests result normal, the most probable cause of your complaints would be anxiety."
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i have been detected with Entamoeba histolytica & budding yeast presence in STOOL. Does it can cause IBS. i have to go to toilet between 3 to 4 AM & cant sleep there after. is there any relation of "Entamoeba histolytica & budding yeast presence in STOOL" with sleep?
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"Irritable bowel SY Chat Doctor. Amoeba hydrolytic is a parasitic infection and needs to be treated with antibiotics. It can cause frequent stools and getting up to go to the bathroom early in the morning can disrupt your sleep cycle and interfere with sleep. Yeast may be normal in the stool but if it is in excess it also can be problematic resulting in diarrhea and other symptoms"
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"e. Irritable Bowel Syn Chat Doctor. I would advise the following investigations and treatment in a such a case:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests. *Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity. *Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Treatment:STRESS = stress is the most important cause of IBS. Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss",
"I presume that infectious causes for bloody stools such as amoebas has been ruled out by tests such as stool ova parasite tests. One of the causes for episodes of diarrhea with bloody stools on and off is a condition called Inflammatory bowel disease. We try to rule out this with an endoscopy and biopsy. Inflammatory bowel disease is mainly of two types either Crohn or Ulcerative COLITIS. You may consult a gastroenterologist to exclude the possibility of inflammatory bowel disease which is often difficult to detect in the initial stages and presents with vague symptoms and intermittent bloody diarrhea. This disease may also show symptoms outside the gut such as skin rashes, joint pains etc. in some patients. The possibilities of"
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I have alot of stress from work and home. I have been feeling sleepy alot,tired and i frequently get dizzy spells. What can i take to help me. I have had problem with my blood pressure droping and my iron levels being low.Im currently taking some iron suppliments.
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"I can understand your concern. Low blood pressure and iron deficiency anemia both are known to cause dizziness and weaknesses. You should take iron supplements like ferrous sulfate or ferrous fumarate. You should take iron rich food like dates, green leafy vegetables, Chat Doctor. Go flow blood pressure you should regularly check your blood pressure. If it hoes low you should take a glass of salt wate"
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"I can understand your concern. You may have some chronic blood loss due to ulcer. You should take treatment of that first. For low ferritin level you can take oral iron supplements like ferrous sulfate or ferrous fumarate. Or injectable iron like iron extra or iron sucrose. You should take iron rich food like dates, green leafy vegetables, Chat Doctor. Consult your doctor and take treatment accordingly.",
"I can understand your concern. You have iron deficiency anemia. You should take treatment of that. Furthermore, you should take injectable or oral iron supplements. Furthermore, you should take iron rich food like dates, green leafy vegetables, Chat Doctor. Your vision problem is likely to be due to some other cause. Consult ophthalmologist and take treatment accordingly."
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Hi I m thirty eight weeks pregnant and have a stent in not because of kidney stones but I guess because my baby is pushing up against my ureter or something.. Well lately nothing seems to help my pain in my right kidney and bladder.. The hospital says everything looks fine.. Any thing it could be? Also if my water breaks will it be a lot of fluid or little because of my stent?? Thanks
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"I understand your concern. Pregnancy is likely to be accompanied by urine infection(because of physiological stress over kidneys/ genital un hygiene & white discharge / urine frequency due to pressure of uterus on bladder) In this context I would advise for investigations to rule out urine infection. (& specific treatment as per need. ). In case of absence of infection, the pain can be attributed to stent . & it needs bladder pain relievers like Pygidium. After your doctors' consultation. The stent can not break your bag waters. Its protected in thick muscle walled uterus. Please don't worry. Thanks"
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"Your husband has undergone surgery (Probably for stone in his ureter) and a D. J Stent has been put in his ureter. It is common to get pain in kidney area as the urine flows backwards through stent in to kidney causing pain in kidney area while urinating. Since the stent has to be in the ureter for 2 weeks the patient can not be put on per urethral catheter to Chat Doctor. The catheter in urethra is more cumbersome than pain due to having stent in ureter. Normally this gets resolved within a week till then take painkillers and antibiotics",
"As your doctor describes, you have big stones in the kidney, and not obstructing. So they are pain less. At this position, doctors may not prefer to touch them. I advise you take plenty of fluids to have plenty of urine. It may make them resolve, and may bring in the way of the flow of the urine. Then it may cause pain, but make a way for treatment. I advise you to consult a urologist for diagnosis and treatment."
