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Hi I am Sujata 69 Female from India.I am DM type 2 IDDM since last 25 years. Taking Humalog TDS and Lantus in night at 11 pm.My S. urea and S. Creatine level had started to rise and with all possible control on Blood Pressure and Sugar my S.urea 88 mg/dl S. Creatinine 4.6 mg/dl on 21.6.2012 when I was hospitalised for EDEMA due to Anemia Hb 8.6%.After discharge swelling on my ankles and feet was gone,was put on Erythropotien injection 0000 iu every ten days.My Hb improved to 9.8%.But S.Urea increased to 112 mg/dl and S.creatinine 6 mg/dl. Was diagnosed with UTI.Prescribed Nitrofuraton Bd for 7 days and Amikasin inj250 mg OD for 7 days.These were found SENSITIVE in Urine culture report.I have been advised by NEPHRO to get AV fistula fitted.What to do now.Am I inching towards Dyalisis?
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"I think you have diabetes related chronic kidney disease which has worsened with UTI. rising urea, great, edema and overall trends suggest worsened renal function and as per your nephron advice, you may need dialysis soon. AV fistula is planned for dialysis. Pl. go by your nephron. Advice. hope you recover soon. And do not fall prey to gossip/ unauthentic advises. pl. keep me posted on your progress"
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"You have not mentioned following facts in your query. 1)Your age 2)Any history of unprotected sex with unknown woman 3) Did you have history of passing pus per urethra. The symptoms that you have are suggestive of inflammation of urethra (Urethritis) . Take antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily for 2 weeks. If symptoms persists consult qualified Urologist for clinical assessment and get endoscopic examination of urethral passage and bladder done (Cystourethroscopy) to confirm the diagnosis. Further treatment will depend upon result of these tests and final diagnosis.",
"Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Čeferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely"
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Hi there, I am dealing with a client who is experiencing visual hallucinations. This client is unresponsive when approached, and unwilling to talk about it. The clients hallucinations are an after effect of inhalant abuse (sniffing). This client is a child, and I would like to know some coping mechanisms I could let them know about in order to deal with these traumatising visuals. Please help !
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"Visual hallucination usually occur after damage to brain. He may need imaging study of brain like MRI to rule out any intracranial lesion. Inhalants are known to cause neuronal dose. Patient may also have visual hallucination during inhalant intoxication. There is need to rule out other substance use like cannabis in his case, as its use also associated with hallucination. There is need to stopped inhalant use first followed by investigation to find out its cause. No coping strategy work for hallucination. Wish you good health and all the best. Chat Doctor. 99d"
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"I suggest you not to worry much. Post Traumatic Stress Disorder has the lot of other symptoms. Diagnosis is confirmed when the majority of symptoms are matching. If you have only this vision problem, then it can be just a case of obsessive thinking. Your experience do not confirm to be a traumatic one, more aptly shocking one. In such cases, the shock should go away within about some months. In your case, you are just 14, saw your grandmother die. As you are young, you did have negative aspect to this natural phenomena. Don't worry. Just ignore and reassure that you loved her and grandma loved you as well. Because she loved you so much, you were lucky enough to be at her side when she died. Ignore the vision and love your grandmother, don't fear. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.",
". . Thank you for consulting in Chat Doctor. Headache in kids need to be considered serious only when the below symptoms are there - 1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. I have a few questions for you -1. How long has the headache been there?2. Does it always occur on forehead or keeps changing?3. Is it associated with blurring of eyes or double vision or giddiness?4. Is there any family history of migraine or single side headache?5. Is she very angry when he gets headache and does the ache get better after a good sleep?6. Does she vomit when there is headache? Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15 mg/kg/dose(max ceiling dose 500 mg) every 4-6th hourly. You can approach me at the following link. Please find the link below -www. ChatDoctor . com/doctors/ Chat Doctor. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good heal"
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My doctor says I have high cholesterol problems and also with triglycerides as well, he says pasta/ potatoes is the problem but I don t eat that much of that but do eat a lot of cakes and bread, now can the people taking the blood tests know which is the real cause?
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"I can understand your concern. You have high cholesterol levels with high triglycerides. You should take low fat diet with high amount of polyunsaturated fatty acids. Avoid cakes and bread. If your cholesterol levels remain persistently high then you can take atorvastatin or pravastatin like Chat Doctor. It is prescription based medicine so consult your doctor and take treatment accordingly."
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"It may be due to many reasons like hepatitis, alcohol intake, fatty liver,autoimmune causes etc. It is important to know other parameters like bilirubin level etc. Your father may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily to my patient for three months. It helps in regeneration of liver cells. Get well soon. Take Care",
"It may be due to many causes like hepatitis, altered lipid profile, autoimmune causes, medicines etc. You need further investigations like RBS, Lipid profile. It is good that viral markers are negative. You are rightly suggested to take Adílio tablets. It contains ursodeoxycholic acid, and it helps in regeneration of liver cells. You should avoid red meat and high fat milk products. Avoid alcohol and smoking if you take these things. Further treatment depend upon findings. Take Care"
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I m a 26 year old female. I m 15 and a half weeks pregnant. I was diagnosed with Herpes 1 and 2 recently. I don t think I ve had an outbreak although I have what I think are hemorrhoids since I ve been kind of constipated. Two days ago I got a bump on my upper lip. It s on the outside and goes from my upper lip onto my actual lip. It almost looks like a bug bite. It s numb and doesn t itch. I ve just been putting chap stick on it to keep it from drying out. Could it be an outbreak? Also, how can I tell if what I have are hemorrhoids or an outbreak?
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"A single bump on upper lip is not a classical symptom of either Herpes 1 or 2. Still I would recommend that you visit a general physician at the earliest to rule out any infection. The bump is in what is known as \"The dangerous area of face\". There is direct vascular link with this area and the blood vessels of brain. Any infection in this area of face can lead to meningitis"
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"The itchiness and bumps near the corner of the mouth is because of the herpetic virus infection. Consult an oral physician and get it ruled out. Meanwhile, you can take topical antiviral Chat Doctor. For the pain you can apply topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food. I hope my answer will help you, take care",
"Thanks for your query. Noted your history and understood your concerns. The presence of a lump at the elbow that vanished completely and occurrence of another nearby after a few days and the itching indicate that this may be due to an insect bite as the most probable reason. Another possibility is urticaria meaning an allergic skin eruption. I would advise you the following in such a situation:Consult your Doctor to get a clinical evaluation. Get an antihistamine and oral steroids as needed. Do not self-treat as a proper diagnosis is very important in the beginning only to get a proper curative and preventive treatmen"
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hi.. about 9 months ago i went to the doctors with what i thought were swollen glands on either side of my neck along my jaw line. It turned out that they were not swollen and felt completley normal to the doctor. But what she did notice was my heart rate was pretty high i think it was about 94bpm which ive heard is normal but im an 18 year old male and wouldnt call my self unfit and i can never recall it ever being that high before. so ever since i have been cheking my heart rate atleast once a week.. it varies from about 89 to 100 and has even been as high as 105 this is at resting rate. then about 3 months ago i noticed a few small lumps under my chin, which stayed the same size and didnt hurt untill about a week ago when one of them grew over nyt and felt a bit tender when i touched it. so i booked another appointment at the doctors and she told me that they were swollen lymph nodes but wasnt to concerd about them due to the positioning ( concerned about leukemia and lymphoma i mean ) i was just writing to see if there was any other opinions out there to help put my mind at rest... thanks
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"Noted that you are 18 years old and had swelling on both sides of the neck under the jawbone. Your Doctor found nothing but the heart rate was more. The commonest reasons can be :If you are average or below normal weight. Heart or thyroid problems. If you have none like these stop worrying as too much worry too increases the pulse rate. The next issue is about the lymph nodes in the sub-mental region and one of which has progressed to be more painful. If you want to keep your mind at rest get the following things done:- Ultrasonography and guided FNAC meaning fine needle aspiration cytology. This will give the final diagnosis and if required get biopsy done and appropriate treatmen"
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"1-I feel concerned that you are serious to know why these lymph nodes are enlarged than others. ?2-In my opinion these enlarged lumps are harmless as your pediatrician has pacified your worry. 3-These lymph nodes indicate mild scalp infestation/ infection with ? Repeated throat infection-which is another probability, which needs to be suspected and treated. 4-But as you haven't mentioned any nasal discharge or else, another possibility to suspect is the -T. B. lymph node hyperplasia, which may be a sign of the reactive immunological response to mild infection, which needs to be ruled. 5-Hence I would advise a second opinion from a chest/or general physician who would do -CBC, X-ray chest, PPD skin test-(Contour TES). This would lead you on your worry which you expressed about lymph nodes enlargement. 5-a-A Chat Doctor. 6-Hence I would advise ER Chest/or general physicians' opinion. 7- this would resolve the causative worry of the patient in question. If treated on this line, the fearing patient, should not worry you much. 8-",
"I can understand your concern. You may have some enlarged lymph node. It can be due to reactive hyperplasia of lymph node, tuberculosis, lymphoma or metastatic carcinoma. Or You may have some soft tissue tumor like lipoma. Should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly"
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My grandfather is in hospice for terminal stage 4 brain cancer of the lower left lobe. He has not eaten or drank since 6 days ago. He is 88 years old and not over or under weight. what should his pulse and bp be? He is breathing two breathes per minute.
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"I can understand your situation and problem. Stage 4 brain cancer cause severe cerebral edema and rise in intro cranial tension (ICT). This high ICT can compress vital part of brain which regulates blood pressure, pulse and respiration. Brain tumor itself compress vital centers and cause symptoms. So if your grandfather is taking only 2 breaths per minuter than he has lost all his control. He must be unconscious and not responding to deep pain. He may die at any point. His pulse and blood pressure must be recordable"
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"Early death of your father during exertional activity can be because of missed Hypertrophic cardiomyopathy. So to be on safe side you can go for a repeat echo. As it is manual test sometimes technician can miss HOC. As per your query regarding LVH, No it's not reversible however it can be controlled very well. Target blood pressure is 130/86 mm of Hg and try to keep your pressure less than it. If managed well long time prognosis is excellent. Just keep your blood pressure below target. Never over exert yourself. You can do exercise but start doing them gradually and increase your capacity daily",
"You should undergo test like renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines. Also get lipid profile and sugars tested. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week and BP should not be persistently more than 140/90 MMH. I think you should continue the same and I would like to add Tab Telmisartan chlorthalidone combination(40/12. 5) once a day in the morning. Once BP is controlled LVH will gradually decrease and no need to worry about it. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I have been diagnosed with long term lyme s infection. I am told the reason I have developed symptoms of severe nausea and vomiting after eating a large meal or some fat, is due to inflammation of my gall bladder. The doctor is suggesting have my gall bladder taken out. 1) Does lyme s disease effect the gall bladder; 2) are my symptoms consistent with gall bladder inflammation; 3) Will the removal of my gall bladder decrease my sensitivity to fat and stop the nausea and vomiting.
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"First question, Lyme disease does not affect the gall bladder. Second question, yes it could suggest inflammation of the gall bladder with other symptoms like pain on the right side of the upper part of your abdomen, jaundice and fever. Your doctor would advise you do an abdominal scan which can also show a gall bladder inflammation. Third question, yes the removal will stop the symptoms and that is the definitive management."
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"I can understand your concern. Your symptoms are pain in right lower rib area with nausea. So it suggests some liver disease or gall bladder disease. You don't have gall bladder, so it can be due to some liver problems. You should go for ultrasound abdomen and complete liver function test. It will give you exact diagnosis. Then you should take treatment accordingly. Avoid fatty food and alcohol. Go for regular exercise. If you have obesity then weigh reduction should be done.",
"If gall bladder is working then there is no need for its removal just now. Instead, if you have symptoms regarding stomach cancer like abdominal pain, blood omitting, fever , weight loss then investigation done to rule out growth in stomach like endoscopy or ct scan. If malignancy comes then need for searching of metastasis is to be done. Just now try to take fatty food to a minimum and eat small meal at frequent interval. No need of gall bladder removal until it is working. I hope I have solved your query"
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my arm was fractured abt 3 years ago .. today in the gym, i lifted more than usual weight and i started to feel the pain in the same arm .. the pain is less but similar to the pain when i fractured my arm ... will i be able to workout ever again .. i am scared ...
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"If lifting of weight is causing pain then I will advise you to have an X-ray of affected part to know the reason behind pain. This can be due to incomplete union or stress fracture. Till then, you should avoid bearing weight on affected arm. Take care."
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"As the pain occurred after workout, thus could be forearm muscle strain, but in the best interest it is better to visit your doctor to confirm the diagnosis and to look out for any other soft tissue injury, [like tendinitis, carpal tunnel syn Chat Doctor. Initially forearm pain can be managed with Ice, Elevation, Rest, and pain relievers, however if condition does not improve with home treatment, medical treatment is advocated",
"Secondly, I suggest you seen medical care in the form of a thorough musculoskeletal evaluation which may also include X-rays to make sure there was no fracture which could be contributing to your pain. With the type of trauma you suffered, it may take some weeks before you feel back at your baseline. I am sorry you have suffered this injury and I hope you are in a better place both physically and emotionally as well. Take good care"
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After sex I had unwanted 72 for two days dats twice in month of Feb I had d pill within 36 hrs or less than dat my period fr month of Feb was due on 27th have no periods till date I took a course of dub 5mg on 9th march till 13th march but no periods yet.. Plz help
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"Unwanted 72 is an emergency contraceptive, & prevents pregnancy if taken in prescribed time. It has high dose of hormones which helps in its action. & so it tends to cause delay in period with excessive bleeding. You have taken the pill s twice in a month(which should never be done-once taken, one can use other contraceptive major like barrier to prevent pregnancy in following sex in same month. . . . . Unwanted 72 is to be taken only in emergency, & should not be used as regular contraceptive, Cyclical oral contraceptives are better) Both the incidences must have created a hormonal imbalance & disturbed your period. . . & on top of that you had taken dub 5 mg (again hormone) & hoping for with Chat Doctor. . Now, please do not worry. . . . - Get blood Chat Doctor test done to exclude pregnancy, - Wait patiently for periods to come/don't take any medicines for that. - consult a gynecologist for regularizing following cycles after you get bleeding"
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"In my opinion the unwanted 72 comes under emergency contraception. The emergency contraception is used when the protection is failed like irregular intake of birth control pills or tear or slippage of condom etc. But it should not be used for regular usage. Unwanted 72 is high dose progesterone hormone. It causes hormonal imbalance. So if used regularly it might cause heavy bleeding. So restrict for emergency situations. Unwanted 72 is effective in 95% cases in preventing pregnancy if taken within 72 hours of unprotected intercourse. Intercourse can be done without protection in case of safe period of menstrual cycle. Safe period is the one where there are no chances of pregnancy with unprotected intercourse. Safe period is said to be roughly around 1 week before and after the period and during the period. But this safe period method or natural method is applicable only in case of regular cycle. So kindly check for the safe period and if inevitable you can go for unwanted 72.",
"However, pre-ejaculation secretions come out unknowingly and contain some sperms which are capable of fertilizing an ovum. Though she has taken unwanted 72, post-coital emergency contraceptive pills, she has consumed them rather late - after 6 days. These pills are very effective emergency contraceptive pills if taken within 72 hours of the unprotected sex. Now the key factor is when did you have this venture of unprotected sex! The egg is released (ovulation)14 days prior to the next expected menses. The egg has life of 24 hours while the sperms are active for 72 hours. Therefore, a period of about one week around the day of ovulation is fertile period. If you had your sex during fertile period, the chance of pregnancy would be high. So do your calculation of the days to find out the risk of pregnancy. Now you have to wait expectantly for her menses to appear. One hitch in this also is that after Unwanted 72 pills, there is a possibility of delaying period by about a week or so. So the best option for you is if at all she misses her period, about 3 weeks after this incidence of sex, get her pregnancy test done on the overnight first morning urine sample; done earlier, these test may give false negative results. Alternatively, you may opt for Beta Chat Doctor test which gives reliable results even few days before missing a period. If she is pregnant, you have an option of Medical termination of pregnancy till 9 weeks of gestation. To avoid such stressful situations in the future, please practice reliable contraceptive methods like birth control pills, condom or intrauterine device. I hope this helps you"
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dear sir,my wife is 29+week pregnant now and has 3+ protein in urine,and she is suffering from pre eclampsia, B.P is fluctuating in a day as low as 120/90 and as high as 160/120,LDH,Uric acid,Platelets in serum are in normal range. using Methyl dopa 500mg Nifedipine Retard 20mg thrice a day and labetalol 100mg twice a day.but blood presuure is getting controlled,one day cardiologist suggested a diuretic 20 mg as a stat dose,immediately then b.p has controlled for about 2 days,we stopped taking it,again B.P is shooting up,i am very much worried about mother s point of vie first and then about baby.is it safe using diuretic in pregnancy?if not what can be done to control Blood Pressure?
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"At 29 weeks It's still too early and the care of mother and baby are very important. The best treatment for pre-eclampsia is delivery, but at 29 week the babies' survival is a concern. We need to monitor the mothers health and the fetal condition in way of hourly BP monitoring, blood test, urine test, Fetal ultrasound and fetal Doppler and Fetal heart tracings in the form of NST. Diuretics have to be used very cautiously in pregnancy, and are avoided unless no alternative is available. If the maternal or fetal condition deteriorates at any point, it's best to consider deliver, in a hospital with good NICU back up."
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"If they come back normal, and you continue to have the same complaints, then you should talk with your doctor to make some corrections in your treatment. In your case low dose diuretics may be added. It will help to avoid edemas and will regulate your blood pressure",
"First do not panic about the medicines. Yes, these medications are safe for use in pregnancy. Tab. Dominate, is commonly used as anti-emetic and anti nausea tic. Macfolate and Zirconia are multi vitamins and multi mineral supplement. Duphastone is a progesterone hormone tablet. It is helpful for support and growth of early pregnancy. Aspirin is mainly used in low dose as medicine to prevent clogging of blood vessels due to platelet aggregation. This helps to maintain the blood supply from mother to baby. In some patients, there is formation of antibodies that promote platelet aggregation, leading to blocking of blood supply to the developing pregnancy. Please have full trust in your treating doctor. Follow up regularly and also take medication as suggested. May God bless you with the bundle of joy. I hope this answer helps you. Thanks"
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I am a diabetic patient ,suffering from the same for past 12 yrs(juvenile diabetic).I had started getting Dark red patches near the region of my thighs .It has started expanding over my body particularly in hands & legs.There is constant itching.I consulates a skin specialist.. However HR is of the view..that I should get examined by a diabitlogist.He said this is due to fungal infection,vitamin deficiency .He has recommended me HH Derm cream..I want to know..are there any substitute for the same..
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"It's difficult to diagnose what has happened without having a look at the skin lesion. So I would recommend you to upload the picture of your skin lesion so that I can tell you what has happened to you. But looking at your diabetic status and the kind of description given by you, I feel it is a Fungal Infection only. For fungal infection the medicine given to you HH Term is fine, I can't understand why you are asking a substitute. In case you still need a substitute you can use Candid B. Mind you need to use the cream for 3 weeks for complete resolution of skin problems."
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"If itching is only due to sweating then following will helpful. 1. Washing with warm water. 2. Apply talc powder. 3. Medicines like cetirizine will useful. But persistent of itching will indicate fungal infection. Examination of that part is necessary to diagnose it proper way. Antifungal lotion or cream like terbanafin or candid cream will useful but only given after proper diagnosis. So consult dermatologist for further assistance. Still have a query then feel free to ask. Get well soon. Thank you",
"The condition you are suffering from can be scabies, tinea corporal, contact dermatitis etc. Proper examination KOH scraping, patch testing, skin biopsy may be required for diagnosis. Deltacortil is a steroid and long term intake is not advisable. Consider visiting your GP or dermatologist for proper diagnosis and treatment. You can take tab. Zyrtec for itching till you visit a doctor."
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I had triple bypass 10 weeks ago. 2 days after surgery I started to experience an increased heart rate which I was given medication for. At the same time my heart started beating really hard. So hard that I could not even lean back or lie in my bed. I am 10 weeks in and the heart beat is still thudding in my back, stomach and head. What is causing this and when will it stop.
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"I can understand your concern. Since you recently had triple bypass surgery, we should first rule out arrhythmia as a cause four your increased heart rate. So consult your doctor and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes stress and anxiety related to surgery is also caused similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. But first rule out arrhythmia."
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"Your symptoms could be related to anxiety. I agree with your doctor that mitral valve prolapse is not a serious medical disorder. Anyway, it can trigger ectopic heart beats especially during straining physical activity. Anyway, if the problem persists, I would recommend performing an ambulatory 24 to 48 hours ECG monitoring and some blood lab tests. If all these tests result normal, you should consider anxiety as the main cause of your complaints. For more information consult a cardiologist online",
"Racing heart beat (palpitations) can be due to different causes. Excessive anxiety, panic attacks is a common cause of palpitations. If you had no prior history of anxiety and suddenly developed palpitations, it is advisable to consult a heart specialist (cardiologist) so that any heart related issues can be ruled out. If you have never consulted a cardiologist before, it will also be reassuring for you to see the specialist and take his opinion. If there are no physical health problems, then your symptoms are probably related to excessive anxiety or health anxiety and you can follow up with your psychiatrist for further treatment."
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Hello doctor,I have the first upper molar root canal treated 15 years ago. It has undergone two root canals treatment but does it seem incomplete? I did a CBCT and it shows a cyst and sinusitis although I have not that much pain. I am 41 and the dentist told me that I have bone resorption at the upper left maxillary region and I also have been recently diagnosed with Hashimoto thyroiditis. Should I get the tooth extracted? Should I try again for a new third root canal? What about periodontitis which is at the beginning?
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"At first, I appreciate you because you have so much awareness of your oral health. The life span of normal root canal treated tooth is 5 to 6 years. If you have 15-year-old treated tooth, it means you are so health conscious and take care of your oral hygiene. My opinion is you should go for extraction along with cyst removal because third-time root canal of the same tooth is not a good idea. Periodontitis is nothing but an infection of gum tissue which is totally curable and depends upon your oral hygiene. Bone resorption is a kind of bone loss due to demineralization. There are many things which are responsible for that like age factor, some diseases, calcium level, gingivitis with periodontitis is also a cause of bone loss."
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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",
"Welcome to Chat Doctor . I have gone through your query and can understand your concern. . . As per your complaint and presentation of symptoms it seems that you have maxillary sinus infection known as Sinusitis and congestion, pain in teeth and nostril is due to it. It is also possible that the infection in sinus can be secondary to tooth infection specifically molar infection as the roots of upper molars many a time lie either very close to or at times within the sinus cavity. You should consult a dentist and get evaluated and in case of dental infection causing sinusitis a course of antibiotics and painkillers can be advised. Tooth infection can be treated with either root canal treatment or extraction and the sinus infection will be treated with antibiotics for at least 15 days. For nasal congestion decongestant nasal sprays and oral medications can also be advised."
