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Hi doctor,I had a stroke two weeks ago. Today morning, when I got up off the table, I nearly fell twice and had trouble speaking. My BP was 220/110 mmHg. They took me to ER and the telemetry unit. I got an MRI with contrast this morning. Am I having a stroke?
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"I read your query with keen interest and understand your concerns. The onset of problems in the early morning, blood pressure in a range which can cause stroke and difficulty in speaking along with two falls point towards the high possibility of stroke. The above things can present in both hemorrhagic as well as ischemic stroke affecting the left side of your brain. I must acknowledge that post-menopausal age and recent history of stroke adds to the risk of stroke and I do not think we should take it lightly. Kindly post your recent MRI reports to a neurologist online"
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"I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your querying view of the symptoms starting after an accident, I would really suggest testing an MRI of the brain to make sure there is no intracranial damage. The fall may have caused damage to any of the many parts that may have caused the symptoms of vertigo, especially brain stem and cerebellum. I would suggest a visit to a neurologist along with the MRI to make sure there is no elicitable sign and thereafter a possible prescription of betahistidine and physiotherapy may help you. I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site. You can upload them with the query, or if you have a problem, send them to attachments@ChatDoctor . com with Sub: ATTN Your Name. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me. Please do understand that some details could be extracted from a detailed history and examination. Please click on Thanks/Helpful if found useful. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this by clicking on HELPFUL)Best of luck.",
"I can understand your concern. By your history and description, we should definitely rule out brain pathology like stroke or TIA (transient ischemic attack). So consult doctor and get done blood pressure monitoring, clinical examination and MRI brain. If all these are normal then no need to worry much. Avoid stress and tension, be relaxed and calm."
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Hello doctor,My 73-year-old father is suffering from type 2 diabetes from the age of 7. He has undergone angioplasty. His fasting level is 140 and the postprandial level is 320 after taking Glimepiride 2 mg and Metformin 500 mg once a day. Should I increase his dose once to twice daily?
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"Your father seems to be on the right kind of medication. His blood sugar levels are not controlled, so he definitely requires a revision of prescription. Since he is having other coexisting medical conditions, it would not be a good idea to take an online prescription. By meeting a diabetes specialist or a family physician, he can get his vital parameters checked before changing the prescription. There is a possibility that the doctor may just add a second dose of Metformin or both Metformin and Glimepiride together. For more information consult a diabetologist online Take care."
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"Your father presented to the hospital late after the episode of acute MI (myocardial infarction) with a total occlusion of LAD. So, before intervention itself, a major part of his anterior heart muscle was damaged. Even after angioplasty, his LVEF deteriorated and your father is now suffering from heart failure with reduced ejection fraction. Ideally, according to the recent ESC guidelines, the medicines should be: And fluid intake 1. 5L/ day. So beta blocker must be continued at a reduced dose and to be adjusted with Ivabradine. Send a recent ECG of your father to evaluate whether he is a candidate for CRT or ICD implantation. For more information consult a cardiologist online",
"Forum. Since, you are taking metformin (2000 mg) +deal 10 mg from last 6 years and still blood pressure and glucose level ID not under control. In my opinion, this is the time to change the Chat Doctor. Now upload exact fasting as well post radial (meal) sugar level. Also, write down the exact report of blood pressure along lipid profile. If possible get in an X-ray of abdomen (pancreas). Consult a Planetologist and get his opinion. Good luck"
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Hi there was an operation of my aunt i.e laprascopic as it was diagnosed with gallstones in ultrasound .when the surgery was performed the doctor came to knew that there was accumulation of pancreatic fluids around the pancreas which was causing the pain.Around 1/2 ltr of fluid were removed and the area cleaned with saline and we were told to wait and do for an ERCP after 1 month . In the mean time we did a ct scan in one more hospital and there we came to know about that the area is now clean of pancreatic fluids,but there were small stones in the gall bladder which needed to be removed. recently there was a severe pain for which again my aunt was admitted.Please kindly suggest if theres a renowned hospital for the further checkup in Patna as am leaving in Patna and can look after my aunt.
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"As far as doing ERCP in any renowned hospital in Patna, such information can be best found in any local based hospital which is dealing with such cases. As for the removal of gallbladder with laparoscopy, this procedure is quite common these days and can be performed in any good reputed hospital. It is better that any further procedure be taken in a hospital which has various departments of surgery to deal with any further arising problems."
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"There are three problems to be discussed in you. 1. History of pancreatitis ?following gall bladder surgery. 2. Major surgery to repair bile duct strictures. 3. Present problem with renal (kidney) stones. From your history, it is unlikely that kidney stones have developed from the earlier pancreatitis or biliary stricture problems. Since you have a history of pancreatitis, I suggest you also talk to your gastroenterologist and get your pancreas enzymes (lipase) evaluated. If raised, changes of chronic pancreatitis must be looked for through ultrasound scan or CT scan of abdomen. Your kidney stones will cause pain along sides of abdomen and radiating to pelvis, sometimes causing pain in testis if you are male.",
"noted history of gallstones. Yes, gallstone disease can cause abdominal pain (specifically termed as biliary colic), which could range from mild-severe in intensity, depending on the acuteness or chronicity of onset and inflammation of your gallbladder and biliary tree secondary to obstruction due to your stones. A consultation with a doctor, preferably a general surgeon, for physical examination and clinical evaluation if best. Other diagnostics (such as liver function tests, bilirubin, alkaline phosphatase, blood counts, ERCP/MRCP, etc. ) and management (medical and/surgical if indications are found) will be directed accordingly. Definitive management is cholecystectomy (removal of your gallbladder along with stones), which can be done laparoscopically (gold standard) or through open technique. Low fat low salt diet is also advised."
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I was in a vehicle accident about 3 weeks ago where I swerved off the road into a ditch then hit a driveway going about 50mph and jumped my car. I landed on all four tires of the car, no airbags deployed and with alot of force and I instantly felt sharp pain in my lower back. I went to the hospital where they checked me out and released me within the hour because the pain was bearable and they said it would be gone in about a week thinking is was just muscle spasms or bruised tissue but now almost 4 weeks later the pain is still there and focused to my right kidney mostly where it feels swollen and hard and is very painfull to touch. Theres no blood in my urine that I can notice, but I dont have an appetite, my skin is developing rashes at times, I cannot turn my back to the right without a sharp pain, and im just generally uncomfortable with that dull pain. What could this be?
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"I want to believe that by right kidney, you mean right flank as we can not be 100% sure that the pain is coming from the kidney, but right sided flank pain could be as a result of injury to muscle tissues and organs beneath including kidney and spleen. If you are feeling hardness and pain around that area, then it is most unlikely due to internal organ damage but rather soft tissue damage (more peripherally). You could have injured the area without noticing during the accident, when was not noticed probably as a result of slow progress. For example, a soft tissue hematoma or hemorrhage due to damaged blood vessel could be developing gradually and only present as hard painful swelling some weeks later. The hematoma could even complicate to form an abscess depending on if bacteria affected the area. The rashes could fairly not be related to this injury and if related then it might be likely due to the fact that the kidney is actually injured too. In any case, your situation obviously requires thorough medical evaluation and subsequently treatmen"
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"I can understand your concern. There may be following possibilities for your pain-1) Pain related to gall bladder calculus, infection. 2) Pain related to right kidney and ureteric calculus. 3) Inflammation of intestine colitis. 4) Pain of appendicitis. 5) Muscle spasm. You should consult your doctor for detailed clinical examination depending upon it appropriate investigations can be planned. Following investigations help in diagnosis-- Complete blood count. - Ultrasonography of abdomen and pelvis. - Rena & Liver function test. - Urine examination. You can use antacid with antiemetic with antispasmodic for symptomatic relief.",
"It could be radiating pain sore muscles and ligaments of the lower back on the left side. 2. secondly it could be related to kidney stones, but I suggest you to get an ultrasound and urologist opinion. I suggest you to visit first local orthopedic doctor who could further guide you for a X-ray and ultrasound of abdomen if necessary. I hope it could have helped to sort the query. If any doubt you are free to post follow-up queries. Wishing you a good heal"
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My wife is too much aggressive and talks in a very bad languages and also give abuses which a person cant lolerated at all. She refues to go the doctor and say that she has no problem . In this situation what should I do . Her behaviour with all members of my family is very bad even with her daughter and sons.
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"I suggest you not to worry much. You are supposed to know about your wife much better than anybody else. If she is arrogant and abusive, and don't listen to anybody, and refuses to visit a doctor, then you should make her motivated to do something which she likes to do. Recharging and prioritizing her mind and priorities can definitely help. Let her go for a job and enjoy. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo. gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques."
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"The description that you have given is not sufficient to comment on the diagnosis, but it appears that she may be suffering from a serious mental illness like schizophrenia or schizoaffective disorder. But then we need further details as certain times even normal people can have these kinds of personality traits. You should take her to a psychiatrist, you can examine her in detail and prescribe her some medications.",
"I suggest you not to worry much. You are the right person to deal with them. You observe their behavior. Furthermore, you know their characters and I hope they both love you. A loving daughter can bring in changes in her parents attitude and behavior. Do it with the help of your friends and siblings if you have any. Try your best and if need be consult a psychological counselor as a last resort. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I had sex for the first time yesterday, & we used a condom. I looked at the condom afterwards & it had a tear in it, but he said he ripped it off. But he also didnt ejaculate at all, & said he wasnt even close. I got my period today, which would be the day after we had sex. Is there any chance I could be pregnant, Im freaking out.
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"I am really sorry to hear this, and I suggest you not to worry at all!! I thank you for posting your query here and I'm definitely going to help you out. Furthermore, I being a surgeon, we encounter so many such cases day in and day out. Furthermore, I read your question completely and have understood it well enough. Furthermore, I will analyze all your points and provide necessary explanation. 1. Sex for 1st time and used a condom. That's great, please continue using condoms, it prevents STD too. 2. Tear in condom but no ejaculation. If your male partner is so sure that he did not ejaculate then, chill my friend. There's no chance you'll be pregnant. 3. I can say, with 100% certainty that you won't be pregnant. Take it from me. 4. And periods after one or two days. Then, its self-explanatory and 100% confirmed that you can not be pregnant. Generally, ovulation occurs 14 days prior or after menstruation cycle in 28 to 30 day cycle. So, going by this logic, you should have ovulated 14 days before you had sex. And remember, ovum or egg can survive maximum for 2 to 3 days!! Hence, there was no ovum only to fertilize even if he had ejaculated entire semen inside your vagina. 5. So chill. And do not worry."
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"Pull out method is not a reliable method of contraception. As you have already mentioned, pre-ejaculation secretions (pre-cum) could have been deposited in your vagina. Pre-cum does contain some sperms which are capable of causing pregnancy. Pre-cum comes out of penis without any sensations and feelings; hence man does not know that he has deposited pre-cum in the vagina. Now instead of being so stressed out, please try to find out any evidence for the existence of pregnancy. For this, you have the following options: 1. Opt for Beta Chat Doctor test on your blood any time 10 days after the last incidence of unprotected sex. 2. Alternatively, wait for the menses to appear. If you get periods, you are not pregnant. If you miss the periods, then perform pregnancy test on overnight morning first urine sample a week after the missed period; earlier these tests may report false negative results. I hope this should resolve your dilemm",
"But if you did not insert the penis in the vagina and ejaculate outside then no chance of pregnancy. In unprotected intercourse always there is possibility of pregnancy. There is no relation between bleeding after sex and pregnancy. For safer side, you can use I pill to prevent the pregnancy up to 72 hours after sexual intercourse. It should be taken as early as possible to prevent the fertilization and ovulation. Only one pill is required to prevent pregnancy. In future use safe sex practice like condoms to prevent unwanted pregnancy"
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My husband had 2 blood clots in rt iliac vein. Stents were placed each time. He was also diagnosed with metasatic colon cancer and is taking chemo . The issue is the reoccurring pain in his hip and groin that radiates down to his knee. This pain is very intense. He has mentioned it to the Dr. but he doesnt seem to address it , like maybe it will go away . It has been 7 months. He needs to get some answers . It affects his ability to sleep ,think clearly, being in this pain. We think maybe some kind of nerve damage? Any ideas on what might be happening ? If he did not take hydrocodone I dont think he could stand the pain. He is to a complainer . So I know it is bad.
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"Thank you for your query. Well, you should first find the exact cause of hip pain. It can be metastasis, degenerative disease or something third. If this is such intensive pain he should take some stronger morphine based painkillers. It can also be caused by chemo. Unfortunately this is sometimes inevitable, but he should do MRI of hip to see is there some pathology which can be treated. Wish you good heal"
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"Understanding your concern. As per your query you have severe pain in the leg. Well there can be many reasons for symptoms you mention in query like muscle strains m tendonitis, deep vein thrombosis, arthritis, gout, nerve damage or slipped disk. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order certain tests like blood test, CT scan, physical examination and take history. Doctor may recommend physical therapy, which will be very helpful, muscle relaxant, nerve supplement along with stretching exercises. Doctor may also refer you to endocrinologist for diabetes problem or to neurologist for nerve problem. For now put your legs in hot water tub with Epsom salt for 15 minutes daily and take ibuprofen or acetaminophen for pain.",
"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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85 yr old female w end stage chf in hospice with 24 hr, IV drip morphine, ativan, lexapro. Upon admission life expectancy was less than week. It has been over one month, patient has stablized but still needs all. Any idea about life expectancy? Family trying to time manage.
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"I can understand your concern. It's very difficult to tell exact life expectancy. But one thing is sure that she is alive with help of medicines only. Some patients with end stage LVF can live fit 1 year in hospice Care. Some die withing 1 week. But in general life expectancy will be less than 3-4 months. Since you are saying that this female is stabilized with Chat Doctor."
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"Ovarian carcinoma when metastasize in liver, it becomes stage 4 disease. And stage 4 ovarian malignancy is inoperable. We can only provide palliative care in the form of painkillers. So if she is doing well with morphine than continue this. And no one predicts life expectancy. But usually in metastatic ovarian carcinoma, life expectancy is less than 6 months",
"I can understand your concern. She has ovarian cancer. In advanced stage surgery is not useful. It can not cure the disease. Life expectancy is very limited. Pain is the main element to treat in terminal stage cancer. Morphine based Chat Doctor. It is prescription based medicine so consult your doctor and take treatment accordingly."
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Hi doctor i m 23 years old unmarried girl i have a little lump in my armpit and also very tender and paonful breast but it is days of my period before it i have only tender and painful breast not a lump in armpit is it worried is it breast cancer plz help me there is no change in size and shape of both of my breast.
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"I studied your problem in depth and I understood your concerns. Cause for lump in armpit with tender breasts-In my opinion you seem to have Menstrual Enlargement of the Breast in Axillary Tail, which are with Stenosis of the Breast. This is non-malignant condition but needs observation by self breast examination. Hence, stop worrying about it, as it is not a CANCER as you fear and think, but do check it up from ER Gynec-Surgeon. For Final Diagnosis and treatment needs clinical data from a Doctor. And Hence for further treatment I would advise you to Consult ER Gynec-Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check. Hence, I would advise you to check with ER Gynec-Surgeon. 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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"The small lump in your armpit could be a lymph node swelling due to infection you had. If the swelling is not tender and not increasing in size, and mobile, there is no need for concern. It will reduce within few weeks. But if it is getting painful, increasing in size and becomes hard to touch and immobile, you need to get an FNAC done to rule out any cellular changes in the lymph node. Thanks",
"ear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer from-Fibroadenoma- as its painless lump, mostly in axillary tail of your breast. Could be a Cyst underarm ? Cystic Fibroadenomas. Both these conditions are benign, non-cancerous,but Verification by FNAC Biopsy to rule out the Cancerous cause of it needs to be ruled out By Second Opinion from Surgeon, prior to FNAC Biopsy. So I think before Meeting your Gone, meet your Doctor, which would save your fruitless Visit with your Gone, as you need a Surgeons consultation and not Gone consultation. Treatment-USG of the Cystic Hard Lump and FNAC Biopsy would give the direction and lead to the treatment of this Lump in Breast. Excision Biopsy / or Sectoral Lumpectomy with HIsto-path study would confirm the Benignity of your lump and would help you out of this intricate and worrisome Lump. So better Go to Surgeon, after consulting your GP doctor. Take care."
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my husband takes cymbalta and has for more than 10 years. He also takes three different meds for high blood pressure and two different blood thinners. Is there significant drug interactions that would cause him to stop taking the cymbalta or at the very least switch to something else. His depression has returned and he is having sleep issues.
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"I understand your concern. Cymbalta contains duloxetine and it is one of the good medicines for depression. If you are taking antihypertensive medicine then need to do proper evaluation of class of that medicines. There are interactions with duloxetine but still it is safe to take it under observations . SSRI sertraline / Escitalopram are safely used in hypertensive patients. Sertraline is the safest among all in cardio vascular compromised patients. Lorazepam is safest benzodiazepine for sleep problems. You can discuss all these options with your treating doctor. Still if you have a query then feel free to ask. Thank you"
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"Because it causes clear blood picture and easy to diagnose. Most probably he is having hydrated cyst. Easily treatable by albendazole tablets. For his personality changes he needs fluoxetine plus olanzapine tablets. It will help a lot. Do not worry take care of your son. He will be fine soon.",
"I have gone through your question in detail and I can understand what you are going through. Fatigue could be a symptom of depression. The first line is the use of Escitalopram 10 mg per day for depression."
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I was told from a CT and ultrasound that I have a "slightly echogenic liver". And there is also evidence of "most likely benign hemangiomas". I have had my gallbladder removed due to gallstones and continue to have upper abdominal pain. My BMI is 31, I am not diabettic and do not drink. Should i be concerned? Do I need further treatments or test?
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"Benign hematomas do not require any active treatment at present. Keep regular check up for liver. Upper abdominal pain is the most like due to indigestion, it usually occurs after gallbladder removal. Your BMI 31 indicates obesity grade 1. You have to take care for your general health. Take simple, high fiber diet, Chat Doctor. Avoid oily, spicy,high calorie diet. Try to reduce your weight. Go for exercise, yoga,swimming, cycling. Keep in touch with your d"
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"Severe abdominal pain causes are different. From what you refer I think that you have gallbladder problems. Gallbladder is affected by different infection(bacterial and parasitic) that causes a gallbladder bulge. Gallbladder blockage causes severe abdominal and back pain, nausea. The second cause is gallstone. These causes are treatable and you don't have to worry. To diagnose your problem you need:-Abdominal ultrasound(that you've done). -Abdominal Ct scan. -Fiber optic gastrointestinal endoscopy. -Blood test, blood sediment rate. -Liver function test. You should contact a gastroenterologis",
"1. It seems to me like gastritis / gastric or duodenal ulcers, which will be evaluated with endoscopy which you are posted for. 2. If it is normal we have to search for intro abdominal cause - an ultrasound abdomen will help to evaluate / rule out the possibilities. 3. Don't worry usually seen in case of irregular food habits at your age. 4. So let the planned things done, if possible is there are no findings ask for an ultrasound abdomen pelvis."
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I had a root canal done on 1 of my front teeth and have placed a lava crown now. question is the crown which is fitted is a bit long and i want my lava crown and next front teeth lengths to be shorten.Can we do it after placement of the crown..will it damage it since it is artificial..also can my other natural front teeth length be shorten without any future harm?
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"The crown can be reduced, but it has been prepared according to your opposing tooth relationship. If you reduce the tooth structure in the crown it won't serve the purpose. You can't reduce the natural teeth also because it will result in sensitivity. It has to be planed very well before only. You should have gone for a trial crown and later for permanent crown after checking it. For further queries consult your dentist. I hope my answer will help you. Take care"
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"Usually post with crown preparation is done only after the tooth is devitalized by root canal procedure. In your case as you have mentioned you have no symptoms of pain and discomfort related to the tooth, we need to check the vitality of the tooth before replacing the crown. Exact diagnosis can be made only after clinical examination and evaluation by taking radiographs. If needed, Root canal procedure is done to disinfect the tooth by removing the infected nerve tissue and the root canals are cleaned, shaped and filled with permanent restorative material. Once the treatment is completed, the tooth can be restored by a post and core preparation with a prosthetic crown coverage. I hope this helps, take care",
"Your first concern is regarding the number of days of your RCT. RCT can be done in a single session or 2 or 3 sittings depending upon the severity of your case. If there is severe pain or infection, the dentist may have to delay for treatment for 3 or 4 sittings. You should go for a permanent filling after RCT, which is mandatory. But, you definitely should wear a crown because your teeth are more brittle after RCT, so there is more chance to break off. You can go for a crown after six months once you make sure you have got no pain."
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i have a brain injury i fell out of a bucket truck 7 years ago the pain has not stop since the fall they had to peel my face off to fix my eye sockets and hole on right side of my head what can be done beside the meds i am on to fix the pain .they put me in a coma for two days for the swelling to go down.it just sucks yhat it means take the meds to life life and have no sex which i seem to have work out but the rest of my family dont like that i have too lay down alot till the meds kick in my wife calls me a liar how can i explain the problem
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"I have noted your clinical details. It is unfortunate that you have been left with multiple neurological deficits after brain injury seven years back. However, with proper medical treatment and physiotherapy, I expect you to get better over time. It is important to make your family, especially your wife understand the nature of your problem. If needed, please make her speak to your neurologist. With good family support, you would improve much faster. 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 seems to be hematoma. It will gradually reduce by due course of time. You can take analgesic such as ibuprofen for pain relief. Vitamins B and C help in healing. It doesn't seem me to be fracture, but it can be confirmed by x Ray. You can discuss with your doctor about it.",
"Based on the facts of your query, Your Mom seem to suffer from 2 entities-Cerebral Concussion with Butt Lump from traumatic Hematoma. Treatment Suggested In My clinic would be-Antibiotic cover/Tab NSAID like Mortin-USG of the Butt Lump and Skull CT scan to assess the damage to the butt bones / tissue and damage to Brain Tissue. Wait and watch for 72 hours to rule out any deep injury to brain and the butt bones. Second Opinion from-Ortho-Pedic and Gene Surgeon would fix the treatment after proper evaluation of the case. Hence, I would suggest you to go to ER, to rule out the Risk of Head Injury with Brain Damage."
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Thanks...my husband is having pain in his upper spine, then goes up behind his ears? Has been to the doctor, no one seems to know what? Anyway, he has had a scan from a neuroloist and a scan when he went to emergency the other day for dizziness. Any suggestions?
