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Fell and hit head on door frame. Slight swelling in temple moving into cheek. Little to no discoloration. Slight pressure, no headaches, no dizziness, no blurred vision on that side. Just slightly worried. Swelling seeming to increase even after 48hrs +
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"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you have got a soft tissue injury and not deep-seated injury. Due to soft tissue injury there has been inflammation of soft tissues and a LSO there is accumulation of inflammatory fluid leading to swelling on temple that has progressed to cheek. As you have no other symptoms you need not worry as gradually the swelling will subside. You can do cool compresses over the swelling 2 to 3 times a day. You can take anti-inflammatory painkillers like Ibuprofen. Do not sleep on the side that is swollen to prevent compressing or pressure over the area. In case if swelling does not improve in a week or there is exaggeration of symptoms consult a General Physician and get evaluated."
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"I can understand your concern. You had blunt head injury. At present, you are having nose bleeding and numbness on face and nose. So better to get done CT scan of head and paranasal sinuses to rule out internal damage or fracture. Don't wait at home, consult doctor and discuss all these.",
"As you got hit on the jaw by a metal gate, and it is hurting also and there is difficulty in swelling it means there is some injury in the jaw, it can be just in the oral cavity, or it can be in the bone also. To get it confirmed you should visit an oral surgeon who will take an x-ray and get the confirmation diagnosis. So better you visit him today only"
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My grandaughter had a water infection when she was 5months old she has been on antibiotics since she is 8months now. The doctors ave said she cud be on them until the age of 4, she has also had 2 scans on her kidneys but have both been ok. Why is she on antibiotics for so long
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"However, the use of long term antibiotic therapy is called for patients who suffer with immunodeficiency. The antibiotics prevent the risk of acquiring recurrent severe infections in such patients. As you have mentioned your grand child is five months old; it is likely that she is suffering from some form of rare congenital immunodeficiency. In this condition the normal infection-fighting system of the body does not function fully, making the person prone to severe infections. Apart from antibiotics other forms of treatment available for such patients includes antibody infusion, and stem cell transplantation. In addition, kidneys are usually normal as the immune cells are usually a component of blood."
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". . Thank you for consulting in Chat Doctor. It seems your kid is having antibiotic associated diarrhea. Once it starts it will take 3-5 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. . . you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&",
"It seems to be urinary tract infection. Livoday and ciprofloxacin are good antibiotics, but if your doctor has prescribed you, then there must be some reason behind this. Take it for three to five days, then get reviewed, if needed it can be changed. Meanwhile I advise you to go for urine culture and sensitivity, so if at all antibiotic has to be changed, we go for a more sensitive one. Chat Doctor. Good luck"
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hello. I am a 37 yr old female. having 24/7 stomach bloating. off and on sharp pain in upper intestine sometime lower or sides. had blood vwk ultra sound barrium swallow ct and xray everything was negative. however my symptoms continue have lost 10 lbs. I have an appetite no vomiting no fever no nausea. swelling is constant even my tail bone feel ache. taking nexium one daily and docusate 100 mg daily. stool is normal. no blood.
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"Forum. Appetite is there, no nausea, no vomiting, blood work normal. Ct normal, barium meal test normal, X-ray normal. Complaint 10 lbs lost, tail bone pain, stomach bloating. In such type of cases the disease may be, 1 Tension (work related stress) so in my opinion I will not advise you any test, rather consult a psychiatrist and get his counselling and treatment. As far as concerned stomach bloating this is a very common feature in tension related patient. Good luck"
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"I can understand your situation and problem. You are having morbid obesity. And so possibility of dyslipidemia is high in your case. After the age of 40 years (perimenopause), women are at increased risk of thromboembolism. So your weight and age are causative factors for multiple Pulmonary embolic and splenomegaly. Treatment of this is weight reduction and anti coagulant therapy with warfarin or Coumadin. These anti coagulant Chat Doctor. And this gastritis is likely cause for your bloating of stomach. So better to take proton pump inhibitors (antacid) in the morning on empty stomach. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Go for walk after meals. Don't worry, you will be alright.",
"Mostly it's a gastritis and reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. Secondly does this pain increase on applying pressure over the area, if yes it could be Costco Chat Doctor. Does this pain increase on deep breathing and coughing etc. if yes it a pain arising from lining of lungs and needs NSAIDs treatment and evaluation."
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Hello doctor,For the past two days, I have redness and flaky skin on the lower eyelid, and it looks swollen and irritated. I had this once before and went away with the usage of some sterile drops for around one week. I have no itching, no pain, no vision problems even when looking at the light. I have no issue within my eye, just on the skin surrounding it. I want to know what it could be and why it reappeared again? I have not changed my makeup products or started using something different on my face, either.
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"There are a number of different conditions which could cause such a problem. The red and flaky skin suggests that the problem could be related to inflammation or a reaction of the blood vessels in the eyelids. Since you mentioned that you have no itching or pain, this rules out allergic conditions. As your symptoms resolved when you had applied sterile ChatDoctor."
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". . I have just read through your query. What started as a viral illness might have been getting secondarily infected and the puffiness around a single eye and with fever cannot be just ruled out as allergy or welt. I feel she might be developing a periorbital cellulitis or soft tissue infection around the region. I suggest you get back to your pediatrician or nearest emergency room immediately as this will require antibiotic therapy",
"If it is silver amalgam filling then I think traces of amalgam had been impinged into your cheek I believe or because of the use of mouth mirror for retraction would have cause the bruise in the cheek if later is the reason then it will be back in a short time that is because deoxygenated blood stagnation it appears blue, but if it is because former one then the color may not come back"
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I am a 42 year old female and have not felt great for the last 4-6 weeks. I am experiencing shortness of breath, low energy level, and an ache in the left side of my neck. I am 5 6 and weigh about 188 which is the most I have ever weighed. I have told myself that I am just out of shape and need to lose some weight. Do I have anything further to be concerned about or should I consult my doctor?
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"I can understand your situation and problem. Yes, you should definitely consult doctor and rule out cardiac and Pulmonary causes. Since you are out of shape (obese) and having breathlessness and left sided neck pain, cardiac cause must be rule out first. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Get done PFT (Pulmonary Function Test) to rule out bronchitis (lung related causes). Lose weight and follow healthy lifestyle. Better to first diagnose yourself and then start appropriate treatment."
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"Would you please clarify a few things for me? 1)how old are you - above 40yrs? Are you overweight? Are you male? 2)do you smoke? Any history of heart disease, diabetes hypertension, hyperlipidemia? 3)any family history of heart disease? 4)have you had any surgeries or injury to your chest, shoulder or neck? 5)sedentary lifestyle or any heavyweight training? Your symptoms indicate underlying cardiac (heart) pathology. When there is reduced/compromised blood flow to the heart, it can lead to a variety of symptoms like chest pain/discomfort, sweating, palpitations (the feeling of your heart racing or pounding), numbness/pain along the jaw, left side of neck, left arm and if the flow is compromised outside the heart (like the vessel that supplies blood to the legs). , these symptoms can occur in your leg as well. Cervical (neck area) vertebrae spondylosis (narrowing of disc space between two adjacent vertebrae that cause pressure to the nerves exiting the area) can result in numbness along one side of the body (commonly). I recommend you see your physician. Early diagnosis and appropriate treatment will enable quick recovery and prevent complications. Bloating basically occurs when there is excessive gas formation in the stomach, bowels, and can occur due to improper dietary habits, poor circulation and certain medicines.",
"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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Given a question with context from online medical forums, retrieve responses that best answer the question
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Just checked my BP and it says 133/96 with a heartbeat of 82.I am 60yr olkd and weigh 212 I am currently taking 10mg of Prednisone Daily & 300mg daily for maintenece agains both gout and ulcertive colitus. Would my BP decrease if I wean myself off the prednisone?
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"Prednisolone does have effects on blood pressure by retention of water and salt plus it increases your weight. So weaning off from prednisolone will reduce the blood pressure but up to certain limit only. And at present your blood pressure is within acceptable range for your age. So don't worryStay happy"
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"Yes, there are changes in the ECG (attachment removed to protect patient identity). But, your evaluation is normal including echo and treadmill test. Now, the changes in the ECG are likely due to high BP and not any blockages. I guess you do not have any symptoms like chest pain or chest heaviness on exertion or during the treadmill test. So I do not think there is anything to worry about now. Is your blood pressure well controlled? You have to check your BP frequently, thrice a day at least for a week so as to know the pattern of BP. Have a low salt diet. It is important that gradually you quit smoking because smoking is much harmful than alcohol and alcohol occasionally is acceptable but not smoking. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online",
"Weight loss will lower BP if someone loses about 10% of their weight. BUT it only lowers it one notch (lowering one or Chat Doctor. However, although these medicines are all good, AND if one has heart problems there are GOOD reasons to be ON ALL OF THEM, if there is JUST blood pressure as the only problem, generally we would go at a high dose of ONE before adding a SECOND and none of the medicines are at their highest doses"
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I ve had bad anxiety for the past 3-4 months and it s gotten better recently but today and yesterday some of my symptoms have come back. Now I feel tightness and pain in my chest randomly. I am prone to getting acid reflux as well I just have no I dew what it could be
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"I can understand your concern. Anxiety is common cause for acid reflux disease. And your chest pain and tightness is mostly due to acid reflux. So treatment and control of anxiety is must in your case. In my opinion, you should consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolyti"
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"I can understand your situation and problem. Your symptoms can be due to anxiety, but it is still early to stamp anxiety as diagnosis, because your investigations to rule out cardiac and pulmonary causes are still left. Chest heaviness, lightheadedness,shortness of breath, all can be seen Cardiac causes like heart failure, coronary artery diseases etc. and pulmonary causes like chronic bronchitis, pulmonary fibrosis etc. So get done chest x-ray, PUT (pulmonary function test), 2d echo and stress test to rule out above causes. If all the above investigations are normal than anxiety can be the cause. So consult psychiatrist for diagnosis and treatment of anxiety. Avoid stress and tension. Be relax and calm",
"From the details provided, It appears to be either, involvement of the cavity wall around the lungs (following Pneumonia); or, spasm of the muscles between the ribs (secondary to flu). These conditions cause typical chest pain while breathing in and out. Further, you're treating doctor is probably right in suspecting acid reflux ("
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Hi, I done MDMA 4 days ago for 2 days in a row. I probably done about a gram of it and since the second night of doing it I have been getting pains in my chest and my back every so often. Also I have had a sore throat since the second night and I had a white spot at the back of my throat but has now gone. It feels like a clenching pain in my back and chest every time I take deep breaths, yawn, cough or run. Im scared it could be something serious but not to sure what to do
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"it can cause raised blood pressure, tachycardia, muscle tension, involuntary teeth clenching, nausea, blurred vision, faintness, and chills or sweating. The symptoms which you are experiencing may be the side effects of MDMA. if these symptoms persist you should consult a pulmonologist, and he will get a chest X-ray and ECG done"
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"I can understand your concern. In my opinion, your chest pain is mostly due to musculoskeletal pain. But since it is left sided pain, better to first rule out heart diseases. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Due to improper sleeping position in night shift, you have developed this pain. So follow these steps for better symptomatic relief. 1. Avoid bad postures in sleep. 2. Avoid movements causing pain. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. 6. Sit with proper back support. Don't worry, you will be alright.",
"A musculoskeletal pain could be the cause of your complaints. The fact that the chest pain is triggered by deep breathing or body movements is indicative of a musculoskeletal pain. Coming to this point, there is no need to panic! I would just recommend avoiding straining physical activity and take acetaminophen or ibuprofen to help improve your situation"
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I believe that my testosterone levels are rather low. My T-level was tested on several occasions with results of 440, 390 and 470. I am experiencing many of the symptoms associated with low T but was told by me Dr. that my results were normal and that my iron was a little low. Does height/weight have an impact on how much T someone may need to feel better? I am a 22 African American male, 6 8 and weigh 260 lbs. Thx.