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My two month old baby just had a vp shunt inserted, due to hydrocephalus, he was in hospital only one day after surgery, and i m not sure how to take care of him at home. All the doctors gave me was paracetamol for the pain, but no other explanations as to how to treat him. How long will it take for him to heal from the surgery?
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"VP shunt surgery is a procedure of inserting a strike tube from brain fluid spaces to the tummy fluid space, (peritoneum). It's a way to Chat Doctor. Being a sterile elective operation baby must have been covered up with antibiotic during surgery. So post surgery you have to only give pain medicine. Keep watch on the stick area, and may be followed up after 7 days to your doctor. Also ask your doctor to show you how to check whether the tube is working or no. Thanks. In case you have more queries I am always ready to answer. Else, please rate this answer and close the discussion"
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"Treatment with antibiotics does not help and irrespective of the treatment, it takes 5-7 days to recover. I would not get concerned if the child is active and fine but if the child grows lethargic or Chat Doctor. If the fever lasts more than 7 days, other causes like typhoid might need to be considered. On the other hand, if the fever is associated with chills and rigors, it could be due to malaria or a urinary tract infection and tests to detect these conditions might be needed without delay. Headache or body ache are might not be specific for any cause and should get relieved with paracetamol. But if severe, medical advice should be sought. So, depending on the associated symptoms and the general well-being of the child, you should be able to decide when the child needs to be taken to a d",
"As you may be aware viral infections do not respond to antibiotics. After the viral infection like flu many people get these kinds of problems including a feeling of severe fatigue. This will improve over 10-15 days. Take some fresh fruits, juices, cold milk and some bland food. For pain, you can take paracetamol tablets. You will improve soon. Do not worry the best thing you can do is to visit a dentist do hope that you have found something helpful, and I will be glad to answer any further query"
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our prematured baby when born was 2 kg and now she is 65 days old and 4 kg and we are feeding her pre nan since mothers milk is not sufficient as per the advice of doctor, now can we shift to nan 1, what is the better option pre nana or nan 1 or nan pro 1. please suggest
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"Then, you can start Nan1 until 6 months old, and then you can change to Nan 2. Your baby girl is about two months old and about 4 kg, which is lower than babies born on term. If you consult with World Health Organization growth charts with the data of your baby (2 months old and 4 kilograms) then she is under weight (she should weight about 5 kilograms at this age). Therefore, you should continue Pre Nan for at least 2 other months in order to help your baby and give her best opportunities to catch up the growth pace of non-premature babies."
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"I congratulate you with a baby. Actually, premature babies are often had anemia, because they didn't receive enough iron from mother. You should control hemoglobin, iron, calcium at your baby at least 1 time in month, pay attention to color of her skin, is it yellow or pale. Breastfeeding is golden standard for baby. Mothers should also eat food, which reach of calcium-dates, Apples, pomegranate, beets, carrot and proteins Best regards",
"You saying that your baby stomach upset when he breastfeed her, how you feel that his stomach upset after breastfeeding ? The breast milk is best for baby. After breastfeeding baby may regurgitate feed or may pass stool. Both are normal. sometimes we advise stopping mother to consume dairy products. If I was your treating pediatrician, I would check his weigh and compare with birth weight. It should cross the birth weight on 10 day of life. As breastfeed is best gift for baby by mother, so before leaving it please consult your doctor. Other thing you are concern that his toes and blue. If you rule out that his feet are not cold then you should consult your pedestrian, he should check oxygen saturation in your baby feed"
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I had a surgery 3-1-13 to remove cancer in my esophogus and upper stomach - which my stomach is now where me esophogus was - ther was only a few inches os esophogus not removed. Ive had hod and cold sweats ever since. Some days and night are better and some are non stopping. I wear multilayered clothing but do you have any suggetstions?