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"I am so sorry to hear about your husbands pain and dizziness. Indeed, it is rare to have those symptoms in that mix. But I think we need to look into the idea of Cervicogenic pain causing your husbands pain. Basically that's a fancy way of saying that problems (for example arthritis) in the bones of the neck may be irritating the nerves that supply sensation to the areas behind the ear. The dizziness to, could theoretically be caused by problems in the neck. If there is compression of the spinal cord in the region of the neck, the cord might become irritated and cause the dizziness. Therefore, I am quite curious as to what the scan from the neurologist showed? Was the neck scanned? I wish I could help more, but based on the information here, all I can really recommend is that you tell your neurologist to rule out \"cervical cord compression\"If you would like a more personalized discussion with me or any of the Neuro-specialists on Chat Doctor, you can always use our \"Ask a Specialist\" service, and we will get back to you right away. I hope this helps. My best to you and your husband"
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"I am sure you must have had the idea of having imaging done to know what the indentation is about. In any ways, the whooshing sounds in ears and dizziness are classical symptoms of vertigo. You need to see an otorhinolaryngologist (ENT doctor) to make sure you do not have any serious condition and to have yourself treated. I hope this helps. Take care",
"He was on medicines of seizure. With available information I fail to understand why his seizure medicines were stopped? Recently he has been diagnosed with cervical spondylitis. From this information there is possibility of two things behind his problem. First is Spondylosis itself. As dizziness, imbalance are main features in spondylitis along with neck pain and headache. Medicines like Vermin (Betahistine) or linearizing are given for relief in dizziness. Secondly he is also hypertensive. Hypertension is also a risk for dizziness and imbalance. Visit a doctor and take opinion regarding his high BP and spondylitis. He will improve in no time"
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Hi,im 24 years old indian guy from Malaysia..recently,i was having dizziness for the past 1 week...exacerbated when walking or moving..i feel nauseated and had vomited twice in a week..i was hospitalised and my doctor said i was having an urinary tract infection and hyperlipidemia..is it true hyperlipidemia can cause dizziness?thank you dr.
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"But you have urinary tract infection it can lead to fever hypotension and dizziness. So take treatment of urinary tract infection. You can take norfloxacin or levofloxacine for that also you should take treatment of hyperlipidemia. You CNA take atorvastatin or other Chat Doctor. Also check for your blood pressure, he and sugar level. They can cause dizziness. So consult your doctor and take treatment accordingly. Thanks for using"
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"I think your doctor wants to tell you that you are being obsessive and anxious. You are very much worried about your health. Your doctor so concluded because he could not find any pathological problems for your dizziness. You must understand obsession (too much negative thinking about your health) could be the cause of your dizziness. Because of the obsession you are being anxious and anxiety adds up to your problem. Being anxious about health and a particular symptom could also worsen the symptom. The best method of approach would be to believe your doctor and just agree with whatever he says. Such an agreement could help you in being peaceful. Then you can work with your doctor for further investigation and treatment. Essential is not to think negatively and too much about health. 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.",
"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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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,My daughter is 6.5 years old. When she was 1, she had a seizure for a couple of times in two years, for which she took medicine and now she is off from medicine for the last three years. Now recently she was diagnosed with adenoids for which we are going homeopathy. My concern is she is right now 112 cm tall and 21 kg weight. I find her too short compared to her friends, my wife is only 5 feet tall and I myself is 5\7". Is this the reason she is not growing, since last 4 to 5 months her height is the same, or due to adenoids or medication which she took in the past?What should we do regarding her height? I want her to be at least 5\4", up to what age girls height can grow? She takes Pediasure, two eggs in terms of protein every day and four days a week swimming, is there anything special I can do? Kindly advise.
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"Here are certain points of advise I would like to give you. Weight is absolutely normal for her age as per growth charts. As per the height mentioned (112 cm), the child is shorter as per other chil ChatDoctor. If the child\\s height had to be affected by adenoids the weight also would be effected but it is not. Girls grow in height up to the age of 14 to 16 years. The final height of the child should be close to 5 feet, 2 inches considering the parent\\s height. The current age of the child is 6 years so you have a time period of 8 to 9 years for height growth. There is no exercise or supplement specifically for height. However, it has been noted that chil"
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"Honestly, if your child has 2-3 stage of enlargement of adenoids better visit ENT doctor and discuss question about adenoidectomy. You understand that recurrent infection will not stop and runny nose and cough will always prevent to study normally. Furthermore, adenoids interfere to normal blood circulation in brain, because less oxygen arrives to brain. From my side we check analyses blood, urine, ECG, if these are normal, then go to surgery. You can try to treat with steroids if adenoids will decrease after metaspray till 1 stage, then OK. You only increase immunity to child. For example, give Tulsa juice 5ml 1 time 1 month, ginger and lemon tea, multivitamin-zincovit 5ml 1 time 1 month. Start to go in for sports :stating, swimming, taekwondo or other hobbies. Best regards",
"Probably your child has congenital hypothyroidism. In this condition the thyroid gland doesn't produce enough thyroxine hormone, so it has been given in the form of tablet for normal growth and development of the body and brain. So it is safe, and it must be given regularly and lifelong. She needs blood test few times a year which helps to adjust the dose of thyroxine. Take care"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I have a chronic cough every morning. It usually starts after I eat something. It is accompanied by post nasal drip. If I stop drinking alcohol the cough eventually goes away. Could it be alcohol induced? It doesnt matter if I drink Vodka or wine....same result. If I take Zyrtec befor bed I dont have the cough.
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"Understanding your concern. As per your query you have chronic cough which could be alcohol induced leading to chronic lung infection. Need not worry much. I would suggest you to visit pulmonologist once and get it examined. You should go for pulmonary function tests as well to check exact level of infection. You need inhaled bronchodilators and antihistamine Chat Doctor. Furthermore, you should get X-ray chest done as well to find out exact level of infection. Furthermore, you should avoid intake of cold carbonated liquids. Avoid diet rich in fried and oily food. Take soft and bland diet. Take diet rich in multivitamins and vitamin C. You should take cough expectorants as well. You should use mist humidifiers in room."
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"Thanks for your query. Read and understood that you have been developing backache and pain on the right side of the shoulder, abdomen and shoulder on consuming more alcohol off late only. The most probable causes can be related to the inflammation of the stomach, duodenum and/or esophagus. The correct investigations which should be done in such a situation are:Upper GI Endoscopy X-ray of the Chest. This may give the probable diagnosis. The treatment will be:Stop alcohol. PPIDomperidoneAntacid gels, Soft bland diet, Early dinner. All these points will help you for an early and proper recovery",
"Thank you for the query. The cancer isn't first thing to think about. He probably coughs his blood whicChatDoctores from nose. If you are sure that he cough blood without nose bleeding then he should definitely visit specialist. Alcohol and smoking can cause his symptoms without cancer occurring. Breathing shortness and heart disorders are usual signal of unhealthy habits, so this is the only thing that he should change. Wish you good heal"
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I WAS DRIVING TO WORK IN THE MORNING AND I FELT LIGHT HEADED THEN MY VISION WENT BLURRY AND GREY AND I PULLED OVER THEN I HAD PALPITATIONS AND OR FLUTTERING IN MY HEART IT LASTED ABOUT 10 SECONDS THEN I WAS FINE ALL DAY. THIS NEVER HAPPENED TO ME BEFORE.
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"I can understand. The first question you should ask yourself is where I stressed? Stressed people, when in traffic, or Chat Doctor. Such an external strong stimulus gave you blurred vision, and you got panic and pulled over. Panic is enough to cause you palpitation. When you realized there is nothing wrong, everything became alright. Don't worry. You have not given your age. You may consult your physician and get an EKG to be doubly sure. If you still need my assistance in this regard, please use this link. http://goo. gl/aYW2pR. Please remember to describe the whole problem with full detail."
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"Presyncope is a state of lightheadedness, muscular weakness, blurred vision, and feeling faint (as opposed to a syncope, which is actually fainting). Presyncope is most often cardiovascular in etiology. Fot this 2d echo of the heart and a carotid Doppler is advice to rule out the left ventricle functions. Plpitations-Palpitations are feelings or sensations that your heart is pounding or racing. They can be felt in your chest, throat, or neck. You may: Have an unpleasant awareness of your own heartbe",
"Judging from that description I would say that a heart issue is very unlikely. One doesn't actually understand if heart has stopped beating, if it did, there would be lack of blood flow to the brain which would cause lead to dizziness or fainting. I guess if one wanted to explore the issue to the end an EKG and perhaps a 24 hour Holder EKG (where you carry a device monitoring heart rhythm for 24 hours) may be done. However, I believe the symptoms are most likely due to anxiety, which can often manifest this way, so nothing serious. I hope to have been of help"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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A straying dog kept his feet accidentally on my feet while I was going through the toad. I am not sure dog nail has scratched on my feet or not .Because I am having old scratch spot on my feet .DOg has not bitten me.So what to do in this situation because I am not sure about the scratch.
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"I appreciate your concern for the suspected scratch on your foot by a stray dogs nail. Nothing to worry about it. Rabies virus is mainly present in the saliva of the rabid animals like dogs. Dog bite can transmit the virus if it is present in the animal. Since the alleged dog has not bitten you, and it seems you are sure of the scratch on your feet. There is no chance of getting rabies from such encounter with the stray dog. If at all, this scratch can be treated with cleaning of the wound with soap and water or providing solution with a booster dose of In Tetanus toxic."
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"As you were locked by the dog which has lead to some swelling in your body, but there is no bite marks in your body. According to WHO Categories this is categories into Cat II. I would suggest you to follow1. Wash the area thoroughly with soap and water. 2. Take active immunization with anti rabies vaccine on days 0, 3, 7, 14 and 28. Thank you",
"Like improper footwear, fungal infection, nail bed injury gout. You need to get thoroughly examined by a physician. You can take Ibuprofen for time being, but remember it won't help in treating the condition, will just provide you a temporary pain relief. Till then take care and rest well."
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Yes, I am a 62 year old female studying criminology. 4th semester recently I signed up for algebra. I litterally feel in the front right side if my brain above the eyebrow area a void in the brain. The feeling causes extreme fatique above my right eye, and confusion in that area with numbers and signs within a 45 minutes I have to lay down. I do not havea fear of numbers nor, doni have a disklike or lke of math within itself. Inliterrally feel a void in this area of my brain physcially. Is this possible? If so is it neuro related?
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"At 62 years, the brain might have changes sue to aging. The brain void is a symptom that might be more virtual than real. Most humans start feeling fatigue if concentrating hard and trying to remember things at an elderly age. This is because there is a lot of information already being processed in your brain and further addition of knowledge might reduce the information processing time just as in a computer. Since you do not have any other symptoms like headache or seizure, this might resolve if you allow yourself to relax and take regular breaks when working for long hours. However, if these thoughts are occurring frequently then please consult a euro and get clinically examined and imaging like CT scan or MRI scan brain done"
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"Based on the information provided, the numbness of right side of body could be due to a neurological cause. The likely possibilities in your case are Cerebra Vascular Accident (transient ischemic attack leading to paresis) or could be due to nerve compression in lower Cervical and upper dorsal spine region. Using preparations containing vitamin B12, thiamine, benfotiamine and pyridoxine (oral or injectable)should help you relieve the problem. But I would like to advice you to get a CT scan or MRI of brain done to rule out Cerebrovascular accident as you have mentioned that you had numbness of face as well. Meanwhile, get an x-ray of your chest done to rule out bone pathology. Get your calcium and serum parathormone levels checked to rule out hypocalcemia or osteoporosis have not mentioned your comorbid conditions (Diabetes, hypertension or any other medical disorders you have been suffering from. Diabetes and hypertension act as risk factors for CVA. Based on the results of the above-mentioned tests, required treatment can be given",
"I have noted your symptoms. These symptoms are suggestive of partial sensory seizures, which indicate a likely pathology/disease on the right side of brain. Brain tumor is one of the rare cause of sensory seizures, so, you should not worry about that possibility. However, MRI scan of brain is needed to confirm the diagnosis. As of now, you should be on adequate anti-epileptic medications for appropriate seizure control. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health,"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi..i got hurt in my mouth and had a tear on the gum of the lower lip....at times my tooth aches....but when i brush my teeth i get relief but...from yesterday....its paining much....even i went to the dentist he said i got hurt on the bone of the teeth and he suggested for root canal...please advice what to do
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"A x-ray is necessary to assess the bone and tooth. I do not know if your dentist took an x-ray. A fracture in the tooth or trauma to the blood vessels supplying the tooth can lead to pain you are experiencing now. A root canal will include removal of the pupal tissue. This will eliminate the pain. I advise you to go for the root canal, but after an x-ray. Don't worry about the lip, cut or bruises in the mouth will heal very fast. Apply a soothing gel like Qua Chat Doctor. Ask your dentist if you will need a suture if it's a deep cut. Regards"
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"The pain can be because of the remnant infection in the root tip. Nothing to be panic, take a course of antibiotics like amoxicillin and metronidazole for 5 days and analgesics like diclofenac. Later you can get the tooth treated with root canal treatment. Meanwhile get the root canal irrigated or cleaned with saline or HY Chat Doctor. It may take 5 days for the pain to come down. I hope my answer will help you, take care",
"So my advice to you is to consult a dentist and get an x-ray done. The x-ray will help in ruling out the exact condition of tooth and severity of infection. If tooth is still in position to be saved then root canal treatment should be initiated but if the tooth has a poor prognosis now get it removed for permanent resolution. For now apply Lidocaine gel over the painful area and along with it take a course of antibiotics and painkillers. Do warm saline gargles."
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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 kidney transplant March 30, 2010. My new kidney is working perfectly with a creatinine of 0.9. It started working immediately and has worked beautiful. I have been on Glipizide since the transplant (5mg twice daily) to control blood sugar. I was not diabetic before the transplant and feel like if I loose weight, I could control it with diet. I weigh 165 lbs now and would like to be back to 140 lbs. Can I do the ChatDoctor diet?
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"As a Urologist and kidney transplant surgeon, ill never advise a Chat Doctor diet. Your kidney graft is working well so far, then why not exercise regularly and reduce diet intake daily. Chat Doctor diet isn't safe or effective and has side effects. It's not recommended by FDA, as Chat Doctor diet advises to take 600-800 call/day. The side effects of electrolyte imbalance, edema, depression,irritability, etc, are not advised for any patient. You've to be more careful than other people. If you've any doubt. You may send it as a direct question, to me. Chat Doctor. Mang"
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"I am Chat Doctor answering your query. The first management in place would be to go for complete gluten-free diet and there should not be any mistake once it is diagnosed as celiac disease. It was good that pancreatitis was excluded. If I were his doctor, apart from the measures already elaborated, I would advise him for a simple anti-spasmodic along with a proton pump inhibitor Chat Doctor. I would also involve a dietician to guide on the diet he should take. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery.",
"I am Chat Doctor answering your query. In my opinion, you should consult a nephrologist in your area, who after examining you clinically, might advise you some investigations like a complete blood count, ESR, kidney function test, blood sugar, and a urine routine and microscopic examination with a culture sensitivity test. He might also suggest you for an ultrasound of the kidney/ureter/bladder/prostate, and a CT scan of abdomen if need be. All further management would depend on the results of the clinical examination and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in planning your treatment. Thanks for using the Chat Doctor forum for your query on health. Wishing you an early recovery."
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Hello, My doctor advised me to apply Deriva BPO gel for two hours at night for treating some mild acne. However after using for one day, my entire face is covered with red bumpy rashes and is very itchy. What shall I do to reduce the rashes immediately?
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"The condition you have developed is called contact dermatitis due to use of Derive BPO gel. Nothing to worry. Avoid use of the gel for 1-2 weeks. Apply a mild steroid like disown cream twice a day. Apply a good moisturizer like Detail DAM twice a day. Avoid any harsh soap on face and use gentle cleanser like Detail cleansing lotion for routine face wash. Take antihistamines for itching as required."
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"I will be glad to be of assistance. It will be best to apply pimecrolimus cream twice a day on the affected areas. It will be effective. Most likely your son has a condition called atomic dermatitis, which causes the skin to get red, itchy and Chat Doctor. Oilatum bath and the albacore cream can also be continued. I am sorry but I can't recommend a dermatologist in Doha. Regards. Please let me know your queries",
"You are having rash on nape of neck and post auricular area. Which may be either allergic or irritant dermatitis, seborrhec dermatitis, localized psoriasis or Tina infection. Difficult to say. Apply moisturizing cream on lip twice a day. Apply steroid with antifungal cream on rash twice a day. Take antihistamines if you get itching. Avoid soap bath. Do alone shampoo to cleanse the scalp. Avoid sun exposure. You consult Chat Doctor."
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Hello doctor,I have started taking Aripiprazole 5 mg tablets, after which I started getting spontaneous rashes. My question is, is this effect worrisome (should I go to urgent care)?
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"Aripiprazole can induce skin rashes though it is not commonly reported. It will be safer to get yourself checked to rule out any systemic involvement, especially if you have any fever, pain, signs of the exfoliating rash. Are you on any other medication that can increase the chances of ChatDoctor. So you need to be examined. Depending on the nature and severity of the rashes, you will be advised either to stop or discontinue Aripiprazole. So consult your primary doctor at the earliest."
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"Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. If you just had this problem Acutely, it might be due to sore throat. If this is a chronic problem, this requires further investigations like:1. Absolute Eosinophil Count2. X-ray PNS W/Still then I would advise you to continue with Amoxicillin for 5 days and take Anti-Allergic Levocetrizine and to take steam and do warm saline gargles. This is my best advice for you, if you have any further query please ask me. Stay Healthy",
"What makes you think that you could be reacting to the oil? Any family history of similar complaints? Any family history of skin rashes or asthma. I think you might be having allergic rhinitis, probably due to something in the weather, dust, smoke, etc. I would suggest that you take a tablet of elect(levocetirizine) 5 mg once a day at night for 10 days starting from the onset of symptoms. This medicine might cause sedation. So, do not Chat Doctor."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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i drank a bunch of caffeine two days ago, and im under some stress. i woke up early wed morning with an irregular pulse/rapid pulse which has continued for a little over a day now. I took my resting blood pressure/pulse rate just now, and my blood pressure readout was 177/78 and my pulse was 89-94. I this continues should i go to the hospital, or should i go ahead an make a trip? i dont have insurance.
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"Is your heart rhythm regular or irregular? Your symptoms seem to be related to caffeine intake. I would recommend having some rest, lying down and taking deep breath for a couple of hours. You should avoid physical activity which can cause further raise in blood pressure and heart rate. If blood pressure values do not improve in the next hours, it would be necessary going to the ER."
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"I can understand your concern. Yes, you should definitely go to hospital and consult doctor. By your history and description, possibility of either heart disease or lung disease is more. So better to get done ECG and 2d echo to rule out heart diseases. Get done respiratory system examination and PFT (Pulmonary Function Test) to rule out lung disease. If all the above-mentioned reports are normal than sometimes stress and tension can cause similar symptoms. So if you are having stress or tension than avoid it and be relaxed and calm. Don't worry, you will be alright but first consult doctor and rule out cardiac and Pulmonary causes.",
"I urge you to seek medical attention right away. This could be an ongoing heart attack or a stage which may lead to it. Your symptoms are indicative of cardiovascular compromise and needs evaluation. Caught early, treatment can prevent heart muscle damage and related complications. -any family history of heart disease, diabetes, hypertension, sudden death, arrhythmia (heart rhythm disturbances)? -do you smoke or consume alcohol? I recommend :-if symptoms persist or worsen, go to the ER right away. Do not Chat Doctor. Take someone along. -a physician consult. -an electrocardiogram, echocardiogram. -blood tests (complete blood count, lipid profile, Thyroid panel, blood glucose levels, cardiac enzymes to check for heart muscle damage, kidney and liver function tests) -it may just be gas, but it is vital to rule out heart pathology. (even if you have no prior illness)."
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Hey my 3 year old daughter had a submoucs cleft palate repair four weeks ago an since has had a large lump in in her right cheek brought her to gp he don t know what it is and.has referred me back to kids hospital appointment could take months and ideas??
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"Very Good NOON from India. Thanks for your query. I understand your concerns. I studied your query in depth. -I would advise you not to worry still. In my opinion your granddaughters cheek lump-is -mostly a -post-surgical organising-hematoma-of the cheek and would take another may be 2-4 was to resolve. -Treatment-Would be to Consult a Plastic Repair Surgeon with ER Pediatrician as a team would help its management. -Syr-NSAIDs,-Syr-Antibiotic for 5 days time. -Syr-Serropeptidase-Proper liquid feeds supplements by Tube feeding. -This would resolve this cheek lump to recover fast. -"
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"You could talk to that girls parents whether they consulted any doctor to assess their case. You must get an answer from them. But, in any case, it is already 4 days. You should consult a child specialist to examine and diagnose the case. Please do not delay. 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.",
"The blood cells accumulated are eventually broken down and absorbed in the body. But this is a slow process & takes times to disappear completely. Till that time, symptomatic relief is obtained by analgesics preparations (like paracetamol), ice compression & adequate rest. Since, almost 02 weeks have elapsed since the injury and there is no decrease in size of the lump, it will be better to consult his Doctor. Under such circumstances, a proper clinical+ radiological evaluation will be needed to rule out any pathological cause for symptoms. Till then, maintain adequate HY Chat Doctor. There is no need to worry, your son will be fine. Wishing him a good health. 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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Hello . . . my husband just had a 3D CT Myelogram this morning due to continued pain in back, numbness & tingling in billateral legs. Written report states in conclusion, that there is a small ventral extradural defect at L2-3 with apparent nerve root cut off at the right. His followup appt is not until Oct 29th for results, so I am trying to find out what that means, prior to appt., so that we may talk intelligently with his surgeon and know what to expect, what it means and what we can expect may be done about it. His fusion at L4 & 5 was done Aprill 11th,2014 and had 3 consecutive surgeries within 5 weeks as he developed a hospital acqired infection, as well as 8 weeks of IV ABX. He has not had any relief of pain since the initial surgery.Could I get an answer on what that means, what to expect and what can be done about what the Myelogram conclusion stated?