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"I am Chat Doctor, infectious disease specialist, answering your concern. I also suggest you that your testosterone levels are normal. Normally it ranges around 300. You are having near normal range for each testing. Yes testosterone do play a role in the development in the body. As you have normal testosterone your growth is also a right, that is height 6. 8 and weight 260 lbs. Male character like body hair, mustache, beard etc. is because of testosterone level. If you have low testosterone level than you will never have a good growth as shown in your question. So do not worry about the problem You are normal. I will be happy to answer your further concern you can contact me here, or you can contact me on bit. ly/ Chat Doctor. You can hit thank you button if you are helped. Thank you, ChatDoctorIf you are satisfied with my answer rate me as five star and close the answe"
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"I can understand your concern. Low testosterone level cause impotency. He should search the cause of low testosterone. It may be due to gonadal pathology or some central problems. Then he should take treatment accordingly. Testosterone injections VAM be helpful. Consult your doctor and take treatment accordingly. Thanks for using Chat Doctor. Wish you a very good heal",
"Low blood pressure and anxiety could also mimic this clinical scenario. Your systolic blood pressure seems to be slightly low. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray study and some blood lab tests: - complete blood count (chronic anemia)- PCR, sedimentation rate (inflammation)- fasting glucose (for hypoglycemia)- thyroid hormone levels (thyroid gland function)- cortisol plasma levels (a Chat Doctor. A head up tilt test is necessary to rule in/out a possible orthostatic hypotension. If all the above tests, result normal, the main cause of your symptomatology would be just anxiety"
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Hello sir,My dad is having problem in kidney his creatinie level is 2 and his 1 leg is swelling and water gets accumulated in his leg...pls suggest me whether this problem is regarding kidney disorders or heart problem because his heart pumping capacity is only 15%
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"As a Urologist, I can understand your anxiety. Your fathers age isn't given. Your father has both kidney and heart problems. The creatinine is elevated, due to kidney problem. The EF (ejection fraction) of 15%, is due to a heart problem. The leg swelling is due to multi-organ problems. Water gets accumulated, when the fluids aren't filtered out by the kidneys. Chat Doctor. Mang"
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"I am Chat Doctor. K and I am pleased to assist you. The bilirubin levels farewell within normal limits only. So your father is not having any jaundice. As far as the leg swelling is considered, there are a number of different conditions which can cause it - which include heart disease, liver disease, kidney disease, varicose veins etc. These conditions cause painless swelling. You can discuss with his doctor about these possibilities. I hope that answers your question. Regards",
"It is important to know your renal function status and if there is any abnormal renal function due to the stones. Fluid gain can occur in people with kidney disorders and this is treated with diuretics and medicines to improve kidney function. Usually stones do not cause any such problem but if you had many stones and left partial neurectomy was done then it is important to do kidney function tests regularly. Any condition related to your heart and liver should be evaluated because fluid accumulation usually occurs in kidney, heart and liver disorders. However, it does not mean that you have any disorder. Excess fluid Chat Doctor. Another problem causing swelling around thighs and legs is decreased venous return from the legs. This is known to cause swelling of the thigh and legs in the evening and night and disappears in the morning. This is to be confirmed after doing venous Doppler scan of lower limbs. If this is causing your problem then please avoid standing for long hours during the day and elevated foot end in the bed"
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male 48 during sex when im coming I have excruciating pain starts at the base of my skull and it flows over the top of head clear to my eyes on my right side of my head its happened four times now first time it took 2 minutes for the pain to go away second time it took 4 minutes to go away the third time it took longer for the pain to stop the fourth time it took 12 hours and I still have pain
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"Sex headaches are headaches brought on by sexual activity. most of the time you need not worry about them. Sometimes they occur within seconds of orgasm and sometime occur as throbbing pain. If the pain is occurring gradually don't need to worry much, just take an analgesic like paracetamol. But if it occurs abruptly then you should consult a doctor."
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"Read the history carefully. It says the pain is sharp- 2-5 minutes-increases on stretching-dull pain around scrotum and so on. . . . As your investigations are negative I would think of a muscular cause and may be an entrapped nerve causing the sharp pain and referred to the scrotum. I would advise undergoing the high resolution ultrasonography of the abdominal wall; mark down the site of pain when you get an attack. This will help for a pointed investigation",
"You have pain during ejaculation. This is mostly due to Chronic Prostatitis. Get your Semen examination and Semen culture done to find out the organisms causing this infection so that you can take appropriate antibiotic as per culture report to combat infection. Discuss with you Urologist about the other modality of treatment like daily prostatic massage. This helps"
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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 an 18 year old that suffers from migraines. Last year she was in the hospital because of memory loss. When she awoke one morning she couldn t remember what happened the day before or for that matter the week prior to. They ran a battery of test trying to figure out what was going on. She had many different specialties overseeing her case. Now she is at college and is having the same symptoms. Thanks, Karla
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"However, I would make sure she had an EEG (possibly a 3-day EEG) to rule out seizures. There is an entity called transient global amnesia where patients lose time for about 3-6 hours and often never have it again. Many if not most people that experience TGA have a history of migraine. She needs to have the migraines treated appropriately"
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". . . I understand your concern by what you cope I feel that your kid might be having two possibilities. 1. Migraine headache2. Intracranial tumor or neoplasm Right now no investigations are required. I suggest that you get her blood pressure checked once and if this is normal no need to do any imaging or scanning. This seems to be a migraine problem only. Whenever there are symptoms like this use of painkillers should be ok",
"The blood clots are referred to as sinus venous thrombosis or venous thrombosis, and they are in the venous circulation of her body. . . which is not a bad thing compared to if they would be on the arterial side in which case she may have suffered acute strokes. . . . not to minimize the gravity of the current situation. . . . she's got a bit of work to do to get normal. . . . but she's not lost any neurological function due to the clots. . . . just slowed her down. . . and giving her some mild headaches, I'm sure. Since your daughter has been diagnosed with ABV. . . then, that is likely the most plausible explanation for her blood clots, severe headaches, cloudy thinking, etc. The good news is that shell get better. . . she's on an oral anticoagulant though current guidelines actually recommend she NOT be given orals. If she's converted to warfarin then, I'd ask the doctor if he'd consider something instead like Eliquis (newer version of warfarin such that no INR testing is really needed, less bleeding complications overall). I'm not sure why they chose oxycodone for headaches. CVT headaches have been shown to have pathophysiology very similar to migraine, and they do respond to standard migraine regimens"
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my dog ran by me and took my lower leg one way and then she ran back and took it the other, there was a painful nasty bruise and my leg was sore for a week. Now there is a painful lump there that was there with the bruise and never went away and it still very painful this is now 3 months from the dog craziness
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"1-I studied your query in depth. 2-In my opinion, these painful lumps on the leg are the fibrosis healed up wounds with nerve fiber entangled in it. 2-a-The bruised area went in to cellulitis, which got healed with entangled nerve fiber in it. That why you still have a painful lump at the site of the dog bruised bite. 3-I would advise-you to go to ER Surgeon-who would do-Excision of the Scarred painful lumpy are-with biopsy-for this painful lump, the biopsy would prove the nerve fiber entanglement in it. 4-"
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"Well bruising is a common finding after an injury due to spillage of blood from blood vessels into the soft tissues. Lump can be due to Hematoma formation. Numb feeling occurs due to trauma to superficial nerve endings and inflammation. It can take a few days for the condition to improve. For now, he can elevate the leg while lying down. Do cool compresses over the injured area. Take anti-inflammatory painkillers like Advil if there is pain. Do not exert Mich and can apply Thrombophob gel to reduce the bruising.",
"This lump along with calf pain can be a symptom of veins thrombosis. Especially if it is hard and painful when touching it. Leg can be painful when walking and calf can be hard. Please do not ignore it. Veins thrombosis needs to be ruled out. Please consult your doctor, have Drivers checked and Doppler's ultrasound done in case of elevated Drivers."
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Good Afternoon -- as a child, I suffered with mastoiditis, which eventually (because of the fever) turned into rheumatic fever and heart. Now, as an adult, I still suffer from severe motion sickness. Is this related and is there anything I can do to alleviate the motion sickness?