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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 july 2011 pcr was 0000 and i take alpha blue green drug(herbs capsules from italy) and ultra sound was normal liver parenchyma and stone 8mm in gallblader .then after 3 months of treatment by this drug pcr was 0000 and normal got &gpt .after the second 3 months pcr was 0000 and gpt&got was about 90.then after the third 3 months pcr was 0000 and normal ast and alt was elevated about 10 degree than normal and ultra sound show coarse echoo patern and stone in gallblader was 11mm and thick gallblader membrane and i still treated with alpha blue green .iam female 53 years
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"Forum. I don't know about so-called ALPHA BLUE GREEN. Here I want to mention one thing that this type of Chat Doctor. You have seen, that even after one year of treatment size of gall stone has increased from 8 mm to 11 mm. All got, Sept levels are also high. In my opinion consult a SURGEON and at once get his opinion for gallbladder removal as this is only and one treatment scientific proved. If stone (gallbladder not removed may develop many complications)"
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"It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. AST in non-specific, and it increases in many conditions. You may need few more investigations like viral markers and ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Proper treatment depend upon findings. Get well soon. Take Care",
"I really appreciate your concern for mildly elevated liver enzymes. Typically, the range for normal AST is between 10 and 40 units per liter and ALT between 7 and 56 units per liter. Pravachol which is used in the treatment of high cholesterol is known to cause injury to the liver which is reflected in the form of elevated liver enzymes. In view of the normal ultrasound, blood work, and normal hepatitis virus profile there is slight elevation which needs to be monitored and correlated with the signs and symptoms. Kindly visit your doctor for possible use of alternative Chat Doctor. I hope your doubts have been clarified. Kindly give your feedback if convinced. Take care"
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Hi,My partner who is 27 has problems with his blood. He has suffered 2 blood clots (dvt and PE) and hasnt been taking his medication as needed. He is currently suffering from pains in his back as he did just before he has his PE. Could you give some advice to as if you think he is developing another blood clot.
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"I am Chat Doctor. A PE is a blood clot in the blood vessels in the lung and a DVT is a blood clot that most commonly occurs in the leg. Symptoms of both can be subtle and may be confused with other medical conditions and vary from no symptoms whatsoever, to severe, depending on how big the clot is. PE can be presents as backache. Other symptoms are Chest pain, particularly when taking a deep breath in, Shortness of breath and Unexplained cough. I advise you to consult your treating doctor and start his medicine earliest. You should strictly follow your doctor prescription and advised blood test specially PT INR. Do not waste time and consult you doctor. Thanx"
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"Such lump has appeared due to blood clot in the vein or due to vein burst. Blood clot usually causes the area hard and tender. It appears in the place where varicose vein is usually present. Vein burst lump is less painful and not very hard. Both issues indicate chronic veins insufficiency. This condition can lead to veins thrombosis which in some cases can be life-threatening. That is why I suggest you to have Doppler's veins ultrasound done and consult a surgeon. In a meanwhile, to prevent such situation, you should wear compression stockings.",
". In my opinion I think you have some sort of vascular issue that is very common with individuals that stands for a long time. Sometimes it only requires some hot massages, wearing compression stockings and leg elevation will be effective. If pain persists, and you feel veins are a bit wide and tortuous or a bit bluish I may suggest Doppler U/S to rule any clots or DVT (deep vein thrombosis) 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"
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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 recently lost a lot of weight, going from 200lbs to 140lbs in about 4 months. Since losing this weight I have begun having the strangest issue with my tailbone. I feel as though there is something, a golf ball shaped something, at the base of my tailbone. It shifts and moves depending on how I am sitting, but it is always there. Its like constantly sitting on a huge hard lump! I cannot get my physician to take this seriously, it is driving me nuts! And no it does not hurt.
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"Thanks for your query. Noted the appearance of a painless golf-ball like lump at the tailbone after losing weight from 200 lbs to 140 lbs. It does move and shift, but always there. I could not understand why you can not get your Physician to take this seriously. I would advise you the following in such a situation. - First go for MRI of the area, and you will have either a confirmed diagnosis or can have it ruled out. If it is present you have to consult a General Surgeon and get this first FNAC and then to get this operated to get rod of the problems and to get a confirmed diagnosis by histopathology examination"
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"1-I am happy that you are serious to know why this leg -lump is having painful spasms?2-In my opinion this lump at the tail bone with repeated cropping up with slimy discharge with bad smell and with itching, is -Colonial sinus. 3-Though you have not told the duration, and how long it is recurring,4- In my opinion-possibility of infecting and re-infecting Colonial sinus-with slimy abscess is very strong, as from the facts provided by your query. 5-I would advise Surgeons opinion. 6-Hence You should be panicky and worried, and go Ugly go to ER -Surgeon doctor. 7-You should haveX-ray of the area and the sinogram-to arrive at the cause of the recurring painful lump at the tail bone. 8-",
"Thanks for calling Chat Doctor. Forum. You had pain lower abdomen, where the legs meet on both sides, pain on tail bone, increases while going to bathroom, sneezing, moving or walking. Last year you had the same problem. It appears to be the urinary tract infection, or stone in the ureters, or in the bladder(conceal pain usually suggests this)Other causes are infection of the colon or rectum. Repeating in every summer, means it might be secondary to the less fluid in the body due to sweating. I advise you to consult a surgeon for diagnosis and treatment. You may need to have M. R. I. besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Present with Dx umbilical hernia , most probably brought on by mild ascites (also Dx non-alcoholic cirrhosis ). Multiple episodes of severe, incapaticating mid- abdominal pain noted durin last 90-day period. Question: can either ascites, though minimal, or umbilical hernia trigger this type of pain? Bowel pattern normal and no change in dietary intake.
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"Yes, umbilical hernia can always be a reason of abdominal pain. However, it can be also asymptomatic. Hernia is simply a hole in the abdominal wall. When the hole is small, but big enough to let intestine or momentum to get through, the contents of hernia gets squeezed and that is what hurts. So if in your belly button is a lump which hurts when you pres it, that can be the cause of your symptoms. If hernia is empty, it should not hurt at all. If it is about ascites, in most cases it does not hurt at all. The only way it can hurt, is when there is so much liquid inside your abdomen, that intestines gets squeezed, and it can lead to intestine blockage. But it would be easily visible, and your abdomen would become unnaturally big, like with big ball inside."
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"1. It can be due to urinary tract infection - doing a urine complete test can help diagnose the cause. 2. It can be due to frequent masturbation with inadequate nutrition - taking proper nutrition food and exercise can help ease away from pain. Masturbation 2 to 3 times a week is normal more than that can cause complications.",
"I would have been happy to know the exact site of pain and any associated other symptoms too; like vomiting/ constipation/ jaundice and so on. Please attach any reports done till now. Everyday pain can be due to many factors like pancreatitis, gall stones, gastric ulcers, internal herniation, may be a mas in abdomen and so on. Go for CT scan of the abdomen if not done yet. Consultation with a Gastroenterologist is needed"
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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 3 years old son has loose stool since yesterday. His stool report says: RBC 1-3 hpf, WBC 1-3 hpf, pus cells 1-3 hpf, no protzoal parasite, no helminthes parasites, no occult blood, no mucus. What is the likely diagnosis and what should be the treatment?
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"Understanding your concern. As per your query your son have symptoms of loose stools which seems to be due to acute gastroenteritis which is a type of viral infection. It could be due to electrolyte imbalance in body. Need not worry. I would suggest you to take proper rest. You should have plenty of fluids to rely Chat Doctor. You should take diet rich in multivitamins. Furthermore, you should do tepid sponging as well. Avoid intake of outside hot and spicy food substances. Visit pediatrician once and get it examined. You should get blood tests done to find out underlying cause of your condition whether bacterial or viral and start treatment accordingly. You should give child diet rich in fibers and proton pump inhibitors. Your symptoms will resolve in 3-5 days."
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"Thank you for posting your query. I can understand your concern for your son. A direct bilirubin of 0. 4 is not a thing to worry. The recurrent episodes of vomiting and diarrhea are a thing to be concerned of. He could have Gastroesophageal reflux disease, gastritis or gall stone disease. It is difficult to point out a diagnosis without actually examining him. I would suggest you to - not worry-Get an ultrasound of the abdomen done-Get his blood Liver function test, Hemoglobin, total count, ESR, amylase, lipase done-Get an upper GI endoscopy donged him to visit a gastroenterologist. He/she can examine him and correlate clinically.",
"Thank you for the query. Loose stools can be due various causes like infections or indigestion. High leukocyte (white blood cell count) only means that there is an infection but not the type of infection. If your doctor has advised for stool culture we can know the exact organism. I would suggest you to keep track of any new food he has had or medicine intake which can cause loose stools due to indigestion. If its viral then symptomatic treatment(probiotics) with home remedies(soups, fluids, curds)is the best. I hope this answers your query"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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my husband was bitten by an insect, it looked like an ant to us, he has red splotches all over his body and has a fever. He also has a cough which he has before the bite. what can we do? At the site of the bite it is red a large area, but it seems to be fading.
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"A INSECT BITE USUALLY LEADS TO UNDUE ALLERGIC/ANAPHYLACTIC REACTIONS DEPENDING ON THE SPECIES AND THE CHEMICAL RELEASED DURING THE BITE. BY GOING THROUGH YOUR CLINICAL HISTORY, IT SEEMS PRUDENT THAT YOUR HUSBAND HAS MILD TO MODERATE SYSTEMIC UPSET. THIS IS CLEAR BY THE COUGH AND FEVER. THESE SYMPTOMS CAN BE MANAGED BY LONG ACTING ANTIHISTAMINES EX TAB DESLORATIDININE 10 mg. steroids like in HY Chat Doctor. IT CAN EVEN REVERSE THE BRONCHOCONSTRICTION(airway narrowing) AND REDUCE THE COUGHING. ANTIPYRETIC LIKE PARACETAMOL CAN HELP TO REDUCE FEVER. SINCE THE RED AREA SEEMS TO BE FADING YOU CAN BE REST ASSURED. refractory or severe cases can be managed with in"
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"The repeated infections have, in turn, affected his all-round growth. What I would like you to do is to a) understand that fever is what helps the children body to fight his infection, as long as it is not so high that it triggers off a fit (as it did in your sons case). b) Avoid starting antibiotics at the very start of a cold or fever or cough; give him plenty of warm soup and other bland and non-cold liquids; c) sponge him from neck to knees with lukewarm water and give him paracetamol to reduce his fever and d) see a doctor - a pediatrician - only if the fever lingers on for more than 2 days, or if it is very high (more than 39 degree C). In this way, you can gradually bring your son out of this endless circle of disease - antibiotic - relief - disease",
"Thanks for the query to Chat Doctor. I went through all the details of your query. On the details given by your query, In my opinion you suffer mostly from-though the information given in your query is less-on the facts there in-mostly you suffer from-lump with a bug bite mostly, as its red and non-movable. Treatment suggested would be-a-Tab NSAIDs x 5 days b-Cold compressesc-Tab Antihistamines"
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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 forced gay sex before 17 days. I had an HIV rapid test after six days of having sex, and the result was negative. Am I prone to HIV and STD\s? How long it takes to detect HIV and STD in urine test after exposure?
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"Good, you have done a rapid HIV test, and it is negative. But normal results are negative. This means that no antibodies were found and that you may not be infected with HIV. Most people who become infected with HIV will develop antibodies to the virus within two months. During this time, you may have an HIV test, but this test cannot detect it. You will have to repeat the test more than three months after your possible exposure if your results are negative. Better do ELISA (enzyme-linked immunosorbent assay) for HIV, and V ChatDoctor. If possible, investigate your sex partner also."
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"To answer your query, I want to give reference of published research that, Although the reported sensitivity and specificity of fourth generation tests are more than 99% in numerous studies, there are several instances of discordance between screening and confirmatory techniques (Liu P et al. AIDS Research and Therapy 2016 13:1). False positivity can be due to user error or cross contamination, if there is ongoing some other illness eg. malaria, or if there is a history of blood transfusion, autoimmune diseases. A positive test result always needs to be routinely confirmed using a different type of test or testing kit. Fourth generation tests are more than 95% accurate at six weeks and this needs to be confirmed after three months with a second test. If the test in your case has been performed at three months after the exposure and is giving negative results, and you have not had another risk, you do not have HIV. Your fourth generation test and RNA PCR at 9 and 10 weeks and further 12 weeks negative RNA PCR, suffices to rule out infection. If you still have apprehension, get a repeat HIV antibody test at six months of exposure, no need to repeat it in between. Take precautions in the future (consistent and correct condom usage). I hope this helps.",
"I understand your concern and situation. The risk of having any sexually transmitted diseases is low but as there was direct contact risk cannot be ruled out. I suggest that you can get tested by HIV PCR test or 4th generation ELISA test after12 weeks to rule out any infection. If any other symptoms then you might need further tests. But I again stress that the risk is too low. Practice barrier methods during intercourse in the future. Best of heal"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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My 91 year old father was recently diagnosed with vocal chord cancer. He started radiation treatments, then after 4 treatments he got shingles. Since then he cannot keep any food or drink down. He throws everything up. He was admitted into the hospital for mild dehydration and stayed for 2 days and was just released last night . is vomiting a side effect of the cancer or the radiation? Also, any suggestions on what to do to keep food or drink in him?
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"Vomiting is a common side effect of cancer treatment. It is possible that he received radiation therapy to his neck region and this caused fibrosis of the thoracic part of esophagus which is located behind the vocal cord. The esophageal radiation fibrosis might cause strictures which cause discomfort in eating and Chat Doctor. The patient might also have pain and difficulty in swallowing. It is suggested that an investigation like barium swallow is done to know if the food pipe has developed any stricture. Then attempts might be made to widen the stricture area and allow the passage of food and liquids"
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"The elevations in ESR and SGPT in this case are nonspecific, and basically indicate only that an infectious or inflammatory process is occurring. If there is vomiting, you may want to keep your son on a clear liquid diet only for a day or two until the vomiting stops. There are also prescription medicines your doctor can give if the vomiting is especially severe. Talk to the doctor about specifics as s/he is familiar with your sons case and knows what medicines were given to him.",
"Vomiting that is green or black is most likely to be due to bile or altered blood. It is important to consult your doctor and get him treated for the concern. Liver and lung metastases with a primary cancer elsewhere is advanced disease. Such condition can cause complications such as bleeding inside the gastrointestinal tract or vomiting bile due to inability of bile getting cleared the normal way. It will help to take him to a medical facility urgently and get an endoscopy done should there be a doubt of bleeding from the inside of stomach. This needs early diagnosis and stabilization. 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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3 days ago I was elbowed in the chest while playing basketball. At the time it stung, but I was able to continue to play. Yesterday my chest, right above my breast, was really hurting...today the same. I iced it and that helped, but when I take a deep breath, sneeze or cough I have such pain! Im not a complainer or one that runs to the doctor, but are there any specific signs I should be looking for if this is more than a deep bruise?
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"According to the history as posted, the pain appears to be a muscular type. Increase in severity during sneezing, coughing or deep breath is due to increased in intro thoracic pressure. Symptomatic relief can be obtained by taking analgesics, muscle relaxants, ice compression & adequate rest. However, if the symptoms still persist, then it will be better to consult your General Physician and get a proper physical examination. Investigation like X-ray of the chest will be helpfulWishing you a good health. Take care. You can ask me a direct query on this website using the below link: http://www. ChatDoctor . com/doctors/"
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"It is inflammation of the sac surrounding your heart whicChatDoctormonly presents with sharp chest pain that usually comes quickly. Variety of factors may cause pericarditis such as infection, trauma, certain Chat Doctor. The pain is located mostly on the left side (or behind the breastbone). Pain is relieved by sitting up and leaning forward and worsened while lying down and deep breathing. The diagnosis is confirmed with EKG and Echocardiography. The other possible condition that causes chest pain with deep breathing and lying down is pleurisy (pleuritic). It is inflammation of the lining of the lungs. If the inflammation on the left side the pain may locate in the area around the heart. To confirm the diagnosis your doctor may prescribe x-ray or CT scan according to the initial physical exam findings. I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know",
"Having chest pain is cause of concern. Reason may be simple chest infection causing pleural inflammation called pleurisy you can assess if its localized sharp and increased with deep breath. If its like it then simple antibiotic and pain killer are sufficient. But more worrisome is if its cardiac or Ischemic. So u may need chest x Ray and ECG to diagnose after proper clinical assessmen"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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My husband has lung and bone cancer,has had chemo treatments,they are not working any more,the cancer is growing more and quite fast.Our doctor is putting him on Tarceva,will this pill help him?He sleeps alot now.What exactly can we expect from this pill?
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"It is used for initial treatment for patients with NSCLC whose cancer has spread to other parts of the body and that has certain types of epidermal growth factor receptor (EFR) mutations as first line treatment. It can be also be used as maintenance treatment for advanced-stage NSCLC in patients whose cancer has not spread or grown after prior treatment with certain types of chemotherapy. Tarceva can also be used 2nd- or 3rd-line treatment for advanced-stage NSCLC in patients whose cancer has spread or grown after receiving at least one round of chemotherapy. Tarceva is not meant to be used at the same time as certain types of chemotherapy for advanced NSCLC. For initial treatment of patients with NSCLC whose cancer has spread to other parts of the body, it is not known if Marcela is safe and effective in other EFR mutations. Major side effects from this pill is rash and diarrhea. Regards"
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"Untreated kidney tumor will definitely shut down his kidneys. So better to start treatment. This will increase life expectancy and reduce his suffering s. Since he is having lung nodule, he is having stage 4 kidney cancer. The only treatment modality is palliative treatment. This consist of debunking surgery and chemotherapy. This is done just to reduce suffering s. And no role of any oil or any herbal substances. So better, you should take him to other oncosurgeon and discuss all these",
"Your boyfriend has been completely treated for bone cancer. Bone cancer is of many types, some are aggressive and some are responsive to treatment. If he has got the right treatment and his cancer has been treated 25 years back then it is possible that he will not get any recurrence. Regarding marriage, it is the unity of two people and their emotions. If you choose, you can request him to get a sperm count analysis done and know his fertility status. This is because he might have taken chemotherapy that might have affected his fertility. This is not a serious concern and I have seen many cancer patients who have had child Chat Doctor. There are many tablets with imprint NVR in the market and having different medications. It will help to identify the medication based on the imprint on both side of the table"
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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 question is I excersise almost daily, when I dont my heart rate stays normal but when I do exercise way after Im done I go to sleep and my heart beat goes up and wakes me up 2 o 3 hours later after, and the heart rate wont slow down, What is causing this?
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"When you exercise the need of oxygen increases and so your heart rate will increase, which is a natural phenomenon. Also, during sleep if you are stressed out, or you had a bad Chat Doctor. You need to cut the cycle by relaxing as continued anxiety after getting up won't allow the heart rate to come back to normal. Al seems normal with your he"
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"I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that this loud, fast heart beats has to do with a rhythm issue. It might be just a sinus tachycardia meaning that your heart beats over 100 beats for minute, and you feel it like a strong and fast beat. Itmight be what we call extra systolic beats that are some electrical impulses that generates in parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that it's not a normal one, and you feel a pause and then a palpitation or a strong beat. The causes of this rhythm issue might be different. Emotional stress is one of them. But there are other reasons like excessive coffee consumption or pathologies like anemia, hyperthyroidism or electrolyte imbalance, heart pathologies, gastric problem like reflux etc. So, if you have still the same symptoms after using an anxiety medication than it's time to do some examination. I would recommend an electrocardiogram, a cardiac echo, a full blood analyze to exclude previous problems and the most important one a holder rhythm monitoring to see your rhythm tendency. Only after this we can be sure what we are dealing with and how to treat it.",
"Heart rate of 99 after walking is not abnormal, it is normal reaction of the organism, when heart rate is increased during physical activity. In some people it increases slowly and in some increases fast, especially if they untrained. I would advise you to walk much and by time you will become more tribes and your heart rate will increase slower, and you will be more fi"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi, may I answer your health queries right now ? Please type your query here... My physical therapist just found a hard, stationary lump on the middle of my back. She and the head therapist dont think it is a cyst, as it doesnt move. I use a cane with my left hand and assumed it was a tight muscle. What are the other possibilities? Thank you.
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"Thanks for your query and an elucidated history. Read and understood your history of your Physiotherapist noticing a hard immobile lump at the back which they do not think is a cyst in the middle of the back. You use cane with your left hand and assume can be a tight muscle. My thoughts:If this would have a a tight muscle, the Physiotherapist and the Head would have definitely understood it as a tight muscle. The best way to get a proper diagnosis is:Get a clinical evaluation and examination done by a General Surgeon or an Orthopedic Surgeon. Get further investigations. Ultrasonography with FNAC may help in the initial stages of investigation. MRI will be confirmation. The treatment will automatically depend upon the findings"
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"Bakers cyst is a benign swelling in the popliteal fossa (back of knee) region due to collection of fluid in sac like structures (bursa) around the knee joint. They are usually self-contained and appear as a swelling between muscle tendons at the knee joint. On rare occasions the cyst can rupture. Bigger cysts need to be surgically removed, and smaller cysts can be observed for a while for symptoms to develop and increase in size. In your situation, the cyst might be causing pressure symptoms on the venous Chat Doctor. This is mentioned in the report. Your surgeon will examine you completely and then decide on the course of treatment as per your symptoms and after a venous Doppler of your lower limb.",
"Lumbosacral neuritis is a painful condition. You might have a bulging disc or spinal stenosis, however, it is most likely that is a bulging disc pressing the nerve that is causing this problem. It might be related to the fall, but the most important thing is to have an MRI of that area and see what is the level of damage. Epidural block or as last resource, surgery, should be considered. In terms of the knee, Baker cyst sometimes requires surgery to relieve the pain. The numbness of the left knee is from the neuritis and the accumulation of fluid. Thanks for using our service"
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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 I have an 18 year old son that suffered a traumatic Brian injury when he was 23 months old. He suffers from ADHD symptoms as well as being unable to control his impulsivity and emotions he also has problems with his executive function and has a cognitive disorder. All this means he is hyper active and can t contol his impulses or his emotions. Traditional medications do not help much. Would medical marijuana use help him ?
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"It is proven that in medicinal doses marijuana can be used to help cognitive disorder. Your psychiatrist or neurologist will be able to give you the perfect guideline. If you require more of my help in this aspect, please use this URL. http://goo. gl/aYW2pR. Make sure that you include every minute detail possible."