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"As he has already undergone the spinal fusion at L4-L5 levels, and recurrent surgeries of the back it appears that the lumbar disc are not in good shape. Also, the MRI indicates the nerve root injury and needs a thorough examination. Besides, post surgery if he is not relieved of pain than the surgery couldn't help him due to muscle weakness which keeps on leading to nerve root compression. Also, to Control the symptoms of numbness, tingling and pain you can arrange a meeting with a physical therapist and undergo Therapeutic ultrasound therapy and TENS therapy for pain relief. Besides, exercises will help but before undergoing any exercises the surgical neurological assessment is advised. As the pain is chronic in nature instant recovery cannot be expected as well. Kindly keep the patience and meet up the surgeon to discuss further. In my clinical practice, such cases with spinal surgeries respond well to physical therapy. And slow, steady recovery is achieved. RegardsJay In"
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"Your MRI says L5 S l disc protrusion causes which leads to compression of exiting nerve root which later on supply left lower limb [leg]. Due to compression of this nerve root there may be tingling numbness in your leg and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root, so surgical decompression is permanent solution if not relieved conservatively.",
"If there is tingling and numbness in your legs, and it definitely means there is a compression in your nerves at your back by displaced disc. You might need surgical intervention, so please get your MRI done as soon as possible."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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A brain MRI finding is in part: The ventricles, cisterns, and other CSF containing spaces are diffusely prominent secondary to parenchymal volume loss. This is stable. There are confluent periventricular and patchy subcortical foci of increased signal on T2/FLAIR sequences consistent with gliosis secondary to chronic small vessel ischemic disease. These are stable. 1. What does this mean? 2. I am 85 years old, and about three months ago experienced an acute brain allergic reaction to a medication I was given. At that time, for about three weeks, I was confused and felt demented. Since then, I have largely recovered but feel some mild persisting reduction in intellectual functioning. My wife and I are considering moving from our present large single-family home to a senior-living community. Should we, considering the MRI findings, give preference to facilities equipped to deal with mental decline? If so, how much?
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"The MRI scan brain is as explained below. Brain shows changes due to aging and this has been written are prominent ventricles and cisterns and also reduce brain volume. This is not a serious condition and is an expected finding in the elderly. Confluent periventricular T2 and FLAIR increased signal intensities is due to partial effects of decreased blood flow through the small arteries in the brain. This is nothing serious and can be seen in many people. This happens earlier in those having diabetes and hypertension. The acute brain allergic reaction is not responsible for all your finding in the brain. There is no requirement to seek additional facilities to deal with mental decline if you have made a near complete recovery from the confused and demented state you have had previously. Since you are 85 years old, a little amount of brain volume loss and ischemic small vessel changes are in line and not a big concern if thinking of moving to a community facility for elderly"
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"I have been through your question and understand your concern. Microvascular white matter disease is a normal feature found on most of the MRIs after a certain age. There is no treatment to this condition and is not really a stroke or ministroke. These are just perfusion changes in the level of arterioles, not arteries, which are thought to be related to hypertension. You should not be worried. This is a normal MRI.",
"The short answer is that brain atrophy does not end up in coma. Brain atrophy is a finding on a CT scan or MRI of the brain - it is a radiological finding and not a clinical diagnosis. Brain atrophy on a scan may suggest that a patient is having cognitive deficit or dementia. When you say that \"the neurologist has determined that the disease has progressed at a rapid pace\" you probably mean that the neurologist has diagnosed your mother with dementia and is referring to dementia as progressing rapidly. Dementia does not end up in coma, but in \"end stage dementia\" - the worst case which you are asking about - patients brains deteriorate so badly that patients do loose all contact with the outside world and their condition may be compared to patients in a real coma. I hope you find my answer helpful. Regards and all the best while you care for your mothe"
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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 Dr.Andrew, I received a root canal today on my lower right side tooth. I am in extreme pain and very swollen. Is this normal? I am taking pain pills and ibuprofen and they only seem to reduce minimal pain for only two hours. I am also taking an antibiotic. I have never experienced this type of pain before with a root canal. Should I ice or heat the knot on my jaw or what would you recommend
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"Thanks for sharing your concern. Pain post root canal treatment is normal. But extreme pain is not expected. It requires revisit to your dentist. There could be one or more unexplored canal, this could be one of the causes. Please continue with your antibiotics but at the same time visit your dentist for an x-ray or RVG. Also do warm saline rinses thrice daily. You can apply ice externally on the affected area, but please avoid heat. Heat can aggravate the symptoms. This should help. Thanks. 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",
"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint if you have tooth infection that has lead to swelling of the gums and is already advised for root canal treatment is indicative of pus formation below the root tips of the tooth leading to formation of a Dental Abscess. In this case taking only medications will not relieve you permanently and in case if temporarily the swelling and pain subsides also there will be recurrence as the effect of medications will cease off. Therefore, root canal treatment is must and also if treatment is not done the decay will keep progressing and damage the tooth and if not taken care you can even lose your tooth. As of now you can take antibiotics like Amoxicillin and anti-inflammatory painkiller like Ibuprofen by consulting a local physician or dentist. You should do warm saline gargles. Avoid chewing from the side where tooth is present."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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Hello doctor,I am a 21 year old male. This is the fourth time I am changing my spectacles. But this time, the spectacles are hurting my ears and my right eye. And I also have a headache. What do I do?
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"From the history, it seems that you are having a refractive error with frequent change of spectacles. The probable cause for your headache is the change in the refractive error. I advise you to undergo refraction testing and change your spectacles according to the refractive power required. Since you are have been frequently changing your spectacles you need to go for retinoscopy under cycloplegia by using dilating eye ChatDoctor."
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"The temporal headache associated with abnormal sensation in ears is most likely due to an ear infection which seems to have complicated by population of pus. It can be due to other reasons like migraine or temporal arthritis as well. So I would recommend you to go for a proper ENT examination along with neurological assessment to come to a definitive diagnosis and management accordingly. For the pain relief you may give him Diclofenac, Ibuprofen or Acetaminophen.",
"I understand your problem. As you say you have radiating ear pain along with pressure around the ear and vertigo and tinnitus. There can be many reasons to this. Have you got any checkup done? If not I feel right away you will need the following investigations: Based on the results of these two investigations, I can further guide you as to need for any more tests or treatment. Meanwhile, I will suggest you the following medicines: If symptoms does not resolve; you may need a neurologist\\s opinion as well. However, as of now get the above tests done. Revert back after the tests to an ENT otolaryngologist online"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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in 2011 i suffered from panic disorder and my doctor prescribed cipralix 10 mg daily.i took this medicine for a year and half.afterward dose was gradually reduced till i stop taking it.now some times i feel panic and also i have sleeping problem.if i sleep i have lot of fearful dreams.may be i am not recovered completely.my doctor prescribed another medicine i have not taken yet please advise
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"I appreciate your effort to seek online support. Circle contains Escitalopram which is an SSRI. There are various other SSRIs available, and they are quite effective in panic disorder. But you have to take the medication for long time (maybe 2-5 years) as you are experiencing the symptoms again. You may start with Paroxetine CR 12. 5 mg or sertraline 25 mg. For sleep problems, you can have sedatives like clonazepam, lorazepam, alprazolam etc. Consult a psychiatrist for detailed evaluation and treatmen"
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"You have a lot of problems but only your determination will help in fast recovery. You are taking medicines for depression, and you have not mentioned them but on medicines you are having crying spells, poor sleep etc. So I would like to advise you to visit your psychiatrist again regarding dose adjustments. Depression is a recurring episodic illness and long term treatment is advised in cases of depression. Medicines like Benzodiazepines as Clonazepam will help to relieve anxiety and stress. Short term use of medicines like Collided will help to induce sleep for some time. You have continuous stress from your husband, I will advise you to talk with him regarding your problem. Or at least make him agree to go to Psychiatrist along with you. A proper counseling will help both of you",
"SSRIs especially fluoxetine(Prozac) is the treatment of choice for long-term management of Panic disorder. You should consult a psychiatrist on your problem. Acutely when the panic attack sets in, you should breathe deeply and a benzodiazepine can relieve the attack. Thanks for asking question on Chat Doctor. I hope this information helps"
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Hello, I have a white patch just inside my mouth. I went to see a doctor and he thinks it is probably a fibroma that is probably benign. But I just read where the fibromas in the mouth are usually pink in color and they are usually firm. Mine is white in color and is not soft and really firm. I also just read that HIV and AIDS are possible diagnoses and that concerned me. I am making an appointment tomorrow to see a dentist, but I am just trying to do some research in the meantime.
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"I understand your concern. If I am your doctor I suggest you that fibrous in mouth are pink. The most common cause of white patch oral mucosa is Candida infection. You can go for simple Grams Staining from the lesion if it shoes Gram positive yeast cells it is candida otherwise you have to rule out other condition. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you"
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"Yes, a dentist would be most appropriate for the diagnosis of the white patch. Any times a Biopsy can be done to rule out the exact cause of the white patch. If it is due to Leukoplakia, then it can be treated with antibiotics and antioxidants like Lycopene. Also, the cause can be white patch can be ruled out like sharp cusps of teeth, tongue bite etcetera and eliminated.",
"do you have any other signs or symptoms that comes along with it? It could be a cystic formation or any of the other benign lesions such as fibrous or lipoma. Infective causes must also be ruled-out. A consult with a doctor, preferably a urologist is best, for physical examination and clinical evaluation. Diagnostics and management (medical and/or surgical) will be directed accordingly."
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I am using zyclin nano gel every morning and retino A during evening for 3 hrs for controlling acne as prescribed by my doctor. I dont see much improvements in my face rather acne continues to rise in unaffected areas. Also red patches are developed and im worried if they would ever disaapear. Can you please help me with this.
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"ne thing stop the medication for a while and use a mild moisturizer like detail moisturizing lotion to soothe your skin. Once the red patches have disappeared, start with oral tab azithromycin 500 mg or tab Roxy 100 mg. Continue using cycling in morning and use Darlene gel instead of retina an at night. Keep your face clean with detail cleansing lotion. This will surely work for you. Take Care"
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"It should be properly treated under the guidance of a dermatologist to avoid permanent scarring. The treatment options include oral antibiotics and topical creams like benzoyl peroxide and retinoids. Wash your face regularly with a gentle cleanser or a medicated cleanser containing salicylic acid. Take plenty of fruits and fresh salads and lots of water. One of the good remedy to keep pimples at bay is using a retinoid or Darlene gel at night. These gels cause slight Chat Doctor. Besides, these creams are very good routine skin care creams",
"In some it is very mild and bearable, in others it is bothersome. Since u have burning throughout the day, stop them. Apply calamine lotion mixed with an acne free moisturizer thrice a day. U can even use a mild steroid cream twice for 3-4 days after contacting your doctor . you can continue using unstop 19. your skin will be normal in 3-4 days. Then u can restart the other prescribed creams one at a time and start with 2 hours for 2 days if no redness, then increase for longer time"
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Hello1.- I had my gallbladder removed a few years ago (DOB 6-15-1970). Ive been told my body does not process fats as effectively as it once did so I try to not eat to many fatty foods, but I know that certain fats are necessary and beneficial (fish, olive, nuts for example). Should I limit those as well?2.- I also notice if I eat cheese or a steak (its a treat I may have a few times a week), I get little pouches above my eye, but below my eyebrow the following day. I was told it could be fatty deposits and a sign my body is having a hard time processing the fat. Is that true?Ana
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"You should limit intake of food that is not getting digested. It includes fatty food, oils, complex proteins (in beans), etc. Fish oils have side effects. The white pouches usually develop due to fatty deposits. Decreasing high calorie foods like milk products (cheese, butter, ghee, ice-creams, etc. ), non-vegetarian food are best avoided. Regular exercise at least 20 min a day is a must. Get your blood tested for lipid profile."
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"I am Chat Doctor and I will try to help you as much as I can with my answer. I suggest low fat diet, Sylimarine, avoid alcohol and carbonated Chat Doctor. Gallblaimay have been cause of it and in this case it should improve within a month. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good heal",
"nk you for posting query at Chat Doctor. I thoroughly read your query and understood your concerns. Gallstones are small stones that form inside the gallbladder. Gallstones pain (Biliary colic) usually is experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides. 1. Biliary colic -\"The pain without cholecystitis- gallbladder infection/inflammation\" - usually subsides within few hours to a day. Acute cholecystitis secondary to gallstones may be continuous and accompanied by fever. 2. Medical therapy is an option for gallstones, though a vast number of surgeons around the globe prefer removal of gall bladder-surgical intervention. Medical therapy includes intake of ursodeoxyholic acid (UCA) for a period of 12 to 24 months. UCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller (weight reduction and low-fat diet is also a part of medical therapy. 3. Surgery lasts for less than one hour (usually half an hour). Laparoscopic surgery has greatly reduced surgery time duration and surgical complications. You may travel 7 to 10 days after surgery, though the surgeon may indicate precise time. I would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. You maybe asked to cut fat completely from your diet (or keep to minimum) after gall bladder surgery."
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I am an 11 year hemodialysis patient treated with Sensipar and Hectorol, My doctor took me off of long term, 7 years, 90 mg. Sensipar, b/c my iPTH was 142. This is the second time he has done this for low PTH and I am really feeling horrid with chest and join pain, inability to breath and sore mouth and gums, nausea, constipation, and much brain fog. My lungs also feel like they are on fire, and I m virtually sleeping 18 hours a day. I can barely stay awake, even to the point of I feel like I m passing out. All these symptoms came about after the discontinuance of Sensipar. Are all these symptoms related to Sensipar discontinuance? I get my lab work tomorrow, but highly suspect extremely elevated phosphorous and calcium. I have with few exceptions maintained these at normal levels. Did abrupt cessation of the Sensipar cause this? Should I just lower the dose? I have no doctor or dietician available for a week.
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"As a Urologist, I can understand your concern. You should know that, both Senior and Hector, are being given, to control the hyperparathyroidism, usually seen in people on dialysis. You should be considering a kidney transplant, which is the best option. Check He, creatinine,sodium, potassium,calcium phosphorus and uric acid. Your symptoms are likely, due to high creatinine, with elevated calcium. Ensure your salt, protein and fluids are strictly as advised. Don't change any medication on your own. You can contact me, with a direct question. Chat Doctor. Mang"
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"Heavy breathing might be a symptom of your general health and not specific to your kidney. It is appropriate if you can get examined by a general physician and get routine blood tests done. Anemia due to low hemoglobin counts s the commonest cause for sudden tiredness after short period of mild exertion. If you are past your middle age then getting your heat checked is also important. Abnormal thyroid hormones also cause sudden heavy breathing after exertion. The fact that it passes quickly indicates that the condition should you have any is in its mildest form and treatable with medication. Please do not worry",
"Just saw your letter that you been having a difficulty breathing and you are concerned about pneumonia. I would like to get some more information in terms of fever, difficulty breathing, bringing up sputum. Is it yellow color or white color. If you are having all the symptoms you have to get chest X-ray and medications. We will have to take Paracetamol 650 mg three times a day, antibiotics Amoxicillin-Clavulanic acid 625 milligrams twice daily for five days and take a tablet Fexofenadine 120 milligram at night for five days. In addition, you can take tablet Pantocid 40 mg 30 minutes before food for five days. Despite all this medication, if you continue to have a fever and the symptoms are not better, seek medical attention from a nearby doctor."
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My mother had to have an anenima two weeks ago due to constipation the district nurses said to give her laxido every day and try to find the right dosage to keep her going example half a sachet a day. Mum is 91 and suffers quite a lot with constipation. Up until now mum has only taken it when needed which is quite often. Is it o.k for mum to take axido in small does every day. from Sue
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"Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. It's Ok for her to take laid for her constipation she can take what dose suits her, and she has to adjust the dose herself Like if full pack make her stools very watery make it a half or a quarter for that matter, Give her more fibrous food like oatmeal oatmeal or wheat oatmeal, replace simple milk bread with bran bread, Anemia in this age is not a rare finding. Discuss your doctor about supplementation if anemia can be controlled by it. Constipation has many complications so it's better that she doesn't have it for long. Yes !! it's ok for her to take it in small doses every day"
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"It is also used as an anti-allergic medicine. Dominate spy 5 mg per 5 ml should be given half teaspoon i. e. 2. 5 ml once daily in the morning. This dose is recommended for 2to6 years of age. Side effects like sleepiness, Chat Doctor. It is always recommended to take medicine under Pediatrician guidance. If cough persists or there is fever then consult a Pediatrician",
"In case her sugars are in control, there is no harm in giving her a little rice. I would recommend you buy a glucometer for her so that you can monitor her sugars at all times. Meet your local doctor, so that he can advise you on how to manage the dosages at the different sugar levels. This would come in handy during fasting as well. Because, in the case when your mother is not eating anything, not even water, that means she will not be able to take her medicines as well. So, you would have to check her sugars during that period and analyze if she can take her medications or not. You would have to understand; she would not be able to eat high-calorie food like the others when you break your fast. However, you can try and reverse her daily cycle in those days, and she can eat her dinner and breakfast and take her medicines accordingly to her sugar levels."
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Doing IVF had a 6 day blastocyst transfer on a Wednesday, following Monday had brown spotting, followed by light pinkish blood all day on the Tuesday. Woke Wednesday morning to what seemed to resemble heavy bleed , after wiping away the excess back to very light bleed. Could I still have a chance of being pregnant??? On cyclogest 400mg 1 at night & 1 in the morning, had loads of symptoms, bloating , cramping, vivid dreams, wooziness/ dizziness but all these could be associated with the cyclogest and I m on tablets for high blood pressure which could have resulted in the wooziness/dizziness. Blood pressure was closely monitored during IVF
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"It is common o have some amount of spotting / bleeding after embryo / blastocyst transfer. You must be taking medications for the IVF luteal phase support, hence the other symptoms are non-specific. You must monitor your blood pressure as that could cause dizziness, as well as the medications for dizziness. As for the chances of your pregnancy, your infertility consultant could tell you how well your IVF cycle went. Also, the type of bleeding that you described does not rule out your chances of conception after blastocyst transfer. You would know for sure only after your B-ChatDoctor levels are tested as recommended by your consultant, to know whether the IVF cycle was successful or not. Please do not worry or panic till you know the result for sure, as minor bleeding does not rule out chances of pregnancy"
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"So, if you had a positive pregnancy test and did the test correctly, you should be pregnant. However, if there is no gestational sac visible on the ultrasound there are a few possibilities of what may be going on. First, the pregnancy may just be too small and early to see on an ultrasound. That can be normal if your period is only a week late. Secondly, the pregnancy may not be growing a fetus, which is a kind of miscarriage (called a \"chemical pregnancy\") that gives you a positive test without development of a fetus. Most people with this condition will eventually start bleeding and pass the pregnancy. The third possibility, which is the most concerning, is that your pregnancy is located outside your uterus. This is called an ectopic pregnancy. The most common site for an ectopic pregnancy is in the fallopian tube. The problem with a tubal pregnancy is that, as the fetus grows, the tube is not designed to expand, and it actually can burst, resulting in severe internal bleeding and even a risk of death for the mother. Because of this, it is extremely important that you be closely followed by a physician for the early part of your pregnancy. You first need a blood level of your pregnancy hormone taken and then repeated along with another ultrasound in a few days. The hormone level should double every 48 hours in a normal pregnancy, and furthermore, if the hormone level is high and there is no visible intrauterine pregnancy then it is very suspicious for a tubal pregnancy. Signs and symptoms of an ectopic pregnancy include spotting, abdominal pain (especially if it is only on one side), and sometimes right shoulder pain. Dizziness, shortness of breath and fast heartbeat may indicate internal bleeding. If you have any of these symptoms, you should go to an emergency room for evaluation or call an ambulance. So in summary-when you have a positive pregnancy test with an ultrasound that does not show an intrauterine pregnancy, you need to be ruled out for an ectopic pregnancy. A blood pregnancy hormone level (called a bChatDoctor) should be done first, and depending on the result your doctor will be able to determine what is going on with your pregnancy and determine the best course of action. I hope I was able to adequately answer your question today and that this information was helpful",
"Since she had sex at safe period that is 8th day and took unwanted 72 with in a day no chances of pregnancy and because of pills her periods has postponed. If you suspect pregnancy to be the reason of delayed periods with the light periods being decimal bleeding, then get a thorough evaluation by your gynecologist with ultrasound scan and blood tests to confirm/rule out pregnancy No need to worry now but get one UPT done. Consult your doctor for examination and management."
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I have a pretty bad allergy to cats and dogs and I also have asthma attacks triggerd by this. I am going over to a friends house today and she owns both a cat and two dogs. What over the counter medications can I take to prevent an allergy/asthma attack?
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"If you must go, you should go armed with your asthma reliever puffer (albuterol, albuterol etc. ) - note that all puffers should be used through a spacer device or as a turbuhaler. It would also be a good idea to take an anti-histamine tablet. Loratadine usually does the trick and does not cause a lot of Chat Doctor. If you usually take a preventer puffer (containing steroids) I would double the dose of this for the couple of days before the visit. If despite the above the cats and dogs cause you to feel you really are having an asthma attack you should seek medical advice immediately"
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"I went through your history and would like to make suggestions for you as follows:1. I would suggest you allergy testing for common air-borne allergens like house dust mites, molds, pollen, insect proteins, pet dander (if you have pet). This will help you to identify substances causing allergies to you as well as t know the measures to avoid them. 2. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually improves allergy symptoms by working on immune system. 3. For symptom relief, I would suggest you montelukast + levocetirizine. 4. If you have symptoms like nose obstruction, snoring, headache, facial heaviness, etc. , I would think of long-standing rhinosinusitis, and you may require evaluation of nose & sinuses, intranasal corticosteroids, etc. 5. Regular steam inhalation will be helpful to you in a long run. 6. In general, please avoid exposure to dusts, smokes and air pollution as much as possible. 7. Regular breathing exercises like Yoga & Panama as well as diet rich in vitamins, minerals & antioxidants will also help you in a long run by improving your lung capacity and immunity gradually. Wish you the best of the health ahead. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you &",
"I went through your history and would like to make suggestions for you as follows:1. From your given details, I would agree that you could have allergies. 2. I would suggest you allergy testing for common air-borne allergens such as house dust mites, molds, regional pollen, insect proteins & animal dander (if you have a pet). This will help you identify the substances causing allergies to you as well as to know the measures to avoid them. 3. Based on allergy testing, an Allergist-Immunologist may also prescribe you allergen specific immunotherapy which improves immune system to gradually improve allergy symptoms over a long period. 4. In general, please avoid exposure to dusts, smokes and air pollution as much as possible. 5. For control of symptoms, I would agree with your doctor and will suggest you regular montelukast + levocetirizine (Montreal). 6. Common side effects of montelukast are stomach upset, nausea, headache, etc. and those of levocetirizine are sedation, Chat Doctor. If you are not experiencing any of these side effects, it is usually safe to take for long duration. 7. Regular steam inhalation will also help you in a long run. 8. Regular physical exercises including breathing exercises (Yoga-Pranayama) as well as nutritious diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively. 9. If stress is a significant factor in your life, I would also suggest you regular relaxation & meditation as stress can worsen allergies & asthma. 10"
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I am on MetforminER 500mg,Metoprolol 25mg,HCTZ 12.5mg,levothyroxine 50mcg,Lotril 5/10,Lipitor 10mg...all once a day. Also, I am on K Citrate 10meq every 12 hours AM & PM to prevent kidney stones. Question is when is the best times to take these meds? Right now the Lotril,Metformin and Metoprolol and HCTZ are taken in the AM. Different opinions say Lotril should be taken at bedtime Thanks
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"Still I would inform about ideal usage of the Chat Doctor. HCTZ- Ideally taken in morning, with a cup of tea. Metoprolol & Lot rel- both are pills for blood pressure-They can be taken either together or single BUT at fixed time, with or without food. Not to be skipped without doctors advice. Levothyroxine- Best taken on empty stomach half hour before food. Lipitor-With or without food at same time in a day Metformin- to be taken with food at fixed time. Thanks"
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"I figured your concern. It is normal condition, that after severe diseases you feel anxiety about your health. I wanted more details about your urinalysis and urine culture, you did not treat your kidneys properly, thats why you have relapse of disease. I suggest--Urine analysis and urine culture-Ultrasound of kidney-If you have infection in urine the best treatment is ceftriaxone 1,0 2 times a day intramuscular for 5 days, then pharaonic 1 tablet 3 times for 2 weeks, then cyst one 2 tablet 2 times for 1 month. If you have stones in kidneys you should take Stone 1 15ml with 1 glass of water daily for 14 days. -For prophylaxis of recurrent UTI you can use Nalidixic acid(Seagram)1 tablet 4 times for 7 days, Cyst one 2 tab 2 times for 1 month, ayurvedic medicines, other antiseptics. -For Bronchial Asthma take Allegra 1 tablet in bedtime for 10 days, Montelukast 1 tablet at night for 1 month-Absorbents(charcoal)3 tablets 2 times for absorption toxins and gases for 5 days-Visilac, Darolac 1 capsule 2 times for normal flora of intestine and increasing of immunity. -Exercises, swimming walking -Hypoallergenic diet, plenty of water every day. -Phototherapy(boiled water from flax seeds, peels of pomegranate, hair from corn etc) Take care! Recovery soon",
"If it is early stages, diet changes with medical management is preferable. But in advanced stages, we won't need dialysis. Metformin may be given in stage 1 or 2 of renal failure but with caution. In stage 3 or 4, it may be not preferable. Please consult with your nephrologist, he will examine and treat you accordingly. Take care."