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"It is not caused by another disease, so it is not likely that your motion sickness is related to your history of rheumatic fever. There are medications available to treat motion sickness - These include:Scopolamine, whicChatDoctores as a patch you put behind your ear. Medicines called antiemetic, which reduce nausea. Examples are ondansetron (Zofran) and prochlorperazine (Comparing). Certain antihistamines, such as dimethyl"
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"I understand your concern. The problem what you are facing of dizziness and vomiting could be due to vertigo. It is an inner ear problem. You can take tablet containing Linearizing. If vertigo is caused by an infection or inflammation, antibiotics or steroids may reduce swelling and cure infection. It can be also due to benign paroxysmal positional vertigo (BPPV). It occurs when tiny calcium particles (canalizes) clump up in canals of the inner ear. Furthermore, it is recommended to do a series of specific head and body movements to move the calcium deposits out of the canal into an inner ear chamber, so they can be absorbed by the body.",
"I can understand your concern. In teenagers, most common cause for such pain is musculoskeletal pain. But better to rule out cardiac pain first. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Tell her to follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. Avoid sudden jerky movements of chest. 3. Apply warm water pad on affected areas of chest. 4. Take painkiller like ibuprofen or acetaminophen. Don't worry, she will be alright with all these."
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Hi my boyfriend recently went. Swimming and almostimmediatly after has had an increasing pain in his earand jaw what can he do to treat this as the ear spray and decongestants that he has been prescribed are not working and he has been told he has a kind of exzma in his ear however he was fine beffore swimming
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"I read and understand your concern. I am Chat Doctor answering your concern. Yes eczema in ear can cause pain in ear and referred pain to the jaw. Swimming pool may contain bleaching powder in it which may cause allergy to the sensitive part of the body in certain individuals. I suspect that you are having allergy to. Please take the medication like tab. Cetrizine and low dose steroid like tab. Cetrizine. Please take above medications under your doctors' guidance. You can use ear Chat Doctor. Please maintain good hygiene as it is equally important as taking antibiotics. I will be happy to answer your further concern on bi"
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"Your son seems to have developed allergic reaction to something he is exposed to in the swimming pool, a phenomenon commonly referred to as swimmers itch. It is basically a contact dermatitis and staying away from the stimulus for some time should help in relieving the situation. Some steroid ointment like HY Chat Doctor.",
"TIDAL, FEVER PROFILE CHEST X RAY FEVER NOT SUBSIDE Let him continue antibiotic till reports comes and antipyretic like paracetamol along with above Chat Doctor. Gentle doing mouthwash will help to relieve soreness of mouth . Ok plenty of liquids orally is better than solids low temperature generally up to certain extent nothing will harm the body. Clean the ear with chosen buds if there is discharge , keep it clean he will be normal shortly"
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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 right testicle seems to have an area where the skin is kind of hard. Parallel to the right testicle, on my leg, there has been a round burn which is showing meat. This burn seems so have cleaner skin around it. After time to time, my underwear seems to have a brown pungent smelling fluid which I think is wither coming from my testicle or the bruise . More likely, the testicle. And yes, there is pain cause by the bruise and noticeable pain caused by the scrotum when I walk. Another thing is that this all happened suddenly, when i was walking home. I noticed that my right groin area started hurting and it felt as if a rope were being rubbed back and forth in that area. I also want to know is if it is being caused by some type of fungus? Bacteria? Virus? If weather conditions are important, then it is rainy here. This has never happened to me before. Thank you so much!
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". . Brief answer, It might be due to fungal infectionDetailed explanation,1. I read your query. I am happy to help you. You said that you have hard skin bruise and pain near the right testicle2. This might be due to fungal infection. 3. Use Ointment clotrimazole for local application and tab. Fluconazole 120 mg twice a day for 5 days4. The test that you have to do is the collection of bruises at the site of infection and send it to laboratory for culture"
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"Thank you for your query. It sounds like STD and this must be ruled out first, You should do urethral swab test to investigate the exact causative agent. It can be viral or bacterial infection. If there is discharge, pain while urinating or pain in testicles it can be bacterial STD. Most common viruses are herpes, HPV and molluscan contagious. Before tests, visit your GP or pharmacist and ask for some antibacterial treatment. Wish you good heal",
"One should always find cause for redness/pain in the Scrotum which can be due to pathology of the structures present inside the scrotal sac: testicular pain, epididymo-orchitis, orchids, hepatocyte. [since the history is of painful thus painless causes are excluded] even then you should see a doctor if you have noticed pain or swelling in your scrotum. 2. You will have an ultrasound scan and blood test to be sure of the cause. 3. The treatment totally depends on the cause, see a doctor to get advice about whether treatment is needed or n"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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twisted foot by falling off a curb. foot swelled on the side to the size of half a baseball. that swelling went down, but now my entire foot is swollen and there is brusing above my toes and toes are numb and cannot move easily. does not hurt to put weight on foot but the top of the foot hurts. help??
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"Twisting injury to the foot is not always a trivial issue. It can lead to some serious injuries of the ligaments between the foot bones that can lead to chronic pain. Generally foot and ankle injuries are treated with taking bed rest for a week, elevating the affected foot over two pillows, ice pack application and compression with a crêpe bandage. Avoid putting weight on the foot to let the soft tissues heal. And after a week or so if it doesn't subside is when you would need a more formal evaluation. In such a case as yours, it might be worthwhile to get an x-ray done and get it shown"
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"How was your day? I have gone through your query and the attached X-rays in detail and understand your concern. There seems to be an incomplete fracture of the midfoot bone which is the main cause of the swelling of the foot. The first thing you should do is get the foot plastered in a below knee plaster cast or splint for at least one month. Do not bear weight on this affected limb during this period. Keep the leg elevated over a pillow. You should take analgesic anti-inflammatory tablets along with proteolytic enzymes like Trypsin, Chymotrypsin or Serratiopeptidase. Supplements of Calcium and Vitamin D3 should help.",
"1. I am normal to have a feel of swelling and discomfort when the bandied is fixed - and the swelling could be features of cellulitis seen after a muscle strain / twist. 2. But if the pain is unbearable more than 5 on the scale. It's better to evaluate any fracture is there or what. 3. Do not hesitate to see NHS A&E, an x-ray is always needed to rule out the fracture. 4. Possible very tight bandage can also because which needs to be checked and re-arrange the bandage will in some situations. 5. So suggest you to get medical help, and meanwhile take painkillers to relieve the symptoms. Good luck."
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Dear Dr.I was diagnosed Clear cell adenosquamous carcinoma of Cervix stage IBI on November, 2009. The preventive treatment was radicalhysteroctomy and chemoradiation, after which I should had been cured. In November, 2010, recurrence metastasis was found in the paraortic retroperitoneum (node of 8.5 x 4.5 cm.) and several other little tumors in the pelvis and belly. This was treated by Taxol + Cisplatin chemotheapy. In the first CT after 3 treatment, a detention of the illness was observed and the treatment, continued, but after other three treatments we see that the treatment is ineffective: the tumors have grown and theres an additional metastasis in the thyroid gland. How would you continue the treatment? Thank you in advanced. Marilyz
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"I can understand your concern. You have cervical cancer and treatment by radical surgery followed by chemotherapy and radiotherapy. Now you have multiple metastatic lesion. So it becomes stage 4 disease now. Surgery will not helpful now. Only treatment options available is chemotherapy. It is not effective. So you can change the chemotherapy. But any treatment will not cure the disease. Prognosis remains poor despite all treatment. Life expectancy is not good. And chemotherapy had its own side effects. So no treatment should be given according to my opinion. Consult your doctor and take treatment accordingly."
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"Other factors have to be considered prior to this surgery including:1. Is the tumor localized or has distant Mets. A CAT scan of abdomen and pelvis and a chest radiograph would give the stage of the disease and confirm or rule out metastasis. 2. Negative circumferential resection margins (CRM) can be obtained or not. An MRI of rectum will settle this issue. If patient has no distant metastasis and no perirectal extension (extension through rectal muscle into surrounding tissue) or perirectal lymph adenopathy (enlarged lymph nodes around rectum) then upfront surgery with anterior resection can be done. If there is perirectal extension (T3 tumor) or perirectal lymph nodes then neoadjuvant (pre-surgery) chemoradiation therapy needs to be given prior to anterior resection. If there are distant metastases then it's a palliative case requiring palliative surgery, chemotherapy or radiotherapy. I hope I have answered your query. You can discuss it with the treating oncologist. If you have any further questions I will be more than happy to answe",
"I can understand your concern. She has breast cancer with metastasis in brain. ITIS stage 4 disease. No surgery will help at this stage. Chemotherapy and radiotherapy can not cure the disease completely. It is just used as palliative treatment. Despite any treatment prognosis remains poor. Life expectancy is not good. Chemotherapy has its own side effects so avoid chemotherapy is the better option. Consult your doctor and take treatment accordingly."
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Dear Doctor, I am a 25 yrs old married woman, At this point of time I am suspecting pregnancy, i wish that i am pregnant. Is it safe for me to use nimulside tablets for head ache at this point of time or can i use some other tablet ? please help me by your suggestions
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"Nimesulide is a non-steroidal anti-inflammatory Chat Doctor. It is not recommended for women who are pregnant or planning to get pregnant in near future. It can cause harmful effects on the developing fetus especially during pregnancy. I advise you to take paracetamol tablets in normal doses for the symptomatic relief of pain."