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"I understand that you are concerned about your son who is having anger issues. From the description of his problems, it appears that he is having severe anger outbursts and a poor impulse control. There can be various reasons for this - for example, personality problems, influence of substances, etc. Since his problems seem to be quite prominent and resulting in serious consequences, it is essential that he gets professional help. The right specialist to deal with such problems would be a Psychiatrist. So, I would suggest that you arrange for a psychiatric consultation as early as possible. There are ways to help him out - by means of psychological therapy and sometimes, even medication may be helpful",
"I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Please do not panic. It is good to note that you have stopped smoking and alcohol. Also, I will suggest you not to indulge in marijuana. As it gets transferred to baby across the placenta. It is known to cause learning and development issues in the baby. I will suggest you to stop it at once. It takes about 3 to 5 days for the substance to get cleared from your body. Please take care. May God bless you. I hope this answer helps you"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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hi, i have a pea size hard lump on my inner thigh for several months, and at the first beginning, it felt a little itchy and now it is not itchy anymore but the color is getting darker, please tell me what should I do about it. is that can develop to cancer? Thank you
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"However, with the history given I am of the opinion that pea sized hard lump is a mole that you had it for several months, since the fact that you have noticed a change in its color it might have become a malignant (cancer) lump. You need to be examined by a dermatologist to confirm the diagnosis and the treatment. Best regards"
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"I can understand your concern. You may have some soft tissue tumor like lipoma neurofibroma or dermatofibroma. You should go for biopsy. It will give you exact diagnosis about cause of lump. Then you should take treatment accordingly.",
"I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. Or it can be some skin adnexal tumor or lesion. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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Sir,I have been subscribed a medicine called Veltam 0.4 . I am 26 years old and after reading the reviews I came to know that it is not for young male since it reduces semen count and there are many other side effects as well. what should I do ? please HelpRegards,Vishy
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"You have been prescribed Delta 0. 4 mg once daily. You have not mentioned the reason for it being prescribed to you. Maybe you are facing problem of pain in abdomen due to stone in ureter. Veltam is alpha blocker that relaxes smooth muscles in bladder neck, prostate and ureter and is generally prescribed for obstructive voiding symptoms, poor urinary stream or to help to pas down the stone in ureter. Since it causes relaxation of bladder neck, during ejaculation it causes semen to enter in bladder instead of moving forward in to urethra what is called as Retrograde Ejaculation. This retrograde ejaculation is the cause for low volume of semen during ejaculation. However, the problem gets resolved after you stop taking it."
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"I understand your concern for early ejaculations and insufficient erections for last six years. Circumcision usually does not have adverse effect on erection or ejaculation. For premature ejaculations, when clients approach me, I recommend them a behavior exercise called start-stop technique. The man starts masturbation and stops just prior to orgasmic inevitability. He allows arousal level to decline and re-stimulates. One should continue this start-stop sequence for about 15 minutes. This is how you can gain ejaculatory control gradually. There are medications like Paroxetine20 mg or Duloxetine 30 mg with Sildenafil 50 mg which helps to delay orgasm with improving erectile function. These medicines must be taken under medical supervision. Female on top position with active role during coitus helps one to delay climax. One can lead the partner to orgasm by stimulating other erogenous zones rather than vaginal containment only. I recommend you to consult psychiatrist trained in psychosexual medicine, who will guide you how to utilize all these techniques effectively best suited for you. Wish you good heal",
"Using this for such a long time and at a young age can produce pronounced side effects like erectile dysfunction at a later stage, and low BP problems. I would advise to avoid the ChatDoctor. Use a barrier contraceptive that enhances the duration of sex and you can successfully wean off the"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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I had an ultrasound in Nov that showed that I had several stomes/polyps lagest one 5mm. Repeated ultrasound in March & showed several polyps largest one 8mm. Makes me wonder if that 5mm grew that quick or measurements not correct. Considering removing gallblader but unsure.
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"I can understand your concern. You have multiple polyps in gall bladder. Largest was 5 mm in November and now its 8 mm. It may be slightly increased and 1 to 2 mm variation is common so it's not a big difference. Whether it is 5 mm or 8 mm it doesn't make any difference in treatment. You should go for cholecystectomy."
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"I suggest that surgical correction should be done to bring it down as low as possible. Reason being, it permits self palpation of testis for early detection of any tumor. Frequent ultrasound is not feasible or practical to think of. Self palpation can be done every day. Ultrasound cannot be done every day. Surgery is a minor one. If it is already shrunken, in my opinion the surgeon may suggest removal of it. Do not be afraid and go ahead.",
"Based on your query, my opinion is as follows. 1. No food restriction after surgery for gall bladder is usually necessary. Days with excess fat content, mild diarrhea, might happen. 2. Ultrasound of abdomen will help in confirmation of any gallbladder flare up. 3. If the polyps are causing any obstruction, serum alkaline phosphatase and indirect bilirubin levels will also be elevated along with pale stools. 4. Not to worry, mild fat malabsorption might occur. Otherwise, everything else will be normal."
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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 mentioned having pain in left rib cage area at dr visit in January. They said get chest xray I had the xray and was told to get CT with contrast of left ribs. We were gone one week between chest xray and being told to get CT scan. I was not in much pain on the trip but when I went to bed at home on 5/3, I felt a pulling in rib area and have been in pain. Problems walking. The report from chest xray said left rib abnormality.
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"You are having muscular cause for your chest pain. Since you are having left rib abnormality, this cause muscle pull and muscle damage in certain postures. So try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. 5. Wear chest belt to avoid mobilization of affected are"
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"I can understand your concern. No need to worry much if your chest x-ray is normal. You are having blunt chest trauma and this can cause rib fractures, pneumothorax, lung confusions etc. Chest x-ray is needed to rule out all these. Since your chest x-ray normal, no need to worry about these complications. You are having simple musculoskeletal pain and swelling due to inflammation. This will resolve in 1 week with following measures. 1. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. 2. Avoid bad postures in sleep. Apply warm water pad on affected areas. 3. Take painkiller and anti-inflammatory Chat Doctor. Don't worry, you will be alright and swelling, pain will subside.",
"Strained muscle theory is possible. But your pain can be caused by some other reasons like broken rib, lung disorders or gall stones. It is advisable for you to have at least the chest X-ray and ribs X-ray, abdominal ultrasound. Fool blood work with liver and pancreas enzymes should be performed as well. Always when chest pain appears, heart condition should be checked with ECG. If this tests will all came negative, strained muscle can be the reason of your pain."
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I have been having painin the right side of the abdominals. It is near the ribs,then feels like it is a little lower.I also have pain in the back on the lower right,lower abdominal pian,sometimes pain when I urinate.I have been very gasy around the belly andmy bowels sometimes are bright yellow liquid.The pain is constant and feels better when I stay in one place it goes away.What could this be..
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"The pain on the right side of the abdomen with liquid stools and gases can be due to many reasons. I am suspecting this problem as appendicitis. This may be in a retro-cecal position meaning behind the cecum, a part of the large bowel giving rise to backache more than the abdominal pain. The best investigations are CT scan to get a proper diagnosis and if present, get it operated. Till then take a course of an antibiotic and metronidazole, it may resolve"
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"Thanks for calling Chat Doctor. Forum. You have got pain in right lower abdomen, sometimes spreading to back and leg when straining for defalcation. You feel an urge to evacuate, after food, You feel less energetic, and lethargic. You also feel bloating and acidic. Pain recurred after a surgery for appendicitis. You have got frequency of micturition. And pain increasing after masturbation. No relief with many treatments, and many systems of medicines. I advise you to consult a urologist for diagnosis and treatment. Have the urinary system examined for prostate, urinary tract infection, or stones in the urinary tract, which would have co-existed along with I. B. S. Avoid taking spices, junk foods, and oily foods. Avoid untimely diet. Practice diversion procedures like yoga, meditation, reading books like magazines, and hearing interested music. Wishing for a quick and complete recovery. Best regards",
"Thanks for your query. Read the history and understood your problem. Pain in the right abdomen and the right groin can be due to:-Ureteric stones and UTI. -Appendicitis. -Any problem with the thoracolumbar spine can have referred pain like this. Since your CT scan and liver tests are normal, many of the problems that can be detected by the CT scan are ruled out. -let us wait for the colonoscopy reports. In the meantime ask your Doctor to give you a course of an antibiotic, metronidazole and probiotics along with antispasmodic medicines. This is in thought of colitis as this may not be picked up by the CT scan"
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I am 26 yrs old.I had lower back pain for last 10 years.Today i had my M.R.I done.The report says that THERE IS DISC DEHYDRATION AT L5-S1 LEVEL ASSOCIATED WITH MINIMAL RETROLISTHESIS OF L5 OVER S1 VERTEBRA WITH EVIDENCE OF ANNULAR DIFFUSE DISC BULGE AND SUPERIMPOSED MILD TO MODERATE POSTERO-CENTRAL DISC PROTUSION AT L5-S1 LEVEL INDENTING VENTRAL THECAL SAC AND IMPINGING BILATERAL EXITING L5 NERVE ROOT .What should i do for this.If there will be any adverse effect of pregnancy on this situation.
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"e problem you mentioned can be simply explained in a way that you are having a prolapse disc at L5-S1 which means that your vertebral bodies are in direct contact with each other resulting in pain and inflammation. Mild to moderate cases often respond to treatment like diclofenac sodium, vitamin B12 and physiotherapy but most cases either do not respond or reports with recurrence. These patient if also have symptoms like pain radiating to lower limbs and numbness of lower limbs are indicated for surgical correction by a procedure called laminectomy often performed under general anesthesia or spinal anesthesia and also have a good outcome. Your next concern about its effect on pregnancy is that it do not have any adverse effects directly on the pregnancy however the condition may get worse in pregnancy due to increased dietary requirements and weight-bearing. Alternatively the"
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"I have read your question with care and understand your concerns. Let me try to help question : What does diffuse disc bulge on MRI spine suggest? Answer : Inter vertebral Discs are basically cushion like structures between the bones of the spine. Sometimes, they come inside the spinal canal compress the nerves. In your case, the disc between L5 bone and S1 bone has come out of its place and is compressing the descending left SI nerve root. This can manifest with few symptoms Back Pain - This can be treated with Tablets / Physiotherapy / ExercisesWeakness or Numbness - Surgery is needed",
"egenerative changes are generally age related findings. It is due to chronic stress on annulus fibrosis. There is also straightening of lumbar spine, it may be due to muscular spasm. There are severe facet (bony joints in between two vertebra)arthropathy changes at L4-5 and moderate arthropathy at L5-S1 level. At L5-S1 level, there is moderate broad based disc bulge with focal right paracentral disc protrusion, and it is causing mild to moderate right paracentral compression on thecal sac. There is mild narrowing of bilateral lateral neural canal. At L4-5 level, there is a small right paracentral broad based disc bulge which is causing mild compression on right paracentral thecal sac. There are also mild narrowing of bilateral lateral neural canal. Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy, analgesics and muscle relaxants. Surgery is advised in non responding cases. Physiotherapy helps in strengthening of para spinal muscles, and it prevents further changes. You need proper evaluation by a neurologist. Get well soon. Take Care"
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22 yrs old male 53 130 Ib this morning I woke up fine three hours later I get a really painful stomachach with sweat and chills. I could not poop, but tried really hard after half an hour, diahrea came out. Still having the painful stomachache, I go to the bathroom again,but nothing, except for som kind of red liquid. I was constipated since yesterday. Is there any serious problem Im having?
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"Thanks for your query. There looks to be a serious problem as per your history. The sudden onset of pain in abdomen-sweat and chills-unable to poop in the beginning, followed by diarrhea-pain continues and now red liquid. . . This is very classical finding of a disease called intussusception. In this condition the part of the intestine enters into the intestine to give a tube-in-tube appearance. You need to rush to ER. Do not take anything orally. You have to go for :X-ray of the abdomen in the standing position and-Barium enema- as for diagnosis and many times it is the treatment on its own. The pressure of the barium can resolve the intussusception. Once the problem is sorted out temporarily, you have to undergo definite diagnosis by way of CT scan, colonoscopy and other investigation and the treatment then is well planned to remove the cause that caused this. At the same time this helps to rule out any other pathology"
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"Thanks for your query. 2 years is a long time to suffer without a proper diagnosis. You have chronic diarrhea, severe stomach cramps, loss of appetite, once in a while terrific vomiting of yellow fluid. The probable causes can be :Tuberculosis of the abdomen - intestines particularly the jejuna that is early part of the small intestine with intermittent obstruction, which gets relieved after vomiting to restart the cycle over and over again. Get Barium studies, Diagnostic laparoscopy. IF there is TB get started wit medical management, and surgery may be necessary only if the obstruction is severe enoug",
"iarrhea and upper right pain can be caused by gallstones. The pain usually radiates to the back. Similar to gallstones symptoms can give chronic pancreatitis. Both conditions usually give nausea, low appetite. Symptoms can appear after a fatty food, spicy foods, alcohol. Diarrhea and abdominal pain can be also a symptom of gastrointestinal infection. Please note that every diarrhea which lasts longer than 48 hours needs to be checked with stool tests. As you are kidney transplanted patients, such symptoms can appear due to medicines you take regularly. I suggest you to visit your doctor, have blood work, abdominal ultrasound, urinalysis and stool tests done."
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I went to the docs for a spider bite because that is what it look like it was very swollen and had a lot of heat to it they gave me amoxicillin 500. That was friday sat did not get any better got worse it almost was like a huge zit so I cut and drain it it had thick yellow puss that came out so I cleaned it with peroxide and neosporin and wrap it and kept it on ice because that was DR oders... sunday a lot pain kept on ice and kept clean then I noticed red streaking that evening and I went to the hospital they told I was given wrong antibotics and then gave me sulfameth/ trimethoprim 800/160 tabs for a staff infection and hydrcodone for pain 5mg told me to put warm compresses on it for 3 times a day 20-30 min they gave me an abcess guide line nothing about staff and I was told by a nurse to use the hottest I ca handle water and to soak my arm with epsom salt in the water when I did that my arm started to streak like crazy and I am scared it is starting to fade I am confused I dont want to die or loose my arm
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"Welcome to Chat Doctor . I have gone through your query and can understand. As per your complaint it seems like severe infection at the site of spider bite and along with infection there is also prevailing allergic reaction to the toxin present in spider sting. You are taking a correct line of treatment as it looks like an abscess and not staph infection. You should continue taking the antibiotics and painkillers advised to you as well as keep doing the Chat Doctor. . You can also take anti allergic like Levocetrizine. Streaking seems to be due to inflammation. In case if you do not find improvement or symptoms become exaggerated consult a general surgeon, and he can give you injectable antibiotics and steroids for faster relief."
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"Most common complications are fever, fatigue , sore throat , tiredness, dizziness , nausea. Stomach upset is due to antibiotics prescribed. Consult the doctor and get the antibiotic changed . You can take tab rant ac TDS for hyperacidity. Take complete course of antibiotic and analgesic . Follow the post extraction instructions properly , you can take tab paracetamol TDS for fever. Use saline water gargles 3-4 times a day as it will promote healing , use Betadine mouthwash gargles. Take complete rest for talent 6-7 days , avoid stressful conditions",
"Infection in such cases spread to the path of the lowest resistance, and it can either progress to neck spaces or spaces around inferior of the mouth or around shoulder. So pain in these areas. it's better to get it removed as soon as you can. In the meanwhile take amoxicillin 500 mg three times a day along with veteran three times a day. Do warm saline rinses 3 times a day. Wishing you healthy life with best regards"
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My husband has hepatocellular carcinoma which has entered from his liver through to the right chamber of his heart via the IVC. Allopathy doctors do not show any hopes for cure but are trying to prolong his life only. Is there any medicine in ayurveda that will help him give a better life?
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"Sorry to hear about your husband who is having hepatocellular cancer. There is probably a blood clot which has developed in the IOC which is a great vein transporting blood to the right chamber of the heart. This is a serious concern and I hope you have discussed the matter with allopatry doctors and treatment might have been started to dissolve the clot. The problem happens when such a clot reaches the lung through the heart and causes complete occlusion of pulmonary artery leading to lungs not receiving blood for oxygenation. If your husband develops breathlessness then please take him to the hospital immediately. Ayurveda does not have any confirmed research on the treatment of hepatocellular carcinoma in my knowledge. It is important to keep in mind that the blood clot in IOC should be dissolved to extend his life using allopatry medicine and prevent sudden complications. Please do not worry"
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"It may also owe to hormonal changes. Best advise in my opinion is to avoid multiple abortions. Ayurveda medicine which is safe, diet with negative caloric intake, walks/ jogs are important for you to manage weight. Ayurveda medicines such as Arogyavardhini, Anchor GGUL and Median GGUL and Trial in powder form or decoction are few suggestions which may be used even with it without hormonal disbalance. Selection should be left to Ayurveda doctor to be decided as per history and given conditions.",
"Better to take antipsychotic regularly. If you try to stop antipsychotic, chances of getting relapse would increase. Being a psychiatrist, I would suggest you to take ayurvedic medicine instead of allopathic. Rest, your wish. In case, you need further help, you can ask"
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I have a hard, painless, lump under my jaw (towards the back.) It has been there for about 3 months...What could it be? I have spoke with a dentist, who wasnt sure and referred me to an oral surgeon; however, it is taking a long time to get an appointment scheduled...
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"Thanks for the query. A hard painless lump under the jaw can be due to a number of reasons like 1. If it is a painless and freely movable lump it can be due to lymph node swelling which is commonly seen in case of near of distant infection in the body. 2. If it is a diffused swelling which increase during eating it can be due to blocked duct of submandibular salivary gland. 3. A swollen lymph node can be due to Malignant changes in lymph nodes leading to formation of a LYMPHOMA. I would suggest you to consult an Oral Pathologist if surgeon is not available and get evaluated. In case if it is due to blocked salivary duct removal of obstruction can help. . . In case it is a lymph node, and you do not have any ongoing or recent history of infection then a Biopsy of the lymph node has to be done to confirm the diagnosis."
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"Welcome to Chat Doctor. I read your query. What is the duration of the existence of this lump? Has it happened before? Check for any cavity in corresponding tooth in lower jaw. If there is, then you may have space infection due to tooth. If there is Chat Doctor. Or it can be some swollen lymph nodes as well. Visit a dentist and get it checked for appearance, consistency, texture, etc. Proper oral check, history, radiographs are required to establish a diagnosis. In any case swelling below jaw should not be ignored as they tend to spread fast posing a threat to wind pipe. I suggest you see a dentist and get it treated.",
"I can understand your concern. You have hard lump on back of neck. It can be due to enlarged lymph node due to reactive hyperplasia, tuberculosis or lymphoma. Or it may be some soft tissue tumor or skin adnexal tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly."
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Ok so here s the deal my daughter has asthma and Everytime around the winter months she gets sick with cold viruses sometimes pneumonia, but not so far this year. Her pediatrician and allergy Dr has her on a couple of steroids and when she gets a cold I give her albuterol too. Well my questionvis she gets these white spots on her tongue whenever she gets these colds. First I thought they were coming from the steroids she s inhaling because I read somewhere that this is where the spots are coming from...her Dr gave me the name of the spots when a child gets them when they have a virus...but can you tell me what this may be or if the steroids are causing them to appear...sorry so
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"This is a yeast infection in the mouth. Steroids and antibiotics make parts of the body susceptible to yeast infections. These white spots cannot be removed with gauze or a washcloth. To decrease the chance of her getting these spots have your daughter use water to rinse and gargle her mouth right after using the inhaler."
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"Thank you for your question. Symptoms of rash, temperature and swollen tongue maybe due to an allergic reaction. It maybe a mild reaction. I would suggest you to try and recall if she had some food/medicine before the reaction and be careful or avoid it in the future. It would be better if you can meet your family doctor/pediatrician for further evaluation. I hope this answers your query. Good luck",
"There are several conditions that can cause white spots on the tongue. The most common is thrush which is a yeast type infection that occurs on the tongue. It is usually more diffuse across the tongue so that does not sound like what you have. Other conditions that are possible are oral lichen plans, a condition that usually resolves on its own and leukoplakia. Leukoplakia is not cancer, but it can be a precursor to cancer. It is important for you to see your dentist or doctor for an evaluation of this site on your tongue to make sure that it gets treated appropriately"
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my baby is 14 months she had a fever and woke up with what looked to be fever blisters on her top lip when i looked in her mouth her top two teeth looked very swollen with yellow pus ;( she also has spots on her tongue now today her bottom teeth and gums look infected and swollen can u help me i just want to know what it is
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"For fever, you can give paracetamol in correct dosages, please take your baby to the Pediatrician. Do not brush the teeth till the blister heals as it may worsen the condition. Take your child to the Periodontist and get the thorough clinical evaluation done. Swollen gums along with pus formation can be due to improper oral hygiene, scurvy, bacterial and fungal infections. It can be a serious sepsis. If your child is taking some antibiotics for fever it can be due to reaction to antibiotics and othe"
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"Has he suffered any trauma recently in the chin area? The area you have described swells when left sided lower front teeth are infected. It can be due to trauma to the teeth or involvement of teeth by decay that oozes pus near root can cause swelling of the lower lip and area below chin. Alternatively, in case of absence of infection, he might be suffering from allergic reaction to some food or environmental substance. I would advise you to visit a dentist for diagnosis of infection in the lower front teeth. Further treatment can be advised after the confirmed diagnosis for the swelling. I hope this information helps you. Thank you for choosing Chat Doctor. I wish your son feels better soon",
"If your mother has noticed yellow color fluid coming out it means there is an infection which is leading to formation of this pus discharge. The dentist must have taken an x-ray in which he must have identified that the front tooth are infected that is why he is telling to get them removed. So I think you should follow his instructions and still if you have a doubt you can go to another dentist and get the culture of this pus done which will give you the name of the bacteria."
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Hello sir, i have had fungal infection on my foreskin, my doctor advised me anti fungal cream and oral drug, now i have no concern about itching and burning on my foreskin, but my foreskin s colors now totally change and it lil thin and dry.... i use the cream regularly for 2 week as my doctor advised.,,, is there any serious concern , what can i do please help me
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"If your doctor has examined you completely and told that it is a fungal infection then it must be one. Please do not worry about the skin color changes after applying the antifungal ointments. The itching and burning is important to be treated. The discoloration or change in color can occur during or after treatment and is not a concern. Please trim your pubic hairs and wear cotton inner clothes. Wash your genitals with warm water at lest twice daily. Apply the antifungal ointment twice daily and keep your genital regions Chat Doctor. Treatment can be extended for about a month to completely cure your condition"
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"It may be called candida balanoposthitis. It is caused by Candida albicans. You consult dermatologist for firm diagnosis. DM should be ruled out by testing the blood. You may take antifungal like ketoconazole cap once a day for two weeks or ketoconazole tab once a day for two weeks. If there is itching, you take levocetirizine. Apply antifungal cream like clotrimazole or fluconazole. Take a Site bath in detail water. For other problems, you discuss with your dermatologist and take treatment accordingly. I hope you got my answer. Thanks",
"As per your history, you may have fungal infection(Tina corporal) or frictional dermatitis. my treatment advise would be:-- maintain hygiene. -- wear loose cotton clothes. -- stop applying corticosteroids cream on your own. -- consult a dermatologist nearby for proper diagnosis and treatment. You may need a course of oral and topical antifungals for the same. -- you may take tab levocetrizine twice a day for itching"
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hi, My father had kidney failure back in december. He is Type 2 Diabetic as well. He had Urea level around 232 and Serum Creatinine 6.3 when we consulted doctor and got urea down to 100 and serum creatine to 4.4. He is looking to know if there is any alternative to dialysis? Some people mentioned that there is an instrument which costs about 18000 Rupees a month and gets attached to shoulder which is used to do dialysis that does not require operation for fistula, Can you please guide if that is true?Thanks,
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"According to levels you have mentioned I don't think your father needs dialysis at this point, but for future use AV Fistula is the best option. I think your known people told you about perm catheterization which you can afford, but there are high chances of infection for that, and it is not the permanent solution for dialysis. Either you go for fistula or renal transplantation according to me these are the best options I can tell you."