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"I am not sure if this is related to your surgery. Cause can be any infection. Most common are respiratory and urogenital. SO do kinda ultrasounds and urinalysis. This is common cause of cold sweats and chills. Also, you should change your dietary. After esophageal procedures your meals should be smaller, and more liquid. Eat 6-7 times per day but smaller meals and Chat Doctor. Avoid alcohol, fats and coffee. I am sure you'll feel better after this. Wish you good heal"
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"In my opinion you are having HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Gaseous feeling and bloating are characteristics of HERD. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid habits like smoking and alcohol if you have. 8. Lose weight if you are obese",
"I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest pain especially after food. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid stress and tension, be relaxed and calm. 3. Avoid large meals, instead take frequent small meals. 4. Take pantoprazole tablet on empty stomach. 5. Keep 2-3 pillows under head in the bed to prevent reflux. 6. Quit smoking and Alcohol if you have these habits. Don't worry, you will be alright with all these."
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I have problem of breathing and have lot of cough. I take inhaler regulary. Have consulted doc but it rest for few days only. I work with a company which produces carbon black. Can you plese help or suggest something. Have reports as weel and PFT test seems okay.
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"I can understand your concern. Since you are having work place exposure to carbon black, possibility of chemical induced bronchitis is more likely. So wear face mask at work place. Quit smoking if you are a smoker. Take regular inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Do breathing exercises, yoga and Panama. Don't worry, you will be alright with all these."
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"I can understand your situation and problem. Breathing difficulties with cough can be seen in pulmonary causes like bronchitis. So I advise you to consult pulmonologist and get done PFT (Pulmonary Function Test) and chest x-ray to rule out bronchitis. If this is normal that we need to rule out cardiac cause as breathlessness with nose bleed can be seen in uncontrolled hypertension. So get done blood pressure measurement and ECG, 2D ECHO to rule out cardiac cause",
"I can understand your concern. You are having breathlessness one exertion. And its diabetic patient, bronchitis is common cause for this. Another cause is acidosis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). If PFT is normal then get done ABG (arterial blood gas) analysis time rule out acidosis. Strict control of diabetes is needed. Don't worry, you will be alright."
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I have a cut where my gum and cheek meets on my bottom jaw on both the right and left side, how did this happen? And how can I heal it the fastest. Will brushing my teeth harm it, it feels like when I do it stretches it more open but I cant NOT brush my teeth. I can barely even open my mouth too to eat.
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"I have gone through your query and can understand your concerns. As per your complaint cut on the area of the gum in the area where the gum meets the cheek can either be due to traumatic injury caused by eating something hard while can also be due to eruption of authors ulcers. I would suggest you to consult an Oral Physician and get evaluated, and a thorough clinical evaluation will be done. As of now you can apply numbing gel containing Lidocaine over the cuts to relieve pain and ease in eating. You can also gargle with numbing mouthwash. Take anti-inflammatory painkiller like Ibuprofen. Take vitamin B complex supplements. Suck ice pops to relieve inflammation."
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"Sometimes orthodontists do extract molars if there is very severe crowding of the teeth. In your case, as you said there was severe crowding. Now you have space present where the molars where previously present and hence you are unable to chew properly. Is your second molar on the left side tilted or upright? I assume that your second molar is upright. There are 3 treatment plans for you: For the best treatment option, attach an intraoral photograph of the upper and lower jaw and consult an orthodontist online",
"The balls of mucosa over the right and left side of your cheek could be an irrational fibrous secondary to the cheek biting by the teeth. Consult an oral physician and get it examined. Nothing to worry, it's a benign lesion, it won't harm you, If it is interfering with mastication or any function, then get it surgically removed under local anesthesia. The bad breath could be because of the deposits over the teeth causing gum infection. Or it can be because of the pus discharge secondary to gum or tooth infection or any respiratory tract infection like sinusitis or gastrointestinal disorders. Consult an oral physician and get yourself examined to rule out these conditions. If it is gum infection get the teeth cleaned once and maintain oral hygiene after that. You can use mouth wash. I hope my answer will help you, take care"
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i have recently had an mri scan on my neck the results are that 5 of my vertabrae have degenerated due to arthritis. this has caused posterior disc-osteophyte bars causing significant narrowing of the neural exit foramina affecting in total seven nerves. i have been referred to a neuro surgeon for spine surgery. can you tell me what this operation involves in order to free the trapped nerves, approx how long i can expect to be in hospital and how long it would take me to recover from such an operation many thanks. Julie Smith
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"This is achieved by posterior laminectomy (removal of posterior bony parts of the vertebrae) with or without spinal stabilization (it depends on the extension of the laminectomies and number of levels involved). In general, there is a tendency for minimally invasive surgery in such cases and, if the surgery goes well, a few days in the hospital are necessary. Full recovery may take a couple of months."