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"I am Chat Doctor answering your query. All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. If I were your doctor, I would go for a serum Chat Doctor determination to rule this out and if need be would advise for an ultrasound as well. Detecting pregnancy. Breasts tenderness no doubt could also be due to premenstrual congestion, but to rule out a pregnancy, urine pregnancy tests are not always 100% reliable. Till then, I would advise you for an anti-spasmodic along with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery.",
"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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Last night my husband bit me on my arm . I quickly got up and told him to stop. I really got scared i told him what he had done and that if he had realised what he has done. his response was yes . he then got out of bed and went to the toilet. At this point he really sh?? me up.That evening he was watching a vampire movie with lots of blood and guts. He does not sleep well. His bedtime routine is sleeping between 1am and 3am. He gets up for half 8pm. He s got a lot of stress . He speaks jiberish whiles sleeping and makes sudden movements. Once he was having a nightmare until I woke I m up, asking him if he was ok. I think I saved him from his nightmare. Can you please help and give some sort of explanation. Thanks kera
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"Its closer to being a night terror. Please understand that sucChatDoctorplains are very common and increase at the time of stress. People generally don't discuss them as they don't cause any problem for themselves. Epilepsy / seizure disorder is another concern, and he should be investigated by an EEG. There are many unanswered questions in your write-up. But one thing is for certain that your husband surely need some help from a psychiatrist. Please ask him to visit one who would like to explore many his areas."
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"I went through your details. Your husbands' behavior may be due to two reasons. Either he is over obsessed with you and never wants to lose you or your love. The second being paranoid personality disorder. Both are treatable with the help of a psychologist. To determine what is your husbands' problem, the given details are not enough. Please provide whatever details you can provide, examples for his behavior, life, normal attitudes and anything personal you can add. Or take your husband to a psychologist to diagnose correctly. If you consider my help, Please post a direct query with every detail. I shall prescribe some psychotherapy techniques to practice. I assure good relief.",
"I have read through your question and can understand your concern. Wasp or bee bite can lead to an anaphylactic reaction in a person which can cause hypotension breathing difficulties etc. Since your husband is stable at present I would advise you to keep him under observation for 24 hours. Look for the following symptoms. 1. Any breathing difficulties 2. Development of any skin rashes. 3. difficulty in swallowing 4. Low blood pressure. If he develops nay of the above take him to an ER. I hope that answers your question. If you have any other queries please feel free to write"
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i have psoriasis and i dont know if these two are connected in any way but everytime i travel and come back, usually 8/10 times, i would get a realli bad throat infection, i thought the first timme that i was allergic to anything, but im not as far as i know, could i please get some advice on this.kind regardsnasra salah
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"It is a chronic and relapsing skin disease. I can understand your anxiety for your disease. But, you have to keep patience. You might get relief slowly. And due to some factors it might relapse. You are right, throat infection might precipitate the disease. In fact any infection. . . . . Remember it is a controllable disease. You consult nearby dermatologist for firm diagnosis and perfect treatment. I would like to suggest few things as follows. . . . - accretion 25 mg daily - methotrexate 15 mg weekly in three decided doses of 5 mg 12 hourly. - Blood tests . routine & LFT may be done at regular intervals-Steroid with salicylic acid point may be applied twice a day on the psoriasis lesions. - Soap bath should be avoided. - All precautions may be taken to avoid"
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"It is possible that the swelling is related to this. The use of an oral anti histamine would help to reduce the allergic reaction. Coughing and sore throat are normally related to acute viral infection (common cold). There are over the counter medications that may be able to help with these symptoms. Your appetite will return as the infection improves",
"Thank you for asking at Chat Doctor. I went through your history & investigations and would like to make suggestions to you as follows:1. Cough/breathing problem with weather change usually indicates allergic cause. 2. I would like to know more details about you like - do you have nose symptoms like running nose, nasal congestion, sneezing? Do you ever had wheezing? What is the frequency of your episodes? Are you able to carry out your routine activities?3. In reply to your query - \"Do I have asthma?\" - I would like to say that you can possibly have asthma. I would suggest you spirometry with post-bronchodilator reversibility test to confirm the diagnosis of your respiratory disease. 4. Were I treating you, I would suggest you to take montelukast regularly as well as albuterol/levosalbutamol inhaler on as-when-needed-basis for when you experience breathing difficulty. 5. I would suggest you allergy testing which will help you identify the substances you may be allergic to. It will also help you to know how to avoid the substances' exposure. 6. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. 7. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts) will help you in longer run by improving lung capacity and immunity respectively."
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In 2008-2009 I was diagnosed with Ewing s Sarcoma. I did a years worth of chemotherapy and 6 weeks straight of radiation. They moved my right ovary over so it won t get damaged from radiation. I ve been in a relationship for over 6 yrs now and me and my partner really want to conceive. I am getting a little doubtful. It is hard for me to find out exactly when, or if I do ovulate because I don t have normal periods (every month ) my period only comes when it wants to and out of nowhere. I finally had a period on my own last month which really surprised me and made me happy. It s February 20th today and I should have started my period by now but haven t yet. On another note, last night me and my partner were getting a little touchy last night and he even noticed that I had a thick clear discharge in my vagina. I know it normally happens before a period but I m not getting no cramps at all. Which I always do before I start. I ve never had this kind of discharge are all before and I have been sexually active since the day I ended my last period which was in January 27th. Does anyone have any guess or answers at all as to why I had this unusual discharge last night and if this is some kind of sign, could I possibly be pregnant or is my body finally functioning the way it s supposed to. Since I did have a period last month does that mean I can and do still ovulate
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"It is possible that after getting treated for Ewing's sarcoma by chemotherapy and radiation therapy, you have had a sub fertility and this is due to hormonal imbalance. If your periods are not regular then please consult your gynecologist and follow treatment to regularize it. Ovulation occurs 14 days before periods in most women. However since your periods are irregular therefore it is not easy to predict ovulation in your case. There are home test kits available to monitor ovulation or do ultrasound follicle monitoring around the time of ovulation. When your periods are regular then you might use the ovulation kit to know exactly when you are most fertile and conceive. If there is persisting difficulty in monitoring ovulation then there is a chance of pregnancy by artificial reproductive techniques. Please do not worry"
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"First, I want to clarify, if you are virgin and have not had sexual intercourse or ejaculation directly in the opening of your vagina, your chance of pregnancy is really nonexistent. Sperm die when exposed to air, so there is no way that you can become pregnant from sperm that ejaculated outside the vagina. Furthermore, is very uncommon to find women who ovulate during their menstrual cycle. Therefore, you were most likely not at the fertile time of your cycle when you and your boyfriend had genital contact. Furthermore, irregular bleeding can be caused by travel, changes in weight, hormonal imbalances and stress, especially the stress of worrying about getting pregnant. Just because your period was light this month does not mean that there was anything wrong. Now omens menstrual cycle is exactly the same every month, and as long as you got a period at the usual time, there is no reason to suspect pregnancy if the bleeding was different in quality than what you usually see. So I think that it is fine to be reassured that you did not conceive from this encounter with your boyfriend. If you continue to have irregular menstrual cycles for more than three months, you may want to visit your local physician as some hormonal imbalances can cause these problems and should be tested for. I hope that I was able to adequately answer your question today, and that this information was reassuring",
"I am Chat Doctor. I will be answering your concerns. Since your period usually lasts for 6 days, there is a small possibility that the 2-day period you had is implantation bleeding. Just get a pregnancy test done. It would have been nice if you had provided me some more information like your age, BMI, duration of marriage, regularity of menstrual cycles etc. The ultrasound report is perfectly normal. Among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive. If it is more than two years of trying, then consult doctor and get baseline hormone tests and HSG for tubal patency for you and semen analysis for your husband done. The tests results will help in planning the treatment. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. Take a tablet of folic acid daily. I hope this is helpful. If you have any further concerns do contact me through Chat Doctor. Best wishes,"
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Hi! i had the first symptoms of mono in late may.Went to doctor 3 time one for antibiotics next steroids and the third time had complete physical and lab results showing I had mono EBV. I AM 64 YEARS and the fatigue is still here with me. yes my pancreas was swollen and it show an air bobble in my chest between ribs and under my sterium. what can it do for the fatigue, sleeping 12 or more hours a day...........
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"Antibiotics only treat bacterial infections. The fatigue from mononucleosis may last for up to 6-8 months. There is no real way to speed this up, but there are some things you can do that will help. Make sure you get plenty of sleep at night, at least 8 hours. Exercise daily, at least walking for 10-15 minutes. Eat healthy foods, mostly vegetables with a minimum of red meat and fried foods. Do not smoke or Chat Doctor. I hope you have a recovery of your energy very soon"
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"My name is Chat Doctor. You have mentioned the status of your daughter being diagnosed of Infectious Mononucleosis a week back and mentioned some symptoms like Very Swollen elephant and feet ItchingStomach ache after eatingFirst of all these are not normal symptoms, and you need to Visit Physician if these symptoms persist or aggravate. . . and Second aspect is that this illness is managed not by a single specialty, but it involves Consultants for different specialities as well as Diet and Activity management. . . I will try to explain these in a simple way for your convenienceConsult Team work :Such patients need consultation with Following specialty people for the following Purposes;1). Neurologist : for assessing Brain Involvement 2). Cardiologist : this is rarely needed in few patients where there is suspected inflammation of the heart muscles3). Infectious disease specialist for Epstein Bar Virus (ABV) -Infectious Mononucleosis and its evaluation4). Hematologist : for ABV s Unusual symptoms related to patients blood 5). Gastroenterologist : for inflammation of Gall bladder etc. your GP or Physician will guide you regarding this consultation Regarding Diet . . . Normal diet is sufficient while Physician activity is refrained for about 3 weeks after acute infection and patient is advised to rest",
"You have normal ECG so cardiac cause here seems to be less likely. First you might have such pain by bad sleep posture. Simple analgesic can be taken. Hot compress found useful. Take sleep in supine position. Second by any hard activity or weight lifting of heavy object can lead to muscular strain and such pain can occur. Analgesic taken for it. Third if you have gastric problems then by it chest pain can occur. Treat it with omeprazole or suitable treatment. Mostly above-mentioned causes most likely in your case. But if still want to rule out if history of cough and fever then respiratory viral infection has to be ruled out. Possibility of pneumonitis like infection also has to be ruled out. Chest x-ray and CBC will be helpful. Antibiotic may be needed for it. Finally, if you are taking excess stress then also pain can occur. Wish you good health."
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Hi my two year old daughter has what looks like a tonsil on her gum. It up the top/back on her right hand side. She doesn t have her two year old molars yet but it may b underneath this thing hanging of her gum. She came to me and told me she had a sore tooth but she seems to be in good spirits so I think it s more because she can feel it there with her tounge. Is this something I should be worried about?