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Hello. I have been trying to conceive for two years and this is my first cycle of Clomid. I was on 50 mg day 4-8 and went to the doctors on day 15 to receive my ChatDoctor injection. When he measured my follicles I had two on my left ovary. One at 22 mm and the other at 15mm. The doctor recommended me taking Mucinex to help with my cervical mucus. Should I continue taking this even after ovulation has occured? I believe since I received the trigger shot day 15 that I probably should have ovulated day 16. Does the trigger shot definately guarantee ovualtion if you have a mature follicle, and would it be very unlikey for both of those follicles to become fertilized?
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"Injection Chat Doctor helps in ovulation of mature follicle. In your case one follicle is 20 mm and other is 15 mm. With in Chat Doctor, 22 mm follicle will ovulate but 15 mm follicle may not ovulate as it is not mature. Continue the Murine till the expected next periods. Have intercourse in and around the time of ovulation to have maximum chance of pregnancy. If both ovulate at this time then chance of both getting fertilized is high."
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"In fact, certain low-dose combinations allow ovulation to continue while providing contraception. The oral contraceptive pills act by inhibiting ovulation, making the endometrial lining unfavorable for implantation and making the cervical mucus hostile for sperm entry. You can try for natural conception for a few months if you do not have any other constraints before you approach a doctor for help. Take care",
"I am Chat Doctor Badge consultant gynecologist and will be answering your queries. You have said in your heading that you will be just one day late but since you had sex on 1st and will be taking the shot 2 days later, it seems that the delay is more than a day. A difference of 1 or 2 days does not make much difference. You were protected on 1st as ovulation will occur only after the effect of the shot was over meaning after 28, and it usually does not occur on the first day. Still I recommend that you take the shot as soon as possible and use another backup method like condom from now up to seven days after taking the shot to ensure complete protection against pregnancy. Pregnancy can be ruled out by a urine test 3 weeks after the suspected unprotected sexual episode."
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Hi. My 4 year old daughter just received a root canal to one of her molars. Today is day 3 and her jaw where the procedure was done is swollen and very visible. What could be the cause and how can we treat this? Will this be permanent or will it go away?
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"Secondly, it can be due to RCT procedure is not done properly, the root canal filling material is either short in they canal or flown out of the canal. Ask your child not to eat or chew from that side, till its corrected. Give the child lukewarm saline mouth rinse 3-4 times/daily. Give the child soft diet. Don't give hot compression from outside. Don't let the child sleep from the side where is swelling. If the child has unbearable pain, give a painkiller tablet. Swelling is temporary it will go away, not to worry"
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"The infection in the tooth has gone worse due to its spread to the underlying tissues that have lead to formation of lump like growth or a pus pocket. The symptoms of pain and swelling needs to be subsided by a course of antibiotic and analgesics before starting treatment. The infected tooth can be treated by root canal procedure to devitalize it permanently and save the tooth or of the prognosis is poor the tooth can be extracted. Get an x-ray done the affected area and approach a dentist for the treatment. Meantime you can start with antibiotic augmenting 625 mg with analgesics two times daily, this helps in subsiding the swelling and pain. I hope this helps, take care",
"The swelling in the gums could be because of the infection in the root tip. If the tooth is non-vital then it has to be treated with root canal treatment. The procedure is not painful. Consult a good endodontist and get it done. meanwhile take a course of antibiotics like penicillin and metronidazole if you are not allergic. I hope my answer will help you"
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Hi Doctor, i am 55 years old and am a diabetic. For about a month, I began to experience sever back pain . No medication helped me have relief . I got MRI scanning done two days ago and the report says that there is annular disc bulge. Is surgery necessary for this? Or can I have go for homeopathy treatment? Please advise me. thank you very much in advance
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"M, there is no need to go for surgical procedure for that. Homeopathy is fully capable of treating the condition 100%. Just consult a good homeopathic doctor near your area and talk to him regarding the condition. There is one more important thing that Homeopathy will take care of this disc bulge as well as your D. M in proper manner. Homeopathy is one of the best treatments for lumbago, cervical spondylosis, lumbar spondylitis, disc prolapse, bulge and many other conditions associated with back as it treats the person as a whole. With the proper medication you should take care of certain things like regular exercise esp to strengthen your back, posture of walking and sitting, better chair etc. So, it's better to consult a good classical homeopathic consultant in your locality. You'll be fine soon. . ."
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"I will advise you to do MRI spine and CT scan spine. There may be aggravation of deformity, If there is any neurological involvement then you may need surgical correction. For symptoms analgesic and neurotrophic medication can be started. You can consult neurologist and spine and physiotherapist for Hemphill time, avoid lifting weights, Sit with support to back. Continue your exercises. You can consult physiotherapist for help. For symptoms analgesic and neurotrophic medication can be started.",
"With due respect to your treating doctor please find the response as follows management of disc problem whether medical or surgical depends upon the clinical and investigations findings. It should never be based upon the MRI findings. If a patient has pain and neurological deficit (documented by a neurologist) and pain has not responded to medical management and MRI shows problem with clinical correlation, then surgery is the best option. However, if a patient has pain alone and there are no other neurological deficits, initial treatment should always be conservative with medicines and physiotherapy. Persistent pain despite treatment is another indications for surgery. You can discuss this with your doctor or get re-evaluated initially by a neurologist."
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Hello DoctorThis is Ratnesh and i am 72 yrs old. From last three month i was cough so i consulted doctor who adviced me various test. i gone through them and final report says that something is blocking in chest(cavity or may be blood clot). i am having severe pain in my stomach particulary at night. Doctor gave me drotin-m and nutrofid,symnase. But i am having same problem. I dont know where to consult now.
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"I can understand your concern. In my opinion, you should consult pulmonologist (lung specialist) for this report. There are many causes for blocking in the chest. This can be due to nodule, Mass, infiltration, consolidation, cyst, blood clots etc. So you will need CT thorax and bronchoscopy to confirm the diagnosis. And for this, you need to consult pulmonologist. Don't worry, you will be alright. Consult pulmonologist and discuss all these."
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". . Welcome to Chat Doctor . I have gone through your query and can understand your concerns. . . As per your complaint burning sensation in chest which was preceded with stomach ache seems to be due to hyperacidity leading to acid reflux in which acid from the stomach refluxes back to food pipe and throat leading to burning sensation in chest. You need to consult a Gastroenterologist and get evaluated and he/she can also advise you to get endoscopy done and if acid reflux is confirmed you can be advised to take antacids like milk of magnesia or calcium carbonate, proton pump inhibitors like Omeprazole or Omeprazole, taking small frequent meals, doing moderate exercises, Chat Doctor. .",
"I can understand your concern. You are having breathlessness in night (supine position). This is known as orthopnea. And it is characteristic feature of congestive heart failure (CHF). You are also having two blocked coronary arteries. So possibility of CHF is high in your case. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test (trade mill test) 5. Repeat coronary angiography (if required). You will need diuretics and other cardiac supportive Chat Doctor. So don't wait at home, consult cardiologist and discuss all these."
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My husband is on peritoneal dialysis and he has most of the symptoms for dehydration, has no muscles, he is just skin and bones. But dialysis doctors apparently do not believe there is such a thing as dehydration in a person doing dialysis. He recently went through and still is going through a long bout with diarehea. It has lasted over a five weeks, but the dialysis dr. isn t concerned about it, and the primary care dr. refers him back to the dialysis dr. He is 5/8 and is down to 130 lbs. which the dialysis drs. say is a good dry weight for him... He is slipping away and no one cares. What do I do? Even the ER bows down to the dialysis drs...
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"As a Urologist, I can fully understand your concern. Your husband has got CKD(chronic kidney disease), for which, he's was on PD(peritoneal dialysis), after an initial HD(hemodialysis). What you should know is that, with kidney failure, the bones do become weak, and protein loss occurs in urine(proteinuria), causing muscle weakness. PD does cause frequency of stools and deny Chat Doctor. His electrolytes will need to checked, with urea and creatinine. You may send a copy of his reports to me, for an expert opinion"
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"If you don't have problem with eating food with no nausea, no severe swelling of the body, no weakness, then you can postpone hemodialysis for now. You may require renal replacement therapy (RRT)In the future . . . but when it is difficult to predict. You have three modes of RRT at present hemodialysis, peritoneal Dialysis and kidney transplantation. You can choose either of them based on your feasibility . Renal transplantation is the best form of RRT provided you have a donor. I would suggest you to get an AV fistula operation done at the earliest so that you can avoid Dialysis catheter insertion once Dialysis is initiated. For now, you need to keep few things under control such as Restrict fluid intake to 1 liter per day, restrict salt, non veg food, avoid food rich in potassium i. e. fruits, juices coconut water, keep your BP under control, keep your sugars under control, avoid painkillers. Please get monthly creatinine, electrolytes tested and review with your physician .",
"POST HEMODIALYSIS A FALL IN BP IS A COMMON PHENOMENON AS DURING HEMODIALYSIS THEY REMOVE THE FLUID FROM YOUR BODY (ULTRA FILTRATE) THIS REDUCES THE VOLUME IN YOUR VESSEL AND YOUR BP REDUCES CAN TALK TO YOUR NEPHROLOGIST ABOUT THE AMOUNT OF FLUID REMOVED AND FALL OF BP. BUT YOU NEED NOT WORRY AS USUALLY THE NEPHROLOGIST TRUES TO KEEP BP AT A RANGE WHERE ITS NORMAL POST DIALYSIS AS WELLREGARDING BLOOD STAIN. I WOULD LIKE TO KNOW IF BLOOD Chat Doctor. . YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"
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A few years ago I had a operation to take all four of my wisdom teeth out, they all heeled perfectly however the second back tooth on the bottom right of my gum grew out of alignment and pushed more against my gum and cheek. Not only that I had a lot of the gum over the tooth and pushing against it. Now I have a small cut or hole I between my tooth and where my cheek is, it is difficult for my to brush.
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"As you are mentioning that your tooth is pushing your gums and teeth it looks that this tooth is causing continuous trauma to the cheek because of which now a cut means a traumatic ulcer has been formed in that area which is painful. So now first you should start with symptomatic relief like topical application of an anesthetic gel like McCoppin on the ulcer. After that you should visit your dentist to get the rounding of the cusps of the tooth which is causing trouble or if needed removal of the tooth. Thank you"
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"Thanks for the query. It looks like you have traumatic ulcers due to rubbing of the wisdom teeth. Many a time the wisdom teeth are buccal erupted that is towards the cheek, and it causes biting of the cheek unintentionally causing painful ulcers. So my suggestion is to consult a Dentist and get evaluated and if the wisdom teeth are causing ulcers then he can smoothen the cusps of the wisdom teeth and if they still cause cheek bite then extraction of the wisdom teeth can help in permanent resolution. If the problem is due to grinding of teeth then wearing mouth guards can help.",
"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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Hi doctor,I heard that in nephrotic syndrome the filtering unit of kidney becomes larger and so protein comes in urine. I am a patient of cortisone dependent nephrotic syndrome over 15 years. Doctor says that about 95 percent of children will get cured at the age of 18. I am 17 years old now. When a child grows, does the filtering unit become smaller? And what happens to the remaining 5 percent? I have anemia, but otherwise normal. Only albumin comes in urine. I also heard that kidney biopsy is done for nephrotic syndrome. But no doctor advised me for biopsy. Do I have minimal change disease?
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"Yes, you have heard the things right. Due to increased pore there is protein in urine. The best treatment remains the Cortisone. In cases where there is no response to Cortisone as evidenced by persistence of albumin in urine, we need to shift those patients on Cyclophosphamide and Azathioprine. Renal biopsy can be performed but since you are on steroids the reports may be altered. You need to get C3 (complement component 3), C4 (complement component 4), ANA (antinuclear antibody), ANCA (antineutrophil cytoplasmic antibody) and urine protein to creatinine ratio."
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"Your younger brother who is just 19 years old has been diagnosed to have IGA Nephropathy with his serum creatinine being 5. 9 IGA Nephropathy is a progressive disease that progresses very fast and 10 years survival rate is reported to be less than 60 %. And more over results of the medical treatment are not encouraging. In view of his age being just 19 years I would suggest you to get Renal Transplant done.",
"There are many reasons of this condition, stating from entirely a normal phenomenon for someone with very small amount to a fairly advanced kidney disease in cases of huge protein loss. In case of post transplant patient, rejection (although it has been 6 years) to different kinds of glomerulonephritis can be the causative agents. I think biopsy is the way to go to see what exactly is the problem so that it can be fixed accordingly. THANKS and best of luck"
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i have 2 lumps on one leg and one on the other ... all of them are on the outside of the muscle, they are soft and tender when touched. I recently fell and buised the area where one lump is. it hurtswith my heart beat now and it has been 5 days the skin is almost healed there was never even a purple bruise on my skin ... but it hurt worse than any bruise or scrape I ve ever had. what are theese lumps are they dangerous to my health? P.S. I remember my mom having the lumps on her legs too..
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"I studied your query in details and understood your concerns. @My impression of your swollen leg lumps-is as follows-- Bruise with Deep-Abscess formation-with throbbing-Cellulitis. I would advise -a-Consult ER Surgeon. This would resolve your lump issue in leg. I would suggest consulting ER surgeon and test blood forces / PPS -levels. This would help you to plan treatment with your doctor. @"
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"Scarlet fever does not cause any lumps anywhere in the body. From your description, the swelling behind his knee seems to be a Bakers cyst, which is a benign swelling that you do not have to worry about (even I have one behind my right knee). Unless it causes severe pain or difficulty walking, it does not require evaluation by an orthopedic. Contact one if he develops either of those.",
"I understood your concerns about the painful lump in thump-post trauma. The lump described by you is -Hematoma and is caused by the bleeding vessels post-trauma, collecting beneath the skin -causing the lump. -I would take atleast-2-3 was to go down if treated property from your doctor."
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Hi doctor,I and my hubby have been ttc for a year.so we had an appointment with the gynae who adviced my hubbto go for semen analysis .based on the results of d test,my husby has low sperm motily.and so he was referred to a Urologist who confirmed that he has varicocele .and only a surgery wud correct it.I want to kno if after cthe surgery?I would get pregnant for sure??
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"But you have not posted semen analysis report in details I would like to state that varicocele can not because of low sperm motility. As regards improvement in sperm motility after varicocele surgery one can not assure you to improve sperm motility after surgery. There are 30 % chances of improvement in sperm count. Hence, it is very difficult to predict that you will conceive after surgery. Please consult qualified Infertility specialist for further guidance and explore possibility of pregnancy with the help of new assisted reproductive techniques like IVF or CSI."
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"I have gone through your question. As your semen analysis has normal morphology, less than normal motility. And presence of pus cells 8_10 is little worrisome. I would advise doing ultrasound scan color Doppler to rule out varicocele and vascularity of testes. Take antibiotics after consulting urologist. And repeat test after 10 days.",
"Based on the report of your ultrasound scanning and color Doppler study of your scrotum and Semen analysis report that you have uploaded I would like to state that you have bilateral grade 2 Varicocele. However, your semen analysis report is absolutely within normal range as per WHO standards. Answers to your queries are detailed below . 1) You have grade 2 Varicocele 2) Surgery for Varicocele is advised only in a situation when person is infertile and have Varicocele which is presumed to be a cause for infertility. You do not need surgery now 3)Yes you can practice sport of your choice 4)Avoid the exercise that will increase intro abdominal pressure like Weight lifting, pull-ups etc."
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My baby girl is of 5months old. at present mother milk is not getting enough to fill her stomach. Plz help what type of milk powder can we give to my baby. Is it true till 6 months only mother milk is given to babies?. will their be any side effects if we give any milk powder.
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"mfort the child, mothers milk is breast, can be given till 12 to 18 months. If you feel there is shortage, formula milk can be started, there will be not side effect this. Initially, child find little unusual to accept that milk, but eventually they get adjusted to the formula milk. However, you kid is almost 5 months old, you can start extra supplements in form of grated apple, pulses soup water, mashed potato, millet oatmeal, fresh juice, grated almonds etc. All the items to be given through spoon in small quantities multiple times in a day. This is train your child to develop good eating habits from the family pot."
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"Your child is 6 month old and is passing stools 5 to 6 times per day, and the stool is watery. A 6-month child can pass stools 5 to 6 times per day or may pass stool once in a day, both these things are normal. But the stools should not be watery and should not bother the child. Since, your child has watery stools on taking formula milk, it seems that your child has probably some allergy to that formula milk. In my opinion, you should change the formula milk to some other brand, it will solve your problem. If after changing formula milk, the problem persists then we have to think of cow milk allergy and start the child on lactose free milk. I hope this will help you. Take care",
"Also, add new items to her diet (semi-solid) at an interval of 7-10 days (so that we can see whether she tolerates that particular item or not). Then we can avoid monotony, which most of the babies won't like. She is only 6 months and hence will be getting adequate breast milk also-so need not worry much about the quantity that she take-just give 3- 4 feeds a day, only up to her satisfaction. Forcing beyond this will cause gagging and vomiting."
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Hello doctor,I had two upper premolars removed during my ortho treatment and the front two teeth bent inward. The new doctor corrected it, but now the same thing is happening again. Why?
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"Removing upper premolars is a part of orthodontic treatment if space requirements make it mandatory. This is done to take back your forwardly placed front teeth. The doctor should maintain the inclinations of the front teeth while taking them back. Failure of which leads to the appearance of teeth being tilted inwards since it is corrected now nothing to worry. I hope the space closure went well for you. I hope that answers the query."
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"Welcome to Chat Doctor . I have gone through your query and can understand your concern. . . . As her your complaint it seems that you have a DISLOCATED JAW JOINT [TEMPOROMANDIBULAR JOINT DISLOCATION] leading to painful movement and bulging of the articulating portion of mandibular bone in front of the ear, and it can occur due to trauma, opening the mouth too wide for multiple reasons. You should consult an Oral Physician and get evaluated and get an ORTHOPANTOMOGRAM [OPG] done so that the exact status of the jaw joint can be evaluated and treatment can be planned. You can be referred to an ORAL SURGEON who can manually re-locate your jaw into the anatomical position but in case if it is not successful you may need a surgery for re-locating your jaw.",
"The misaligned teeth cannot be because of grinding your teeth. It can be corrected by taking orthodontic treatment(braces). If you have the habit of grinding your teeth during nighttime then you can use a soft splint. The splint will not correct the misalignment, but it prevents damages occurring on the jaw joint by providing cushioning effect. Consult an oral physician and take a radiograph like OPG to see the bone level and plan orthodontic treatmen"
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my son was diagnosed with larngopharengeal reflux , apparent mild. put on omez once day and zantac when needed. it ha been three weeks. he had a feeling of something stuck in his throat felt he cld remove it if he forced it out. mucous and acid and food wld be the result. just wondered does he need to see a gastrentorologist?what are the chances of him having cancer? a worried mother. thank u
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". . Laryngopharyngeal reflux is caused by the reflux of acid from stomach to esophagus and upper aero-digestive tract(throat & voice box) due to relaxation of the sphincter at the upper & lower part of esophagus. It can be associated with the sense of something stuck in the throat. Management consists of:1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods3. Medical management-Proton pump inhibitors like Omeprazole, Pantoprazole, etc. (which prevent acid formation in stomach)4. Surgical treatment-includes Fundoplication, done when medical measures fail. So. it will be better to consult a Gastroenterologist & start the treatment. There is no need to worry. . . your son will be fine. And please don't get so much concerned with the chances of him having a cancer. Wish him a good health & speedy recovery. Thanks & Take care"
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"I can understand your concern. By your history and description, possibility of acute gastritis is more. Pills often cause gastritis. And this causes acid reflux. So acid come up in the esophagus and cause central chest pain. You're belching, throat problem are also due to this reflux. So Chat Doctor. Take proton pump inhibitors (antacids). Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Don't worry, you will be alright in 1-2 days.",
"Yes, with these extensive testing, cancer is ruled out microscopically. You have gastritis, not much helped by current meds. Have you changed eating practices and checked if it works?your current medication is a good one for acid suppression. May add a gastrokinetic. If not helping, should consult a gastroenterologist for rare dyspeptic syn Chat Doctor. Take care and pl. keep me posted on your progress"
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5 year old daughter suddenly saying that she cant breath. my daughter said that she cannot breath. she also said that her chest is hurting. but, she started walking around and walking up and down tue stairs with no problem. she is adiment on going to the hospital. i am not sure if since it wasnt her turn to see the doctor last week if she just likes the idea of going to the hospital and if i should schedule her an appointment with her doctor or should i rush her to the er
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"I can understand your concern. Since she is walking around, walking up and down stairs without any symptoms, no need for emergency visit to the hospital or rush to her doctor. Sometimes simple viral infection can also cause chest pain and mild breathing difficulty. This kind of infection heal by itself in 4-5 days. So wait for 4-5 days. If she develops more intense chest pain, worsening breathlessness, coughing etc. then immediately consult her doctor. But at present, no need for emergency treatment."