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"In every case of this is available, it should be always accepted to have home dialysis since this is more practical and may spare you lot of time and be less psychologically traumatic. The obvious advantage of peritoneal dialysis is that regular visits to a dialysis unit aren't required, and it can be carried out at home without needing any bulky hemodialysis equipment. One of the main disadvantages of peritoneal dialysis is that it needs to be carried out every day, which you may find very disruptive and another major disadvantage of peritoneal dialysis is that you're at risk of developing peritonitis however this is rarely seen and usually signs of this infection will be obvious, so you will consult doctor on time if it happens.",
"As a Urologist, I can understand your anxiety. Your father is suffering from CKD or chronic kidney disease or failure. He also has high uric acid levels. All these need urgent medical treatment. If they're wanting to do angiography, the kidney function has to be normal. But as the kidney function is lower than normal, it can't be done. A kidney biopsy will be planned to know, whats the reason for the failure. He'll needs to undergo maintained dialysis or a kidney transplantation. Any other doubts can be cleared, by sending a direct question, in my name. Chat Doctor. Mang"
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I am a 61 year old, white female. I weigh 165 at 5 2 . I ve had a full hysteretomy. My dad died of a stroke. I ve had no heart or stoke events. My sugar is normal. My cholesterol # are: Triglyc. 90, HDL 81, VLDL 18, LDL 142, Total Chol. 241, Ratio 3.0. I diet religiously, have lost over 45 lbs over the last 5 years and am keeping it off. I have a solid exercise program 6 times a week. DO I NEED TO TAKE STATINS FOR THE LDL at 142 and the Total at 241?
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"There is still a risk for atherosclerotic disease including stroke, heart disease, and the like. And as the saying goes with LDL levels, the lower, the better. I would recommend taking statins as these are proven to lower risk of heart disease and stroke considering your risk factors. I also recommend continuing weight loss together with the treatment. You can take them for a duration of 3 months, then taking another set of lipid profile test to check whether you are reaching a target LDL of about less than 100 mg/DL. I would recommend having a check-up with your doctor for a prescription and further examination"
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"I would like to explain that Cool/HDL ratio is a more confident indicator compared to total cholesterol or LDL. A ratio above 4. 5 in men, indicates a high cardio vascular risk. That is why I agree with your doctor in starting therapy with statins to reduce this independent risk factor for cardio vascular disease. Regarding his glucose levels, I would advise performing further tests like : - glucose tolerance test- HbA1c to examine better his glucose metabolism and rule in/out possible diabetes. In case of an initial diabetes, diet modifications would be more appropriate than medical therapy, to reduce high blood glucose levels. Some other tests are needed to exclude other metabolic disorders: - a resting ECG-thyroid function tests-cortisol plasma levels-blood electrolytes-kidney and liver function tests. I don't think these medications are related to his past medical history",
"2) Presence of diabetes, blood pressure problem. 3) Family history of Diabetes, high blood pressure, cholesterol problem. 4) Lipid profile at the start of Lipitor. If you don't have diabetes, heart problem or family history of abnormal cholesterol problem your test reading of Total cholesterol 154 & Triglyceride 80 are absolutely fine and it won't require medical treatment. In the treatment of dyslipidemia values of LDL & HDL cholesterol are more important than Triglycerides and total cholesterol. In your case you have not mentioned it. So you can stop Lipitor if -You have no diabetes, heart problem. Normal LDL & HDL values. You have to monitor your lipid profile once in every 3 months. Lipitor is known to affect liver function"
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I was diagnosed with fibromuscular dysplasia of the right internal carotid artery at the base of my skull. I was told 17 years ago the technology did not exist to do a bypass on the artery. Is the technology there now and do I need to have it rechecked? I have been on warfarin ever since to keep the blood as thin as possible.
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"I have noted your symptoms and treatment received so far. I think you are on correct treatment and warfarin should be continued for long to prevent any brain stroke. You could see your neurologist for review. I do not think that a bypass surgery is needed, as you are doing so well on medical treatment. 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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"Now as treatment for clot and making blood thin are going on so do not worry. But as doctor says 100%improvement is not possible it means due to clot some part of the brain area is damage due to cut of blood supply during initial period before treatment is started. You continue the treatment and physiotherapy more improvement may be there. Ok and bye",
"I read and understand your concern. I am Chat Doctor answering your concern. No, it's your belief that grapes can thicken your blood. Warfarin is usually given to thin the blood as in your mothers case. If excessive warfarin is taken on the blood than blood can be thinned out. If blood goes much thinner than vitamin K can be taken to revert the effect of the warfarin. Please take the above treatment under your doctors' guidance as its requirements constant monitoring of INR value of anticoagulant. I will be happy to answer your further concern on bit. ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist,"
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Hello. My 20 month old son s head hurts when he runs, crawls or leans forward. This last week he had a cold and was very congested. The cold passed, but then a day later he had a fever which also has now passed, but today he is having these head pains. Went to the doctor today and no signs of ear infection or anything else. Doctor thought it might be a headache from sinus congestion and prescribed decongestant for 3 days to see if it helps. What could this be? Any advice?
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". . I feel that your doctor is 100% right and sinus infections and chronic cold symptoms can very cause this types of headaches. Knowingly or unknowingly you have mentioned a very important clue in your query - telling that - the headache is more when he leans forward which is very much suggestive of sinus headache. But if his headache I associated with consistent vomiting, I feel you need to get his Blood pressure checked and get him seen by your pediatrician"
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"Your baby has frequent fever with headache. He also has history of pneumonia/ asthma, you are worried about possibility of meningitis. - Meningitis shows 5 typical signs-High grade fever, vomiting, severe headache, neck stiffness, irritability, Photophobia. -- * If you find all these symptoms (Specially headache, neck stiffness, irritability along with fever)- the child should be taken to ER. * In case of asthma /pneumonia-also bacterial infection, along with breathlessness / sinusitis can give rise to headache & fever, * the child should in any case be taken to a child",
"You have simple viral infection mostly. So it leads to constitutional symptom like headache, back pain. So don't worry about that. Just do your CBC to see for total count and about differential count to rule out whether it is viral, bacterial or allergic. Chat Doctor. Steam inhalation will be helpful. Take antihistamines to relieve congestion. Beside this nothing is serious. I hope my suggestion will help you"
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My knee usually pops when i walk. Doesnt hurt just makes a popping noise that others can hear. Last night when I was sleeping, my knee started to hurt and almost felt like it needed to pop like you would with your knuckles. Every once in awhile it does happen but not as often as my knee popping. Any ideas?
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". . The popping noise in your knee is due to friction developed in the knee due to muscle imbalance. The bone slides over the other and move, at the end of movement give rise to pop while releasing the frictional pressure. I suggest you to kindly do a lot of stretching of the muscles around the knee especially Qua Chat Doctor. . Do a lot of icing around the knee. . . Do glute strengthening exercises like. . . Bridging clamshell. step-ups. . . squats. . . Do calf raise. . ."
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". . Your knee pain is due to sudden hit injuring the soft tissue structures in the knee. I recommend you to kindly do. . . Lot of icing on the painful area for 10 min. . . . Keep it compressed with a compression bandage. If you have some Anti-inflammatory medications prescribed to you earlier have them. . . . Don't walk too much. . . Gently knead in the front thigh muscles. . .",
"it seems your knees are having degenerative arthritis (OA) when the space between patella and femur bone is reduced, it gives pain on bending, this movement is needed for getting up, sitting down and also sitting on ground. You are also suggested to do blood checkup to rule out crystal arthropathy and other arthritis conditions which can cause more pains and swellings. I usually give safe painkillers course to patients along with armor ice therapy, knee arthrosis to give knee rest. non-surgical treatments are available now with promising results. thanks. I will be happy to answer future quarry"
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Hello, My sister has been diagnosed with Breast cancer in the last few weeks. The reports are attached-she has also had normal blood work and a normal CT scan. She has seen an oncologist who is recommending that she completes Chemo before having the breast removed. They refer to this as neoadjuvant therapy. The course of the chemo will last 16 weeks and the surgery will follow about a month after chemo concludes. My questions to you: 1-What are there benefits/concerns with neoadjuvant therapy vs adjuvant therapy (having the surgery now and determining the exact stage of the cancer to establish the appropriate treatment)? 2-If she proceeds with the neoadjuvant therapy, should she have a lymph node biopsy now? If not, when? 3-Her pathology report shows HER-2 Negative. From what I read this is a good thing. How accurate is the process of determining HER2 positive or negative in a pathology report vs the fish test? 4-Can you tell me if an Oncotype DX test is important? From what I read it can tell you the likelihood of reoccurrence, however, since she will have Chemo, is it still important? It s very hard to get any clear answers and some guidance would really help!
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"it will not only give the patient the benefit of conserving breast in some cases but also in cases where there is complete pathological complete response of the tumor to neoadjuvant chemo treatment it has been proven that it has led to decreased chances of recurrence and increase overall survival rates. FISH for her2 is generally performed in doubtful cases like her2 2 positive. her2negative is definitely better than her2 positive. ecotype DX is generally recommended for small rumors of size less than 1 cm with lymph nodes negative cases though there is slight variation in recommendation in case to case basis. likelihood of recurrence depends on staged and response to chemotherapy in a patien"
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"ncer is a difficult condition to treat and treatment differs in every patient depending on the location, size, staging and post surgery biopsy findings. Since you have had surgery only 9 days ago, it will help to discuss with your oncologist and depending on the biopsy report, go for a comprehensive treatment. Even is the margins are clear, there is estrogen/ progesterone positive nature and this requires you to have chemotherapy and radiation. The earliest this is started the best outcome it will have. I wish you reconsider the benefits of chemotherapy and radiation in your case and start treatment on time. Naturopathy can give you comfort and detoxify your system, and it is best to discuss your treating doctor on when to take simple naturopathy procedures and wait until you are done with initial chemotherapy. Even if the margins are clear, there can still be persisting microscopic invasion of cells and this can lead to flaring of cancer an few months. Radiation is precise and specific to the region of cancer. Please do not worry",
"I am so sorry to hear about what your sister is going through right now. I understand your pains and the urgency to get this problem ad Chat Doctor. Is it all about the surgery or something else is going on? This surgery is not often an emergency and the fact that you sound like her condition is bad because of this tumor makes me wonder if there are any other background problems that have not been checked appropriately. I hope she as be evaluated fully not to attribute every other abnormal symptom to the tumor. However, doctors have not just one person they can refer a client to. Let her doctor know the other one isn't available until next month, and you are not ready to wait so that he can offer you another option. I hope this helps and I wish you well. Thanks for using our services and feel free to ask more questions if need be"
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Hi doctor,My CRL is 5.18 cm. How old is my baby now? How can I get my gestational age accurately?
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"The CRL of 5. 18 cm corresponds to 11 to 12 weeks of gestation. A difference of two to three days is possible depending on the position of the baby and the measurement of the caliper placement. Ideally, we recommend a first scan to know the exact dating and to calculate the expected due date (EDD). As you have not mentioned your last menstrual period (LMP), I am unable to estimate the gestational age by LMP. Please provide them. I can say the result whether there is a delay in growth or there is a delayed conception."
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"In early pregnancy, by six weeks of gestation, the gestational sac is often not seen and only decidual reaction can be appreciated in the uterus, but as the hCG levels are doubling, there is definitely a viable ongoing pregnancy either inside or outside uterus, so a repeat ultrasound after two weeks shall establish the location and presence of a sac, considering that it would grow to a recognizable size in next two weeks. My concern with you is that you have been on the Adderall tablet, which is a pregnancy category C ChatDoctor.",
"Refluxes tend to resolve in the first year of life and resolution continues till 5 years age. Your child needs to be on chemoprophylaxis. As far as serum creatinine is concerned, it is lower in the early days of life and gradually increases as the child grows. That is the normal trend. Since his grades have gone down you should not worry. We would like to know whether his kidney is scarring or not. He will need a DMS scan and then follow-up scans. We are more interested on the level at which his creatinine settles down. He also needs a few more tests like renal dynamic scan to comment on individual function of the kidneys and unobstructed passage of urine from them. If he has voiding difficulties we need to rule a posterior urethral valve and also improper functioning of the bladder. You can get a second opinion from a pediatric surgeon als"
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Hello Doctor, my 7-year old daughter recently had a 7-day course of Flucloxacillin (high strength) due to an abscess. This seems to have discoloured her teeth: they appear more yellow. I was wondering if the teeth will return to their original colour. Many thanks, Sharon
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"Tetracycline given before age 8 is a well known antibiotic that can cause yellowing or dark bands to form in the underneath layer of a tooth. Flucloxacillin is not in the same family of antibiotics. If you notice a coating on your daughters teeth, see if this can be removed by proper cleaning. I would suggest a dental exam and dental office cleaning if you are unable to remove the film. A secondary infection can occur in the mouth leaving a white film on the tongue. The gums will often be sore and red in appearance. This would be oral thrush and can be treated by your dentist. Antibiotic treatment can cause an imbalance of the natural bacteria and an excess of certain bacteria can take over. A change in the color of the gums could make the teeth appear a different color as well. Are these adult front teeth or still baby teeth that you are concerned about? Are there any other medical concerns or medications being taken? Yellowing of the skin or eyes indicates a complication with the liver that would need to be ad Chat Doctor. Teeth are made up of tubules with the center pulp containing blood vessels and nerves. This layer is what mainly affects the color of the tooth and could exhibit a transient change. Teeth subject to trauma or root canal can darken from the inside. Changes to the outer layer of enamel such as calcification, decay and too much fluoride can cause a color change. I am trying to cover some situations that may be possible from your description. I would be happy to answer any additional questions with more details. Having your daughter make a visit to the dentist would give you the best answer and allow necessary treatmen"
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"There can be two possibilities for this yellowish colored teeth, First it can appear in places where there is excessive fluoride in water, so the teeth are discolored, Second there can be a disease known as gametogenesis imperfect that is fault in structure of teeth. In both the cases you have to visit a child dentist (periodontist) and get proper examination of teeth done.",
"It will take few months for the color and hardness to return to normal. Frequent stools are not related to this. If recent onset, this may suggest acute gastroenteritis. If he has no fever, and the stools are not blood stained, just give him plenty of fluids like ORS solution after every stool to prevent deny Chat Doctor. If this is not getting better by 3-5 days, he develops fever, or stools become blood stained, kindly take him to doctor for antibiotic therapy. Avoid fruits, juices and sugary items till resolution."
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i heard about pomelos being good for high blood pressure , UTIs esp. in pregnant women. i also heard that Cranberry juice thins the blood...... this suggests to me that a life-long healthy diet will prevent health problems from starting. And drugs for each problem are derived from the foods / vitamins / minerals that the patient is actually avoiding. would you agree with my conclusion. I have no science or healthcare education or qualification.
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"No doubt, it is better to prevent a disease rather than consuming energy and money on cure. Here are some facts you want to know. . . Pomposity is citrus fruits containing abundant of vitamin C that enhances your immunity, besides that it is rich in fibers, bioflavonoids (protects from cancers) and minerals (regulate blood pressure). Cranberry juice It contains substances that may affect your health, for example antioxidants help body to prevent cancer development. It also prevents bacterial growth in urinary tract and may benefit in Otis. Beside all this excessive use may decay your teeth and oxalate in juice may lead to kidney stones. In short, proper use of healthy and balanced diet with regular exercise is the best way to a happy life"
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"Let me assure you that you will surely get pregnant & will deliver a healthy baby. You get a good baby only when a healthy sperm meets a healthy egg at the right time, at right place & sits at right place in uterus. Accidents like these do occur, but not always. In blighted ovum, either the egg or the sperm was not healthy. We always try to avoid pregnancy for 3 myths after any abortions, so that the underlying facts for the abortions disappears. Don't bother to find the cause, as many are not recurrent. So that's why your doc has advised Oral pills. Folic acid will reduce the chances of abortions. Do have the following tests to rule out few treatable househusband - Blood sugars - fasting & postprandial Semen analysis-preferably at any infertility centerline - Blood sugars - fasting & postprandial Serum Prolactin & Thyroid profile apt, Lupus Anticoagulant (LA) Anticardiolipin antibody (ACA- Egg & IGM)All these can be causes but treatable.",
"I can understand your concern for that. Dear Karen. I have gone through the history of sufferings of your family. I don't think sufferings of your niece have any concern with their sufferings . For your info, Her own multiple troubles are sufficient for her weak immunity leading to further sufferings as any ones weak immune system is responsible for one's health problem. For your info, Fainting is caused by multiple factors HBP/LOW BP, Low /high Sugar in blood, Worry, Anxiety, Heat exhaustion, Deny Chat Doctor. Fainting results from inadequate energy substrate delivery to the brain. The major energy substrates are oxygen and glucose. To be healthy you have to strengthen your immune system by modifying your lifestyle and food habits. Right things at right time Include essential nutrients - Vitamins, minerals antioxidants in natural form, - fresh, veges, fruit, fiber, Aloe vera, lemon juice , ginger, garlic Eat flax seed, which is rich in omega-3 fatty acids, may experience decrease in headaches. Due to anti-inflammatory properties of the omega-3 fatty acids. Antioxidants like turmeric powder in a cup of hot milk, and You should take care to include balanced diet to remain healthy and for proper blood circulation do exercise, yoga, Panama & meditation regularly as usually reduce smoking gradually. That will be the best way to a healthy living Inhaling the scent of peppermint oil or lavender oil may help alley fainting tendency & decrease headache. Learning to identify stressful situations which trigger headache and taking steps to avoid This is also a useful strategy Adequate diet intake helps to achieve better results. Avoiding fried, fast foods made of fine floor, too much of tea coffee, alcohol, smoking, anger, stress all create toxins, imbalance your system causing gas & other digestive problems. If problem persists, thorough check up is advised in time, so that early treatment can be started."
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Hi I have had stomach pains for over 5 years, im 15 at the moment and we discovered what it it was, it was food related we thought! but we have changed my diet and after a year or 2 it came back and now it wont stop (potatoe, tomatoe, spices, garlic and onion are the foods I found I cant have) and recently it has got alot worse after my mum died, last month but they just wont go away. it is a pain hard to describe but it is so bad sometimes I can hardly move only once a month or so I get this types but usually it is ok. I always have a stomach ache every second of every day not always as bad as I have described but I am now thinking it may be abit more serious than I realised. there is no pattern to them its just at different each day. The pain is like someone has hit me in the stomach quiete hard usually at the pit of my stomach. I threw up at school after I had a bad stomach ache in the morning I went light headed and almost fainted but felt better than normal after I did threw up. Also have found that I am hungry all the time and need the toilet alot more ( only adding this in because I really want to know what is wrong with me) othere details about me if they help is im male and I really dont know if this may help but yea I have hit pubity. Any insight would be useful and please tell me all the posibilitys. Thanks Andy
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"Thanks for calling to Chat Doctor. Forum. You are 15, and getting pain abdomen, since 5 years, it is not constant. sometimes food related, You had severe pain one month back after your mothers' death. You are better after vomiting. You are always hungry and always feel like going to toilet. It appears that you have got worms in the intestine. It may be lactose intolerance, or gluten containing foods. There is also a possibility of urinary tract infection, or stones in the urinary tract, or tuberculosis of the iliocaecal junction. The present pain have exaggerated by your mothers demise. I advise you to consult a surgeon for diagnosis and treatment. Best regards"
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"Stomach or abdominal pain can happen die to many causes. It will help to know the exact area where she feels pain and the factors aggravating and relieving it. Any association with food is also important. Pain abdomen is the commonest due to gastritis. Other causes of abdominal pain includes gall bladder stones, kidney stones, pancreatitis, enlargement of liver and spleen among the common causes. Other causes might also cause pain. It will help if she can get an ultrasound scan abdomen and pelvis done. This will pick most of the causes of abdominal pain. The suspected cervix cancer should also be confirmed and must be treated promptly. Food related pain can be due to any ulcer in stomach and requires an endoscopy for confirmation and if present then is easily treated. Please do not worry",
"The frequent stomach pains can be due to irritable bowel syn Chat Doctor. Another causes should be found out. I would advise you to undergo:: -Blood tests - Complete blood counts, Quantifier gold test for tuberculosis, ESR, blood sugar, liver function tests, thyroid function tests. -Urine tests. -Stool tests-CT scan with enterocolitis. This will help to rule out Tuberculosis, Stomach cancers, Gastrointestinal Cancers These tests along with a consultation of a Gastroenterologist should get you the proper diagnosis and treatmen"
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My grandchildren a boy & girl are twins born oct 23 2012 The girl who is a bit smaller experiences a lot of twitching all over her body especially when she id sleeping. Is this normal? Their birth weights were 4.12 and 4.6 lbs at birth their wieght currently is 5.11 and 5.7 lbs
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"So in your granddaughters case she is physiologically weak. There can be various reason behind twitching of a small child, like glucose level fall in blood . so you need to take her to a child specialist for a check-up of her blood and developmental profile. If the report comes to you as normal as you don't need to worry much about her health. Thank you"
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"However, a temperature of 100 degrees F is not high enough to provoke a seizure. It would be important to know if she has had these movements before and whether there is a family history of seizures. Also, is she developing normally(e. g. did she sit up at six months, and can she now crawl at eight months)? To help the doctor in making the diagnosis record by smartphone the next episode your daughter has. Make an appointment for her with her primary care physician and take the video with you.",
"I can understand your concern. Ideal weight for five-month-old child is 3. 5 to 4 kg. By his symptoms, possibility of either lung infection or bronchitis is more because in both these, cough with chest congestion are seen. So better to consult pediatrician or neonatologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray. He may need antibiotic, antihistamine and inhaled treatment according to the above-mentioned reports. Don't worry, with appropriate Chat Doctor."
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my mother is suffering from nasopharynx cancer since last 9 month.and she not on medication.and from last 1 week she is having very much pain in any nerve of head or brain .so sir plz guide me what to do.