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"Thanks for sharing your concern. As your daughter is in early growing phase she will experience, a little pain and discomfort due to growing teeth. The tonsil like elevation seen is nothing but the elevated gum tissue. Maintain very good oral hygiene and eat good and nutritious diet rich in calcium. The teeth will come on its own there is nothing to be worried. Also, if possible ask her to do warm saline rinsing, it helps."
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"I have been through your query and I can understand your concern. The swollen gum behind your tooth is a condition called pericoronitis. It generally occurs with the partially erupted last molar or teeth. The food gets entraped between the tooth and gum and it gets infected leading to pain and swelling of the gums. It is also characterized by the pain while opening the mouth. After checking your ChatDoctor. Also use Hy",
"Understanding your concern. As per your query your child have symptoms of swollen and inflamed gums with blister on tongue which is mainly because of herpetic gingivostomatitis, it occurs because of poor immunity of body and infection caused by herpes virus. Need not worry about it, it is very common occurrence among child Chat Doctor. Maintain proper hygiene of oral cavity of child. Take wet cloth and swipe it around gums of child to prevent deposition of microorganisms"
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Iam suffering subserous fibroid which is of 15 cm and Dr has ask me to go for surgery I am unmarried of 34 years and I am engaged and now I am going Homeopathy treatment and Dr has said it will be curable by the homeopath medicine and no need of surgery shall i go for surgery or how much time i will take to cure by homeopath whether I will face any problem in my married life plz advice me
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"They can cause uterine displacements, which can hinder conception or can cause recurrent abortions. A 15 cm fibroid, is a big one. Time is relative to the problem. Considering your age and marriage option, and tumor size, surgery would be more suitable, according to me, giving 4-5 yrs of maximum time for the tumor to recede, and the time to complete your family, before chances of menopause set in"
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"Asthma is permanently curable disease in homeopathy. If you want to be free from all these then consult to good homeopath. But be sure that, HomeopatChatDoctoredicine must be selected after taking detail history of your physical as well as mental makeup. Then n then you will get satisfactory result. So consult good classical homeopath. You will surely get benefit with homeopathy. You can ask for treatment on below mail ad Chat Doctor. Medicines will be sent by courier ServiceNow more inquiry and/or online treatment write to: subhashponkiya@gmail",
"No, you don't need to do that since it won't help, and you should just let some time pass, and it will reduce in size and hematoma will be resorted into blood circulation Small traumatic fibrous may persist, but it will not cause any problems in the future. If there is esthetic concern it can be treated surgically but only after 6 weeks when healing process is over. Heat and massage will not be efficient in these cases. I hope I have answered your query. Wish you good heal"
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I had a sudden loss of memory and disorientation while skiing the other day. I also think i wiped out but i have no memory of how this happened. Apparently i called my wife during the episode. I told her I felt strange and disoriented and that i had scratches on my hands and face but could not understand how i got them. I was feeling strong otherwise. I also had no idea i was the one placing the call to my wife and could no remember we had talked earlier that day, a couple of hours ago. I woke up with a mild headache the following day, scratches on my head and pain on one side of my ribs.
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"You were feeling disoriented and strange. Also, you had headache and also scratches on head and pain in ribs. Probably you had episode of seizure. Seizure probably Generalized tonic-clonic type usually present with symptoms of sudden onset involuntary movements of limbs, loss of consciousness for some time. Usually episode last for few seconds only. After episode individual remain confused with fatigue in limbs as due to seizure. Loss of memory for episode occurs because of anterograde amnesia. You had scratches on head and injury because of sudden fall due to seizure. So as per my opinion visit a good Neurologist and take opinion regarding episode. EEG can be done to ascertain any seizure activity in brain if any"
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"It is unusual for the pain to be related to the previous pneumonia episode, unless she has had further lung problems and has left lung scarring, in medical terms this is known as fibrosis. Lung fibrosis can lead to several complications, and if there is evidence of bronchiectasis on HRCT scans, pain in that area can happen as sputum production continues and the constant cough leaves one with pain. My suggestion would be to get proper investigations done, such as HRCT Chest, lung function studies with DCO (that shows the current lung function with regard to oxygen diffusion) and get these reviewed by a Chest Physician. Rib pain can also be a possibility if there has been a recent fall, and the CT will pick this up as well. Please ensure that the asthma is also optimally controlled. You can ask her to do the ACT (Asthma Control Test) online to see the level of control.",
"symptoms can occur due to some neurological possibilities. Syncope, some seizure discharge or even sleep paralysis can cause similar symptoms. As this sudden loss of consciousness was associated with fainting and tightness of extremities, so it points more towards some seizure disorder. You should take her to a neuropsychiatric for proper help. She should undergo EEG testing to rule out any seizure focus and CT imaging to rule out any brain lesion if any. Once every thing comes normal then she can be evaluated with detail by a neuropsychiatric. Thanks, hope this helps you"
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I am married, on 30 jan 2011.me and my husband decided that we dont use any precautions. my husband come with me around 15 days in a month.but now in july we lives in same place and in these days we did sex about daiy. but till i don;t concieve a baby.so we concienerned a doctor. and i have a mildly bulky uterus. is this reson for me not getting concieving. i am very sad .please help me what can i do for concieving a baby.
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"Mild bulky uterus does not cause infertility. If you have not done the basic investigations mentioned above, first do them. Further treatment depends on the results of those investigations. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. If you have any further concerns do contact me throug"
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"I do understand your concern. I am sorry for the loss of pregnancy you had 3 years back. Most of the time cause of pregnancy loss is pregnancy abnormality/ viral fevers in mother/ fall with trauma to abdomen. So once abnormal need not be same again Please don't worry. Now after so many days, we can think of repeat possibility after blood tests (Thyroid function tests, V Chat Doctor. * The 5 months lack of menses you had can be hormonal imbalance immediately after delivery/of due to certain conditions like POD afterwords. * I think irregularity of period you have is the cause of non conception in your case. So You need a gynecologists advise/ investigations ( HBO to assess your general condition/ USG abdomen/thyroid function tests/ hormonal estimation & after knowing the exact cause, you would be given specific treatment. So as you start having normal menses with ovulation. - At the same time some weakness in semen ACN also be the cause. Which needs to be excluded/ treated with doctors advise. - Psychological trauma due to lost pregnancy, fear & anxiety can lead to hormonal imbalance/ irregular periods & lack of. So you should discuss the thing & your doubts with your doctor, get a clear concept & be free from any tension. . . this will help conception. Thanks",
"You have missed period or have light period and hence are not sure whether you are pregnant or not. Secondly, you want to be pregnant. Let us discuss your issues one by one. If you have not got periods after April episode, by now ultrasonography will definitely detect the pregnancy if it is there. Now it is 4 months since you got your last period. So even you can feel the growing uterus manually over the abdomen below the naval. Please try to get the possibility of pregnancy detected scientifically, by urine pregnancy test and/or ultrasonography. As I mentioned earlier, physical examination by Obstetrician also will be sufficient to diagnose the pregnancy. If you are not pregnant, and want to be pregnant, you have to follow certain ordeal. First get your partners' semen examined to assess his sperm count and normalcy of the sperms. Also try to locate the day of your egg release (ovulation). Serial ultrasonography from 9th day of cycle is the best way for this. When the ovulation takes place, utilize that day for your marital relations. Give it a fair trial. If you do not see ovulation, you will have to report to Gynecologist for its management. In spite of ovulation and fair trial, if you fail to become pregnant, get proper assessment of the patency of your tubes done by laparoscopy or hysterosalpingography. This is a broad outline for you."
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hi sir, i saleem yousf from kashmir want to know how can i get free from pigmentation which is irritating me from last 5 years.i have used several medicines like- skin lite , mms cream,and many more.i m very upset with this problem even i cant make eye contact with my peer..please help me to get free from it plz plz plz...
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"Pigmentation problems are tough to treat and at times frustrating for both doctor and patients. First important thing is to avoid sun exposure as far as possible. Start taking anti oxidants for 2 to 3 months. Chemical peels or laser treatments will help, and you need to consult a dermatologist for it. You can apply HY Chat Doctor. Avoid steroid creams as far as possible. I hope this will help you. Take care"
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"You seem to have Plasma. It can occur due sensitivity to sunlight. For plasma as a general rule-Avoid sun exposure. Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. You can apply DEFINITE cream at nighttime over the affected area. You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. Few treatments like chemical peeling and dermabrasion can give you good and long-lasting results. Take care.",
"Periorbital Melanesia can be due to anemia, stress, a lot of computer/laptop usage. Effective oral and topical medications are now available for Hyperpigmentation around eye. My advice to you would be to use topical Guyana cream with good moisturizer. Take vitamin C tablets daily. Few treatments like microdermabrasion and chemical peel can help to treat periorbital Melanesia effectively. Discuss these options with your dermatologist."
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i have been feeling the constant need to yawn, and sometimes it is hard to get a full yawn out. when i try and ignore it, it feels like my chest is tight and constricted. i have heard it might be anxiety, but it is getting very annoying and hard to work with...
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"I can understand your concern. Yes, stress and anxiety can cause yawning, chest tightness and constriction feeling. Bur better to get done ECG and 2d echo to rule out heart diseases as these can also cause similar symptoms. So first rule out heart diseases. If both are normal than no need to worry. Your symptoms are mostly due to stress and anxiety. So consult psychiatrist and get done clinical examination, counseling sessions and try to identify stressor in your life. Start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension. Don't worry, you will be alright."