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"Your MRI cervical and lumbar spine findings are explained below in simple language. 1. At L4-5, there is broad-based annular bulging, somewhat more prominent in a left para median distribution. There is also hypertrophic degenerative facet disease. This results in slight effacement of the ventral thecal sac and bilateral neural foraminal encroachment, left greater than right. In the lower back region, there is a disc at L 4 - L 5 level which is bulging from its normal position and causing pressure on the sac covering the spinal cord. There are degenerative changes in the area and the bulging disc is causing pressure on both sides at the nerve roots. This is the cause of any lower back pain you are experiencing2. At C6-7, there is broad-based annular bulging and bilateral uncovertebral joint hypertrophy, right greater than left. This results in effacement of the ventral thecal sac and bilateral neural foraminal encroachment, right greater than left. In the lower neck region also there is a bulging disc at C 6 - C 7 level and this is causing pinching of nerve roots on both sides, slightly more on the right side. This is mentioned as bilateral neural foraminal encroachment. This is causing any pain in neck region and numbness or tingling in the hands. Treatment of the above conditions requires you to do physiotherapy and take mild pain relievers which can treat nerve related pain. Please do not make sudden neck movements and lift heavy weights. Avoid standing for long durations at work or home",
"As due to the pinch of the nerve the functions of the sensory nerve gets disturbed and leads to abnormal sensation. Taking up and MRI of the lumbar spine will reveal its pathway. Also, getting and NCV study done will help in differential diagnosis and can be looked further. Based on the Neurological findings and assessment along with MRI and NCV the next rehabilitation plan will be implemented. 99% cases recover soon if followed with a combination of medicine and physical therapy. With the grace of God I wish you a long life without any medical issues. 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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ine the morning, i always have a really gross taste in my mouth and theres always a kinda thick yellowish saliva in my mouth too. i cakes up on my teeth, and it never fails to return (only) in the morning. my gums also bleed very easily. if i even tap on my teeth, my gums will bleed. i get alot of pain my cheast & a co-worker has told me that cheast pain can sometimes be a result of gum disease.. im just a mess here, can you help me out?
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"The gross taste and yellow saliva in the morning time can be because of the pus discharge secondary to gum infection or tooth infection. The bleeding in the oral cavity could be because of the gum infection, or any cuts in the oral cavity or pulp polyp or any bleeding disorders like idiopathic thrombocytopenic purpura. Consult an oral physician and get these things ruled out. Get a complete blood investigation along with INR to rule out the bleeding disorders. If any gum infection then get your teeth cleaned and use topical gum astringents like stolen gum paint. If pulp polyp is there then get it root canal treated. If bleeding disorder is there then consult a general physician. The chest pain is not related to bleeding gums. Consult a general physician for this. I hope my answer will help you, take care"
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"The bleeding in the oral cavity could be because of the gum infection around wisdom tooth, or any cuts in the oral cavity or pulp polyp or any bleeding disorders like idiopathic thrombocytopenic purpura. Consult an oral physician and get these things ruled out. Get a complete blood investigation along with INR to rule out the bleeding disorders. If any gum infection then get your teeth cleaned and use topical gum astringents like stolen gum paint. If pulp polyp is there then get it root canal treated. If bleeding disorder is there then consult a general physician. I hope my answer will help you, take care",
"You have not mentioned your age. It seems you have a gum problem known as gingivitis (inflammation of gums). are you under any medication? Is sweeping in gum in a particular area or everywhere in mouth? Is there any tooth pain related to the swollen gum. If I were your treating doctor i what suggest you to visit a dentist and get your teeth and gums cleaned. That ll surely subside the symptoms. Maintain a good oral hygiene rinse your mouth 2-3 times with a suitable mouthwash. Using a proper brushing technique"
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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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