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"I am an ENT Surgeon & Head & Neck Specialist. Nasopharyngeal carcinoma can affect the nerves in the head and produce excruciating pain. You can get help from an ENT head and neck surgeon or a pain and palliative physician who can help your mother to deal with the pain. Good pain medications are available to help her with the pain so do take her to either of these specialists"
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"MRI spine will show nerve compression is severe or not along with any degenerative changes. Also, you can do EMG-NCV [nerve conduction study] to know location of nerve compression. For these symptoms you can continue your analgesic and add neurotrophic medication like pregabalin consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. If you can send MRI report I can help you better.",
"Sorry to hear about the cancer your mother is having. It appears that his primary is in the breast, and now it has spread to the liver making it stage 4 cancer. Stage 4 cancer have a survival of 2 years with recommended treatment and support. If his general condition is weak then she must be provided with nutrition containing high level of proteins. Please give her fluids and semi solids that is easy to digest. Ask her the food she likes and try to give it in small quantities are frequent intervals. If she has hepatic encephalopathy then her protein intake should be closely monitored and strict diet followed. Once her general health is better than she will be able to tolerate chemotherapy should the doctors advise her another chemotherapy. In many patients the newer chemotherapy agents work well and can extend her life for few months. You can ask her doctors to give her pain relief medicines. Once her pain is reduced then she will feel more comfortable and then start eating better. By going for combination chemotherapy you can slow down the disease progress. Please do not worry"
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Hi, my friend fell against a door corner and developed a lump in her breast. This was 3 years ago and has been getting bigger recently - it is now the size of a golf ball. She experiences pain, this is relieved by abs. She will not go to the drs again, at her initial appointment she was referred to specialist who advised it could be cancer. If abs help the pain, does this eliminate cancer as a possibility?
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"1. No it will not eliminate the cancer. (it would have been better if you have mentioned your friends age). 2. It could be the same lesion after a trauma or a new lesion. Your symptoms seem like an inflammatory cause or a ductal Eurasia. 3. If you are my patient I would have examined the lump and ask for an ultrasound breast to evaluate the nature of the lesion (Cystic/duct/abscess), and its extension and origin. 4. Sometimes your friend may need incision and Chat Doctor. As antibiotic itself may cause the reoccurrence. 5. Suggest to get an appointment and do needful."
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"I can understand your concern. You may have some cyst, abscess, fibrotic disease of breast or breast cancer. Chances of cancer are very less likely. But you should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly.",
"Welcome to Chat Doctor. I guess you had cancer of breast most likely for which mastectomy was done. In that case you should do fine needle biopsy of that lump, since it can be the recurrence of cancer. If biopsy confirms it as simple fat lump (lipoma) then you can proceed with plastic surgery. If it comes as cancer you have to follow up with your oncologist for further treatment before any plastic surgery"
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My tongue hurts really bad. I used an inhaler the other day that i have never used before. The next day i woke up and my tongue was in a lot of pain (almost as if i burnt it). I looked in the mirror and my tongue had an extreme amount of white stuff on it (looked simillar to plaque but i was unable to brush it all off) Now days after, the white stuff is gone but my tongu and gums are very sensitive. It almost feels like my whole tongue is raw. I need help please!!!!
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"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your query white coating over the tongue after using inhaler that might be containing Steroid can be due to Yeast infection over the tongue known as Oral Thrush. It can cause inflammation of tongue and gums leading to pain and soreness. As the white coating is gone that means infection is resolving there can still be inflammation of tongue and gums leading to pain and soreness. Nothing to worry, start gargling with Statin mouthwash to resolve the residual infection. Gargle with numbing mouthwash containing Lidocaine. Take vitamin B complex supplements daily. Suck ice pops and do cold water rinses. in case of no improvement consult an Oral Physician and get evaluated."
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"Quit smoking immediately. This burning can be due to smoking as well. You did not mention if the white coating on tongue is scrapable. I suggest you to consult your dentist for a clinical evaluation. If necessary, you must go for a biopsy, to check if it is a lesion or just bacterial growth. Maintain good oral care. Brush, floss and mouthwash. You did not mention if you are stressed. Stress and worm infestation most commonly leads to night grinding. You can use albendazole if you suspect worm infestation. Ask your dentist for a night guard. This will dissipate the grinding forces. Acne can be because of hormonal imbalance. See your physician reg. This. Apply qua Chat Doctor. Regards",
"Understanding your concern. As per your query white lump on the tongue could be Foreign body granuloma. This can be due to a small particle of food getting stuck inside the tongue and the tongue reacts to form a painful lump within. This is bodies normal reaction. So there is nothing to panic. It could be due to tongue bite or oral thrush. If the color over the lump is normal, she can take some anti-inflammatory medicines like Ibuprofen and the problem may be solved. Consult oral pathologist for proper evaluation. Doctor may prescribe antibacterial or any viral depending upon the diagnosis. Most of the other lumps of the tongue are never painful and are benign at this age group."
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Father has been battling cancer for over ten years. Oncologist this week has. decided to discontinue his treatment because the cancer is starting to grow more.he also suggested that he familarize himself with hospice really soon.my father has been living with stage 4 cancer for a while.my question to you is . when a oncologist recommends a patient to hospice care,is the doctor giving up?and if so what is the time span for this cancer to really take and over cause eventually his death.
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"It is important to know the type and treatment course of the cancer your father is having. Most cancers are evaluated by 5 year survival rate. This is a proportion of people who can survive up to 5 years from the day the cancer is first detected. If your father has survived for more than ten years then he has successfully fought and won the battle with cancer logically. Very few people fighting cancer are known to stay alive after 5 years and his doctor has surely given him the right treatment to keep him alive. Any ways presently there appears to be a problem with the cancer, and it might have spread to vital organs like brain, lungs and liver. It is difficult to guess the present state of cancer that he is having without additional details. Whatever be the situation, the fight with cancer is till the end. Your doctor probably wants to spare your father the pain and discomfort of the cancer. It is not that he is giving up but might be that he wants your father to lead a more comfortable life and provide him with more specific treatment options concerning pain relief. Please do not worry"
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"Your husband seems to be having a cancer of the pancreas that should be treated with chemotherapy and radiation therapy to extend his survival. He might be having an unresectable tumor and that is the reason surgery has not been considered as part of his treatment. It is true that we respect patient interest in treatment, but then we are left with limited option in fighting the disease. Since he has a spot in the lung and is in stage 4 cancer therefore survival for longer than 2 years is difficult. Please provide him nutritional support and pain relief to keep him comfortable. Pancreas cancer is an aggressive tumor and survival for more than 6 months to a year becomes difficult in advanced stage. Please give him emotional support and care. Please do not worry",
"I can understand your concern. He has widespread metastatic carcinoma. So it is stage 4 of prostate cancer. Surgery will not helpful. Treatment options are chemotherapy and radiotherapy. Despite treatment prognosis remains very poor. Life expectancy is not good. ONR should not expect much front his case."
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Hi Dr., Greetings.I am a Chronic Calcific Pancreatitis (opts) 2001, now I am suffering with Diabetic type 2, FBS-212, PPBS-393. I am taking regular medicine, but it is not under control. Please advice me. Thanks & Warm RegardsJay PrakashBangalore
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"Jay Prakash, As you have mentioned you have chronic calcific pancreatitis which was diagnosed in 2001. And you have mentioned that you have Type 2 Diabetes which is not under control despite regular medicine. In your case I want know on what basis you have been labeled as Type 2 Diabetes. We need to differentiate between Type 2 Diabetes from pancreatic Diabetes (which is more likely in your case). Treatment of two is different, Type 2 Diabetes usually be controlled with oral medication. In pancreatic Diabetes insulin is only treatment for controlling blood sugar level. In your case I want to know 1) Your age. 2) How many years back you have been diagnosed as having Diabetes. 3) Family history of diabetes. 4) Your height and weight, (usually type 2 diabetic patients are obese, Pancreatic diabetic patient usually lean, thin, weight below average) 5) Signs of malnutrition, low hemoglobin, significant weight loss. 6) Current medicines for diabetes. I will advise you to do following test1) Stool Examination for fat, elastane. 2) Complete blood count, 3) Serum level of vitamin D (fat soluble vitamin), calcium. On the basis of your history, clinic Examination, investigation we can confirm your type of Diabetes, and accordingly need to modify your treatment. Till that time you can start insulin according to your treating Consultant. I think this much information is enough for you, you are free to write your queries to me."
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"I can understand your fathers situation and problem. By your history and description, possibility of type 2 (hypercarbia) respiratory failure is more in his case. It is common in COPD patients, due to expiratory flow limitations. So carbon dioxide remains in the body, and it is known as hypercarbia. Excess carbon dioxide suppress central nervous system (CNS - brain). So patient feels Chat Doctor. It is reversible condition with ventilatory support. So in my opinion, you should take him to the hospital and start ventilatory support to clear hypercarbia. Once hypercarbia is clear, he will be alright. So consult pulmonologist and discuss all these.",
"It is most certainly curable. This treatment is being suggested on bases of the information provided. I would like to examine & investigate your father in detail. Rule out Hypertension, any other metabolic disorder. Diabetes must be well controlled. Any way you may try---. Looking Plus (Mankind) [Diclofenac 100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5days. --. Calcified plus (Mankind) 1 tab OD x 10days. (You may need help of your local doctor to get these medicines. )--. Fomentation with warm water. --. Sleep on a hard bed with soft bedding. --. Use no pillow under the head. --. Avoid painful acts & activities. --. Do mild exercises for Back. --. (Take help of a physiotherapist or visit WWW. Chat Doctor. Com). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (Through this platform. ) Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit the nearest hospital. -"
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Respected Doctor My father age is 69. His Left Lower Lobectomy Lung with Mediastinal Lymphadenectomy done under general anaesthesia on 10.10.2014. His HPE Report is given below: A) Left Lower lobectomy + B) Mediastinal nodes - Adenosquamous carcinoma; 10.5 cm; grade 2; pT3N2M not applicable; Margins uninvolved by tumor; closest bronchial cut margin 0.5 cm; lymphovascular invasion presenr; lymphnode metastasis present (2/10). Please inform me that is he need Chemotherapy ? Waiting for your reply.
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"I can understand your concern. Your fathers report indicate that he has adenosquamous carcinoma. It is a type of lung cancer. It also spread to the mediastinal lymph nodes. His two lymph nodes get the cancer spread. So he needs chemotherapy also. Consult your doctor start chemotherapy accordingly."
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"The first thing you need to find out is the stage of the cancer, as the management is dependent on that. The staging can only be done after a few imaging tests (CT, X-ray chest, etc. ). You should also inquire from the surgeon about the management plan once the staging is over. Your dad must be on aspirin and that has to be stopped at least 7 days before surgery, that is the reason your family doc must have asked to stop the medicines.",
"I am Chat Doctor answering your query. If I were your doctor, I after a proper clinical examination of your elbow and the chest, would apply a pressure bandage on the lump presuming that it could be a hematoma following the trauma which would gradually get absorbed. In addition, I would also prescribe you with an anti-inflammatory and a proton pump inhibitor and a serratopeptidase product for a symptomatic relief. If the cough has lasted for over 10 days, this would be an indication of going for an x-ray chest PA view to rule out any gross pathology in the lungs. However, both need to be assessed by an orthopedic surgeon and your treating doctor for the lymphoma. Therefore, I would advise you to get assessed by these doctors in your place. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery."
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I broke my ankle and had to have surgery on my ankle they put 6 screws and a plate. A month after I get these random cramps in my foot and they hurt if feels as if I can t move my toe, it happens on the left and on the right side of my foot. I was just curious as to what you think I should do?
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"This will be mostly on the outer side of the ankle where there is a thin bone called the fibula. When the ankle breaks there is injury to the bone, the ligaments attached the tissues around and also to two small nerves which runs along the inner and outer side of the foot. These nerves can be stretched and this could be the cause of the feeling of cramps. Apart from that the surgery and subsequent swelling all will result in some stiffness. Please exercise your ankle by moving it in all planes several times a day. Try to get rid of swelling by using compressive socks, icing,and using local cream applications for swelling. Keep the limb elevated while at rest."
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"Looks like your friend has had a ligament injury to the ankle. The pop sound she's heard is suggestive of the same. For my patients, if the swelling was awful to begin with, along with inability to bear weight on the affected lower limb, I would firstly put a plaster cast for 4 weeks for the ligaments to heal and then remove it and start them on ankle exercises. If her pain and edema/ swelling are not so bad then compression/crêpe bandaging should be sufficient. Rest, elevation of the involved leg and ice pack application are the additional supportive measures. So for your friend what I would advise is that if she has had this injury few weeks ago she should take rest for 3-5 days, avoid putting weight on the lower limb involved, minimum ambulation only to the bathroom if need be, and ice pack application locally. If it does not subside within a week she should do x-rays and get herself checked",
"First you need to get an X-ray to check if you have sustained a fracture. If not then you need to wrap a crêpe bandage over your foot tightly (not very tight) and give rest to your foot for a week. You can use painkiller like Tab Zerodol-P 3 times a day for 4-5 days unless you are allergic to it. I advise you to consult an orthopedic surgeon, till then don't walk or put weight on your foot. Have a nice day"
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My young adult daughter has fluid and pain I the right upper quadrant of her abdominal area. Just out from her ribs. She has pain in that area, her eyes look weird some have asked if she is high while others have said they look yellow, her urine has a horrible Oder, she is very fatigued and she is very emotional not like normal. She also has Elhers Danlous the Tenacsin X factor type.
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"Thanks for your query. Abdominal pain - fatigue - yellow eyes - foul smelling urine in your daughter along with emotional upsets and Elders Heinous the Teaching X factor type. The EDS to a certain extent can cause these symptoms. The possibilities are : Jaundice due to hemolysis or hepatitis giving all the symptoms. I would advise Her the following:Get investigated Blood : Liver function, hemosiderin levels, kidney function and routine Doctrine : routine, microscopy, Bile salts and pigmentsUltrasonography of the abdomen, MRCPConsult the Hematologist for clinical evaluation, physical examination and investigations for further treatmen"
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"Thanks for your query about your 7-year-old daughter. History of asthma and treatment and present complaints noted. The commonest reasons for pain in abdomen and reg urge in mouth or vomiting are as follows:-Tummy tonsils-meaning enlargement of the lymph nodes of the abdomen. -Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child. -Worms. The best diagnosis is a high resolution ultrasonography. Some blood, urine and stool tests. A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis. Also given is a dose of medicines active against worms in intestine. I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem. If this is indicative of appendicitis, please go for the surgery of appendectomy",
"Understanding your concern. As per your query your daughter have symptoms of stomach pain and vomiting which seems to be due to acute gastroenteritis/ viral infection. Poor immunity of body is further additive factor for your condition. Need not worry. You should watch for loose motions, deny Chat Doctor. I would suggest you to take proper rest. Visit pediatrician once and get it examined. You should get blood tests done to find out underlying cause of fever whether bacterial or viral and start treatment accordingly. Avoid taking cold carbonated beverages and hot and spicy food"
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I have severe allergy symptoms and now after four years are told it could be bacteria overgrowth causing persistent flu-like symptoms and diarrhea . I also have develped small polyps in nose , and now have found out I have polyp on tonsil . Waiting on ENT appt for this to be removed. But they say this is unusual. How is this removed? Thank you
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"These polyps are usually multiple and re-occur when exposed to allergic stimuli. An ENT examination and removal is required. A polyp or other growths can appear on the tonsil. Removal is required for these lesions. However, if allergy is the underlying cause treatment of allergy is required to completely clear the polyps. Thanks and take care"
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"Understanding your concern. As per your query lump near tonsils which is of same color as that of mouth along with bad odor and taste is due to Chronic Tonsillitis which is a condition you need to panic about. It is due to throat infection that is causing inflammation of tonsils and lumps over there along with inflammation of papillae of tongue. I would suggest you to antibiotics like Azithromycin or Augmenting along with Ibuprofen that is anti-inflammatory painkiller for around 5 days. You should dew warm saline gargles. Steam inhalations and using a humidifier at home will help. Avoid hot and spicy food, and you should take soft food. Maintain proper oral hygiene by brushing and flossing. Visit ENT specialist once and go for throat culture test to rule out ant hidden systemic pathology. Start treatment after proper diagnosis.",
"The two tonsils are unevenly enlarged. Whereas it is usually not any abnormal growth, we can say conclusively only after biopsy. I suggest you discuss with the doctor about the option of tonsillectomy and histopathological examination of the sample. Meanwhile you should get some Benzydamine gargles and check if the symptoms resolve."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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My son is 10 and he has viral infection and is coughing a lot. Well he ate a lot of ice cream yesterday and now he woke up coughing and vomiting. He is continuing to vomit and then he his nose started to bleed and he started coughing and vomiting up blood each time and this has went on for 20 min. He is not coughing as much and stopped vomiting. Is it a good idea to give him water now or is there something that he can take?
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"You can start with warm water and if he is taking it you can give him hot soup. But he needs to be seen by a doctor as he seems to be having Infection of throat. This added with bleeding from nose is not a good sign and definitely requires a doctors intervention and most likely an antibiotic course. Also make him do salt water gargling 3 -4 times a day. Avoid Non veg and oily food. Avoid Citrus Fruits."
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"I would like to have a detailed history regarding your children symptoms. Is there also history of vomiting?? If yes please urgently go to the hospital and get him examined in detail by an expert pediatrician. IN the absence of vomiting, one can think of sinusitis or simple viral flu. Give him Paracetamol 250 mg/5ml (3 ml 4-6 hourly for fever and a good anti histamine like levocetrizine 5 ml at night along with steam inhalation preferably at night before bedtime. Get him examined by a pediatrician if it didn't settle with these medications.",
"Your sons symptoms require treatment, I would suggest him to follow1. Cold pack and mop entire body with water2. Antibiotic Syrup (BACO CLAN 375 mg)3. Syrup Solo 125. The symptoms should come down by these remedies, if the fever is not coming down by these remedies, I suggest you to take your son to pediatrician. Thank you"
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i am 15 and have a impacted canine tooth on the right upper side of my mouth. my dentist pulled out the baby tooth and now there is a gap because the adult tooth is backed away from the others, is there any way i can get this gap filled without braces? its my year 10 formal this year and i just want the gap covered! is there a temporary or permanent solution. PLEASE HELP
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"The gap created by the extraction of the deciduous tooth can be corrected by orthodontically moving the tooth into the gap. Since you want it temporarily you can go for a removable partial denture. Denture comes in the form of a plate(made up of acrylic) attached with a tooth. You can use it for short period after that you can correct your impacted canine. I hope my answer will help you, take care"
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". . welcome to Chat Doctor forum. . . please. . . visit your dentist and there is nothing to be scared of. . . holes in the front upper teeth can be easily filled by tooth colored materials and procedures are not painful at all. . . so go for it, get back your beautiful smile and be confident about it. . . and also get your lower molars filled before It's too late to perform any conservative treatment. . . so please go for it. . . take care. .",
"I would need more details to give you my opinion. I can tell from the opinions expressed that you must have a large discrepancy between your jaws. Do you have an under bite or overbite? Do you have a very narrow upper jaw? For adults, this is a common jaw relationship that I see which can not be corrected with just braces. In child Chat Doctor. Yes, as an adult serious surgery would be necessary and braces alone would not be able to alter the jaw relationship. No, pulling your teeth does not solve the jaw relationship, and you risk difficulty with functioning of the dentures. You need additional opinions to decide the risks and benefits of such a surgery. I can not tell without X-rays, photos, models and clinical exam why the surgeon fed there is a risk of your situation getting worse. You are not getting a report of a damaged joint needing joint surgery which means anything you do to prevent stress on the joint is beneficial. Follow your suggestions of your dentist. This is a common treatment that I recommend to my patients. You need to relieve some pressure on your jaw. You most likely grind your teeth at night adding stress. The guard slows down wear and reduces muscle spasms. This can take weeks to notice relief, adjusting of guard and may need a stronger medication for relief initially such as Flexeril which is one for muscle relaxation or steroids. Consider an opinion from the dental specialist called a prosthodontist. Thank you for your inquiry. I hope my opinion gives you some guidance and that I have been helpful. I hope you will feel better with use of a mouth guard"
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Hello, Over the last several months,I have developed pulsatile tinnitus in my left ear.I should mention that I have had occasional stabbing pain in same ear.Several years ago,an abnormal group of blood vessels was found in the same area during a cat scan,but I was told it was nothing to worry about.Recently,I ve developed sharp pain in my neck that radiates down my neck,shoulder and left upper chest.This pain is all on left side and is intermittent.Ive gone to an ENT and was very disappointed with the Doctor.Im currently looking for another.Any suggestions or info would be greatly appreciated. Thank you in advance..
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"What you are experiencing as a radiating pain down your neck and shoulders and chest is what can be called as Permitted sign, and it is seen when nerves get irritated. It can occur in multiple disorders and is not very specific. Along with tinnitus I would recommend you get an MRI of your brain and neck done to rule out any potentially harmful condition. Also consult another ENT doctor and get your ears checked by audiometry if there is any hearing loss that you may be developing. I hope this helps. Let me know if you have any more questions or concerns. Wish you healthy and happy life ahead"
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"I can understand your concern. Left sided chest pain on activity is mostly seen with heart diseases. So we should first rule out heart diseases in your case. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes, simple musculoskeletal pain can also cause similar symptoms. So avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Take painkiller like ibuprofen if required. Don't worry, you will be alright with all these but first rule out heart diseases.",
"I can understand your concern. Yes, you should definitely consult your physician. We should first rule out heart diseases like arrhythmia in your case. Arrhythmia (rhythm disturbances in heart) can cause Fluttering feeling in chest, left shoulder pain, weakness in arm etc. So better to get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes, simple musculoskeletal pain can be the cause."
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8 days ago, I had protected sex and days later have a slight burning sensation and redness on my sac below my penis. This has never happened before. I have been living in a very humid climate the last two weeks....Cartagena, Colombia. Is this skin irritation a threat to future women I have sex with?
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"Your actual problems of:- burning sensation-redness in the sac below your penis started 8 days after protected sex while living in a very humid climate the last 2 weeks are indicating a local irritation/infection of your genitalia. A photo of the affected area would be of great help. If no painful urination or other urinary problems, I advise to :- keep your genitalia well clean (wash with warm water and soap)- apply clotrimazole cream locally no improvement, then, dermatologist to consult as you might need prescription medicines. Wish fast recovery"
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"It can present clinically as redness and vesicles which get easily ruptured and usually there is some amount of itching. In females, it presents as vulval soreness, vaginal discharge (curry or whitish) and pruritic (itching is subjective) Since it can be transmitted through sexual intercourse. If I was your treating doctor I would have asked both of you to take an oral antifungal e. g. fluconazole 150 mg single dose(stat)and application of topical antifungal cream e. g. clotrimazole twice daily for a week. Thank you",
"According to your symptoms, it appears as though you are experiencing urethritis as evidenced by burning sensation after voiding urine. This can happen due to the trauma incurred during a rough intercourse as the female urethra is superficially placed and vulnerable to injury. The bleeding can be from the urethra or a with Chat Doctor. Please get urinalysis and inform your health care provider for proper management."