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"I can understand your situation and problem. Since you are having left sided chest discomfort, we should first rule out cardiac cause. And fluttering feeling can be due to tachycardia and arrhythmia. So better to consult cardiologist and get done1. ECG2. 2d echo3. Stress test. If all of the above are normal then no need to worry much for cardiac cause. You may have anxiety mostly. So avoid stress and tension. Be relax and calm. Don't worry, you can continue your exercise",
"I can understand your concern. Anxiety can cause HERD (gastroesophageal reflux disease). And this can cause gives feeling of chest tightness, nausea, breathlessness etc. So follow these steps for better symptomatic relief. 1. Avoid stress and tension, be relaxed and calm. Consult your psychiatrist for counseling sessions. You may need anxiolytic Chat Doctor. 2. Take pantoprazole tablet on empty stomach twice daily. 3. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 4. Go for walking after meals. You will mostly improve with all these in 1-2 weeks."
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Hi..I had a major accident on 3/3/17 as a car collided with me in my right knee, while I was riding a bike. The accident was so bad that my right hip is dislocated my knees got separated from each other, as it is still under the skin. I had too fractures on my right tibia and left femur. I have been operated on the day of my accident and after that on 8/3/17 the later fractured parts. Know after recovering from hospital.my doctor feels that my right knee ligament is being damaged and I need to consult an sportsmed doctor. Can u suggest me what shall I do do further treatment or ne other therapies I go for. I heard that my ligament operation will cost a higher amount! I am in dilemma, plz help me out.
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"Seems that the initial injury has done quite a bit of damage to your leg. The main issues that I can see are:1. Fracture of the right tibia2. Fracture of the left femur3. Dislocation of the right hip4. Dislocation of the kneeing the initial part the main objective is to reduce the dislocation and treat the fractures, which was performed as you stated. I will also assess for any nerve or circulation damage which does not seem to be there. However, it will take a few weeks to months for the bone to regain adequate strength to allow for weight bearing. Once bones are healed, and you are ambulating without any aid, you will notice that the knee is more \"loose\" than usual or compared to the other side. With a history of knee dislocation there is a high likelihood that you have injured at least two or more of the ligaments around the knee. The treatment will basically depend on your level of daily activities and also your symptoms. However, performing the surgery will not be as urgent as the initial surgeries to treat your fractures. You can opt to go for physical therapy and strengthen your muscles which can help in stabilizing your knee and reduce your symptoms. Some ligaments do eventually scar down, and you will have fewer symptoms of a loose knee. However, if you are a very active person who does demand a lot from your knee than I do suggest you go ahead with the reconstruction. Earlier stabilization will lead to earlier rehabilitation and better function"
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"ugh musculoskeletal assessment is advised. As you had a fall on the knee, I understand by the mechanism of the injury this could be related to a ligament injury and x-ray can not show this. Taking an MRI will help assist further. Also, there is a knee flexion and extension related issue which relates to the pain in function, so a physical therapy is needed to regain the full ROM of the knee and the Strengthening of the knee. RegardsJay In",
"etailed Answer:Warm Welcome. I appreciate your trust in Chat Doctor and assure you are on best portal on the globe for expert online medical services. Based on what you said, it is recommended to get a second opinion for MRI report to exclude ligament injury. After exclusion, you will most likely need a knee brace or cast for at least 4 weeks. Even if there is slight ligament tear, it can be healed by this technique. You may take tab. Naproxen 20 mg once a day for your pain. Best rest and decreased movement of your affected knee will"
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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 got stung by a scorpion in the cheek a couple of weeks ago. I did not have any pain just numbness throughout my body for a couple of day. But I am feeling very tired and listless. Can this still be from the sting. I also have Fibromyalgia and I guess it could be that too.
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"I read and understand your concern. I am Chat Doctor answering your concern. Yes a scorpion sting and fibromyalgia collectively causes this weakness. In my advice you should not worry as this will be cured soon. You van take the paracetamol for pain relief, glucose powder for the energy purpose. ORS can also help as it will supplement the essential minerals that has lost in the scorpion bite. Scorpian sting can be lethal immediately after the bite, but it will not after a day or two has passed. You should take care for the local wound, I advise you should do local cleaning and Chat Doctor. This will cure up the wound readily. I will be happy to answer your further concern on bi"
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"Sometimes after episode of zoster pain may continue to persist which is also called as Postherpetic Neuralgia. The pain in shoulder blades and lower back, you are having is because of this neuralgia. You are also having complaints of stress, sweats, inability to work, cold sweats etc. symptoms. These symptoms may occur due to depression. Mild form of depression may be a sequel of viral infection. I will advise you to visit a Psychiatrist for expert opinion",
". . Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint if you get sting or bitten by a bug/ insect bite and in case if it is not a mosquito bite and is due to some more poisonous organism than the swelling can last for a few days and also the area of sting can be hard, red and warm as well as painful. As it has regressed in size and also a small swollen area is left out you need not worry as it will resolve gradually. You can do alternate warm and cool compresses over it for faster healing. Apply a Steroid ointment if there is soreness and itching. Nothing else is needed to be done. Just do not try to pop or scratch the bump as it can cause infection."
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hi, my names jacqueline,was jsut a quick question really.recentley i have had blood taking becasue i have had problems doing the toilet. my blood test has came back saying my white blood cells are low and have been advised to get another blood test. can this come from the bowel?
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"I can understand your concern. There are many causes of low WBC count. Even simple viral infection, typhoid can also lead to low WBC count. It may be related to your bowel. You should go for further investigation and then take treatment accordingly."
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"Thanks for your query and an elucidated history. The history of one and half months' diarrhea is suggestive that you may be suffering from IBS- Irritable Bowel Syn Chat Doctor. Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests. *Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity. *Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Treatment:STRESS = stress is the most important cause of IBS. Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss",
"So, visit a doctor and get yourself examined with investigation for Urinary tract infection. Your blood in stools may be because of ammonoids/fissure so tell your doctor about this also, and you may go for stool test als"
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Hello about 3 days ago I was diagnosed with pityrasis rosea(apologize if spelt wrong). I ve had it for about a month and a half all over my inner thighs and a good amount of bumps on my arms and lower stomach. Where im concerned is my penis. There is 3 big bumps on the top of it and about 5 in my pubic hair area. All the bumps are bigger than the ones around my hips stomach and arms.I thought pityasis rosea didn t spread to the penis. I dont know if its scabies or what please help.
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"And you said bumps are there on penis and pubic area. So, it may not be satyriasis rose. It may be scabies. Ivermectol 12 mg tab may be taken once a week, antihistamines and antibiotics may improve the disease. Permethrin cream application may be helpful. Improve hygiene. You might get relief from the bumps on genital areas. I hope you got my answer. Thanks."
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"You have mentioned that your wife has developed rashes in the fold areas like thighs, under arms, neck. It is not associated with itching probably because if she uses been Chat Doctor. It can be probably fungal infection. Other differential diagnosis can be intertwine, contact dermatitis, inverse psoriasis, or even scabies. Of course posting of photos might help in identifying it. Upload the photos if possible. You may contact a dermatologist for exact diagnosis and appropriate treatment. A skin biopsy may help if it can not be clinically identified.",
"I understand your concern. Well, what problems you are encountering a red scars on penis is superficial skin infection caused due to bacteria. What medication you have taken is antifungal and hence does not relieve bacterial skin infections. Kindly do the following to overcome your symptoms: 1. Wash the area with mild antiseptic solution like Providing twice daily. 2. Afte"
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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 was diagnosed with anemia on march 5 and they prescribed me iron which I taken3 times a day. They determined it was due to my periods. I went to obgyn and pap smear is normal but they did a pelvic ultrasound and saw a mass on my uterus and they said my uterus was enlarged. They have referred me to obgyn oncologist which my appt is monday. I have cramps my back and leg hurt every time I stand and my ca 125 level was 300. Is there a good chance this is cancer. I want a hysterectomy because for the past year I have dealt with my periods being so heavy I have to sit on toilet
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"125 as you already know is a marker for cancer. It increases in cancers of the digestive system and those of the reproductive system including the ovaries, fallopian tubes, endometrium of uterus etc. It is highly used in the diagnosis and follow-up of ovarian cancer. Ca 125 is not specific to a particular disease and does not necessarily indicate a malignant disease. It could be elevated in benign conditions such as uterine fibroid as well. From your history; heavy menses, anemia, enlarged uterus etc. , there is a good chance that what you have is a uterine fibroid. The only problem is that the ca 125 level is far above the normal which is 35 (300 in your case). The appearance of uterine fibroid on ultrasound is particular, and you should see your ultrasonographer to say if the mass was not well round and with borders and characteristic of fibroid. If it's a fibroid or none metastasized cancer, hysterectomy will be just fine. Best regards and hope this helps."
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"I can understand your concern. She has lump in her uterus. It can be leiomyoma or cancer. Blood test has no relation with this cancer. It is possible that despite cancer blood test is totally normal. So she should go for ct scan to know exact location and spread. Then she should take treatment accordingly. Hysterectomy is the treatment of choice. With or without chemotherapy depending on stage. Consult your doctor and take treatment accordingly.",
"Let's try to answer all the concerns. First, elevated white cell and UTI means that she has an infection that needs antibiotics. The bleeding polyp is causing the anemia. She needs to make sure that the polyps biopsy is negative for malignancy, because it is common at her age. Her back pain could be secondary to arthritis, bulging disc vs spinal stenosis. I would recommend her heating pad, physical therapy to improve her back muscles and massage therapy to alleviate the tension in the muscles. I hope that my advice has been helpful."
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Hi there. I m a male and I had a kidney stone removed two days ago. I really don t wish to go through all that again, so the doctor s advised me to drink lots of water. Does the pH level or amount of sodium in my bottled water matter or will any tap or bottle water do? Any other advice would be appreciated. Thank you.
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"Neither the bottled water, tap water, sodium content or pH of bottled water is going to form stone again. Kidney stones are usually calcium stones and rarely phosphates and low urinary pH facilitates stone formation. That is why your Doctor has advised you to take plenty of water to raise urinary pH. Food containing high content of calcium should be avoided."