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"I can understand your concern. Yes, you should definitely call emergency service. Sudden onset tachypnea (rapid breathing), fever and chills are commonly seen with pneumonia (lung infection). Your son will need antibiotics, chest x-ray, blood reports etc. So better to call emergency service and start treatment.",
". . . there are 2 issues in here - 1. A 4-year-old cannot say that complaint just like that to seek attention. 2. In an active and otherwise well normal 4-year-old kid, it is not a very serious complaint. My suggestions for you - 1. Unless the kid is having breathlessness or fast breathing or abdominal distension or swelling of feet and easy navigability you need not worry. 2. No need to panic but get your kid examined by a physician. 3. An innocuous simple issue like mitral valve prolapse can cause this sort of symptoms"
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I have a l4-l5 disc herniation. The pain is progressively getting worse. Most of the time I cant stand up straight, it feels like someone is constantly squeezing hard on my right testicle and I have a burning feeling down my right leg. I have been taking ultram with tylenol. My symptoms are not getting better. What should I do?
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"Your pain is most likely due to nerve compression or irritation caused by Intervertebral disc herniation. Tramadol (ultra) and Tylenol is only for pain relieving but won't be effective in most patients. For my patients I recommend NSAIDs like diclofenac muscle relaxants like thiocolchicoside and neurotrophic medications and send for physiotherapy and muscle strengthening exercises. Most of them will get improvement in that. If pain is worsening then a surgical option can be considered."
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". That could be sciatica due to nerve compression, as it may cause radiating throbbing neuropathic pain as mentioned in your give history, numbness and tingling may also be felt. For my patients I recommend painkillers (NSAIDs) like Tylenol 400 mg tabs when needed, gentle massaging with topical anti-inflammatory gels, muscle relaxants, B12 vitamin supplements, in more severe or chronic cases steroid tabs (vi codeine) or injections and anti-epileptics like gabapentin are prescribed if required. You may try to avoid heavy lifting, over weighing, obesity, vigorous movements and bad sleeping or sitting postures will be helpful in most of the cases If medical and physical medications failed for 6 consecutive month I recommend you undergo further investigations like X-rays and MRI scans to exclude any spinal injuries or disc herniation and follow them up with your neurologist for proper evaluation and management. Please click and 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",
"I have noted your symptoms. It is possible that there has been mild injury to the local tissues during the repeated attempts of lumbar puncture, leading to a small hematoma. As of now, you can take symptomatic treatment with analgesics such as ibuprofen or diclofenac tablets. If the pain is not settling after that, you may see a doctor and get MRI limbo-sacral spine done to confirm the underlying cause for your symptoms. 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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My temp is 96.7 I hv never really checked my temp but I went to er yesterday i was told i hv acute gingavities. Ima diabetic My daughter in law died do to infection spread to her blood stream I was told to tk my temp observe but dont no exactly what I m lookn 4 I was gvn zitromax 250 mg Im allergic to benzocaine all caine Im 55 yr female 5 3 212 lbs asthmatic, hv hyperthroidism, panic attack, hbp,diabetic, unable to get tooth extracted by reg dentist do to also suffering agoraphobia ,
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"Thanks for calling Chat Doctor. Forum. You have acute gingivitis, You also have hyperthyroidism, panic attack, HBP, diabetes, and agoraphobia. You are 55 yr, female, 5. 3, 212 lb, You are unable to extract the tooth. You are asked to observe the temperature to find if the infection is spreading to the blood, If that happens, and neglected there is chance of septicemia and risk increases due to diabetes. I advise you to consult a physician for diagnosis and treatment. You may need to get culture and sensitivity of pus of the oral cavity done besides other routine tests for confirmation of type of infection and sensitive Chat Doctor. You should be under control of diabetes, B. P, and hyperthyroidism for prompt cure of gingivitis. Under the supervision of a dentist you can have a relief after the control of the conditions. Wishing for a quick and comfortable relief of the disease. Best regards"
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"Her hemoglobin level is low. For that, further workup can be done in form of serum iron, TIBC (total iron binding capacity), and ferritin estimation. I need to know her hematocrit and RBC value as well to guide you further. You need to correct anemia with Iron or B12 supplement according to the need. Tiredness and dyspnea are because of low Hb level. High lymphocytes and low platelet can present in a viral infection. Kindly mention any other complaints if present to guide you further. If lymphocytes count does not improve with time then higher study like flow cytometry might be needed.",
"Sometimes, when the hormonal levels in our body are disturbed it can lead to such symptoms. Even the persisting high-grade fever and raised white blood count needs to be investigated. The sound which you are experiencing could be related to your navigability, low hemoglobin or lack of proper sleep. Hence, I feel that the problems being multiple and of long duration must get relax and must get yourself fully investigated. Get hormones checked - thyroid (TSH, T3, T4), serum cortisol, sodium, potassium, fasting blood sugar. Once the reports are there, something further can be planned. Take care."
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hi i have a lump in my pubic region and its sore and only just come up about 2 days ago any ideas wat it could be and how to get rid of it? i kno its not an std or anything but thought maybe was ingrown hair n pulled all ones out around the sore area and still nothing???
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"I am Chat Doctor answering your query. The sore lump in the pubic region could be due to an infection any way immaterial of an STD or otherwise. If I were your doctor, I would first go for a broad spectrum antibiotic along with an anti-inflammatory Chat Doctor. If it does not get resolved, then I would go for some routine investigations like a complete blood count, blood sugar, and also would consider your referral to a gynecologist for a clinical examination and further management for possibility of an infected cyst over there. I hope this information would help you in discussing with your family physician/treating doctor in planning your treatment. Thanks for using the Chat Doctor forum for your query on health. Wishing you an early recovery."
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"The character of the lump in lower part that is most probably the pubic area indicates this to be a cyst of skin origin hence the oozing out of oily material and blood. Since this is a cyst it will secrete the liquids till the inner lining is alive. Hence, I would advise you the following in such a situation:Consult a General Surgeon for clinical evaluation, investigations and request for complete excision of the lump for the following reasons:Complete excision guarantees no recurrence. Getting rid of a lump that is not a normal structure of body. And histopathology confirms the diagnosis.",
"You could go and see a dermatologist for an antibiotic and antibiotic ointment. It is the most likely an ingrown hair, and they usually find their way out, but it may take some time. It is probably still infected, and the sebum had accumulated. Picking and squeezing are of no use as you have probably seen it already. There may not be any more inflammation because it is not painful and sensitive, but a course of antibiotics could take care of the bump. 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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Hi Im 53 years old, female, I suffer from suspect allergic aspergillosis and congenital bronchiectases. I often spit sort of stones, their cytological examination says there are many polimorphonucleates, is there any relation between the latter and the formation of lithi?? Thank you bery much patrizia from Italy
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"Read and reviewed your query and health concerns. You seem to suffer from-ABPA(Allergic Brohcho-pulmonary aspergilli) with congenital bronchiectasis. It's rather the existence of Congenital Bronchiectasis-with cavitation, which has predisposed you to APA with sputum stones/ or aspergilli neutrophil granulomas. Treatment-would be mainly with Itriconazole with Steroids, to reduce the impact of allergic aspergilli in broncopulomonary segments. These litchis in the sputum, are actually of thick mucoid balls with neutrophils and macrophages in the microscopic studies. This is because, neutrophils(polymorphoneucleocytes) and macrophages attack the aspergilli fungal infection, which occurs with reduced immunity from bronchiectasis infected cavities. So the reply to your query-That these litchis are directly related to the polymorphoneucleocytes found in the sputum. Plenty of fluids and Postural"
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"After reading your query it appears to be due to the closest possibility of \"Urticaria\". This is a condition caused by bursting of allergy producing cells known as \"mast cells\". As the chemical inside them is released causes the kind of rash which you mentioned. Kindly follow the suggestions below:-Apply over the counter calamine lotion 3-4 times a day. -You can do cold water compresses to reduce the intensity of itching. -Do not scratch or rub the skin as it can lead to further aggravation. -Kindly stop taking oral steroids as self-medication as it can lead to side effects. So you can take oral anti histamine like loratadine or levocetrizine under medial advise. Despite above measures if the problem is not getting better than it is better to consult a dermatologist for best guidance.",
"Get examined patient by doctor. If on auscultation rhonchi heard then it is bronchospasm by obstructive condition like asthma or bronchitis. x-ray and pulmonary function test useful for it. If along with headache fever also present then chest x-ray done for rule out any consolidation in lung. Noted you have mentioned liver disease . . . But which dz?? Fatty liver or cirrhosis or any other?? I am asking this because in cirrhosis functional pulmonary problem occur as result of portal hypertension and development of hepatopulmonary syn Chat Doctor. I hope your concern solved"
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Im a typical high school girl and I have PE as one of my courses. On Wednesday, we have a mile run. Usually, I have a hard time breathing after the run and have a need for water. This week however I ran harder than usual, and in the end my heart was pumping much faster and I ran short of breath. As I result I became weak almost unconscious. After drinking some water I had to lie down for a while till I caught my senses again. This usually happens when I run faster than normal. Can I possibly have a symptom of asthma?
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"I can understand your concern. Yes, you might be having asthma. You are having breathlessness on exertion (running). And at your age (14 years), asthma can cause similar symptoms. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these."
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"Shortness of breath could be because of multiple reasons like lungs, heart problems. You should get your chest x-ray, hologram. Do you have fever, cough etc. if yes it suggests chest infection? Do you have any wheezing, chest tightness etc. , it could be asthma? So get back with some more information and reports of investigation",
"I can understand your concern. You are having breathing difficulty on exertion (running). So we should definitely rule out asthma and bronchitis because both of these can cause similar kind of symptoms. So consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. PUT (pulmonary function test). PFT is must for the diagnosis of these diseases. It will also tell you about severity of the disease and treatment is based on severity only. You Amy need inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright, but first diagnose yourself and then start appropriate treatment."
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Hi , I have diabetes type 2 and have suffered from neuropathy in my legs which my gp thinks is related, He has given me gabapentin and tramadol to relieve the pain which has worked well. The problem I have now is increasing tummy pains which feel very much like sunburn. This pain is evident most days from early afternoon and makes me feel extremely sore. Can you advise what might be causing it?
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"Thanks for your query. If there is pain in spite of Gabapentin and Tramadol you are taking for leg pain, The cause of the pain in abdomen has to be searched on. There can be a mild infection due to diabetes or a chronic problem. I would suggest going for a clinical examination for pain in abdomen and go for ultrasonography/ CT scan of abdomen to confirm or rule out specific infections. As also go for blood, urine and stool tests as there is a possibility of a complication due to diabetes"
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"Thanks for calling Chat Doctor. Forum. You are having horrible abdominal pain daily in the morning for 2 days. You are getting the pain intermittently any smooth muscle pain is spasmodic in nature and will be like this. The cause in the right lower abdomen could be due to urinary tract infection, stones in the urinary tract, or infection of the ascending colon etc. Due to severe pain you may feel the defecation sensation and passage of stools. If it repeats you consult a surgeon for diagnosis and treatment. In the meanwhile you can use anti-spasmodic tablets for temporary relief. Wishing for a quick relief. Best regards",
"After going through your query I came to know that you have backache and hip pain. It has not improved by ibuprofen, so you can take strong analgesic such as Tramadol. Rest, analgesics and Mecobalamin will be of benefit. You can get x-ray pelvis with both hip and X-ray lumbar spine for further investigate it. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good heal"
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A few months ago I was skateboarding and fell off and grazed my knee. This has left me with a darker discoloration where the scab was, which seemed normal so I didnt worry about it, but about 2 weeks ago two little lumps appeared on it and were quite itchy. Now there are 6+. Do you have any idea what these are? They look slightly like mosquitto bites but theyre not going away and multiplying.. Thankyou
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"-In my opinion-You are suffering -mostly from-knee abrasion with scab in the beginning,- which developed later on in 2-6 lumps-with underneath wound infection, presenting with itching. -Multiplication of these itchy lumps may be due to associated Ringworm which developed underneath the scab-this could also be thought of as one of the possibility while treating it. -Consult your family doctor / and skin doctor and investigate to fix the cause of it. -Remedy-Would be with --Tb-NSAID-for 5 days time-Antibiotic with advise from your family doctor for 5 days time. -ketoconazole point locally with good wound care would resolve your knee lump. -If no reduction then review the diagnosis with Surgeons consultation who-would do debridement of the wound and change the antibiotic and would take the care of the knee wound with scab properly. -"
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"I have reviewed the attached photograph and can appreciate the scabbed area. (attachment removed to protect patient identity). It is not cellulitis at all. It is because of the intense itching the area has excoriated and then turned into a scab. No need to take oral antibiotics. You can simply apply topical antibiotics like Neosporin ointment on the affected areas twice daily for seven to ten days. This will resolve the scab. Do not scratch it and let it fall off on its own.",
"You have pain in the leg and two lumps one over calf muscle and the other one in the thigh which is present there for years. I need to illicit some more in history and clinical examination. - are the lumps painful?- are they mobile or attached to muscles?- is there any pain in tibial bone and whether it increases with physical activity?Anyhow, from available information the lumps appears to be lipoma, which IA a benign lesion, If small no intervention is needed. While the pain appears to be in tibia. If such a patient walks into my clinic without any history of trauma I give painkillers like diclofenac and calcium supplements. Pain usually disappears is a week. If symptoms persists you need further evaluation like x-rays of leg. I hope my answer will help you, do rate it if you like i"
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Hello I am a 20 year breast cancer survivor . I had Inter ductal carcinoma, my treatment included a lymph node dissection, radiation, lumpectomy, chem0 and tamoxifin for 5 years. Now at 67 I started with a tremor in my left hand and leg and have hypothyroid disease and and have been diagnosed with parkinsons disease. I have fatigue and the only meds im on is 88mg of levoxl. I had blood work done to try and figure out why I have chronic fatigue. My ques is what specialist do I see to figure out how to get me some energy? I do not have ovaries as I had a hysterectomy in 1992 and my breast cancer was diagnosed in 1994. 1994.
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"I can understand your concern. You have multiple disease. Your fatigue may be due to parkinsonism, hypothyroidism or menopause. You should consult general physician. He can treat all the disease you have. Consult your physician and take treatment accordingly."
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"Hereby I am giving opinion regarding your case. First, let me know do you have any stress or anxiety issues? As severe stress can lead to hyperventilation and dizziness. Stress can change bowel habits as well and it can lead to headaches as well. If stress is present consult a psychiatrist for counseling and anti-anxiety ChatDoctor. If stress is not present, then the causes for weakness are overexertion, lack of exercise, depression, kidney problems (for that urea, creatinine investigation done), myositis, etc. As for three weeks you are not improving you can be investigated with EMG (electromyography), EKG (electrocardiography) investigation for further workup. Answers to your questions are as follows: I do not think this blood report is abnormal. It should be repeated as two weeks passed. In stroke vision problem, half part weakness, slurred speech like problem present. So the stroke chance is very less. But EKG investigation can be done here as dizziness present since many times. Your Hb and HCT are not much high that needs immediate concern. I do not think it is polycythemia vera case. Repeat CBC to check HCT and RBC value now. For weakness rule out the above causes No n\\xc3\\xa9ed of taking any blood thinner. Include green leafy vegetables and fruits more in your diet.",
"I suggest you not to worry much. Thyroid trouble cannot be ruled out. But before that please introspect self about what happened? This could possibly mean stress related disorder. It is possible that such tiredness, lethargy, laziness without appetite and energy loss as after effects of extreme stress. You can question yourself. Also investigate your physical condition as you are already 60 for any debilitating disorders. For which you must consult your physician for necessary blood and other investigation. If it is stress related, 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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dialogue
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hi myself ravikant i have problem of mental ihave taking teatment of psychitry in baramati and aiso problem of digestion tab ; solaze50 due to allopathic teatment from 1year iwas became careless and long time not remember email id YYYY@YYYY
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"Ravikant, You have mentioned that previously you have taken treatment for psychiatric problem. It will be very useful to have much more details regarding the same. Considering your problems related to memory disturbances and confusion, it can occur in many psychiatric disorders. It can happen in depression wherein u have pervasive sadness of mood, loss of interest in routine activities, disturbed sleep and appetite, decreased activities etc. and other major cause for memory disturbances is dementia wherein you tend to have loss of memory, geographical disorientation, difficulty in remembering d names of your relatives, etc. And as you haven't mentioned your age It's difficult to tell what exactly you have. I hope to hear from you with much more details"
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"I read and understand your concern. I am Chat Doctor answering your concern. No, this ayurvedic medication never cause reaction problem. I suspect that this problem has arisen from the thinking problem and not because of the medication. You can make thinking in your mind that this is not the reason for the impotence. You can achieve good reaction, such a thinking can cure your problem. If you can't solve your problem with this home remedy than you can go for sildenafile citrate tablet. This tablet can give you good reaction. Please take it under your doctors' guidance as overdose can harm your penile tissue. I will be happy to answer your further concern on bit. ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist,",
"It may be related to anxiety but may or may not be related to Gastritis. If you are overweight, reduce your weight by regular exercises, avoid spicy foods and Chat Doctor. Eat and sleep on time and avoid skipping meals and stress. Take Tab. Pastoral 40 mg daily on empty stomach half hour before breakfast for 2 weeks. If pulsatile pain persists even after this, get a physical evaluation by a Doctor. Take Care"
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I believe I have tonsillitis having symptoms of sore throat , sore neck glands, swollen tonsils with the puss, difficulty and painful swallowing and body ache. I am aware I will need antibiotics for this but unfortunately I am allergic to almost all antibiotics except sulphur ones. I have veeb using natural antibiotics such as lemon, salt and honey . I have been doing some reading about how strep bacteria can spread and cause rheumatic disease. About a week and half prior to having this sore throat, I have felt my heart palpitating and beats at abnormal rate everyday. I queried if it was my asthma but it s definitely not my lungs but my chest/heart that felt odd. Five days on and the sore throat feels worse, and also I started feeling something stuck down the trachea everytime I swallow. I woke up the next day and it feels it has gone down again to mid chest as I find it tight and painful to swallow and bring my food down. Because it is the Christmas/New Year Holiday I am hesitatant to go to the hospital Emergency Depatment kowing I will be there all day. I was thinking of waiting until the endof the week when my regular general practitioner s clinic will be open. But with the chest tightness symptom, I am getting a bit worried. Is this normal with tonsillitis? Regards.
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"It is most likely oxidative tonsillitis (on examination, there is white pus covering the tonsils) and streptococcal bacteria, diphtheria are main causes. Penicillin V, erythromycin, azithromycin (for penicillin allergy) are first line treatment options and also noted that you are allergic to almost all antibiotics except sulfur ones. The secretions (or exudates) from the infected tonsils go down the throat (causing sore throat) and then to the chest causing feeling of tightness. If you have asthma, then you feel this coming on quicker. Epiglottis is an indication for hospitalization. Conservative treatment involves: staying at home to prevent social contact, and you may catch other organisms; throat gargles may help; ibuprofen or paracetamol syrup to lower the pain and temperature. Usually symptoms subside in 3-5 days. I hope that was useful. Best Wishes"
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"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you are suffering from common cold which is generally Viral Infection. The antibiotic Azithromycin that was given to you that you are taking from one week is causing the watery stools and other symptoms like lightheartedness and chest pain. As it is already one week you can now stop taking antibiotics and if still congestion and sore throat is persistent you can take decongestant like Pseudopod Chat Doctor. . Along with it to stop loose motions you can take Furozolidone (loosen)",
"Runny nose is an expression of allergic reaction which is associated with cold. Generally these are due to viral infections. Sore throats are due to acute tonsillitis and often can because of the snoring, not due to the nasal block itself. Generally tonsillitis regresses with age. It does not require surgery unless:1. The episodes of sore throat are disabling and prevent normal functioning. 2. Seven or more well-documented, clinically significant, adequately treated sore throats in the preceding year; or3. Five or more such episodes in each of the preceding two years; three or more such episodes in each of the preceding three years. Get her reviewed if her condition matches the above criteria. A six-month period of watchful waiting is appropriate if the conditions do not match exactly. Antibiotics may or may not be required. Taking some antiallergic like levocetirizine should help"
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Hi Doctor,I have been diagnosed of having multiple calculi with largest one measuring 6.4 mm. I dont have pain in my stomach. but when I over eat, I get indigestion problem and bloating for stomach. Kindly let me know whether surgery is required for thisRegards,Kumar
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"Thanks for your query. When the gall bladder has multiple calculi, it will go into a stage of infection some or the other time as a complication. You already have indigestion and bloating as caused by gall stones. Another most important complication can be passage of a smaller calculus into the pancreatic duct causing a more Chat Doctor. So it is important to a surgery to get the gall bladder removed"
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"Frequent heartburn and gastritis and duodenal ulcers can occur because of indigestion and bloating. There are many causes of bloating, including: diet, irritable bowel syn Chat Doctor. Gas and bloating is a sign that food is not being digested correctly by the body. An inadequate intake of water will cause excessive stomach bloating. Water benefits the body by aiding with digestion because it supports a majority of the bodies daily functions. Fatty foods cause a formation of fat cells to develop throughout the body and contribute to bloating as well. A build up of fat cells slows down the bodies ability to empty the stomach. Dairy products also contribute to excessive cramps, gas, and bloating. Persons who are intolerant to lactose products experience this effect more than others. Following steps should follow to lessen the bloating:-Walk after eating a meal. -Exercise-Avoid coffee and chocolates. -Avoid Meals that are high in fat. -Avoid extremely hot or cold food. -Avoid bubble gum or bubbly beverages. If needed then medication should be included antacids, PPI, risperidone, Levosulpiride (prokinetic), digestive enzymes and some laxatives",
"ear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. You seem to be suffering from following possibilities-Mostly this is due to HERD with Acid Reflux with Bloated stomach. Consult physician and ENT surgeon to fix causes of HERD with Acid Reflux and get stool ova / cyst for fixing accompanied contributing causes. Other Causes leading to dull chest pain which worsens on taking deep breath need to be verified. Burping of Gases relieves the pain which increases on taking deep breath. For this to verify Second opinion from another Physician / GI Surgeon- as your case is more chronic in nature. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,My cousin was diagnosed with genital herpes a few days back. She also has a sore throat currently that the doctor thought was strep throat but the strep test was negative. I shared a water bottle with her recently. Could I have contracted herpes from sharing the water bottle?