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I have a dime sized sore on the back of my neck x 1 week it is painful a volcano of sorts. I need to have you promise me it is not the deadly MRSA. Seriously though how can I know if it is MRSA and I have not had it before. My edit involves you insulting my intelligence since you dont have a fraction of the info needed to dx.
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"Related your concern you should be aware that to be sure to say if this is a MRSA or not the only way is that you must do a culture test of this sore and angiogram. If result a MRSA you need to meet an Infectious diseases specialist and hospitalization under the strict rules and start a prompt right medication with intravenous antibiotics (vancomycin or ceftobiprole) for a long time(it depends on from the clinical results) and after with oral antibiotic (Bactrim or doxycycline with rifampicin). I hope my answer helps you. I wish you a quick recovery"
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"MRSA is methicillin resistant staphylococcus aureus which is a bacterium causing skin infection. I am suspecting an allergic reaction to the antibiotics prescribed for your infection. I suggest you take Tab Atari 25 mg twice daily. If your symptoms do not decrease within 6 hours, get in touch with your treating doctor as soon as possible. I suggest you stop taking the antibiotics prescribed. Thanks",
"I am Chat Doctor, infectious disease specialist, answering your concern. MRSA can transfer by sharing of common things, like bedsheets, towels etc. Yes it can transfer to you also. But MRSA won't cause symptoms as you mentioned. It may cause boils, cellulitis, fur uncle etc. but it never causes joint pain. You can screen yourself for the MRSA. If you found yourself positive you can clear yourself with mupirocin ointment. Glad to answer your further concern contact me on bit. ly/"
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I WAS bitten & scratched by a dog in the village & we have no idea of the dog whether it is normal or mad one & i took vaccination before 24 hrs is that ok or should i must have taken even before.my question is whether i can have sexual inter course during the vaccination period of one month or when can i have it. if not can u explain the reason for not .
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"Incomplete data like age, sex, site of dog bite, etc. You have to take FIVE doses of in anti rabies vaccine intramuscularly (deltoid region of your arm) on the following days. . . . 0,3,7,14, and 28 days. (Day \"0\" is the day of taking the first dose of the antirabies vaccine)Beside you should also take in Tetanus toxic (intramuscularly in the buttock), the cleaning and Chat Doctor. Yes, you can have sexual intercourse during the period of vaccination."
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"Rabies will occur if that bitten dog infected with rabies virus at the time of bite. What about the dog? Is the dog is a pet or a street dog? If the dog is a pet animal and its health was normal even after 10 days of bite there are very fewer chances of transmitting rabies. Usually the incubation period for rabies is 20 to 180 days and most disease usually present within this duration. But longer incubation like 7 years is noted, but it is a rare phenomenon. Don't be panic and consult your Physician for your concern and get examined for your anxiety and apprehension.",
"If your pet dog is vaccinated and if the attack was provoked and if there was no bleeding then you just need to observe the dog for ten days, and chances of contracting rabies are very little or nil. However, if there was any bleeding, the attack was unprovoked and if you do not know the vaccination status of the dog, you must get a full course of rabies vaccine along with tetanus immunoglobulin shot. Take care."
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I am 25years unmarried woman. I have got back pain since 1 year. pain i feel more at night and it radiates to left lower extremities. I consult with ortho doctor n he ask me to do xray so i did it. and it was written sclerosis of sacro illiac joint. do i need to worry about this? what actually i need to do. please suggest me.
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"Thanks for asking a question to Chat Doctor. F. You are 25 years, unmarried, got back pain since 1 year. More at night, radiates to left lower extremities. It is diagnosed as sclerosis of sacroiliac joint. It is a sort of arthritis, followed by fusion of the bones. There is no treatment, but can have a maintenance therapy. Includes neurotrophic injections, Gabapentin, besides othe"
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"I understand your concern. You seem to have pain due to Arthritis of sacroiliac joints / weakened bones(osteoporosis)/ degenerative changes in vertebrae or disc problems. All of these are related to degenerative changes caused by over use/ age. You need to consult an orthopedic surgeon for a detailed physical examination/ investigations like serum calcium, vitamin D, Rheumatic factor in blood / X-ray spine & joints. After coming to exact diagnosis you would be offered cause specific treatment, which can be(medicines with NSAID, steroids/ calcium & vitamin D supplements/physiotherapy/ surgery, Thanks",
"A thorough clinical examination is advised followed by an x-ray of the upper back, cervical spine and shoulder joint. As the pain is in the back of the shoulder which is including the upper portion of the right hand, I feel you need a thorough clinical examination. As most pain and aches need to be differentiated as pain is most of the time the nerve related issue and the ache is most of the time related to the muscular issue. Also, if your doctor has diagnosed you with spondylosis, then you have cervical spine pathology for which I will advise you to undergo the MRI of the cervical spine. As by understanding the soft tissues and the nerve pinching in the cervical spine we can later plan a proper treatment for better outcome score. Also, spondylosis is a ageing related issue and the medicine prescribed to you are symptomatic relief, and should continue for time framed by the doctor. Also, undergoing the physical therapy post the clinical examination and MRI will help you regain the maximum functional ability and reduce the pain as well. In my clinical practice most patients with such issues are referred to physical therapy, and they respond well with 100% functional abilities. RegardsJay In"
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I have a lump in my arm pit and my arm has a tingling feeling almost like it is going to sleep. I need to know what kind of doctor to see. i have brought this up with my general doctor but they say it is nothing. if it is nothing then why is my arm tingling. it seems to be getting worse.
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"I am Chat Doctor answering your query. Whatever the lump might be from, the tingling sensation / numbness in your arm could be due to its pressure on the brachial plexus (nerves of arm and hand). If I were your family physician, I would refer you to a general surgeon, who after a local and general examination might consider a FNAC (fine needle aspiration cytology) to arrive at the origin of the lesion. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery."
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"noted history of lump on the arm. It could be a fibrous (fibrous tissue formation), lipoma (fatty deposit) or a cystic formation. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Other diagnostics and management will be directed accordingly. If it is any of the benign lesions mentioned above, definitive treatment is surgical excision and antibiotic treatment.",
"I am Chat Doctor answering your query. From the history of pain in the lump, it seems to be an inflammatory swelling, which could have been due to fiddling of a pimple, or an insect bite which possibly might have gone unnoticed by you. If this was the case, then I would prescribe you with a broad spectrum anti-biotic and an anti-inflammatory Chat Doctor. However, a clinical assessment would be appropriate before starting any treatment, and so I would advise you to get appointment with your family physician or a general surgeon in your area for further assessment and management of the problem. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery."
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Hello doctor,Yesterday, my wife had bleeding for a minute after we had sex for the first time. What would be the reason for this problem?
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"I presume that your wife had bleeding through her vagina. If it is the first time that you both had sex, then you need not have to worry at all. This is due to the rupture of a thin membrane which covers the vaginal orifice (opening). This membrane is called the hymen membrane. This membrane is vascular enough to cause bleeding. But it remits on its own."
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"I have read and understood your problem. It appears that your wife is suffering from heavy bleeding with irregular periods as well which can explain why she did not have her period on time as before. The Lupines is a hormone which should regularize her cycles in a few weeks so that her cycles will be back to normal and may attempt to get pregnant again. Do not lose hope and be distraught. There are many causes for the heavy bleeding, some of which are due to hormonal disturbances in which case Lupines should be of adequate benefit. Once the cycles are regular again, her Doctor will encourage both of you to conceive again. I hope I have answered your query. I will be available to answer your follow-up queries",
"You have red blood cells in your semen. Even the presence of single red blood cell is abnormal in semen examination. This could be due to injury to urethra during masturbation. But also we have to think of other causes like infection or urethral calculi. Calculi may injure the urethra and the blood from injury may mix up with semen. This need further investigation to find out the exact cause. Some test like complete blood count, urine for culture sensitivity, USG-KUB (ultrasound of the kidney-ureter-bladder region). These tests need to be done to find out the cause so that appropriate treatment can be started."
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Hello doctors please could you advise me on this urgently. I have had cysts and fibroids for the past 25 years. I am waiting to see consulltant shortly. I am now having lots of pain in my arms back and legs. I am having problems with my bowels sometimes I go to the toilet about 3 to 4 times a day and other times I am constipated and need to take laxatives. I was on provera because I was bleeding alot and the bleeding would not stop after two weeks.I also take votorol and co-codamol for pain . I take iron tablets and I was given menefenic acid tablets as I had heavy bleeding and clots. I have stopped taken the provera and I had a period for a week this time. I had swellen on my neck and I have now got swellen on my wrists. My blood pressure is extremely high.I feel low in energy.. The swellen on my wrists is happened all of a sudden.Iam taking one piriton tablet which I was given at the Emercency unit. I was not given any to take home with me . I was told to see my G P. I am not able to see him till Monday and I am getting increasingly worried I am not sure if I have had a reaction from the chocolates. I don t normally suffer nut allergies. I am not sure what is going on I have pain in my shoulders and neck. The swellen on my wrists is tender and painful to touch and has not gone down after two days. Please help me with advise Thank you.
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"Strange for me- you appear to be very anxious and worried on Sunday because you cannot wait till Monday! And that too about a trail of symptoms you have for 25 years! You knew you had cysts and fibroid for 25 years. You did not sit for a moment to ask yourself or even to your doctors why you are getting the lot of symptoms while most of the other ladies of your age do not get them. Furthermore, you have mentioned irritable bowel syn Chat Doctor. I am a Homeopath and so there will be thoughts in my answer that are apparently strange for you, because you have been under the conventional method of treatment for a prolonged period. You took proverb for bleeding, Motorola and co-codamol for pain, iron tablets and mnemonic acid tabs for heavy bleeding and clots, prior for arthritis etc. I have to say that you are on a wrong path. After the consultation on Monday also, you will be getting some more medicines to relieve some of the symptoms you tell to the doctor. You have confessed \"I am not sure what is going on\". Yes I am going to give you some food for your thoughts. Till date nobody has told you why you are suffering and going from bad to worse in spite of taking treatments. First understand that all these happened and are happening because you have a genetic tendency to develop this sort of diseases. Genetic manifestation is not only in your body but also in your mind. Just look back to the query, you have not mentioned a single word about your life situations and your mental reactions to them. Because you are made to understand that your health is only physical. We Homeopaths hold that your health and so your sickness also is both physical and mental. The cure also has to occur in both mind and body. Instead of getting cured, you are continuously becoming more and more seriously sick under the present method of treatment. You become more and more worried also. Because your genetics is not considered. Your constitution is not taken care of. Only the symptoms are managed just as the tip of the iceberg. You were not cured in any instance in the pas"
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"I read and understand your concern. I am Chat Doctor answering your concern. No, it has not bitten you on the nerve. The stiffness is because of the local reaction caused because of sting. I advise you to take prednisolone tablet and cetirizine tablet under your doctors' guidance. This will relieve any selling and allergic reaction. You can also use clobetasol steroid ointment locally at the site of sting. Please do not apply onion in future to such a sting marks because it may cause infection at local site. Please do regular Chat Doctor. I will be happy to answer your further concern on bi",
"So many possible causes are there. Two of your medicines need to be switched, Singular needs to be stopped you can take other inhalations anti-asthmatic which are equally effective, You are taking excessive doses of iron- I would suggest 100 mg thrice a day after meals, which is most tolerated dose. You might have post-surgical bands which result in intermittent obstruction and pain, that is more so a case if you are totally well in between the episodes. Another prominent possibilities is tuberculosis of abdomen. If your problem does not get resolved soon please review with your gastro-surgeon, and possibly you would need an exploratory laparotomy for a diagnosis and intraoperative intervention if possible. You need a physical examination by your physician and get baseline investigations like Chest X-Ray, Electrocardiogram, Complete Blood Counts, Renal Function Test, Liver Function Test, Fasting and Postprandial Blood Sugar, Thyroid Profile, Lipid Profile, Ultrasound Abdomen, Urine Compete Examination. This work up is expected to detect the underlying problem, so a definite treatment could be started. I hope this advice would be helpful for you. Still if you have any queries or doubts, please write me back, I would be happy to solve them"
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I m 48 years old i have kidney cortical scarring in both the kidneys. my left kidney is smaller than the right and also has a subcortical cyst measuring 20mm on the lower pole of left kidney. Protien is detected in the urine.is there anything to worry for the cyst?what can be done to reduce scarring?what diet to follow?
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"You have scarring of the cortex of both the kidneys. This is due to chronic parenchymal kidney disease and not due to presence of subcortical cyst. These cysts are usually from birth and do not require any treatment. The chronic kidney parenchymal disease is progressive in nature and can not be reversed, Please consult qualified Nephrologist for evaluation as regards kidney function and further long term management to keep it under control."
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"We can comment on your issue more after the biopsy results are out. Cysts on kidney can sometimes be benign and may be that is the reason your doctor might have said not to worry. Causes for this can be genetic or even sometimes unknown. Physical examination is mandatory to assess this. You can contact us again after biopsy results are out. Let me know if you have any clarifications. If you like my answers and wish me to answer in the future, bring it to my attention: Chat Doctor. URL link is as follows:http://doctor.",
"A 12 mm cyst in lower pole of left kidney is not a concern. However, you might get it followed up after 6 months by ultrasound scans to know any change in size and appearance. Cysts less than 30 mm are not of much importance. If you are above 60 years of age then an occasional cyst is an expected finding in the kidneys. The 16 mm hypodense area in the lef"
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I woke up two weeks ago with a very bad pain in the lower back right side. I went to the doctor and they took blood and urine sample. the urine sample had a little blood in it. the blood came back normal. Took Blood pressure and it was 150 over 9o something. They said it was BPH. The prescribe pain pills for pain. Today I am having again on the right side lower back. Some times it radiates down to the groin area. Is this normal and when does this pain go away? To me it feels more like a kidney infection.
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"your symptoms of lower back pain, blood in urine suggest that your suffering FRM renal calculi . . . as the isn't fever as such DNT get worried of kidney infection and yest her is a chance that u may get infection if renal calculi is not attended in early stage. . . go consult urologist, get an USG abdomen don end x-ray pub. investigations reveal the location ND size of the stone if at all the scan is positive. ."
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"Where exactly is your pain is it central just above the pubis in lower abdomen?do you have loose motions/ omitting/ fever/ pain on urinating?do you have bloody urine?can you post all your blood reports? Is urine routine exam normal?does the pain come out of the blue and disappear really as fast?pl. Provide details. So that I can help. I would be glad if u revert with details. .",
"There are many people that experience back pain as part of flu symptoms, but You explained that you had it before the flu. In your case what happened is that you used to suffer from back pain (chronic or acute, I will explain later), and the flu incarcerated it, so made it worse. When the flu will go away (consider Ibuprofen, paracetamol, home remedies for treatment), the back pain will release or will get at the phase that was before you had the flu. If you had this back pain in one side for the first time of your life only three weeks ago, please remember if you injured your hips, or if you are doing exercise that stress your back, or if you are staying fitted in one place for too long. If none of the causes mentioned above is not true, then I would suggest a urinalysis to check the condition of your kidneys. Meanwhile, I would recommend some topical anti-inflammatory cream to relieve the back pain and also any heating pad, or specific belts which you can find in Chat Doctor. I did this explanation to clarify you that your back pain did not cause the flu and there is any other reason beyond these two conditions. The back pain, in your case was strengthen by the flu, and will go on after if you are not accidentally hurt or stressing your back. To make it go away follow my instructions mentioned above"
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My daughter is 10 weeks pregnant and had been very sick the last 4 weeks, she is using Zofran, pheneragn, and a patch not sure of all the exact meds, I was very sick when I was pregnant until week about week 12 and then slowly I would start to feel better, using hospital ivs and Zofran, she started feeling better yesterday and seems to be doing fairly good today, i also had 3 miscarriages and was not sick with any of them. Im concerned that she started feeling so much better quickly that maybe the baby has died and her body has started making the hormones that were making her so sick. Very worried first time grandma
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"There is no reason to believe that your daughters' improvement is due to any harm coming to the fetus. It is normal for pregnancy hormone levels to peak between 8-10 weeks gestation so the relief she feels is just to the levels getting back to normal. Most women feel the best during pregnancy in the second trimester, so everything she has experienced is normal for the course of most hyperemesis patients. Furthermore, every pregnancy is different, and there is no reason to assume your daughters' pregnancy should mirror your own. Many healthy women with normal pregnancies have no nausea at all, so there is nothing to worry about if your daughter is finally feeling better. I hope I was able to adequately answer your question today and that my advice was reassuring"
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"Nausea and vomiting are common in early pregnancy, and an orange to ensure vomit may indicate blood. The fact that you have Crohn's disease and Rh negative blood is not really relevant at this point in pregnancy however if you cannot hold down food and are becoming deny Chat Doctor. Your best bet if you do not yet have health insurance is to go to a local emergency room and see a doctor there to make sure that you are okay, and they can possibly prescribe some antinausea medicine for you to take",
"Though there are varied causes of such sudden accidental death of the fetus in last trimester of pregnancy, let us consider the commonest cause. One thing is sure that this is a sudden acute episode causing death of the baby. Chronic starvation of baby would have retarded the growth of the baby rather than its death. Diabetes is the commonest cause of sudden intrauterine death of fetus without any other symptoms. Was she tested for blood sugar? If not please get it done with understanding that many times the diabetes shows temporarily during the pregnancy and afterwards becomes latent and non-detectable. The other commoner cause is sudden separation of the placenta. However, usually there is some cause behind it like high blood pressure, diabetes, excessive water around the baby, some bolt on the abdomen, etc. Such separation causes pain in the uterus and may cause some amount of vaginal bleeding - which may not be there also. Please try to explore these possibilities by discussion with your Obstetrician. If you want to discuss this in details with me, you may ask me a Direct question. I hope this gives you some direction"
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what is the possible medical condition of a three year old who has blacked out when she hit her head. This has happened twice. Once when she fell out of a chair after having a little tantrum about food that was on her plate. the second time hitting her head on a counter. She came around shortly after.
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"Your child gets black out after minor head trauma. This can be incidental but actually might get a kind fit or short schemer disorder. This is usually in child Chat Doctor. My humble advice is;1. check the heart rate and if it is slower than 60 per minute then needs pediatric cardiologist opinion. 2. Brain EEG test. 3. Brain MRI. If all negative then its excluded for any serious problem. If it is positive which is unlikely, then needs follow up with pediatric neurologis"
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". . . . since it has been 3 days since YOY his your head and you are otherwise in good shape i don't think an her visit is necessary right away. Symptoms of traumatic injury to the brain could include besides headache, dizziness, loss of balance, Chat Doctor. So unless you are experiencing any other symptoms or having a worsening in the headache intensity in my opinion you should be fine.",
"Vomiting could be due to a concussion or any level of intro cranial hemorrhage. In that case you have to see her level of consciousness as well which also fades away in case of a significant head injury. I am not aware as to the stage of breast cancer she had. In advanced stage, we have to also consider any possibility of intro cranial metastatic space occupying lesion where she can get this symptom. If the symptoms persist, I would suggest going for a CENT skull to rule out these possibilities, but only after consulting your treating doctor. Wishing her an early recovery"
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I m 48yrs male, my platelette count remains between70000 to 85000, also suffering from gastritis for last 2yrs with sour stomachfor which ihave been taking pantoprozole,rabprozoe& levosulpride.Ihave recently been also diagonosed mild hepatospleenomegaly with nolmal LFT, so plz advice me.
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"Your mild hepatosplenomegaly may be due to gastritis or other infections. Your platelets are also low which leads to gastrointestinal infections. First please consult your physician for ultrasonography to find out actual cause of the disease. Ask him for low platelets also. If you are alcoholic, then completely stop it."
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"pls change your lifestyle, Chat Doctor. So many reasons can be there in your case. It can Bede to gastritis, pancreatitis, cardiac related, pleuritic pains. pls get an ECG, Chester, ultrasound abdomen, sugar level serum amylase, lipase, cholesterol levels, liver function tests, upper gastrointestinal endoscopy done. Take antacids and pantoprazole (PPI). u had to undergo all these proposed tests",
"IF EVERY TESTS OK AND YOU ARE DIAGNOSED GASTRITIS THEN YOU SHOULD TAKE MEDICINES ACCORDING TO THE ADVISED OF YOUR DOCTOR. YOU MAY TAKE THREE MEDICINES. 1. TAB. PAN-D(40) = 10 TABS. 1 TAB. IN THE EMPTY STOMACH. 2. SSP. SUCRALFATE = 1 PH (100 ML. ). 10 ML. BEFORE LUNCH AND DINNER AFTER SHAKING WELL. AND 3. SYR. BESTOZYME = 1 PH(200ML. ). 10 ML. AFTER LUNCH AND DINNER AFTER SHAKING WELL. DOT TAKE RICH MEAL. TAKE LIQUID MEAL. WISH YOU A QUICK RECOVERY"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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if i am currently using contraceptive pills (marvelon28) for 2 consecutive mos then i will shift to althea pills . is it ok that after taking my last pill, i will just buy another packet of althea to start again and take it regularly? is it safe also?
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"All birth control pills work to prevent pregnancy, so it is certainly safe and fine if you have decided to change brands. As long as you start your pack of Althea at the same time you would have started your Marvel on, then you will be protected against pregnancy. You may notice different side effects while taking the new pill while your body adjusts to the new formulation, especially in the first month of use. These symptoms may include nausea, headaches, spotting, bloating or breast tenderness. These will improve once you get your first period on the new brand. I hope I was able to adequately answer your question today and that my advice was helpful"
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"I am assuming that you have regular monthly periods. In that case, it is the time where you are going to ovulate. So, it is an unsafe period to have sex. And, if you have once unprotected sex and have taken I-pill (emergency contraceptive pill) once, then why to make mistake for the second time. Because, I-pill in itself is not 100% effective even if taken once. There is no study about two times taken I-pill. It works with two mechanisms. First of all, it will delay ovulation and second, it brings bleeding. So, if pregnancy happens, it resists implantation. In your case, if I believe that ovulation is delayed while you have taken the tablet, then it is good. If you have taken the tablet for the second time, then the ovulation is more delayed and period will be somewhat late with more chance of avoiding pregnancy. The second thing is that with I-pill your period cycle can become irregular. The chance of that increases more if you have taken two times. Because, it is a chemical (hormone), which is produced in your body to maintain your regular cycle. And, when you take it from outside it can disturb your normal cycle. If you do not want pregnancy in the first place, then either use condom or other method as preferred by you both after discussing with your doctor. I-pill is an emergency contraceptive and not a regular contraceptive pill that you can take as and when required. It should be taken when fear of failure of normal contraception is more. So, make the thing clear about whether you want pregnancy or not and go for a solution which helps you in future.",
"Since you have started afresh, your doctor may have suggested the standard method. Either way, during the first couple of cycles of the pill, you would need additional protection as ovulation is not effectively inhibited sometimes. You can rely on the oral contraceptive pill alone later on, but please make sure you take the pill regularly at the same time every day."