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"As a Urologist, i can understand your anxiety. You've not given details of the stone position in the kidney. Have you had stone formation or treatment in the past. ? You need to take a medicine to shrink the size of the stone. So take Potassium Magnesium Citrate tablets twice daily. Gradually the stone starts to shrink and should flush out with fluid intake of 15 glasses daily. Coconut water may be stopped. If you've any doubts, send it as a direct question to me, with all reports. Chat Doctor. Mang",
"Stones smaller than 5 mm can usually be managed conservatively (without surgery). Since you are having recurrent stone formation it is important to find out if you have any underlying condition which predisposes you for stone formation. These conditions can be checked by testing your blood for calcium, phosphorus, uric acid levels and 24 hour urine collection for creatinine, calcium, phosphorus, uric acid, oxalate, citrate, sodium and magnesium. You may need specific therapies if you have any alteration in the blood or urine levels of these chemicals. Did you have your stone analyzed during the last surgery? The type of stone can guide us in using specific medications and taking particular diet to prevent further recurrence. The general precautions include:1. Chat Doctor. 5 to 3 liters. Keep urine colorless. Keep 24 hr urine volume more than 1. 5 to 2 liter. 2. Reduce sodium intake to 3. Reduce meat consumption to 6 ounces/day. In case you have a lot of small stones, please consult a Urologist who may plan for flexible ureteroscopy - to go inside the kidney, see each stone, break and remove them"
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Hi my 13 yo niece has just started speaking quickly and is making a gasping sound just before she starts speaking. She is also having trouble sleeping. There is a family history of bi polar and no history of asthma etc. I m not sure if this is something physiological or phycological. Any help would be much appreciated. I am very worried about her. Thanks.
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"I understand that you are concerned about your nieces' speech difficulty. From your brief description, this symptom of speaking fast with gasps in between could be suggestive of anxiety. Some child Chat Doctor. Also, underlying stress (due to problems in the family or at school) could also be a possible reason for her speech problems. If this has happened recently, and it is severe and distressing the child, then you can take her to a child psychiatrist for a detailed evaluation. It would also be a good idea to speak to the child privately and confidentially, to see if she is stressed out or anxious about anything. You can also gently suggest her to speak slowly by taking sufficient pauses between words and phrases. Speech therapy from a professional therapist may also be quite helpful"
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"She may have hyperreactive airway. But till the time child is growing well and is active for her age you need not worry about it. There are some happy wheezes child they also don't need treatment. If you have family history of asthma, allergic rhinitis, or atomic dermatitis she may be at higher risk of developing asthm",
"Thank you for asking at Chat Doctor. Childhood asthma can be present at this age, especially when there is family history of asthma. If your child has recurrent wheezing episodes, requires nebulization, nighttime cough, symptoms associated with seasonal changes, I would first think of asthma. Asthma can be allergic and non-allergic. The investigations suggested by your doctor will help, but if they are negative, it will not mean your daughter has no allergy/asthma. There is not a single test to diagnose asthma at this age. Detailed asking of symptoms and pattern of symptoms only will suggest asthma. However, there are tests available for diagnosis of allergy, I would additionally suggest allergy testing and serum IGE levels for allergy."
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I have a blocked nose and itchy red/watery eyes. I also sneeze repeatedly. I wake up in the middle of the night with both nostrils blocked and find it very hard to get back to sleep again. If I use Nasivion I get immediate relief - but I am afraid to use it repeatedly. Could this be allergies? My Eosnophil count was high. How can I get rid of this problem?
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"Your symptoms and high eosinophil count suggest some allergic episodes. You have to start anti-allergic medicines like levocetrizine, fexofenedin. Nsaid with decongestant will be helpful to subside blockage of nostrils. Steam inhalation at bedtime will be helpful. You will get recovery within 5 to 7 days. If it is recurrent than I would suggest going for allergy test to find out any specific allergen, so you can start prevention. Start exercise, yoga and deep breathing exercise after getting cure. Consult your physician for further guidance and proper medical managemen"
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"Thank you for asking at Chat Doctor. I went through your history. I would first think of allergic rhinitis from your history. I would like to make following suggestions to you:1. Were I treating you, I would prescribe you montelukast and an anti-histamine like levocetirizine/cetirizine/fexofenadine for at least 2-4 weeks (depending upon response). 2. If your symptoms are very severe, or they do not improve with above treatment, I would suggest you intranasal corticosteroid spray for at least 7-14 days (depending upon response). 3. Along with these medications, I would suggest you nasal irrigation with nasal saline Chat Doctor. This will help to reduce your medication requirement. 4. Please try to avoid exposure to dusts, smokes, cold air currents and air pollution as much as possible. You can cover your nostrils with cloth/handkerchief/mask in case of possible exposure to these irritants. 5. From the pattern of your symptoms (more in morning, upon opening of windows) I would first think of allergy to house dust mite or pollen. To confirm the diagnosis, I would suggest you allergy skin/serum testing which will help you to identify the substances you are allergic to and also to know measures to avoid them. 6. I would also suggest you to consult an Allergist-Immunologist who can advise you specific allergen immunotherapy based on results of your allergy testing, which will work on your immune system to improve your allergy symptoms gradually. 7. A healthy diet rich in vitamins, minerals and anti-oxidants (e. g. , green leafy vegetables, fruits, sprouts, etc. ) will help you in a longer run.",
"You told you have allergy to dust and cold things and pollution. You did not mention what were the symptoms you were suffering from. Did you have recurrent cough, cold sneezing, cough, rhinorrhoea? You may use Tablet montelukast-levocetrizine for two weeks followed by levocetrizine tablet once daily. You may also get benefit from fluticasone- elastane nasal spray one puff twice daily. As you told, you got relief after using deposit tab, so you may use it for two weeks followed by levocetrizine once daily. You should also undergo pulmonary function test. Allergic rhinitis is associated with asthma in a significant percentage of patients. You should always rule out possibility of asthma in presence of above-mentioned symptoms. Please consult a pulmonologis"
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Hi I am 12 weeks pregnant and got a urine test done. The result shows luecocytes 2-3 hpf and Epithelial cells 2-3 hpf. Rest of the results show negative with ph- 7 and Specific gravity 1.005. I dont know what to interpret from this report, do I have a urinary tract infection which needs to be treated with antibiotics?
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"This is a urinary tract infection (UTI); however the patient has no symptoms. Asymptomatic bacteria in pregnancy is a very serious condition and up to 30% of pregnant women with this condition develop acute pyelonephritis (infection of the kidney). Therefore, it should be treated even if there are no complaints. Nitrofurantoin is the recommended antibiotic, and it is safe in pregnancy"
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"I am Chat Doctor answering your query. From history, it seems like you have got a UTI (urinary tract infection), if pregnancy could be excluded with certainty by the way of serum Chat Doctor estimation and an ultrasound abdomen if need be. I would advise you to go for a routine/microscopic and a culture sensitivity of the urine, and show it to your family physician for further management with appropriate antibiotics after a physical examination of your abdomen. Till then, you could go for an anti-emetic, and a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery.",
"Most probably you are suffering from Urinary tract infection. If bowels are not moving properly may be associated with constipation. Get an ultrasound abdomen done. Though you can not be pregnant, but possibility of pelvic inflammatory disease has to be kept in mind. Get your urine culture and sensitivity done. Chat Doctor. See a doctor with reports or post in Chat Doctor. Good luck"
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My friend woke up one morning unable to move. He finally got moving and out of bed but ended up on the floor twice that morning, fall because his legs gave out. The doctors are running test, he s got to herniated disk that are damaged and one hitting a nerve on the left side of his back. The conerning thing is he s loosing sensation on the right side, legs and arms and his speech is impaired. What could be the problem?
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"While your friends herniated disc can explain the weakness and numbness in the legs, if the disc in question is in the neck spine also in the arms, it does not explain on the other hand the speech issue. It is not related to the spinal issues the explanation lies elsewhere as the brain areas and nerves responsible for the speech function are at a higher level than the spinal cord. So your friend has to have more tests for some other type of involvement, either a brain issue which should be revealed through a brain MRI, or a peripheral nerve issue which involves the cranial nerves, tests like lumbar puncture and nerve conduction studies with electromyography might be necessary to investigate that. I hope to have been of help"
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"I read your question and understood your concern. There are many reasons for this symptoms. It might be carpal tunnel syn Chat Doctor. It could be cervical spine problems like spondyloarthrosis or fiscal hernia. You should see a neurologist to rule out this two diagnosis. Finally, It could be a heart problem and cardiology specialist can confirm or exclude i",
"The symptoms of your son seem to be related to a herniated disc in the neck. A herniated disk in your neck can cause numbness, weakness, and a tingling sensation in one arm. It can also cause radiating pain in the arm, neck, or shoulders. It can be treated with rest, heat and cold applications, and over-the-counter pain relievers. I suggest using Tylenol to relieve the symptoms. If symptoms continue, see a neurologist and get evaluated."
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I AM 31 YEARS OLD WEIGHT 49 KG AND HEIGHT 5 FT...OFFLATE I HAVE PROBLEM HAVING SOUND SLEEP...I GET UP REALLY EAR;Y DREAMING ABOUT VARIOUS THINGS AND THEN DONT FALL ASLEEP AGAIN...HAVE STARTED FEELING TIRED VERY SOON AND IRRITATED TOO.ANY HOME REMEDY FOR SOUND SLEEP
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"Not having sound sleep is very common problem, and it is very natural feeling tired, listless & irritated . and there are various reasons to lead to this situation I would like to know about your over all health ? If you take nourishing diet & take a lot of water sufficient exercise Have no constipation. No Hopi YES You need not worry about anything 1. Take 1 cup of hot milk with 1/2 spoon of turmeric in it. 1/2 hour before bedtime. 2. Take Nun Voice 30 1 dose at bedtime for 7 days3. Do Calamari - a Panama postured take unnecessary mentions"
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"me have evaluated your query thoroughly. * This seems in relation with different possibilities as - muscular ache - reflux of stomach acid - stress or anxiety related. * No need to rush to ER to pay handsome bucks, just consult your family physician by appointment only. * Suggestions till then - Chat Doctor. - Soft, light diet with avoidance of oily, spicy, non veg stuffs. - Avoid weight lifting. - Avoid stress, anxiety. - Have adequate sound sleep of 8 hrs. - Regular walking in fresh air, exercises with deep breathing, YOGA",
". . . . How many times do you wake up from deep sleep with such symptoms? The symptoms that you describe are referred to as hypopnea. . . Multiple such episodes occurring throughout the night is a feature of sleep apnea syn Chat Doctor. . You need sleep studies(polysomnogram), weight reduction program and correction of an ENT problem if any. . . If such episodes are severe and multiple, you may need the help of breathing support such as CPAP when going to bed. . . Consult a pulmonologist, who will examine you, evaluate, suggest specific treatment plan and guide you further. ."