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"The sharing of water bottle is not known to spread herpes. Genital herpes spread through sexual route. The viral infection also can cause sore throat like influenza infection. It will give streptococcus negative test. Take care."
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"Herpes 1 is mainly associated with cold sores on the mouth. This is a common viral infection that is present in many persons. Herpes 2 is mainly associated with genital infections. It is spread by genital contact. If this is your concern then your boyfriend would not have contracted this virus by using your brother in laws razor, genital contact is required",
"Majority of herpes infection spreads by sexual route and intimate contact. Sometimes even touching some sores of infected people may contaminate your hands and if you touch your genital area with contaminated hands it may cause herpes type 2 infection. Transmission of the virus via routes like sharing bed linen, clothing, towels, toilet seats, eating utensils, shared cups/glasses, and in public spas is less likely, but the possibility cannot be totally ruled out. Anyways do not worry. Just follow the treatment plan of your doctor. It's completely curable."
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Hello doctor,I had my last periods two months back. Last month, I and my fiance got intimate, though we did not have intercourse, he fingered me after touching himself, so to be safe I took I-pill next day. A week later, I had bleeding for three days. Since then I did not have my periods till date. I have taken six home pregnancy tests which were all negative. What can be the cause of delayed periods, can I still be pregnant? If not can I take Meprate tablets to start my periods?
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"I have read your message. If it was just fingering then no chance of pregnancy at all. As you said that you had bleeding, the next period is expected to be around the same date of next month. Actually, with I-pill, periods get disturbed for 1 to 2 cycles. I would suggest you wait for 4 to 5 days, your periods will come. If you are still worried then do blood test serum BhCG. If its value is less than 5 then definitely you are not pregnant and you can simply wait for menses. You can take Meprate as well for periods to come if BhCG comes out negative."
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"According to your description, the is less possibility for pregnancy. Delay in periods can occur due to many causes. In your case the possible causes for delay in periods are :- Usage of tablets. -Stress and strain. - Thyroid hormonal abnormalities. - Hormonal imbalance. At the age of 15, some amount of irregularity in menstrual cycles can be seen due to hormonal fluctuation. The symptoms she is having could be part of premenstrual phase. And possibly she may get the periods soon. If she does not get periods even after one week, consult gynecologist once and take tablets to induce with Chat Doctor. Take care",
"With I-pill, sometimes periods gets irregular for 2 to 3 cycles. If there is any history of sexual intercourse after last month periods, then you can do blood test serum hCG. If it is negative then no chance of pregnancy at all. You can simply wait for 1 to 2 weeks for periods. Even after 1 to 2 weeks you do not get periods, then medicine can be given for with ChatDoctor. But if bhCG is positive then pregnancy is there. And treatment will be accordingly."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,I do not have any dental issues. I have been getting regular dental checks. How do I keep my breath fresh all day?
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"It is good to know that you go for regular dental check-ups. Breath can be kept fresh by maintaining oral hygiene. The basic oral hygiene maintenance is more than enough to keep you healthy and fresh. Take care. For more information consult a dentist online"
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"Sometimes underlying medical condition could be the cause of your symptoms:I would suggest to:-1- Maintain proper oral hygiene by brushing and flossing twice a day. 2- Do antiseptic mouthwash (Listerine) rinses. 3- Do warm saline rinses 2-3 times a day. 4- Suck on sugar-free mint candy. 5- Chat Doctor. Consult a dentist for proper examination to rule out a condition like oral thrush, hypersalivation and other infection. The dentist will perform complete oral prophylaxis and may prescribe anticholinergics.",
"The possible causes for the bad breath could be the Chat Doctor. Consult an oral physician and take an opinion to rule out these causes. These causes can be treated by getting your teeth cleaned and maintaining oral hygiene. Consume a lot of water and keep the oral cavity clean. If these causes are not there then, it can be secondary to respiratory disorders like sinusitis or gastrointestinal disorders. Consult a ENT and Gastroenterologist to rule out these causes. I hope my answer will help you, take care"
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Hi, I had abdominal and chest pain. Had an abdominal cat scan with contrast and did not show erosive gastritis. I had an endiscope and I have been diagnosed with erosive gastritis. Waiting for the biopsy report. Very worried. Why didnt the cat scan show erosive gastritis and what is associated with this diagnoses. I was also admitted into the hospital to rule out a heart attack. Had stress test, echocardiagram and carotid artery test. All tests were normal.
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"Erosive gastritis m gives rise to esophageal spasm which may mimic a cardiac problem. CT scan is not the ideal investigation to show erosive gastritis. It can be diagnosed with the help of your history, followed by the endoscopy. You can go for a proton pump inhibitor, a prokinetic agent, and an antacid after consulting your doctor, and at the same time you should go more for bland diet, fresh vegetable and fruits, and avoid fast fried food from outside. Biopsy is a routine procedure whenever an endoscopy is done to exclude many other pathological processes associated with chronic esophagitis. So you do not have to worry about it till the report is ready. Wishing you an early recovery"
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"I can understand your concern. By your history and description, we should definitely rule out cardiac chest pain first. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes gastritis can also cause burning chest pain. So avoid hot and spicy food. Avoid stress and tension, be relaxed and calm. Take pantoprazole tablet on empty stomach twice daily. Avoid large meals, instead take frequent small meals. Don't worry, you will be alright with all these.",
"By your history and description, you are mostly having HERD associated pain. But better to rule out cardiac cause first because you are hypertensive. So get done 1. ECG 2. 2d echo 3. Stress test. If all are normal then you are mostly having HERD. 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 of Central burning chest pain and gaseous feeling in stomach. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors. Don't worry, you will be alrig"
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A friend of mine 48 yr.old male 5 7 180 lbs. was diagnosed with hep c in 2000, after he went into a coma from a thyroid problem. (He takes thyroid meds everyday) .He s in prison , where the medical care is awful , he wrote me this week saying he keeps getting nose bleeds. They told him 7 yrs ago he has cirrosis, but he refused a biopsy , due to the fact it s prison care . In 2000 he was totally yellow , from head to toe . They keep turning down his request to see a real Dr, instead of a nurse or Dr. assisant . stating that a nosebleed is not serious . I do NOT agree , from what I have learned on late stage Hep C , should he take these nose bleeds seriously ? and demand to be seen by a specialist ??? Thank You ....
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". . Take symptoms seriously dear. . . . Your friend have liver cirrhosis as you have mentioned. . . In cirrhosis because of less functioning liver coagulation factors not produced properly. So clotting system affected and yes nose bleeding can occur. . . . So he should consult doctor. . . . If needed for portal hypertension TIPS like surgery or beta blocker started. . . Ultimate final treatment is liver transplantation. . . . Meanwhile, if varietal bleed occur immediate consult doc for banding. . . ."
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"After reading what you have said I feel your symptoms could be from several causes. These could include1. Hepatitis C: This disease is currently curable in most patients if treated. If untreated it can cause scarring of the liver with time (called cirrhosis) and ultimately lead to complete loss of liver function (called \"end stage liver disease\"). Liver disease can cause the symptoms you have right now. An important complication of Hepatitis C is liver cancer. Your loss of weight makes me extremely concerned, and I recommend you see a Hepatologist (liver specialist) to rule out an underlying cancer. 2. Anemia: Hepatitis C, age and other factors can cause anemia. If untreated and severe it can cause loss of energy and loss of appetite. The diagnosis is made using blood tests-these need to be ordered by a physician-so I would recommend seeing your primary care doctor at the earliest. Anemia is treatable, but the underlying cause needs to be figured out first3. Depression: Can cause many of the symptoms you are experiencing. Other symptoms include a lack of interest in things that you like and sleep disturbances. Symptoms can be treated with antidepressants and counseling. I would recommend seeing your primary care doctor first to determine if depression is the cause of your symptoms, and then he can either prescribe you medicines or refer you to a specialistSummarizing everything, I recommend you see either a primary care doctor (preferably) or a Hepatologist to get a thorough check-up and necessary tests to determine what is causing your symptoms. Meanwhile, healthy lifestyle changes like stopping alcohol, smoking, Chat Doctor. Please let me know if that was helpful. If it was, please take a moment to provide a rating",
"What is his age? What about his past medical history? What are his blood pressure values? Has he had any fevers during these days? The painful lump on his chest may be an infection or a lymph node. The facts that it hurts, means that it is inflammatory. I recommend consulting with the GP for a careful physical examination (including the inspection of the lump), a resting ECG, a chest x-ray and some blood lab tests: - complete blood count- PCR, sedimentation rate (inflammation tests)- kidney and liver function tests-fasting glucose-thyroid hormone levels (thyroid gland function)- cortisol plasma levels (a Chat Doctor. A 24-48 hours ECG monitoring is necessary to rule in/out a possible cardiac arrhythmia. A biopsy of the lump on his chest may be needed to determine its nature (infectious, inflammatory, etc. ). A 24 hours urinary metanephrines test for possible pheochromocytoma should be performed if his episodes of tachycardia are associated with high blood pressure and other symptoms (pale skin, sweating, etc. )"
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dialogue
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hi! i am planning for pregnancy but at night from last two months i am not getting sound sleep at night so i am taking one bottle of. benadryl cough syrup every night for sound sleep so i just want to know that will it affect the pregnancy planning? kindly reply me.
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"I will suggest you to avoid and better stop taking this medicine. This is a cough suppressant, containing opiate derivative. It has habit-forming potential and opiates have bad effects on the babies growth. Please get proper counselling done. You can opt for a healthy diet and regular exercise regimen. There are various ways to train yourself for sound sleep. Please be relaxed. Be happy. Meditate regularly. Engage in recreational activities. Start taking vitamin B 12, Folic acid and Omega-3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks"
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"Stress\" itself cannot be quantified, and lack of sleep certainly can make you irritable and short-tempered. Your emotions have no negative effect on the baby, however, I am concerned about your own health and the environment in your home, as your fighting with your husband and chronic lack of sleep is not the best environment for a newborn baby. It is difficult to not have your husband around a lot to support you. I really hope that there is no physical violence that takes place as this is a major risk factor for things getting very dangerous, especially once the baby is born. There is also a possibility you could be suffering from depression, which is a chemical imbalance brought on by stress and the hormones of pregnancy. There are medications that can be used safely during pregnancy and I strongly suggest you discuss your situation with your healthcare provider. There are even medications you can safely take to help you sleep. In the meantime, at least you do not have to worry about the effect this has on the baby, but the environment in your home and your mood concerns me for the time after the baby is born. Talking to your doctor, a counselor, or social worker about your home environment may be helpful if your marriage is suffering because of all this. I hope this advice was helpful and I sincerely wish you the best for the rest of the pregnancy",
"level above 25 flu / ml confirms pregnancy. But after that it rises fast (50% -60% rise in every 2 days). So a single reading can not determine weather It's fine or not. The medicines given to you can be given in pregnancy in certain conditions . . . when their benefit is greater than its side effects. - Phaeton is an essential hormone needed for maintenance of pregnancy. It is very safe in pregnancy. -Progynova, has low hormonal content. Which is not observed to cause side effects on fetus. So it can be given (while careful monitoring pregnancy). In case of hypogonadism. Or in cases of embryo transfer. - Bromocryptin is given specially in cases of hypo gonadism (low hormonal levels) . Due to pituitary problems. It can be given safely with due care in such condition. - Folic acid is a vitamin which prevents fetal malformations (spinal abnormalities) I hope you are convinced about safety of the Chat Doctor. . Specially these being prescribed by your doctor(who is well versed with your health & problems). Still in case of doubt, second opinion of an expert Embryologist can be taken. * Continue them as per advise strictly & have a regular follow-ups / investigations as recommended by your doctor. Thanks"
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sir my wife she is suffering from mild fever and done elisa test for tb igm and found positive and the value is 1.020 and the doctor sugest for AKT4 and she is about to complete 2month and doctor sugest for 3month now her apitite is totally lost and she lost her weight and also feel very week pls sugest can she is continue the medicine or go for akt 3 after 2nd month
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"I understand your concern regarding your wives weight loss, but treatment for TB has to be taken for the full course and completed. She has been put for intensive therapy which is AKT4 for two months and AKT3 for the next 4 months. Regular follow up is necessary to establisChatDoctorplete riddance of the TB bacilli form the body. I also understand there are many side effects of the antitubercular therapy, like loss of appetite and generalized weakness, but the treatment should not be altered unless the patient has allergic reaction to the"
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"nks for posting query at Chat Doctor. Your treating physician has advised you as per your \"blood results\". The virus is NOT replicating, so no need for treatment now. Follow-up after 3 months is sufficient. It's better to avoid sexual activities BUT if your married, it maybe continued if she is vaccinated against HBV, three shots required for immunization against HBV should be completed. Wish you good n sound health regards",
"I understand your concern and situation. You are having low grade fever and lymphadenopathy. The FNAC was negative. I suggest you to get your early morning sputum examination for ZN staining and mycobacterial culture to be done for 3 consecutive days. Take an ultrasound guided FNAC and get tested for cytology, ZN staining, PCR for TB and culture for TB to establish diagnosis. Till then eat protein rich and balanced diet with multivitamins and calcium supplements. Yes it is a cause of worry and testing needed. Take care"
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I have atypical hyperplasia...it said within 0.2 cm of the lateral margin....is this alot of tissue? Secondly my post op MRI one year later said it shows mild nonenhancing distortion posterior of my nipple. I noticed it is very flat now. What does these two things mean
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"I assume you underwent lumpectomy for your tumor. Atypical hyperplasia is not considered as cancer, so a 0. 2 cm margin will suffice. If it is carcinoma in-situ or invasive carcinoma, the margins should be clear in all dimensions. In my practice, generally at least 0. 5 cm to 1 cm margin is very good. Your MRI result of a mild nonenhancing distortion posterior of the nipple is from the post-operative site, since a lumpectomy generally gets a chunk of tissues from the breast, hence, distortion of the tissues in that area are normally seen. I hope I alleviated your concerns"
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"Thanks for your query to my virtual Chat Doctor Clinic. I studied your query in-depth. In My opinion-diagnosis is-folliculitis above nipple. You should not worry-. Still as you are anxious, I would advise Surgeons Consultation and excision biopsy of it, which would remove the worrying query.",
"In my opinion you should not worry about the report. As nipple can give rise to rounded soft tissue shadow in some cases. Better to go for lateral chest x-ray as in this x-ray if any shadow is there than it will appear inside the rib cage. And if it is nipple shadow than in lateral x-ray it will appear outside the rib cage. So by this method we can differentiate. Another way is doing CT Thorax. But I don't think anything worrisome. It is just a nipple shadow nothing else"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,I had a hip arthroscopy three weeks ago and today, my feet are very cold with no other symptoms. No symptoms prior to today. Could this be a result of the surgery or something else?
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"I understand your concern and would explain that your symptoms are not related to the arthroscopy. A possible deep vein thrombosis could cause these symptoms. Do you see any change in the color (pale or bluish) in your legs? Can you feel the pulse on the dorsal part of your foot whenever touching? I recommend trying to move your legs, and wear warm socks. If your situation worsens, and you experience pain, inability to walk, swelling or changes in the color of your legs skin, I recommend going to the ER for a physical exam and a Doppler ultrasound of the leg vessels. I remain at your disposal for any further questions."
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"Have u undergone colonoscopy and an endoscopy? I don't think u have because u would have mentioned it otherwise. Since u have been missing your periods, plus having abdominal pains, plus cold feet. I see something which are multiple medical problems. I best thing would be to get admitted and evaluated thoroughly",
"It is rare to circulation problem in whole right side of body without affecting left side. With circulation only numbness is very uncommon symptoms. It presents with other symptoms also like: cold extremities, gangrene and decrease hairs on affected part. Cause of your problem may be physical or psychological in origin. In your case following are possible causes of numbness, in hierarchy:-Stress or Anxiety disorder: Anxiety disorders can manifest not only with psychological symptoms but with a variety of physical symptoms also like: Tingling, numbness, hot and cold sensations, pain complaints and muscle spasm etc. -Vitamin deficiency. -Substance use-Neuropathy. -Combination of above causes take healthy diet and do some relaxation exercise. Get evaluated by psychiatrist and general physician to rule out above causes of your suffering. Wish you good health and all the best. Chat Doctor. 99d"
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Hello doctor,I am on Metoprolol for CHF. I have got a usual heart rate of 60 to 65 BPM, but tonight my HR is at 90 to 95 BPM. May I take extra Metoprolol to control my HR.
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"At first, sit for 5 to 10 minutes comfortably, calm yourself, and recheck your pulse rate. It is not immediately life-threatening to have a heart rate in the range of 90 to 95 with no symptoms. However, if you take an extra dose of Metoprolol, BP may go down as well. So, if your BP is on the higher side and pulse rate continues to stay in that range, then you can have it. But since it is not an emergency, it is better to wait and get yourself checked and then hike up the dose. I hope this helps you and get back if you have any doubts."
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"Your BP of 116/59 is optimal and should not cause you these symptoms. Medications in the group of Systolic also have an additional beneficial effect of lowering the heart rate. But in some percentage of population, the heart rate becomes too low with these medications. Hence, I advise you to check tour heart rate and do an ECG. If the heart rate BOH manually and on ECG are lower than 55 systolic should be stopped and substituted for another medication. If heart rate is greater than 55 per minute then you must record your BP regularly to see if it Chat Doctor. If BP remains low then systolic can be speed. Wishing you good heal",
"See, as you are following a very good routine of doing cardio and you don't feel breathless at that time that means you need not worry about your cardiac part. People who are physically active can have Heart Rate around 55-60. If you are not feeling any dizziness or syncope like thing then you should not worry about heart rate part too. You can get your ECG done to check for rhythm abnormality, most likely it should not be there. Sometime candesarten (Atacama) can cause dizziness, bronchitis or cough. So preferably you can ask your treating doctor to put you on some alternative medicine for your Blood Pressure"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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daughter had brain surgery 8 years ago - at age 30 - she had no symptons at the time - but brain mri done to rule out MS - which she did not have - found small tumor at base of brain - turned out to be benign - been fine since - until now she is very very depressed and cries a lot - could this be related? and....the surgeon who did surgery then, is no longer in our area
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"Welcome toChatDoctor. I understand your concern. If the tumor was benign and completely removed it is unlikely to cause such problems. A tumor in frontal lobe of brain can cause personality changes and such problems. I would suggest you to share the surgeons' diagnosis prescription and her MRI Brain report with USO that we can comment on the nature of the disease and any relationship with depression. You should also take a psychiatrist opinion. I hope it helps. Ask me if any further query you have Stayed healthy"
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"epression does not always have to be triggered by any specific reason. A person may suffer from depression even when every thing is fine in his life. It may be due to genetic cause also. Since you are experiencing frequent headaches also you should get an MRI brain done to rule out other pathology. You should consult a psychologist for proper assessment of your condition and further course of treatment. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing",
"There are some symptoms which are found When brain injury occurs like persistent crying, seizures, persistent vomiting, bleeding from mouth or nose. If above symptoms are not present, then most of the time child does not have brain injury. However, it is better to get the child examined by a Euro surgeon, and if required a CT scan of head should be done. I hope this 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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Hello doctor,I weaned off of 40 mg of Paroxetine very slowly but my sleep was impacted and as of two months, I have been suffering from extreme insomnia. I have gone back to medication and I am currently on 20 mg of Paroxetine and 10 mg of Fluoxetine, but my insomnia has continued. I was prescribed Ativan (0.5 mg) for sleep, and it sometimes helps, but not always. Even if I take a bit more (I have taken up to .75 total), it does not always help me sleep. My psychiatrist prescribed Trazodone (she suggested I start at 25 mg and if I feel no effect, to take another 25 mg/ go up to 50 mg in one night (but I am concerned about serotonin syndrome from taking another medication that messes with Serotonin). Can you advise if I should be concerned about serotonin syndrome if I take the 25 (or 50) mg of Trazodone? Additionally, should I be concerned about anything else in terms of taking these three medications together?
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"Serotonin syn ChatDoctor. At least not when you have already been taking 40 mg of Paroxetine for years. Also, Trazodone is a safer and better sleep-inducing agent when it comes to being used for sleep. As per my knowledge, in fact, these two Take care."
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"Your symptoms can be manifestation of anxiety and depression. It is advisable that you consult a psychiatrist regarding your symptoms. Medications like selective serotonin reuptake inhibitors can be effective in your condition. Since the medications take some time to act, initially benzodiazepines for short term can take care of the symptoms.",
"Thanks for your query. I understand that you are going through a difficult time due to your anxiety and insomnia. There are a lot of other sedative medications available. However, it is not appropriate to recommend any medication without a detailed history and evaluation of your problem and a proper psychological assessment. Moreover, it is not advisable to take benzodiazepine sedatives for a long time due to their addictive potential. So, I would suggest that you to discuss your sleeping problem with your doctor, so that he would be able to assess you properly and then recommend the appropriate medication. Wish you all the bes"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi i have been feeling short of breath and I cant get enough air if I try to it really hard my chest or just below it feels like a heavy object is on me at all times the only time Im at ease is when Im sleeping. I am a young girl who is healthy and very active bu I have had this for three days now
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"I read your question carefully, and I understand your concern. I think that there is nothing wrong with you organically speaking. The way you describe your shortness of breath seems like you have an emotional stress (It's up to you to search in yourself about your emotional burdens). If there is something wrong with you, it would also appear during the night associated with other symptoms or signs. Your initial question was Causes of shortness of breath. There are many, which seems unlikely in your case. For example, people with cardiac diseases might have shortness of breath, but it occurs more often during the supine position or during physical effort and in general cannot be so active (you are a young girl, very active and symptoms alleviate during sleep). Another cause is asthma, which is unrelated to standing or lying position (actually people suffering from asthma attacks tend to sit in the edge of the bed hungry for air). Another cause might be respiratory tract infection, that is also unrelated to positions, and you would have other symptoms and signs, like cough, temperature etc. I recommend trying some relaxing techniques like listening to your favorite music, talking to a best friend, eating a proper diet, laughing a lot, exercising every day, sleeping better, taking deep breaths. Avoid coffee and energy"
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"I understand how are feeling, but no need for worry. I have read your complaints and can say you are having \"exhaustion\". It is normal for the heart to beat faster during physical activity and your legs felt heavy due to the pile up of lactic acid. As much as working out frequently is good for your health, the body risks been exhausted when you over do it. You have to take some time off, at least 2-3 days without doing any intense activity. You should change your gym plan to 3 days.",
"With this problem, you are working very hard all night long resulting in fractured and non-restful sleep. The physical work and difficulty breathing may produce a variety of health problems. Proper treatment is essential as is losing the weight that is so often at the root of the problem. If your breathing apparatus is uncomfortable your physician or sleep provider can help find a setup that will work for you"
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Hi, I have a young girlfriend who has become like a daughter to me, and she has been suffering from major anxiety and depression for around a month or longer now. It started out with insomnia, but she is now sleeping pretty well. She started out taking magnesium, as she does NOT want to go on anti anxiety or anti represent drugs. She was still having anxiety, so she went to a holistic doctor who told her to take progesterone, now she is even more anxious and having suicidal thoughts. What could she do thats natural to get some peace and quiet from this anxiety and depression? Thank You for answering. She really doesnt like to put anything on or in her body.