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Two months back, detected for type 2 diabetes.i am taking Glycomet 500 after Break fast and dinner. My sugar levels are now 190 fasting and 300 pp.weather it is necessary to continue the dose as it is or should it be increased? Secondly Can I take Glycomet 500 SR in place of Glycomet 500
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"I have read your question completely and understand your concerns. Your Fasting blood glucose and post radial blood glucose are still high. For good control of diabetes, your fasting blood glucose should be less than 110 and your post radial blood glucose should be less than 160. I would advise you to get your HbA1C levels also checked. This is a blood test which tells you your average blood glucose over the last 3 months. For good diabetes control, it should be less than 6. 5% provided you are below 60 years of age and without any other health problems like recent heart attack, stroke etc. For better control of your blood glucose levels, I would advise you to increase your Glycogen dose. Take Glycogen 1000 mg twice a day, at breakfast and dinner time. you could take Glycogen SR 1000 mg as well. SR means Slow Release tablets, the side effects with SR medication are lesser than with conventional tablets. Kindly check your fasting and post radial blood glucose levels in 2 weeks. I would advise you to follow a healthy diet with plenty of vegetables, reduce the quantity of carboy Chat Doctor. Avoid high fatty, high sugary and high calorie food. Exercise for at least 45 minutes every day. I hope this answer has helped you"
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"Alok. Your lifestyle habits seem to be good as you exercise for a good amount of time every day. I hope your dietary habits are also good. Coming to the management of your sugars, your HbA1c is more than what I would like it to be, less than 7 is desirable. You're fasting and postprandial values hence seem to be consistently on the higher side as evidenced by your HbA1c. I would suggest a few options which can be considered at this point of time -1. Improvement in dietary habits - intake of foodstuffs devoid of simple carboy Chat Doctor. A dietitian should be consulted for the optimum diet. 2. If everything is right with the diet, we may consider increasing the dosage of your medications. As time goes by, the body starts becoming more and more resistant to insulin and hence requirement of medications goes up Inspire of all other measures. You have done well so far with the medication you are on. At this point of time your planetologist may consider increasing the dosage of your medication to either twice a day or increasing the dose of glimeperide to 2 mg. Kindly follow up with your planetologist for the same.",
"I have seen the details given. A blood glucose level of 257 mg after food is a clear sign of having diabetes. The criteria to diagnose is FBG 126 mg and above, PP 200 mg and above and HbA1c% 6. 5 and above. Therefore, you need to initiate treatment for diabetes forthwith. Do not delay. Many persons do not get any specific symptoms when diabetes develops. That is one of the reasons why it is unrecognized for quite some time. Along with starting treatment with oral antidiabetics (like Metformin + a Lipton), you will have to also adapt modified lifestyle, meaning taking restricted diet, avoiding sweets, junk foods, colas, pastries, bakery items, alcohol and even smoking. Plus exercise daily for at least 1 hour. My suggestion is pleased your personal physician or a ideologist and start the treatment. Take care. Also get your eyes checked for ruling out diabetic retinopathy. Thanks"
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I recently had a nerve block as a diagnostic tool preceeding RFI. I found no relief. Can other nerve blocks in different areas be tried. This is my last resort for chronic back pain. I have already had two spinal fusions. I was looking for reviews from patients who had RFI procedures too. YYYY@YYYY
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"Please give detailed history. Why you have undergone spinal fusions on two occasions? At which level it was done? Lumbar or cervical? Was MRI of indicated region done? This history is required so that I can suggest you further treatment. Nerve blocks are given by pain intervention specialist with good results. Patient selection is very important. Thanks"
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"Spinal fusion like TGIF is a surgical technique to stabilize the spinal vertebra. It is usually a successful procedure but 10 to 20 percent people might have some pain even after the surgery. In that case you might have to get repeat MRI scan imaging done to know if there is pinching of nerves at some other place in the lower back. Many times it has been observed that the nerves remain under pressure even after surgery. This is because compression on the nerves occurs at places other than where surgery has been done. You might have to go through repeat surgery if the pain is severe. Else you can also choose to take treatments like radio frequency ablation and nerve root block. If the pain is mild then doing physiotherapy, avoiding heavy physical activities and nerve pain relievers might make you feel comfortable. Please do not worry",
"There is possibility of nerve compression in spine leading to electric sensation in your leg. I will advise MRI spine to see for any nerve compression leading to articular back pain. 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. Spine extension exercises along with core stabilizing exercises will help you."
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I have chronic back pain and have been taking hydro-codone but my insurance company no longer covers it. As a result my PCP .has prescript tramadol. Upon researching what it is and what it does, Ive discover that its not recommended if you have a history of seizures which I had in the past but not in the last ten years. Does it matter and should I contact my PCP
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"I am Chat Doctor. I am a planetologist. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query in as simple terms as possible. I really don't think that you would have a problem> tramadol is pretty safe medicine. But as you have rightly said the chances of seizures are there, though faint. And besides seizure recurrence is something that none wants. It is not only dangerous, but brings in the possibility of long term remediation. It may be safer if your seizures were secondary to a cause like NCC. So I would definitely suggest you meet your doctor again and ask for a changed/new prescription, I hope this information helps you. Inform the reports mentioned above so I can be of help further. Best of luck. 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. Please do understand that some details could be extracted from a detailed history and examination. 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)Chat Doctor, M"
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"The high voltage that struck you or contacted you has altered your peripheral nerves sensory function (like overloading a circuit that trips the breaker-- sometimes the circuit breaker protects the wires downstream. . . . but sometimes the charge is big enough so that even if the breaker trips everything downstream still gets hit). So, I would recommend getting to a neurologist if the pain has not disappeared by now, so they can get on top of whatever treatment they feel is indicated early rather than late otherwise the problem could be chronic and convert into something referred as chronic complex regional pain syn Chat Doctor. If you would like to ask me any other questions DIRECTLY about this subject please feel free to use the following link and pose your question:http://doctor. ChatDoctor . com/Funnel?page=askDoctorDirectly&docId=68474If this information is useful to you please consider a STAR RATING which would be greatly appreciated",
"The thing you have to look is whether seizures are controlled or not, it depends upon when did you start the tablets, and when did you get the pain and rash. If both are apart, don't worry, you can consult a physician for treatment. If started immediately after starting the tablets consult your doctor for change of the Chat Doctor. Thank you"
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I recently had a Colonoscopy, and I was told I would be put to sleep and wouldnt feel a thing. That was so not true. I had horrible pain during the procedure and I had something to compare it to, because I had one before which was totally painless. This time I not only had a lot of pain, but my abdomen hurt all week. I felt like someone had punched me in the abdomen.
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"Forum. As already colonoscopy done on previous occasion and now again, your main complaint is pain during procedure and even after 7 days pain present. In my opinion reason may be 1 stricture formed due to previous procedure. 2 Operating doctor may not be an expert. 3 Proper anesthesia may have not used or may have not acted properly. Anyhow take painkillers for 2-3 days. Still pain persist then consult doctor concerned. Good luck"
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"Thanks for your query and an elucidated history. The commonest cause of such intermittent pain on the left side of the abdomen can be due to severe for of colitis. You can have a 5-day course of an antibiotic and metronidazole, probiotic, anti-spasmodic and see the results. If the symptoms are not abated go for colonoscopy and ultrasonography of the abdomen along with the routine blood, urine and stool tests",
"It might be of sub acute nature giving rise to intermittent pain, or it could be acute giving rise both to pain and acute intestinal obstruction resulting in absolute constipation and inability to pass gases as well with distension of the abdomen. I feel that in your case it could be subbed acute in nature because of the long duration of your pain since the operation more than six months before. However, there are many pathological processes which could give rise to such pain in the abdomen, which if you could not be diagnosed clinically, warrant for further investigations like plain X-ray of abdomen, ultrasound of abdomen, and a urine culture and sensitivity test to exclude various other conditions giving rise to such abdominal pain. I do not want to confuse you by giving all the details of these conditions, but you can always discuss with your treating doctor on these points. If nothing is conclusive, then a diagnostic laparoscopy may be helpful. Wishing you an early recovery. Thanks and good luck"
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My 5 year daughter weight 20kg coughs badly until she vomit mucus with the food she ate. This happens usually at night or early morning almost as per my observation 3 times a week one of child specialist suggested Romilast 5mg daily i am afraid if she is having asthama as one of my close friends told me of the same finding for her daughter.
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"From the symptoms you have mentioned, she may be suffering from asthma. As she coughs in night and early morning, there may be some allergens triggering the attack. Take Dominant 5 mg, as advised by your doctor. It will resolve after it, and if not, try changing her room where she sleeps, and you may consult an ENT surgeon for throat examination. Let me know if you have any further questions. You can contact me on my page http://bit. ly/1dYupT2Wish you a good heal"
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"It's true that raising of SGPT suggests liver cells damage, but I think you shouldn't be very worried to that. There are several viral conditions that affect child Chat Doctor. Hepatitis A, is one of the viral conditions that affects almost 98% of people and they don't even know about it, because its symptoms are just like a simple flu, or common cold, associated with diarrhea, vomits, fevers, weakness, lose motions etc. Anyway it is not a serious condition, and it is not contagious. I would recommend you to repeat that analysis after a couple of days after your daughter is recovered from this viral condition to see if the level of SGPT is normalized. Bag, and anti HCV is another analysis to be done to rule out Hepatitis B and C. For now, just maintain a supportive care of your daughter at home. Give her liquids, vitamins and if she has fevers you may use Acetaminophen syrup to keep it under control. If she don't get better for 4-5 days please consult a pediatrician for further examinations",
"Thank you for asking at Chat Doctor. I went through your daughters history and conclude that she has chronic cough since long and also at times difficulty in breathing. I assume she does not have any other illnesses like recurrent infections, fevers, weight loss, reduced appetite, chest pain, vomiting, etc. If she does not have any of the above-mentioned complaints, first I would think of asthma. In that case Telecast F (for which you have asked) would benefit her. If she is not benefited completely by that, I would suggest consulting an Allergist who will advise her allergy testing & spirometry and then will suggest her inhaler therapy for asthma. Allergy testing will also guide her about what she is allergic to and how to avoid them. I would also suggest her to avoid dust, cold air, smoke & air pollution as much as possible. I would advise her to cover her nose while traveling. Regular breathing exercises, Yoga & Panama and a healthy nutritious diet will help her in a long run."
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I am 16 years old, When I am around the boy I like , I always feel sick. I start to shake uncontrollably , my hands go all sweaty , I feel so sick to which is gets to the point of me throwing up , without fail and I feel very worried..... I thought it was nerves to start with , but throwing up has got me really worried , and I don t know what to do ?
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"I understand that you are going through a difficult time due to your problems. From the description of your symptoms, it appears that you are suffering from Social Anxiety Disorder. All the symptoms that you have described such as trembling, sweaty palms, nausea, vomiting, etc. are all anxiety-related. Even the nausea and throwing up are physical manifestations of anxiety. Since your problem is quite disabling, I would suggest that you seek professional help. There are effective treatment options in the form of medication or psychological therapy which can help you overcome your problems. So, please consult a psychiatrist for a detailed evaluation and further treatmen"
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". . don't be worried. it's a very natural thing for any boy to be fascinated by a girl. . . so is the thing in your case. . . but try to keep things into control. everything lies in your control. do control your emotions. . . you will slowly get used to the situations and things will improve. . . . do be positive and try to have a hold on your emotions. . . things will definitely improve. wish you good health. .",
"A thorough neuromuscular assessment is advised. It is good that you have provided your age and your blood pressure. As you have trembling of hands, it is completely neuromuscular coordination. Which needs a thorough assessment and then a therapy for it. As you get this trembling disturbing your work, you need to focus on exercises. Since this is completely a neuromuscular imbalance which leads to trembling I will advise you to focus on exercises which can help avoid the symptoms. In my clinical practice many patients come with similar complaints, but there is no such diagnosis, as neuromuscular imbalance leads to such symptoms. I recommend them to undergo physical therapy for correction of muscular imbalance with the help of exercises and in no time they feel better. Also, I mention them to continue the same at home, since there are no side effects, and it is totally non-invasive. RegardsJay In"
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I have been taking Isoniazid 300mg 1x day (this is the first month of of a nine month treatment) and am concerned about the med s effect on my liver ( toxicity ). 1)Is there anything that can reduce the toxic side effect? 2) Would fiber psylium supplement be beneficial or not a good idea to help rid the body of waste (acetylisoniazid)?
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"Only some patients develop raised liver enzymes because of isoniazid. Do have an underlying liver disease ? If not there is nothing to worry. Go for a baseline Liver function test and repeat it after three months, if the ALT and AST has not increased by > 3 times the upper limit of normal then there is nothing to worry. You don't need to take any other medications to prevent liver toxicity"
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"Predict you are receiving is very low dose, but still it causes side effects, like gastritis, gastric bleeding, and bone weakening. In higher dose it may decrease immunity leading to infections, and many other effects. Usually calcium and vitamin D supplements are prescribed with it. You can also discuss the options of other immunosuppressant like Azathioprine with your doctor. But if you have active OLD then you need to take it, otherwise OLD will progress.",
"Its common side effects include vomiting, headache, indigestion, heartburn and constipation. These side effects can be prevented either by reducing the dose of hospital retard or using an alternate effective but a safer medication."
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Dear doctor, my name is Temitayo Steven from Nigeria. For the past 8 days, I have been experiencing fever that would start around the afternoon period and disappear in the morning, slight headache and chest pain. Some days before this I had rashes around my anus. I went for a test 5 days ago and below is the result; S.typhi(O 1:320, H 1:160). My doctor recommended Ciproflaxin and I have completed the dosage without any improvement in my health. I decided to visit another doctor. He carried out a blood test and claimed I do not have any trace of S.typhi. I don t know what is wrong with me. Kindly help.
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"ype? Your symptoms are nonspecific and could be almost any kind of infection. A lot more tests might be needed. The first test you did for S. type only indicates you have been infected at some time; it may not be an acute infection. Some things I would consider are strep, pneumonia, malaria, other parasitic infections, HIV, herpes, certain other STDs, tuberculosis, atypical mycobacterial infections, other bacterial infections. Many bacterial infections require a different antibiotic than Ciprofloxacin. You need to have a good examination, to describe the rash, and get more testing done to see what this could be."
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"At present, you are taking cephalexin and levofloxacin for typhoid fever. Positive cultures of blood, stool or other specimens are required for diagnosis. Stool culture remain POSITIVE for 4-5 weeks and-in rare cases of chronic carriage -for > 1 year. However, TIDAL tests remain positive for > years even after one year of successful treatment. Strain 1:160 counts as POSITIVE, while less than this is negative. When such resistant case visit my clinic I advise my patient to take AZITHROMYCIN 1gram/ day orally for 5 days (standard therapeutic dose). Or High-dose CIPROFLOXACIN 750 mg orally twice in day for 10-14 days. Dexamethasone may be of benefit in severe cases.",
"I can understand your concern. You may have typhoid fever. It is caused by salmonella type. It is type of bacteria that cause typhoid fever. Fever with abdominal pain is the most common symptoms. You should go for tube tidal test to know exact tier. Treatment of choice is ciprofloxacin. You should take a complete course of ciprofloxacin. Take bland diet and rest."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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i have had a numbness in my right chest for about 5 weeks now. it occured a week into an anabolic steroid cycle. i have discontinued the use of the for about two weeks now and still the numbness is still there. i have been to the ER and the doctor and no diagnosis. Any ideas?
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"I can understand your concern. Numbness in the chest is mostly due to heart and lung diseases. So better to get done ECG and 2d echo to rule out heart diseases. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out lung related diseases. If all these are normal then no need to worry much. Quit smoking if you are smoker. Vitamin b 12 deficiency and anemia can also cause numbness in chest. So get done vitamin B 12 level and hemoglobin estimation. If deficiency then you need supplements. Don't worry, you will be alright. Consult doctor and discuss all these."
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"So it doesn't seem to be anything wrong with your heart. Regarding the numbness in your hands, it seems to be caused by a pinched nerve in your arms. I would recommend consulting with the neurologist and perform a nerve conduction study (electroneurography) to establish the diagnosis. In case of a pinched nerve, you may need to hold a special wrist splint at night, or even make an undergo a small intervention in case of a severe compression of the nerve",
"The symptoms which you have mentioned are suggestive of anxiety disorder. However, the common medical causes of your symptoms like diabetes, hypertension, and cardiac diseases, thyroid disorder, and vitamin B12 deficiency must be ruled out. An MRI of the brain will help to rule out brain pathology, which can cause numbness. Assuming it to be an anxiety disorder, relaxation exercises like deep breathing and meditation will be beneficial for you. ChatDoctor."
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my son is having a uteroscopy for a mass in the ureter. Kidney stones have been ruled out ( he did have blood in the urine and pain in his Right side). can a doctor know if it is cancer or does he have to wait for the biopsy? The doctor mentioned Transitional cell cancer. My son is 32 and 62
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"I can understand your concern. If he has mass in ureter with bleeding and no any stones then there is high chance of transitional cell carcinoma. However, confirmed diagnosis can be given only after biopsy and histopathological examination. So go for biopsy and plan accordingly."
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"Yes you should definitely consult urologist and get done PET scan. Since you are patient of bladder cancer, there is high possibility of recurrence of bladder malignancy. Blood in urine is the most common and earliest symptom of bladder cancer. So you may have recurrence. You would first get done urine microscopy and ultrasound examination of abdomen. And PET Scan is needed to rule out distal metastases. So consult urologist and discuss all these",
"It may be a normal finding, it may also be due to small stone on its way out in right kidney tube, or a recent passage of stone from right kidney. If you have no pain, maybe a repeat sonography can be done after 7 days. A X-ray pub (morning, fasting stomach) will give exact size of kidney stones and if any stone is stuck in ureter. Usually stones smaller than 6 mm will pass. Take lots of fluids. I suggest you get a stone metabolic workup done to know why you are forming multiple stones. Follow up with your urologist regularly"
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Hello My husband a hemmoragic stroke on march 7, they said it was a 6.7ml and he is very lucky to be alive. He is paralized on his left side and has basically no short term memory. What does the 6.7 mean? is this as good as he will probably will get?
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"I have noted your husbands symptoms and diagnosis. I agree that brain hemorrhage is a serious condition with high disability and heath rate. The survival depends not only on the volume of hematoma (volume of brain bleed), but also the location of bleeding, age of patient, presence of comorbid factors such as diabetes, high BP, etc. and the treatment given. 6. 7 ml probably refers to hematoma volume and as I said there are other factors that could determine his survival and extent of improvement. 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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"This results in development of multi infarct dementia. Multi infarct dementia is responsible for her symptomatology of short term memory loss, nominal difficulty, reduced ability to concentrate, inability to register and recall new memories. And multi infarct dementia is a reversible condition, once blood supply is regained to affected ares either by development of collaterals of blood vessels or by revascularization. But the condition shouldn't be ignored as it may lead to persistent dementia changes. Control of hypertension is must in management. Other what can be done is introduction of Omega-3 Fatty Acid Supplements, Multivitamin preparations and cognitive enhancers (like Semantic, Donepezil) in her Chat Doctor.",
"As per your description, there are 2 possibilities. 1. During process of putting a stent, small blood clots called as embolic may get dislodged & get inside blood vessels supplying the brain. If any such blood vessel supplying a particular area of brain gets blocked due to an embolus; symptoms specific to the particular area blocked appear (memory problems of sudden origin in case of your father). Alternatively second explanation is there is a post stent/post-operative condition known as delirium or acute confusion state characterized by fluctuating state of consciousness, alertness, identification, sleep disturbances, extreme apathy or aggression etc. delirium is a medical emergency & we aggressively need to do certain blood investigations to ascertain electrolytes levels, blood parameters, ruling out infection etc. Depending upon his prominent symptoms, low dose antipsychotics like haloperidol, olanzapine etc. will treat his condition. Do consult your cardiologist to rule out these 2 conditions."
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Hi Dr. a very good evening.I am residing in bangalore,and I am writing this for my son.He is 19 years of age and doing his B-Tech 5th semester. Dr., for the past six months he is suffering from urinary infection. And I have consulted him with many urologists, still he didnt get a complete recovery. His ultrasound report,blood sugar, uroflam test everithing is normal. During this period he gets high fever & severe head ache, so bad that he cannot move his head in any direction.Im very worried about his head ache and other symptoms. He has taken many antibiotics .It didnt work it is recurrent now. Now, his Dr. has prescribed an antibiotic called urifast, daily two times for 14 days & then he has to take this tablet for 2 months, once daily and, his Dr. told him to take IVU X-RAY also.Dr is there any problem for taking this antibiotic such a long period.HIS IMMUNITY IS VERY POOR.Any weather change he falls sick.Pls help my son. Dr. his body wt is about 94 kg.
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"I have read your question well and understand your concern and I will do my best to assist you. There are few questions I would like to ask to better understand your case such as has your son lost weight recently? You said his weight was 94KG? Has he lost or gained weight in the last 6 months? Does he have any history of Diabetes, Rheumatoid Arthritis, does he take any medications that reduce his immunity? Now if I answer based on the information you provided. First, one thing you should know is that male Urinary tract infection are mostly difficult trace or manage compared to females, its more likely to see a recurrent female infection than male. I don't know what made your doctor to treat your son with only antibiotic medications, if I was your Doctor I would consider admitting him to hospital so that I can take all necessary tests required, I would also consider treating him by giving him IV solution to help him rely Chat Doctor. The ICU test the doctor ordered is a good choice to look for any abnormalities in the whole urinary tract including kidneys. Here are few things I would do if you came to my Hospital, you can consider discussing the following with your Doctor. 1. Admit to hospital immediately, so that I can give IV fluids and IV antibiotics and run tests such as CBC, Urinalysis, Urine culture, ICU. 2. Since your son had recurrent UTI, I might consider doing some other tests to see if he has other co-morbidities such as diabetes, Tuberculosis etc. 3. Some patient that had recurrent UTI might actually have something called Fistulas caused by a disease known as Crohn's disease. Therefore, if ICU shows normal results, I will refer him to Gastroenterology specialist to do Colonoscopy. Specially if your son suffers from diarrhea Crohn's disease is an Inflammatory Bowel disease that causes severe abdominal pain and could lead to forming fistula (holes between intestines and urinary tract) that might cause some bacteria from the Intestines to reach to the urinary tracts thus cause a Urinary tract infection. I hope you can discuss the points i mentioned with your current Doctor, so they can consider it. Wish you all the best and I hope your son gets better soon"
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[
". . an E Cold count 10000 per Ml ISA not suggestive of urinary tract infection and I think what your kid is having is just a viral illness and not UTI. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (Maximum ceiling dose 500 mg per dose) every 4-6th hourly that too only if fever is more than 100F",
"Understanding your concern. As per your query your son have symptoms of high fever which could be due to viral infection. Need not worry. I would suggest you to start with paracetamol every 4 hourly. Maintain HY Chat Doctor. Avoid giving large meals to child and give him small but frequent meals. Visit pediatrician once and get it examined. You should go for blood tests as well and start treatment after proper examination. You should give child proper rest. Avoid giving any outside food. Give curd in die"
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A patient was admitted to the hospital with chronic obstructive pulmonary disease. His PO2 was 55 and PCO2 was 65. A new resident orders 54% oxygen via the venturi mask. One hour later, after the oxygen was placed, the nurse finds the patient with no respiration or pulse. She calls for a Code Blue and begins cardiopulmonary resuscitation (CPR). Why did the patient stop breathing?