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"By trying out that holistic treatment -has made the condition even worse (as it was a steroid which has mood altering properties). So, if you really want to help her out ask her to stay away from all such things for some time, take proper Chat Doctor. She needs something like - sertraline or Escitalopram, they are safe, non addicting and effective molecules, will help a lot in bringing her back to life. She should not be left alone, stay away from all kind of dangerous chemical, ropes, weapons, or sharp objects. Try to give meds under supervision. Best will be to contact a psychiatrist near your home at the earliest. Maximum people who try or commit suicide express this verbally many days prior to actually doing it. This should not be taken lightly. I hope you get my point and help he"
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"The symptoms that you have mentioned in your query are highly suggestible of depressive disorder. I would suggest that IOUs seek a psychiatric consultation for your symptoms. Treatmnet with anti-depressants medications like sertraline would beneficial. In addition, you should start exercising daily which will help you relax. Sharing your emotions with someone or writing diary on a daily basis could also help you de-stress and relax.",
"Presently, you're suffering with generalized anxiety disorder(GAD) with associated sleep disturbances. I recommend you to start an Anxiolytic preferably an SSRI. Along with a Benzodiazepine for overcoming sleep disturbances. I also recommend you to start practicing stress management techniques such as: 1) Regular physical exercise in the morning. 2) Healthy lifestyle modifications. 3) Relaxation techniques like mindfulness and meditation."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello I m an 18 year old who just started having sex and started birth control just two months ago.. and I was wondering if I was a sunday starter and I m on the last active pill.. Is it possible to take the sugar pills and then when my period comes, start the next pack of pills?? Another question is: If I took the last bc pill and then had sex after, would I be safe from pregnancy for that day??
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"The birth control pills are effective of all the methods of contraception if taken correctly. You need to take 21 active pills and take sugar pills for 7 days during which you get the period. Immediately after the end of sugar pills you need to start the new pack on next day but not related to periods. Yes you will be protected if you take last birth control pill and have sex after. The failure rate is very less of all methods provided they are taken correctly. But they are also associated with side effects like nausea, weight gain, headache etc. All the instructions of intake are provided with the pack and if still doubtful then contact your doctor. Best regards"
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"Understand your concerns. You are not safe. Unwanted 72 taken before the sex does not give protection against the intercourse done after taken pill. Unwanted 72 prevent the pregnancy if you have take with in 72 hours of the sex. If you did SES in the unsafe period of the cycle (10th to 20th day of cycle) then take another unwanted 72 pills to event the pregnancy. But chance of the side effects like menstrual irregularity, hormonal imbalance is high. Use barrier method of contraception in future to prevent the pregnancy. Avoid stress, take healthy diet and Chat Doctor. I hope this will help you",
"There is no chance of the pregnancy. 1. You took I pill within 2 hours of the sex and it if highly effective in preventing the pregnancy. (95-97%)I pill does not protect against the second sexual intercourse. But2. You had sex just 3-4 days after the period, and it is completely safe period of the cycle. During this period, no ovulation take place so no fertilization. Your bleeding is a breakthrough bleeding due to progesterone with Chat Doctor. (Side effect of I pill as it contain high progesterone). It will go in next 1-2 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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In 1985, I developed a glomerulonephritis that was treated with corticosteroids. However, I was told that I should not be taking ASA. Yesterday, a report on ASA and cancer highlighted the advantages of aspirine in the prevention of cancer. Last year I was diagnosed with breast cancer , had a mastectomy of the right breast and took chemo and am now on targeted therapy. My question is can I be sure that my glomerulonephritis was due to aspirine intake? Also how true is it that Asprine prevents cancer and should I be taking it?
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"Glomerulonephritis was not caused by the aspirin, but aspirin can cause further damage. This would also go for medications such as ibuprofen, Catalan, Celebrex, naproxen and the other members of the NSAID family. Aspirin certainly is a useful Chat Doctor. It has been linked to reducing cancer risks, but further studies are needed to confirm this. It would be best to continue avoiding it based on your history of kidney disease"
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"I can understand your concern. She has ductal carcinoma of breast. Stage 2 with no metastasis. She has already gone through surgery. Noe she should take chemotherapy. She should also check for ER, PR and her 2 new. If this receptor is positive then receptor specific antagonist treatment is very useful in breast cancer. Consult your doctor and take treatment accordingly.",
"So, you should check with your oncologist as to the reason why he has been put on it. The palpitations that he is having seem to be related to the increased potassium levels that he is having as a result of poor kidney function. It is important to bring down the potassium levels as any further increase can be life-threatening. He can take potassium binding resins orally (K-Bind). That should take care of the immediate threat. Meanwhile, avoid taking any Chat Doctor. The treatment of the kidney cancer also needs to be revised. There are a number of other options available like Sorafenib or Temsirolimus and these need to be discussed with your oncologist before starting"
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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 partner and I had sex once without protection. The very next day he said he was breaking out in his groin area and thought it was due to an allergic reaction to latex condoms . He went to the doctor and was diagnosed with molluscum contagiosum . He told me that he hadn t been with anyone else and seemed CONVINCED that he had gotten it from me. I ve never had any history of molluscum contagiosum nor have any of my previous partners. I went to my doctor and was told that I showed no signs of the virus and that it takes several weeks to months for molluscum contagiosum lesions to begin to appear. My doctor said my partner could have already had it and confused it with an ingrown hair , shaved, and caused them to spread. Where else could he have possibly contracted this virus?
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"Molluscum cannot be transferred in one day. If is he had got it from you, it would have manifested at least after 1 month. Either the diagnosis is wrong or else he would have got it from somewhere else. Probably from any other sexual partner. I can ascertain the diagnosis, if you can forward me a photograph of the lesions. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link. https://urldefense. com/v3/__http://www. ChatDoctor . com/doctors/"
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"I understand your concern. But the risk of acquiring a STD is not there if your partner does not have any one of the diseases you mentioned clinically or sub-clinically. There are STDs like herpes in which subclinical shedding can lead to herpes, but that is more common in vaginal sex. I do not think you need to worry too much at this point if she is negative for tests. Some STDs take time to become positive in blood. So just to be careful please repeat HIV, HBsAg, HCV, V ChatDoctor. Molluscum, HPV, pubic lice usually spread if there is active lesions, which I suppose were not there, so no need to worry. Just repeat the tests I suggested after three months and there is no such medication to be taken when all the tests of the partner are also negative. Prophylactic medications can be given if the status of the partner is not known sometimes. Take care.",
"Herpes infection normally involves either the mouth (manifesting as cold sores), or the genital region, and can include the scrotum, penis, and the anus. It is possible to have it without engaging in anal sex. It is a highly contagious disease, and in the active state it can manifest in the above-mentioned sites and also spread very easily. You should get yourself checked again for both HSV (herpes simplex virus) 1 and 2 to confirm if you have not done it. The good thing is it can be treated. You can do a course of Famciclovir two tablets daily for seven to ten days. Since it can spread through both vaginal and anal intercourse, it is better to get your partner tested too. The more you delay, there are more chances of it turning into a chronic infection."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I just found out that my pets have tapeworms. Ive given them medicine for it. But now I think I might have them. I have kept diarrhea, light headed ness, constantly hungry and tired, and Ive gotten random bruising around my stomach. Is it a tapeworm?
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"Symptoms of tape worm is ranging from mild abdominal discomfort to unconsciousness. But in your case it of you want to know you have tape worm infection or not find out anything like, itching, redness, pimple etc. around anal area, increase in hunger, not able to bear without meal only once, abdominal pain, pallor, light color tongue, distention of abdomen and many more according to system involvement. Now I suggest you to go for stool microscopic examination by a reliable microbiology lab and by a qualified microbiologist along with your blood differential count. You can also investigate your dog also. Tape worm is large worm, so naked eye sometimes parts of the worm is visible in the stool. IF tapeworm is diagnosed than it need long term treatment for complete eradication. Also ask for your family member for any above symptoms too. Just go for this investigation and then follow the instruction of your treating physician."
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"From your discussion it appears you have had them before and treated yourself with Zen tel. Now you have a possible reinfection and that is not uncommon since there is someone in your life that maybe a carrier. It is real important to wash your hands frequently to prevent transmission. I would recommend that you be sure you have pin worms before you retreat. Rectal itching could be caused from other things like hemorrhoids, rectal fissures or parotitis. I recommend you get tested for pin worms before you treat yourself again. It is not a good idea to use medications without really knowing what you have. Side effects from medications could possibly be dangerous.",
"Let gastroenterologist take decision. But I have to add something which may be helpful. As he has high eosinophils and recurrent gastric complains, go for Stool test for ova and cyst of worms, thread worms or round worms which is known to give all symptoms like, allergy,high eosinophil count, loose motions. Ok and bye"
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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 NAME IS xxxx.I WOULD LIKE TO KNOW IF MY NEW MEDICATION MELOXICAN INTERFERE WITH THE ONES IM TAKING IN A DAILY BASIS.IM TAKING METFORMIN LIPITOR SYNTHROID SINGULAIR TEGRETOL DIOVAN AND DILANTIN.I APRECIATE IF YOU CAN HELP ME IN THIS MATTER.THANK YOU.
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"Taking Meloxicam together with Metformin can potentiate the risk of a serious condition called lactic acidosis. 2. Taking Regret together with Dilation, Synthroid and Lipitor decrease their therapeutic effects in controlling seizures, hypothyroidism and high cholesterol levels respectively. 3. Dilation can also decrease the therapeutic effects of Syn thyroid, Lipitor and Metformin when taken all together. 4. Meloxicam can also lower the blood pressure lowering effects of Divan when taken together. Synthroid should always be taken on an empty stomach one hour before breakfast."
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"The symptoms like shortness of breath, poor sleep and loss of sexual pleasure are all the side effects of the medicines that you take for bipolar disorder. I will not suggest stopping these medications, but it will be better to take few medications with effective doses. Divalproex sodium 500 mg twice daily, will be better molecule than Sodium valproate as a mood stabiliser. If you are having palpitations, Propranolol or mouth dissolving Clonazepam will be a better substitute. Counselling with a good psychologist will help you along with medications. I suggest you visit your psychiatrist for above changes in medications. I am sure you will be completely fine with the instructions as mentioned above. For more information consult a psychiatrist online",
"I am a medical specialist with an additional degree in cardiology. I read your question with diligence. In fact 60 percent of my cardiology patients have diabetes. Whereas in my experience of two decades I did not come across any reliable herbal medicine for helping in Diabetic Care. In your case I have a suggestion that maximum permissible does of the safest Chat Doctor. Increase metformin to 1 Gm extended release twice a day"
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I am on D 17 and i got my scan done on D 14 which showed right ovary folicle 23mm and left 27mm..doc said that folicle will not rupture this cycle as it has become too big..is it possible to get pregnant even if the folicle doesnt rupture? Can it rupture later than D 17?
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"You can't become pregnant if your follicle is not ruptured. When follicle rupture the egg is released which gets fertilized by sperm. Yes follicle can rupture after day 17. But generally I won't allow follicle to grow till that size. Once the follicle size is more than 19 mm I give my patients Chat Doctor injection which help in rupture of follicle. You can discuss this with your doctor either for this cycle or for next. I suggest you to follow up this enlarged follicles which may become cyst and need to rupture them laparoscopically. Some regress themselves and some rupture. From next cycle I suggest you to get follicular study starting from day 9 and alternative days. So that follicles won't become too large."
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"urine pregnancy test at home after 14 days of rupture of follicles. If positive consult your doctor. If negative, wait for the periods. But the chance to get pregnant in one cycle is only 5 to 7 percent. If ovulation is happening, then you can try naturally for 6 months. Be in contact with your wife every 2 to 3 days after the periods stop. It will increase chances of your pregnancy.",
"Ovulation is around the 14th day of menstrual cycle (If you have regular 28 day menstrual cycle). The days are calculated from the first day of menstrual bleeding last month. If you try 2-3 days before and after ovulation, chances of getting pregnant is maximum. Here are few things to help ensure a healthy pregnancy-Start taking folic acid 400 mg tablets daily and multivitamin tablets containing Iron, calcium and DHA (Docosahexaenoic acid)-Eat healthy and exercise regularly-Stop smoking and avoid alcohol while pregnant-Talk to your doctor regarding any medical conditions or medications you are on currently"
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hi, well its a quick one really i had my first scan yesterday and the nurse said the there was a sac but no baby im very early in my pregnancy only about 8 weeks from by own dates. i have got to go for another scan in two weeks has there been any chances of the baby just hiden or have i deffinitly lost it? thankyou
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"Seeing just a gestational sac without a fetus or fetal pole is not normal at 8 weeks gestation. If the sac is small (less than 2 cm) there is a possibility that the pregnancy is just younger than you expect and that a fetus could still develop. However, if the sac is of sufficient size (over 1. 5-2 cm) and there is no fetus present it is most likely an early pregnancy failure (miscarriage that has not yet come out). Correlation with your pregnancy hormone levels can also give more information. However, it cannot hurt to wait and see another 2 weeks just to make sure, as not every pregnancy follows the expected patterns of development. But you should be prepared as the greatest likelihood is that this is not a normal pregnancy if the sac is large enough. One in 10 pregnancies end in miscarriage, and nothing can be done to prevent one if a fetus never develops in the first place. However, that means that if you try again, 90% of the time everything will be fine. I hope I was able to answer your question and this advice was reassuring"
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"However, ultrasonography after the incidence of spotting has not revealed any bleeding from the chorionic tissue and the other findings are normal. It is good no note that the gestational sac is well-defined and round, meaning there by that the embryo is viable. Even the embryo of about six weeks also is noted. 5+ weeks of pregnancy may be rather early for depicting cardiac activity. You need not infer any conclusion at this stage. The scan report is optimistic. Please repeat the scan after about a week or more. After 6 weeks duration of pregnancy, usually fetal cardiac activity is noted. With the current scan report, I feel you would have cardiac activity noted in scan after one week",
". . I am really sorry for your worry but I'm definitely going to help you out. Thanks for posting your query here. I being a surgeon, we encounter so many such cases day in and day out. I read your question completely and have understood it well enough. Furthermore, I will analyze all your points and provide necessary information. 1. How were your previous cycles? Delay by 3 weeks is definitely not normal but is sometimes seen in few patients that come to us. 2. The symptoms that you tell brown spotting, cramp, backache doesn't 100% suggest pregnancy. This can be seen as a normal disease ailment. 3. We cannot comment about miscarriage at this stage. Please note the following few facts. A. Please get a Urine pregnancy test. Uproarious kits are available and can be done in your home itself. No need for any doctor to read this test. Two possibilities, if its negative then chill, you'll be fine soon. If positive then, yes it's a confirmed pregnancy. B. If UPT is positive then don't stop there. Get a radiology obstetric scan done. This will tell us, if there's Intrauterine, or ectopic pregnancy. Exact date. And many other things. C. Miscarriage or incomplete abortion etc. We can see later how to go about after all these."
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I ve acne & acne scars about 3 months old. I m 22 , female, and getting married after 2 months & so want to have a clean clear face . Saw a dermatologist , he recommended Differin & Suprim & Reoccutane (Antibiotic + Tabs), but not much useful. My friend recommended me Deriva ms gel. What should I do?
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"What you have received is good. In fact roaccutane which you have mentioned as an antibiotic is actually not an antibiotic but a retinoid. I hope your doctor has told you all the side effects of this medicine since you are getting married in 2 months time. Roaccutane is a wonderful medicine for acne, it would give good result in one month time, but it has certain side effects like, patient should not get pregnant during the course of medicine and at-least 3 months after stopping this medicine. It has teratogenic effect on the baby. Other precautions are that one should not donate blood during the course, should not wear contact lenses, should have a normal liver function test & blood counts before start of the medicine. And if you get headache after this medicine then you should stop the medicine. I hope this was told to you before start of the medicine. In your case pregnancy is the most important precaution. If you can take all the above precaution then roaccutane would be best to treat your acne, provided your hormone profile is normal. Once started this medicine needs to be given for at-least 6 months depending upon your body weight. Derive ms is just a gel and alone it might help you a little. Patient with hormone imbalance with associated acne would need hormonal medicine to treat their acne. So, kindly discuss all this with your dermatologist and then proceed for treatment. Regards,"
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"eck your self your back against mirror and look for redness of discharge. If it looks red and hot surely its infection, and you need to start on antibiotics. If there is no infection then most probably its muscular pain and take tab diclofenac plus thiocolchicoside combination twice a day and hot water fomentation for 5 days will give you relief",
"Firstly the cause should be ruled out. As you have mentioned that the prescribed creams are suiting you well, kindly continue with it. As far as scars and marks are concerned, you can take chemical peels, microdermabrasion, micro needling sessions or can apply pigmentation reducing creams too. For the same your scars and marks need to be analyzed and then only a proper treatment can be advised. Take care"
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Hi, I am suffering from calcific tendonitis for both the shoulders. X-Ray reports had shown it in both shoulders but First it started with right shoulder in Jan 2017. Cortizone injection did not help so I went for physiotherapy. It is healed 90% but I still cant sleep on side and I am side slipper so I sleep on recliner instead. Since 2 days I have pain in left shoulder as well. Started physio for left one now. How soon I can cure this?
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"Mainline of treatment is physiotherapy as it resolves in most cases. In acute cases local injection of corticosteroids definitely helps. If your left shoulder has started paining may be due to calcific tendinitis. Start physiotherapy and consult expert orthopedic surgeon nearby you. Meanwhile, you can take tab attract twice a day for pain relief"
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"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint pain in left hip that is lingering since 3 weeks can occur due to a number of reasons like Tendinitis, Bursitis, hip fracture, hip dislocation, labrum tear, inguinal hernia, osteoarthritis, Rheumatoid arthritis, Sciatica, Sarcoiditis, muscle sprain etc. I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and investigations like x-ray, MRI Scan, blood tests etc. can help in diagnosis and treatment can be planned accordingly. You can be advised to take anti-inflammatory painkillers, muscle relaxants like Chlorzoxasone, do warm compresses, Physiotherapy under a trained physician, avoid bending again and again. Avoid lifting excess weight. You should lose weight if obese.",
"It can be due to weak thigh and hip muscles. For this you need physiotherapy in form of walking and other exercises. This pain will improve with physio in six to seven months. I would also suggest you to take vitamin B 12 and calcium and D 3 tablets that will improve your bone and muscles strength, I hope these steps will take care of this pain in 3 months"
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My husband is 34 years old. In October of last year he tripped over a tree stump and injured his back. He has been seeing an orthopedic specialist since about November. They have been treating him with Flexaril, Mobic and Norco. The pain is constant and sometimes radiates down his left leg. They have given him a series of two spinal injections and he has been doing PT three days a week for up to two hours per session. The PT seems to be doing more harm than good. The days he does PT, he can barely make it through the door. He had a follow up visit today and from what my husband told me they want to do an EKG next week to determine if surgery is needed. I was just wondering what and how the EKG will do to determine the need for surgery. Thank you for your time in advance.
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"One is his back pain and other is leg pain. I want to tell you that physiotherapy is helpful in back pain as it improve muscle strength. In some patients it can increase pain and may need to change certain exercise. Leg pain is due to nerve compression. Your doctor is trying to find if any nerve compression is there by EKG. My advice is it would be better if you do an MRI scan. This will give us clear picture that nerve compression is present or not. If your husband has more pain in leg than back, and nerve compression seen on MRI, he may be benefited with Surgery. Otherwise, he should focus on muscle strengthening and medicines. I hope this solved your query. Feel free to answer any other thing if you want. Take care"
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"I have gone through your description. I would advise you to go immediately to the emergency department s and take an EKG and cardiac enzymes. Please don't sit on the pain. It requires attention. If both EKG and cardiac enzymes are normal then get a 2 d echo done. If all three a normal you can come home, and you skid do a treadmill test after four days. Meanwhile also get your it D and it B12 levels checked. You have three risk factors namely smoking, obesity and family history of heart disease, that's y i m concerned",
"You need specialized care and investigations. You can consult a local cardiologist and/or a neurologist who will interview you to obtain a detailed of the situations of the spells that you have and this will guide us regarding the further investigations. Furthermore, you would require ECG to check your heart rhythm, CT scan of the brain, holder monitoring, tilt table test etc. Once the cause is established, we will be able to offer you the best possible treatment"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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i am having pain in my left testicle and groin. I have been to emergency twice. I have had two ultra sounds done. One ultrasound found an iguinal hernia and another found a Varicocele. Also found inflamation in the Epididitmis. hence the antibiotic i think. i had a surgery done where they went in through my belly button with a camera and the uroloigist said that they felt neither was in need for sugery. I have been on antibiotics for 11 days already but the pain is still there. The pain is somewhat tolerable if i laydown and do nothing but never goes away.
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"I understand your concern. Most probably your pain could have been because of hernia getting partly obstructed and ending up in casualty. I hope that was repaired, and you are free of hernia now. Coming to the second reason for pain is of epididymis infection. Even if you take antibiotics for 2 to 3 weeks the pain may not subside as the infection may not be corrected completely. There may be associated testis and prostatic involvement which might need prolonged antimicrobial treatment. A urology consultation will help you in confirming the pain and continuing antibiotics. So I suggest you to take an expert opinion."
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"Thanks for your query and an elucidated history. Well, to start with the cholecystectomy 13 years ago may not have anything to do with your present problem as the gall badder is on the right side. Your problem is pain on the left upper abdomen and can be due to :Colitis as this is not picked up by the ultrasonography. You have already undergone ultrasonography which rules out: Spleen, kidney and pancreas problem in the upper abdomen. MX3 is Mangosteen capsules are known to contain many important chemicals and nutrients. Some of these include the class of nutrients known as Anthony. It is very good anti-oxidant. But it will have no direct use on pain in abdomen. I would suggest you the following:To get colonoscopy and biopsy done as your problem looks to be due to colitis. If required CT scan can help better than the USG. Get the correct diagnosis to get a proper treatment. You can certainly start an antibiotic and metronidazole for 5 days. If there is complete relief nothing more is needed to be done. IF no complete relief, go for colonoscopy",
"I think that this pain can be due to either any infection in urinary bladder or otherwise it can be due to gut infection. I would suggest you following. 1. Get ultrasound of the abdomen. 2. urinary examination both routine and microscopic. If there is any infection or any abnormality of the bowel movement than you should take anti-spasmodic medication like Cyclops. I hope this answer will be useful for you. Let me know if there is any other followup questions"
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Hi doctor,My husband abused me emotionally and physically for five years. He feels very low, sad and feels negative towards everything. He has self-pity. It happens for a few days to few weeks. After that, he starts having anger. Finding fault in everything especially in me. He has the habit of doing emotional abuse which again goes on for a few days. On following it, he becomes aggressive and then there is physical abuse too. Then, he becomes ordinary. He is a very loving, and a caring spouse. He is dependent on me. Then again the whole thing gets repeated. What is happening to him? He had taken Fluoxetine for eight months before 15 years.
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"Your husband may have depression or anger outburst problem. If your husband is abusing any substance like alcohol or cannabis, it can also cause the above issues. Your husband needs face to face psychiatrist consultation. His symptoms can be controlled with medication and need to stop abusing alcohol or cannabis. Try to find out if your husband has any social, financial or work problems. Help him. You must spend quality time with him. You must take dinner or at least a one-time food together. Try to go for walk together daily after dinner or early morning for 30 to 40 minutes. Give him surprises or try to make him happy. Fluoxetine is one of the right options for your husband. It will help him to manage the depression and anger outburst. For more information consult a psychiatrist online"
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"I appreciate that you have given very nice history. I had gone through it and guess it may like you have depression. According to DSM 5 depression has required following features for at least 2 weeks. Low mood or sad mood with loss of interest in daily activities. Change in apatite or change in weight. Sleep disturbance. Somatic complains like lack of concentration/easily getting fatigue etc. It is psychological process and need proper evaluation. Early treatment will bring fast and better recovery. It can be treated with different modalities of treatment like medicines and counseling. In medicines SSRI/Escitalopram/sertraline can be useful. But take psychiatrist advise before taking any medicines. Sudden change in mood and thinking may require assessment. So consult psychiatrist and get help. Thank you. Wish you a very good heal",
"At present what the problems he is facing is unrelated to the cancers. Behavioral changes may be due to steroids also. It may be acute psychosis because he is on treatment for a long time with major life-threatening diseases. Keep in touch with your cardiologist, pulmonary physician, and you may consult with psychiatrist. Take care"
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Hi, it goes like this: eating processed food, in 30 minutes get drowsy, if when taking a nap 15 minutes later waking up to heart flutter, then headache, tingling of legs and arms. Within hours having joint and muscle pain and may smell food from urine. Thanks.
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"As due to this you are getting acidity and due to which abnormal reactions. Feeling Chat Doctor. Tingling in legs and arms aren't related to the processed food. It may be due to other factors and needs a separate examination and assessment. Joint pains can be due to inflammation and not related to processed food. As we aren't knowing your age and any underlying past medical history we can not connect the processed food with the current mentioned symptoms. Do some simple general exercise, so the metabolism improves, and you will also avoid processed food for good health."
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"The giving away of the lag and numbness happens if you slept in an award position compressing the sciatic nerve, but that will resolve within 5 minutes after you change position and walk. If not then there are some other causes more serious such as bleeding on the brain or stroke or brain tumor etc. which need a doctor evaluation. I wish it is the first case and not the later option",
"It leads to muscle cramps all over the body and the patients suddenly become restless and are unable to stand. These symptoms can last for 1 to 2 weeks. You are advised to visit a nearby hospital for a general checkup."
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Hi, I m 38years old female and currently trying for baby. Period was late 10 days and I got all the symptoms like nausea , backache , cramp alike around lower abdomen. However, twice pregnancy tests shown negative. My heart beat currently is 86 pm, blood pressure is 113... Just went for blood test and result will know in 2 days time. Could there be possible I m pregnant?
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"Your symptoms may or may not be related to pregnancy. Your heart beat and BP seems alright. Home pregnancy test kits are quite specific unless you have done the test wrong. So if they have come negative twice then it seems you're not pregnant. But it can be confirmed only with a blood test of Serum Chat Doctor levels or an ultrasound."
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"Any woman who has been having unprotected sex without using contraception is at risk for pregnancy. However, pregnancy symptoms vary widely between women, and many of the symptoms people associate with pregnancy like breast tenderness, cramping, bloating, and mood changes are also common with PMS. So it really is not possible to predict pregnancy based solely on those type of symptoms. The most reliable sign of pregnancy is a missed menstrual period. So if you are at risk for pregnancy, see if your period arrives on time and if it does not, then perform a urine pregnancy test according to the package directions. The urine pregnancy tests sold in stores are just as accurate as the ones in a doctor's office and are accurate even on the first day of a missed period. I strongly advise against testing before you are late for your period as the results can be less reliable and conflicting. I hope I was able to adequately answer your question today and that my advice was helpful",
"It is possible to be pregnant if you had intercourse during your fertile period (ovulation day and 3 days prior to that). This is usually in the middle third of your cycle. The spotting, vomiting don't seem related to pregnancy. It could be an isolated incident. A sure sign of a possible pregnancy is a missed period and positive pregnancy test after you have missed your period. Please take a home pregnancy test to check, once you have missed your period. If negative, I recommend :- basal body temperature monitoring & using ovulation prediction kits to detect ovulation day. This day and the three days before that are your most fertile period. -regular intercourse (every alternate day) in the middle third of your cycle (day 10 to 20 in a 30-day cycle, for instance). -minimize caffeine -maintain healthy diet and weight. -exercise regularly. Don't stress too much while trying. It doesn't help and In fact can negatively impact fertility. -take a folic acid supplement every day. -if below 30 yrs, try for a year and of above 30,for 6 months before seeking professional help. It will happen. Keep trying. Don't get frustrated. Take a break of the pressure of trying to conceive gets too much."
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Hello. My name is abdul. I live in India. I think i have depression. When I was 16, I developed a relation with a woman who was 25 at the time. We broke up when she got married and had a baby with someone else. I stayed till I saw that my relation with her was ruining both me and her marriage. So we called it off. She got divorced and blames it all on me as all of it was my fault. I don t know if I did the right thing or not but she makes me feel as if I was the guilty one. I have depression because of her. I need someone to tell me if what I did was right or wrong.
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"she married, and you moved out of her life . u did a great thing . it was morally correct . . . may be that lady was not ready to forget you, or she is blaming her failures in marriage at you . . . please explain to that girl that your intentions were right . if she is not convinced . forget her . and concentrate on your life . but the guilt is overcoming you . please see a psychiatrist soon . ."
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"It is adjustment issue rather than depression. Stress arises from relationship. 1st to be very frank that you are deeply involve in this in spite of you know that he is married, and further legal relationship is very difficult. You have to do mutual communication and leave him as early as possible because there is no future of this relationship. It will affect your future and your life. From today, you will start discussing with him and if you require then take help of your friends. Only you have to do this. There are no medicines help to break these medicines only help to reduce your stress. This kind of stress can be treated with anxiolytic like Mizoram. So take help of common friends and family members and come out from this. Start your new life and concentrate over carrier and life. If needed then go for relationship counseling to psychiatrist. Best luck for it. Still have a query then feel free to ask. Thank you. Happy to help you",
"Thanks for your query. I understand that you have been going through a very difficult time since childhood - with your depression, suicidal attempts, Chat Doctor. Since you have had a miscarriage and have irregular and painful menstrual cycles, it is important that you have a proper gynecological evaluation done. There can be a variety of causes for miscarriage, and it is necessary to find out the probable cause, so that adequate preventive measures can be taken for your future pregnancies. Though you've had a very difficult past, if you take steps to quit taking any harmful substances and seek help in handling your problems, then I think your body and mind will be able to get back to normal soon. So, please take positive steps and seek appropriate professional help. Wish you all the bes"
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Hi, I had a laparoscopic appendectomy one week ago, with the diagnosis of PID. after a 5 day hospital stay, I finally could hold down food. I still have watery bowel movements, and my biggest complaint is very sharp upper abdominal cramps, with pain in the same place in my back. it gets worse after eating, and at night, where even under dilaudid and sleep medication I am still awoken with pain. Is this something to be worried about?thank you.
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"Thanks for calling Chat Doctor. Forum. You had laparoscopic appendectomy operation, after 5 days pelvic inflammatory disease is diagnosed, inspire of stopping food you have got watery bowel movements. You are also getting sharp pain in the upper abdomen, and back, disturbing the sleep. There could be so many causes, pelvic inflammatory disease would have been there before the operation, and its treatment would have been postponed, the medicines used for these two would have caused diarrhea, and gastric pain. Rare cause may be confusion of appendicular stitches. I advise you to consult your surgeon for diagnosis and treatment. You may need to have M. R. I. besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards"
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"The most common reason of such symptoms are gall stones. The pain appears on the upper right abdomen and radiates to the back. Usually it gets worse after fatty or spicy foods. Sometimes such symptoms also appears with pancreas diseases. Upper middle pain can be caused by peptic ulcer. The pain appears after 1-2 hours of the meal sometimes associated with acid reflux. If the pain is in the lower abdomen and radiates to the back it can be urinary tract infection. Usually associated with frequent urinating and burning while urinating. You should have abdominal ultrasound, full blood work, liver tests, amylase level, bilirubin level and urinalysis. Gallstones can be treated with laparoscopic surgery.",
"e pain what you have described is very typical of appendicitis which starts at umbilicus (belly button) and goes to right Iliad fossa (right lower abdomen). this type of pain may be very sharp and may be associated with nausea, vomiting, fever and sometimes diarrhea. Since the pain is now 2 weeks old it might have gone to subacute appendicitis. Other possibilities are colitis, Nickels diverticulitis. Your previous episode seems to be a different one. So my advice is got yourself examined and investigated by a surgeon as early as possible to come to a diagnosis and treatment accordingly."
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Hi.. My cousin is age 24. Doctors have diagnosed him with irreversible kidney failure last week. There is no family history of such disease. They have placed him on dialysis. I want to know how long he should b on dialysis and is there anyother alternative other than transplant. And if can lead is a happy married life is he gets married and approximately how long can he live??
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"I can understand your concern and pain about your cousin. I'm sorry to tell you that if he is having small kidneys in ultrasound then yes transplantation is the final option. Please ask his family members to donate kidney so that he can survive and have better life if there is no rejection. But at point of time dialysis itself have some side effects, and he will be having some health issues which will interfere with his daily life but with good dialysis he can live longer. Thanks"
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"As a Urologist, i advise you, that a person with kidney failure can do dialysis. There are indications for dialysis. Surviving kidney failure on dialysis, in a patient with cervical cancer, is difficult to predict, without knowing its stage. Dialysis can be done, but the long term prognosis isn't very good. If you send details like abdominal CT/ MRI scan, all blood reports, to me as a direct question, i can give you an expert opinion. Chat Doctor. Mang",
"I can understand your concern. He had very high blood pressure, sugar and kidney failure. His sugar and blood pressure is under control now. But his creatinine level is still very high. He may need dialysis to correct kidney function. So consult your doctor and take treatment accordingly."
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Doctor i had ovary cancer in the month Jan10 and my surgery was on may and i had finsihed my full treatment in the month of july10 (18 chrom cycle)i had, regularly i had follow once in 2months, but now i have severe back pain and little stomach burning, please say me in my email YYYY@YYYY
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"I can understand your concern. Your stomach burning may be due to ulcer or hyper acidity. You should take proton pump inhibitor like omeprazole or pantoprazole. Your back may be due to some spasm or other problem. You should take muscle relaxant and analgesic for that. If it remains persistent then you should go for MRI. Your stomach burning and back pain is not related to ovarian cancer. You should regularly check your CA 125 level for ovarian cancer."
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"As well if you have got period after that then its conform that you are not pregnant. Here you need to check your back pain started after abdominal problem or before it. If back pain started before abdominal issue then back pain could be different and abdominal pain could be different. However the conformation will. be done by physical examination and few tests. So I suggest you to visit specialist and get your self examine, here for back pain if it is from long time with radiating pain to legs doctor will ask you for MRI of back. As well for abdominal discomfort, heavy less and nausea you need to do ultrasound abdomen. Based on report you can discuss it with your specialist and plan for treatment. In general here still till the time diagnosis is not conformed I suggest improving your food habits by having good amount of water and fruits in your diet, avoid spicy food. At the same time for your back use hot pack to relax the soft tissue. This will also give you some more relief. As per your explanation looks like you have got disturb gastrointestinal system and due to that you have diarrhea and due to that more pressure on back muscles there is heaviness feeling too. However the conformation will be only by physical examination and needed tests",
"I am Chat Doctor answering your query. It is good that you are relieved of your pain now. If you eat from outside specially the fast and fried food, this could be a factor for your pain by the way of some kind of intestinal infection creeping in from possibly food cooked under unhygienic conditions. If I were your doctor, I would advise you for a routine stool test for ova and cyst and treat it if positive. Apart from this, if considered necessary after clinical examination, I might get an ultrasound of abdomen done to rule out any kind of intra-abdominal pathology. However, you do not have to be anxious by this information. Possibly you might not need any of these if you are completely relieved at present. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem if it persists. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery."
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My wife has complained about a tightening in her chest causing coughing systems, asthma like, and also slight pains in her chest. We went to a Cardiologist and they didn t seem to think it was too serious but I m worried about her. What could this be?
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"I can understand your concern. Tightness in chest with coughing is mostly seen in asthma and bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of asthma and bronchitis. It will also tell you about severity of the disease. And treatment is based on severity only. She may need inhaled bronchodilators and inhaled corticosteroid (ICS). If all these investigations are normal than sometimes, stress and anxiety can also cause similar symptoms. So ask her to avoid stress and tension if she has. Don't worry, she will be alright. First rule out Pulmonary causes."
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"If patient of asthma feels tightness in chest and breathing difficulties then it clearly indicates uncontrolled asthma or asthma exacerbation. The most common cause for this is infection. So we need to rule out infection first. So consult pulmonologist and get done chest x-ray to rule out infection. You should also get done PFT (Pulmonary Function Test) to know the severity of obstruction. You may need antibiotic and inhaled bronchodilators treatment. So better to consult pulmonologist and discuss all these",
"I can understand your concern. By your history and description, possibility of bronchitis is more likely. Bronchitis causes bronchospasm and this in turn causes chest tightness, breathing difficulty, coughing etc. 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 is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these."
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Hi Dear Doctor My little brother is going to perform adenoidectomy soon as it causes problems in his breathing. However, doctor suggested that a laser surgery would be good. Is it so? Is there any side effect of laser surgery or what advantages it has than any other processes? Regards
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"I can understand your concern. Laser surgeries are newer surgical technique in which Nd YAG laser is used for tissue cutting. Advantages of laser surgery are 1. High safety. 2. Fewer chances of bleeding, intraoperatively as well as post operative. 3. Precise tissue cutting is possible, so less damage to the surrounding vital structures. 4. Less Surgical time is required so less anesthesia dosage is required. So laser surgeries are safer and less time-consuming than conventional surgeries. The only Chat Doctor. It costs almost double as that of conventional surgery."
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"Welcome to Chat Doctor, and thank you for your question. I understand your concern. Well, our main concern, as doctors, as the side effects of general anesthesia. It is commonly known that a large amount of risk in perioperative period can come from side effects of anesthesia. My opinion is that this is the case. You see, during general anesthesia all the organism is controlled basically by machines and vital parameters are controlled externally. It is more than understandable that there will be a slight disturbance in organism equilibrium after weaning off from anesthesia, such as blurry vision or speech, high heart rate or low saturation, due to intubation applied during anesthesia. I am glad that surgical removal of the lesion went fine. The other effects may be easily attributed to general anesthesia, and normal gain of function is just a matter of little time. My opinion is that there is nothing to worry about, and these symptoms will abolish in no time. I hope I was helpful with my answer. Take care",
"I can understand your concern. You have hematoma. It is a vascular tumor and it is benign IIN nature. But complete excision is the treatment of choice. If it is not removed completely then chances of recurrence is there. If laser surgery is not helpful then you can go with simple surgery followed by plastic surgery for reconstruction of lip. Consult your doctor and take treatment accordingly."
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iam aged 63.i underwent angioplasty afre a mild attack in 2006,at present my chlorestrol level,blood urea and creatine normal,iam a non diabitic,recently two days back i went for sugar test just formallt,my fbs was 95 and ppbs was 200,i fook full meal with ripe mango ffruit before the test,how is that fbs is normal and ppbs is high,do i have to under go the test again
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"Mango is a very high glycemic index fruit, hence It's advisable to repeat the test after 12 hours overnight fasting and pp after taking a regular breakfast follow up with reports very high glycemic index products converts into glucose as soon as they are taken, hence it may be possible THT insulin secretion can not cope up with demand"
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"As per your description, your BP increases on exertion or post food intake. It is normal for the BP to increase post exertion, but is uncommon after food intake. However, the readings are not very high and do not need much attention now. I suggest that you record your BP once a week for three weeks during rest. If all BP readings are consistently higher than a diagnosis of high blood pressure can be established. Since you are young, your arteries are still elastic, so BP can be controlled with regular exercise mostly cardio and diet restrictions with restriction. As of now you need not take any precautions except daily exercise. Please record your BP as advised above and revert with the readings. Wishing you good health Regards",
"Forum. Since, you are taking metformin (2000 mg) +deal 10 mg from last 6 years and still blood pressure and glucose level ID not under control. In my opinion, this is the time to change the Chat Doctor. Now upload exact fasting as well post radial (meal) sugar level. Also, write down the exact report of blood pressure along lipid profile. If possible get in an X-ray of abdomen (pancreas). Consult a Planetologist and get his opinion. Good luck"
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My 9-year-old daughter is suffering from blood cancer(Pre B-cell ALL). Her treatment was started in Aug-21 2012 under BFM protocol and now she is in remission and undergoing her maintainance phase.Can she take nutrilite products alongwith her chemotherapy?Does it really help cancer patients?If yes, then plz suggest which products to take?
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"Based on your query, my opinion is as follows. 1. Yes, she can take. 2. Nutritive products would contain protein importantly along with essential nutrients. These help in buildup of immunity and also helps in the building the cells damaged due to chemotherapy. 3. She can also add fish, eggs, pulses, legumes and green leafy vegetables to her diet. It will help her in fighting cancer."
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"It is a matter of pleasure that your wife has survived cancer after removed of cancerous thyroid followed by radiation. Regarding her medication, I want to know Why Synthroid is prescribed, after14 years of recovery ?. Did any problem occurred? I suggest you, pls keep your treating doctor aware of side effects if any. And keep going for regular check-ups. By getting rid of the microbes in the organs, plus doing the normal cancer treatments, the balance (i. e. a strong immune system and a low number of cancer cells) is restored enough to keep the cancer from coming back. The patient is cured because their immune system has been regulated through well planned regimen. Because proper nutrition is an integral part of a healthy immune system, the kitchen is the perfect place to find natural home remedies to bolster your disease-fighting abilities. Regular intake of high fiber diet includinfruit veges, whole grains oats, antioxidants- vitamins, and minerals as ginger, garlic onion, preferable in raw form, nuts - almonds, walnut . flex seed, Avoid fried, fast foods' bakery products, tea coffee, alcohol Lemon juice with water twice before meals, Bitter gourd 25 ml in the morning coconut water a great antioxidant Turmeric powder 1/2 spoon in a cup of hot milk. Kills all types of bacteria on mass level. Do regular exercise, Walk, Yoga PANAMA -Deep Breathing for strengthening and detoxifying your systemProper rest and sound sleep helps rejuvenation. Mental mention, worry, anger harms and encourages toxins in our body and damages our immune system. Constipation should not be encouraged Following above regimen will strengthen the vital force to help stay your metabolism balanced, thus giving strength to immune system which assures happy healthy and disease free life ahead",
"I can understand your sisters situation and problem. She is having metastases in liver and bone. This is classified as stage 4 cancer, inoperable cancer. In this stage only palliative treatment in the form of chemotherapy, radiotherapy, nutritional support and pain management are indicated. Stem cells, thermal therapy etc. is useful in stage 1 - 2 cancer. Once cancer is in stage 4, these newer treatment will not help. So better to consult oncologist and discuss all these. Start appropriate palliative treatment for her."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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why do my bottom lip go numb for a few weeks my bottom lip on the right hand side and the bit under my lip has been tingling and going numb . I ve previously had cold sores there in the past and am prone to them . I m twenty eight and female. I ve been having cold sores every couple of months since roughly age fourteen. I m worried as to what this could be ??
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"Yes your numbness of the lip is mostly due to cold sores. But the problem is why you are getting cold sores every couple of months. maybe it is caused by the herpes simplex virus type 1, which is usually acquired in childhood through contact with infected saliva. it is activated by stress, anxiety, a cold or excessive exposure to the sun. Unfortunately you can't cure cold sores permanently, and they like to keep coming back. But you can get yourself relief from it in certain ways. Apply travel on the affected area. Change your toothbrush as it harbors the virus. If pain is more aspirin or paracetamol CN be taken. Cold sores may be triggered by stress. During stressful times, sucking on zinc lozenges can boost the immune system"
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"It can be caused due to a number of reasons like Stress, Nutritional Deficiency [Iron, Vitamin B12 and Folic acid], hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, uncontrolled diabetes and other immunocompromised conditions, etc. You need to consult an Oral Physician or a general dentist in this regard to get evaluated and treated. For authors ulcer you can do warm saline gargles with a solution of Ben Chat Doctor. Apply numbing gel over the sore for relief from pain especially during eating. Take a multivitamin tablet for a period of 15 days. Avoid spicy, sour, and acidic foods. In case if still, the condition does not subside the physician can prescribe you to take a steroid course as it is the ultimate treatment in case if nothing else works.",
"However, in your case you had a history of fall and that \"all test\" have been done already with still no answers. Numbness is actually cause by the following:1. Nerve compression. It could be in one limb or area like in cases of median nerve compression or could be both upper and lower extremity like in cases of herniated disk which results from degeneration of the disk due to aging process. 2. Severe vitamin b12 deficiency. There are diseases and conditions that can result to it b 12 deficiencies, like Crohn's disease, alcoholism, celiac disease, or results from conditions wherein there is inability to absorbs it b12. Deficient it b12 will result s to pernicious anemia. Severely deficient it b12 will results to nerve damage. 3"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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