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"I can understand your concern. Respiratory center in brain is mediated by oxygen and carbon dioxide levels of body. So any change in these levels will cause loss of function of respiratory center. COPD patients are used to have low oxygen saturation as compare to normal individual. This low oxygen level gives respiratory Chat Doctor. So low oxygen saturation in COPD patients, actually help them for regular breathing. In your question, that new resident have given high flow oxygen (54%) in COPD patien"
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[
"is difficulty in breathing may be due to panic attack or obstructive sleep apnea, which sometime occur during nighttime. If he has this episode only at night, better to go for polysomnography that would help u find out the exact reason. For detail evaluation, consult a pulmonologis",
"In my opinion you should immediately consult pulmonologist and hospitalize her as she is having tachycardia, low oxygen level and hypotension. All suggest worsening of underlying COPD. The most common cause for this is infection. So we need to rule out this first. Chest x-ray is needed for this. She needs low dose oxygen, intravenous fluids, bronchodilators, antibiotic and steroids too. So better to consult pulmonologist and start treatment as soon as possible"
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What is diffuse cerebral atrophy hair sir my child age 2 months and from last 1 week we consulted neurologist after ct scan told it was due to cerebral atrophy sequalae of perinatal ischemia can u explain what is cerebral atrophy can we cure it can my child normal again plz explain
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"). Cerebral atrophy can not be reversed. Your baby needs developmental, rehabilitative, neurologic care, and early intervention services so that the best possible outcome can be achieved, how much can be achieved depends upon degree of damage to child. Normal development as on a normal child can not be achieved, the best possible development for your child should be tried"
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[
"Ischemic stroke is a condition where there is incomplete blood supply to a certain part of the brain leading to permanent damage to that part of the brain. Consequently, the function carried out by the affected part of the brain is lost. The only way to recover function following permanent damage is physiotherapy which enables the existing normal part of the brain tore-learn the function that was earlier carried out by the now non-functional brain. In the case of your mother, physiotherapy is the only way to improve the lost function. In addition, we can make things in the house and around in a way that is easy for your mother to navigate such as having a motorized wheelchair, etc.",
"Your description matches very closely to that of a condition called Halogen Effluvium which results in diffuse hair fall from scalp and can be triggered by the events like the one that you have described. Let me reassure you that you will, in all probability, recover from this problem. To my patients, I suggest the following measures, and they are helped a lot with this advice1 Practice good hygiene2 Have balanced diet3 Correct anemia4 Do not massage vigorously5 Brush hairs when they have Chat Doctor. Therefore, use of such products may or may not be always rewarding. I am sure you will be helped by the suggestions and recover soon"
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hi sir, i had done sex with my gf on the seventh day 20 mar after her period stoped (14 mar) ..i gave her i pill within 24 hours and after that she had her period on 26 mar and bleeding more than expected and having headache ...sir m i need to be worry plzzz suggest me
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"bleeding is one of the commonest effect of I pill along with pain, fever and headache etc. so I advise not to worry, but she can follow this points1) Take iron supplements2) Take green leafy vegetables and fresh fruits3) Check her He level4) Bed rest for 2 days if possible5) in case pain and fever take Tab. PCM6) If still it continues for more than 3-4 days then take progesterone supplement under the observation of gynaecologist"
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[
"Actually you had sex in safe days of your menstrual cycle (5 days prior to menses). You had viral fever, you took injection for that & you had the period following the sex in discussion. SO you do not have conceived this time. You had 2 months delay in next cycle. Pregnancy test was -ve. But you did not get bleeding devilry pills for 5 days. Normally, bleeding occurs within 8- 10 days of stopping the pills. You had already waited for 10 days. . In such case you should wait for bleeding for a couple of days more. Viral fever causes a lot of weakness. This might have caused delayed period/response. When pregnancy test is -ve the bleeding should follow if there is no other problem. In case there is no bleeding an after 4 more days, you should - go for pregnancy test once more. If its +ve now you need MTP for you had taken Devilry. - In case test is -ve, you need a gynecologists' consultation for physical examination & needful investigations to find the cause of delay in period. (It can be hormonal disturbance due to POD, thyroid, ovarian problem)& the specific treatment will be given you, which would help you. Thanks. Thanks",
"I can understand your concern. As she took emergency contraceptive pill within one hour, the possibility of pregnancy is less. The bleeding she got after 6 to 7 days could be with ChatDoctor. As she disturbed natural cycle by taking pill, now it may some time for regularization of cycles. And next period may come after one month of spotting. Cramps, nausea may be due to some other causes like infection either vaginal or gastric, renal related, etc. Clinical examination and ultrasound will help in finding out the possible cause of the problem and treatment can be taken accordingly."
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hello doctor i have mvp in my heart my father dead early 50years his age by heartattack.i have thyroid also and high prolactin and i am taking medicines for thyroid 100mg daily and for prolactin cabgolin medicine twice a week.some times i feel my heart beat is slow and my left hand full paining i scared because of mvp is it possible for heatattack and my age is 37 doctor told no need for medicines for mvp(mitral valve prolapse)now can u pls help me in future can i take any precaution for this mvp problem.
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"I have gone through your complaints. First when you say slow heart beat we need to confirm whether its really slow or u feel that way. For this you have to measure count your heart beats or pulse or alternatively take an EKG, when you have such symptoms. It can be counted by placing two fingers on the forearm just below the wrist on the side of the thumb. Count the pulse for at least 20 secs and multiply the figure by 3 (to get one minute reading). If this figure is above 55 then you need not worry. Since you have hypothyroidism, your heart beats can be slow when you are on medications. You can do a thyroid function test to check your thyroid levels and to ascertain whether the doses you are taking are proper. Regarding MVP, usually teams no treatment unless there are other complication associated with it. MVP can cause leak from the valves - which needs no treatment if mild. If valve leak is moderate or severe, then you should be put on diuretics. This leak can be ascertained by a 2 D echo. However most patients of MVP I have seen have non-significant or no leaks and require no treatment. Also, it does not put you at the risk of heart disease. Your site pulse maybe due to thyroid issues. don't worry even if complications raise, everything can be treated with medications and you won't require any surgery. Regarsing precautions which you asked, there are no specific precautions, but you must be regular with your follow-ups and 2 D echo must be done every year. Thank you"
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"Now At your age the most common possibility to cause the symptoms, if at all its cardiac in origin, is mitral valve prolapse, which may cause extra beats, cause some breathlessness and anxiety attacks. However, because cardiac examination was normal, no murmur or click heard so in all probability it must be very mild and hence no treatment is needed as it's completely a benign condition and 1 in every 4 human will have some form of prolapse. Now to confirm this does get a 2d echo done at convenience and a 24 hour holder to know the frequency of missed beats if your symptoms persis",
"I can understand your concern. No need to worry about MVP. In my opinion, you should rule out coronary artery disease (CAD) for your chest pain. You have risk factors like hypertension, high cholesterol etc. So better to rule out CAD first. So consult cardiologist and get done ECG, 2d echo, stress test."
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Hi doctor,My father has got a heart attack and was admitted to the hospital. He had chest pain, shortness of breath and no palpitations. He also has diabetes. I will post the picture of the medical report. Please share your opinion.
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"He has got heart attack and also had old asymptomatic heart attacks which were painless due to diabetes (attachment removed to protect patient identity). At present, his heart function is weak at around 30%. Normally, it is more than 55% and due to which his blood pressure was low and fluid accumulation in lungs leading to shortness of breath. From now onwards, he should be very regular in his medicine which is prescribed. The prescription is good and contains all necessary medication. He should have a strict restriction of salt and liquids intake like water, tea, and coffee. Otherwise, there may be an increase in shortness of breath."
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"If it is mild no problem but if it is moderate to severe lead to pulmonary edema, palpitations, dyspnea or cardiac failure. So you have to control your blood pressure and diabetes. Regular exercise and eating green leafy vegetables are useful. Please consult your cardiologist, he will examine and treat you with medication to prevent further progression.",
"Welcome to Chat Doctor. I have read your question and understand your concerns. Shortness of breath and seizing sensations in the center or left side of chest can be due to decrease in blood supply to heart or angina. Proper evaluation of the heart function and its blood supply is required. You should visit a cardiologist and ask him for 2d echo study of your heart. You may also require trade mill stress test which can show ECG changes while walking if you have any problems in blood supply of heart. So, kindly visit your doctor and get all investigations done which I have suggested. Thank you"
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Hello doctor,We are both 18 years old and we were wondering if you could answer some of our questions for school. We are required to consult with a psychiatrist, but we do not have money to consult with any. Our topic is psychopathy and how psychopaths are developed. The questions are as follows.How do you diagnose someone as a psychopath? What kind of therapy is needed to aid the brain condition of a psychopath? Is psychopathy a genetic condition? Are sociopaths and psychopaths developed the same way? What kind of environment is the most likely to form psychopaths? Are psychopaths more self-sufficient compared to an average person? If psychopaths are unable to feel strong emotions, what are their goals or aspirations in life? What are the signs of a psychopath targeting you? Do psychopaths lack the concept of sexuality since they are unable to form deep emotional connections? If a psychopath is able to form a family, what would be the effect on his or her children?
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"I would be happy to help you. What you are referring to as a psychopath is known as antisocial personality disorder in psychiatry. It is diagnosed using certain standard guidelines and criteria. These people show a persistent disregard for laws and the rights of others. Such people do not generally seek professional help unless it is for comorbid problems like substance use or mood disorder or they are in prison and brought by the police. These people have impulsive traits and extreme irritability which can be reduced with the help of psychiatric medication. Therapy may be helpful but more often than not. There is no permanent treatment because many of them do not follow up and majority do not feel there is anything wrong with them. People who have first degree relatives with psychopathy have higher chances of the same but social, economic and cultural factors also play a role. Sociopaths can be best described as a milder form of antisocial personality disorder. Psychopaths are highly intelligent but they lack empathy. So they do not generally have long lasting relationships or gain satisfaction from interpersonal relations. Take care."
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"I suggest you not to worry much. There are certain things in life which cannot be explained properly. One among them is our mind. Brain uses sensory organs to perceive what ever happening around us. Such perception is based on so many things including experience, anxiety and stress. Your perception could be due to these factors. Ignore the symptoms and you are clear. 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.",
"Latest research proves that ADD can also genetic. But you don't have to worry about the disorder. There are treatments available for complete cure. A combination of psychiatry, psychotherapy and meditation techniques always showed good improvement in the patients. Management has become easy. Please request your psychiatrist to know more details about psychotherapy and meditation treatment. 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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Well, yes sir, thanks. I have a past left calf injury (8 yrs) where some tendon popped or attachment tore. Now, from time to time it feels like I am about to c ramp, but it never goes full blown, nor is it ever actually painful. Both the left and right ankle pulses are about the same. I m thinking blood clot but maybe it s just assymmetrical use since I need a right hip.
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"It's possible that you have a deep muscle tear of the calf or snapped tendon(plantar is) which is constantly annoying you like cramps and your gait alteration caused by the painful right hip would stress the left limb more. Another possibility is increased pressured to a leg compartment which causes pain when you start activity and gradually builds up forcing you to stop. Your doctor needs to examine you for this"
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"First DVT that means blood clots in the veins which blocks the blood flow and increases the pressure inside the blood vessels. This leads to the leakage of the plasma into the tissues surrounding the veins causing swelling and pain. Second cause could be an expanding hematoma, means an injury to the one of your leg vessels thereby leaking blood into the surrounding tissues. Usually if this injury is not very severe, it heals spontaneously but as your blood pressure is high, it can interfere with the healing of the vessel and cause continuous leakage of blood. Now coming to high BP, but you are not having any symptoms! Could be due to the fact that the high BP could have been there for quite a time so that your body has adapted to it. But still it needs to be evaluated and treated. With these possibilities, I would like to get an urgent ultrasonography and a color Doppler of your right lower limb and treat accordingly. Simultaneously, to get an ultrasonography of the kidneys and renal Doppler to rule out the secondary causes of the high BP. Also get your kidney function tests and eye check up done. And then start antihypertensives as per the reports",
"Studied your query in full depth of its details. Reviewed it in context of your health concerns. I understood your needs for your health concerns. Based On the facts, You seem to suffer from-Bursitis of the tendon sheaths of the anterior of the ankle/ or it could be due to the Ganglion-arising out of Synovial of the tendon sheaths or the inflamed small joints of the left foot / or it could be due to the Synovitis with Synovial granulation causing painful lump on top of left foot, which hence increases with foot activity. I would suggest getting USG/CT/X-ray Ankle left, to differentiate and assess the cause of the foot lump, from the many causes as mentioned above. A Second Opinion from Ortho-Surgeon Would resolve your diagnostic ambiguity and would fix the exact cause, for the right treatment to start soon."
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Hi I have been having chest pains had heart checked out it s not that .its uncomfortable comes and goes throughout the day feel it now in bed.take deep breaths goes for abit. Under a lot of stress at the moment mum dad died I have had this before when upset. Could you please help thank you x
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"Since you have ruled out cardiac cause for your chest pain, I think it is anxiety related only. I believe anxiety is the cause because you clearly said that your pain worsens when you are at stress, after death of your mom and dad. This clearly indicates anxiety as the cause. So better to consult psychiatrist and get done counselling sessions. Try to identify the stressor in your life and cope up with it. Avoid tension. Be relax and calm. You may also need anxiolyti"
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"I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. Stress and anxiety can cause feeling of chest tightness, chest pressure, inability to take deep breath etc. You are not having allergies and not having smoking habit, so lung related diseases are less likely. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm.",
"I can understand your concern. Possibility of cardiac chest pain is very less because you are having normal ECG. Sometimes patient can have cardiac disease despite normal ECG. You are also having strong family history of heart disease. So better to get done stress test. If stress test is normal then no need to worry about heart diseases. Anxiety and tension can also cause similar kind of chest pain. So avoid tension, be relaxed and calm. Don't worry, you will be alright but get done stress test first."
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I have question I got hit with a refrigerator it hit me hard and at the same time it scrape down so I fell like a hard lump where it hit me, so I went with my doctor and he said he felt something hard but that he didn t feel a lump but he still send me to get ultrasound just to make shure it wasn t nothing bad, so he got the results and everything was normal , but I have two months already since I had that accident and I have been feeling like a tingling or needles sensation something like that in my nipple and its been every day and ill day , you think I should get worried cause I m scared but like everything was normal at the ultrasound what do think it could be thanks.
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"I studied all details of your query. I understood your health concerns about tingling in your nipple after hit in the head. Cause of tingling in your nipple after hit in the head-After reviewing your query facts, In my opinion these 2 complaints are not related to each other. If any relation, it's the anxiety from correlating these 2 complaints. Reasons for this opinion is -that the lump after the head hit was confirmed as normal after USG study of that lump and 2 months have passed normally. Probable reason for tingling in the breast needs to be ruled out for which I would suggest Second Opinion from Surgeon, who would physically check the nipple part and would treat it accordingly. Still if you feel obsessed, I would suggest CT Skull and opinion from Neurosurgeon. I think you should not worry till the CT studies are done. Wait with a cool head and act according to above suggestions."
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"My name is Chat Doctor. Well if you are experiencing numbness and tingling still then get medical attention as soon as possible. Get an ECG to check the heart status Complete blood count Urine count to check muscles enzymes. . . It's normal to feel these symptoms for few hours but if you are experiencing continuously and is there any history of loss of consciousness along with visible burn to skin then kindly get consultation. I hope It's nothing but prevention is better than cure. . .",
"1. The possible cause could be infective lump which causing pain on touch and chest movements. Hair follicle infection will be in the first place and then the infective collection / abscess. 2. In this case I would have examined the patent and ask for an ultrasound examination - which is investigation of choice. 3. Ultrasound will assess the nature of the lump its source and extensions. 4. In case of mass lesion an FNAC - fine needle aspiration cytology needed to assess the nature of the cells involved. 5. in case of infective collection, a small incision and Chat Doctor. Good luck."
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I have a hard lump under my arm and it s been there for two years and has slowing gotten bigger. That last few days I notice a funny odor. I have no pain with the lump. My arms been going numb from elbows down and wondering if that has something to do with it
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"It's my pleasure to help you. After the in depth study of your query My diagnosis -Lymphoma? Or Lymphadenitis-TB- due to 2 yrs history?. The numbness down the elbow is mostly due to the growing arm-lump and is a cause of concern for you. So I advise Consultation with Surgeon, who would treat it appropriately. The odor is normal due to saddening infection locally in the armpit. Report to Surgeon urgently. Don't worry and act fast. This would solve your worrisome query."
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"So the pain and soreness can be due to the bone and muscle damage at that time. As for under the chin area, your nerve to the concerned area may have been damaged. that's why pain is still there. Infection don't last so long, and you have already taken antibiotics for a long time. But to be sure, get yourself clinical examined and also an OPG X-ray done and post it here. In the meanwhile go for painkiller- Orthodox three times a day. Wishing you speedy recoveryWith best regards",
"I reviewed all the details of your query, in context of the painless hard lump below right collar bone. Based on the facts of your query, You seem to have Costco Chat Doctor. You don't have history of any recent viral/bacterial infection in the area around it and hence no question of it being lymphadenitis there"
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Hello. I am a 49 yr old female; currently 2 years in remission w NHL.( neck area & chest)I recently found a lump on the back of my knee. Its red and slightly tender to the touch. I have had some recent night sweats, more tired than usual and some unusual stomach pains. Any cause for alarm or can I wait a few months for my next check up at Fox Chase? Thank you
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"1-I studied your query in depth. 2-In my opinion, this lump behind knee with night sweats is most probably be due to the NHL-of the popliteal lymph nodes, indicating the recurrence of the symptoms indicating uncontrolled NHL. 3-I would advise you to consult your doctor Ugly, as it indicates that dosage for the control of your NHL needs to be revised, as you had stomach pains with night sweats-indicating systemic disturbances, which could disturb your health to critical levels. 4-"
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"Thank you for posting your question. Do not panic so much. I can understand that you are very anxious about your health. A lump in the inguinal region can simply be due to inflammation of the lymph nodes over there due to some infection. Spotting is not due to these lumps. Do not neglect your diet. Have regular diets. You see anxiety is an ailment which can be overcome very easily. Try relaxation techniques like consciously breathing in and out twice a day for 5 minutes. It will help you to relax. Every night before going to sleep write out 3 things that went well that day, it can be anything like you read a good story book, or you helped someone in the street, cooked a delicious dish just anything. For the lump, I would suggest you to visit a doctor and get it examined. It may be nothing serious, just a routine checkup. Have a nice day",
"Yes, these symptoms can indicate serious issue, and you should not wait with it any longer. The lumps you have under your armpits and groins are lymph nodes. Along with mentioned symptoms you may have a Lymphoma or chronic infection. Night sweats, weakness, weigh loss are quite characteristic for Lymphoma symptoms. I suggest you to consult hematologist as soon as possible. Blood work and lymph nodes biopsy should be done."
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Hello doctor,I am suffering form folliculitis for about 1 month. I regularly visit my doctor and take all medicines on time. The problem is folliculitis present on my legs and hands. Every week they are gone and then come again then my doctor ask me to do test of blood test and IgE test my blood test report was all fine but my IgE level is 170. So, please tell me what should I do to control my IgE and how to get rid of folliculitis permanently.
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"Folliculitis is inflammation of the hair follicles. Usually it is due to bacteria but sometimes fungus can also cause Folliculitis. Most commonly it is seen over face, beard, chest, arms and legs. Mainly diagnosed by careful inspection of the affected area by the specialist. Sometimes pus or blood tests and skin biopsy is also required to find out the cause. As you said, your blood tests shows IgE level 170. It is completely normal and it has nothing to do with the Folliculitis. So nothing to worry about IgE levels. If your Folliculitis problem is recurrent, then you have to find out the cause for recurring infection of affected area. Talk to your doctor for good antibiotic course or antibacterial cream to apply on affected area. Also it is very important to keep good personal hygiene. Do not share your towels or clothes with anybody. Use good quality soap for bath. If no improvement, then you should see any other Skin Specialist or Dermatologist for expert opinion."
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[
"yroid profile and prolactin levels and an ultrasound for your uterus and ovaries. If anything is abnormal it can be treated. You may need some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Discuss with your doctor regarding this. You can try like that for 3 to 6 months.",
"As per your query you have symptoms of itching and skin rash which occurs due to infection of hair follicles leading to folliculitis. Need not worry. I would suggest you to make use of product containing benzoyl peroxide. Take Multivitamin supplements. Apply topical antibacterial ointment such as mupirocin and Chat Doctor. Apply Darlene gel once at night. Avoid itching and pricking rashes. If condition doesn't start getting better in a month then consult dermatologist. Start treatment as per prescription."
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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 have multiple lumps on my neck filled with fluid. I have had them lanced several times and multiple courses of anti biotics of all kinds. They still continue to appear and make my life a misery. They are painful, often preventing me from turning my head. One operation left me with an open wound about 2 cm by 2 cm on my neck. Even after this they make a return. Please help, any information is needed. Thanks in advance.
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"Multiple lumps in the neck are most commonly due to lymph node enlargement. However, fluid filled lumps suggest infectious pathology. Fluid filled lesions can be boils, or it can be tubercular. A clinical assessment and culture sensitivity of the fluid is also required to know the cause of these lesions. Thanks and take care"
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[
"Understanding your concern. As per your query painful lump on jaw which is movable along with neck pain is because of salivary gland stones, which cause obstruction of normal flow of saliva and leads to its accumulation and swelling and pain. Doctor did not look into your mouth because its not oral cavity or teeth related as then swelling will be hard and immovable. Antibiotics are given because if there is any infection due to stones it will not further spread and get healed then and there. I would suggest you not to worry about anything. For small stones, stimulating saliva flow by sucking on a lemon or sour candies can cause the stone to pass spontaneously. Dentist can remove small stone by massage or by push out the stone from duct. For larger stone you need to visit dentist and get it excised as small incision will remove the stone. Sialendoscopy is recent treatment to remove salivary stones.",
"1. Neck is a very complicated anatomy. 2. Depending on the area where it is located. 3. It can be thyroid cyst/lymph node cystic mass/submandibular/parathyroid. 4. Howevere you are saying its resolving - monitor for few days and if It's still persists. 5. Get an appointment and get an ultrasound neck done to rule out and get definitive diagnose. Anything to ask ? Do not hesitate. Thank you"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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