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Im a male age 35. This morning I felt a sore lump under my right aereola. It feels like a firm nodule but it moves a little if I try to push it in different directions. Still it feels like its attached under the nipple and the pain feels like when you have a pimple or cyst but its deep inside behind the nipple.
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"I can understand your concern. You have lump behind nipple with soreness. You may have some benign cyst, proliferative breast disease or breast cancer. Furthermore, you should go for mammography and biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly."
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"I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from Painful Acne just below sternum. Pinkish color indicates the infective nature of it. For your age where acne is common, unless You get Second Opinion for the clinical evaluation of the lump, It's very difficult to comment on the lump, with the available scanty information. Hence, I would suggest Consultation from Surgeon to check for the exact cause of such a lump. Other possibility in that region, the lump could be an Epigastric Hernia, which is painful to touch, and occurs only when you are coughing or lifting some weight. USG study would help you to fix its nature as Epigastric Hernia. this reply would help you to evaluate your case and treat it with your doctors in time to come.",
"Based on the facts of your query-You seem to have lump growing Sebaceous Cyst/ with infection lately / or Drums Lipoma, which is why its growing and getting little painful. All these pains / tingling is due to the painful round lump below right shoulder. Treatment-Opinion from a surgeon /USG to differentiate with Lipoma. Surgical Excision of the Webcast or of the Lipoma, would resolve your problem soon."
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Hello Doctor, I donated blood in march 17 2010 and i got a letter on 11 June 2010 from the blood collectors that I am HBSAG positive . I tested my blood It showed the result as 1334.00(Eclia method Quantitative).Much worried about my life.Is there any chance of getting cured?
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"not worry you can still lead normal life. HBS AG positive indicates mostly you are infected with hepatitis B. You can always reconfirm. That comes through blood transfusion or unprotected sex with an infected person. Now you need to be care full don't donate blood or have unprotected sex with anyone. Vaccinate your family member s for hepatitis B. You can still be normal avoid alcohol or any Chat Doctor. Take precautions meet your physician for some hepatobiliary protective medications. Check your anti Bag levels to that shows your immunity. Very rarely people go for fulminant hepatitis. So be confident keep up your health and happy. Do feel free to ask more questions. THANK YOU"
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". . she is now breathing on her own but still with a help of oxygen support. The doctor said the is still producing a very alarming level of lipids of cholesterol and the plasma exchange will continue, she is also still undergoing a slow process of dialysis to help her kidneys, and her pancreas is still not cured. But her Liver and hearth condition is still normal her BP is 156/97 and sometimes 168/79 or /89 the doctor still at the moment is at lost of the origin of her illness. I hope that anyone of you good doctors out there can give me a fair opinion on her case. .",
"You have been diagnosed as having Hepatitis B virus in your body. This condition is known as HBS Ag +ve. First you need to know something about your condition. Many people may get affected by this virus. Usually the mode of transmission is by using infected needles, blood transfusion and may also be transmitted sexually. In many patients the virus persists in the body for less than 6 months. If the virus persists for more than 6 months then we call that person as Carrier. Healthy Carriers are patients in whom the virus persists but will not affect the liver. So the chances of these patients landing up with Cirrhosis of liver is almost nil. In some Carriers the virus slowly attacks the liver and this is known as Chronic active hepatitis. This can cause Cirrhosis of liver. Overall if you see, out of the patients affected with this virus only 2-3% may have this Chronic active hepatitis and may land up with Liver Cirrhosis. As you have been detected to be HBS Ag +ve, you need to be further evaluated with some more blood tests to check the viral DNA load. If its in early stage the chances for a complete cure might be there with Interferon injections. But they are very expensive. My advice is you need to consult a Gastroenterologist or Hepatologist so that he can further evaluate you and can suggest you regarding the use of Interferons. Good luck to you"
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I just had a CT scan of my abdomine yesterday & I was told everything looked good except I had several small spots on my liver, which i was also told were probably cysts & that alot of people get them. The doctor didn t seem concerned, but I am scared to death.
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"You have mentioned cysts in the kidney at the top and then subsequently mentioned cysts in liver. Cysts in both these organs are simple cysts and not a serious concern. It is to be seen how many cysts are there in number and what is the size of the cysts. Cysts are thin walled fluid containing lesions and by definition they are benign harmless in nature. There is no need to get scared about it. Cysts if small and few then do not require any treatment. They are harmless and will not cause any symptoms in most patients. Please send us your complete report with details of the cysts. If the cysts are more than 3 cm in size then it requires follow up. There are infections in liver like hydrated disease which might cause sudden appearance of multiple cysts, but this has a characteristic appearance. Please do not worry"
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"I understand your concerns and I will try to help you as much as I can. I can help by advising you to do MRI scan and check tumor markers, AFP, CEA and CA 199. In most cases these spots are just simple liver cysts or hematomas which don't require any specific treatment. But considering diseases in your family it would be good to do these tests that i ve mentioned just to rule out the worst diagnosis. As an alternative, you can do CT scan which is cheaper but less accurate in diagnosing liver diseases. All in all, If you don't Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good heal",
"Thanks for the query. If there was nothing on ct scan then I doubt that there is any lesion on your liver. Surgeon may have seen something like heamngiom, but it could have seen just darker part of liver or he just saw something else. So I think that you shouldn't be worried, just have regular LFT check-ups and watch for any new symptom. Wish you good heal"
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Hello doctor,My wife just started on Pradaxa (blood thinner) a week back. She has an antiphospholipid antibody, but she has not had any clot before. We started seeing a couple of small bruises today in her hand without any injury. I want to know if we need to stop it. We consulted a doctor in the next couple of days but needed a second opinion on it. What would be the effect if we stop taking Pradaxa? What is the other alternative? Does she need to be on the blood thinner, even though she has not developed any clot yet? She was allergic to aspirin, so she could not take that.Lab test report says that her antiphospholipid antibodies were high and as per the hematologist, she is at high risk for a clot.
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"How was she diagnosed with APS (antiphospholipid antibody syn ChatDoctor. Now coming to your question, Pradaxa (Dabigatran), as you know, is a blood thinner, and it will predispose her to have bruises, which are mostly harmless. What you need to look for is a huge hematoma (collection of blood beneath the skin), blood in stools, and urine. If you have discussed with your doctor to continue the Pradaxa for prophylaxis of DVT (deep vein thrombosis) and PE (pulmonary embolism), then do not discontinue it, although, as I mentioned earlier it is controversial. Take care."
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"Your mother was put on blood thinners which are called anticoagulants. Commonly used anticoagulants are Heparin, Warfarin and Rivaroxaban. There is definitely wrong as your mother started to have nose bleed and hematuria. These are the adverse effect of anticoagulants and their dose need to be adjusted according to levels in blood. Rivaroxaban doesn't require monitoring of blood level but other two does. Do consider positive feedback as a credit to my work. Let me know if you have any further questions",
"I understand from your description that the clots that you have mentioned are actually bruises. Bruises usually occur after trauma. If there is no history of trauma, then these bruises could be due to disorders of platelets or disorders of coagulation factors. Thus, I suggest you to get platelet counts, coagulation tests-PT, apt along with peripheral blood smear examination. These investigations will determine the possible cause of bruising. Thanks and take care"
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I ve been having lower back pain recently, right above my hip on my right side. This is also the side where I have horseshoe kidneys. I was wondering if I should go see my doctor, or if it could be something serious.
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"If you had such pain before I would advise you to get an ultrasound scan done and meet your local urologist. Horseshoe kidneys may occasionally have some obstruction or stones and these are usually detected on ultrasound. I hope I have answered your query. I will be happy to answer any follow-up queries that you may have. Thanks"
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"Thanks for your query in Chat Doctor. I am Chat Doctor. The site and nature of your pain suggests that it may be ureteric colic, i. e. pain that occurs due to obstruction of your urinary passage, usually by a stone. I suggest you to consult your doctor, who may order an Ultrasound scan of your abdomen and PUB (Kidney/Ureter and Bladder). This will pick up even small stone(s) if present, and will be helpful in excluding other common causes of your pain. If confirmed, treatment of kidney stone disease will be based on the size and site of it. In the meantime, I suggest you to take plenty of water. This helps you to flush your urinary passages and clear it off of pathogens.",
"Forum. You mentioned that pain is on the left side, at waist level above hip bone. This pain is in the abdomen deep-seated. However, there are so many reasons of this pain. From how many days, you are feeling this pain ? Is there urine problem ? Loss of appetite ? One of the most important points is that LIVER is on the right side so don't concern about that. Now you query is that this pain may be due to kidney trouble? I would say not, because in kidney pain usually there are burning micturition, blood in urine may be or may not be. If stone in the urinary tract system than it may be. So for this you have an X-ray K U B (involves kidney ureter, bladder). Consult a physician and get in his opinion and deal accordingly. However, urine examination may reveal some diseases, if any. Don't forget about intestine pain, as this is most common on this side. So before any diagnosis assessment is necessary by an expert through physical examination."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Suffering from headache at the back of left head for 5 days , some diarrahea and am feeling alot of anxiety. had bloods tests and chest x-ray done 2 days ago, but headache is still there and am getting more anxious, also I have a CTscan appt.for the morning. Could this be a Brain Tumour..?
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"I am Chat Doctor. I have read your message. I think I can help you. First, I don't think this is brain tumor. The brain tumor patients do have headache and vomiting. But it is for a long time, not for 5 days. So try to relax. That itself may reduce your headache. The way you have described the headache, one-sided, probably pulsatile is suggestive of a migraine. This may be associated with a feeling of apprehension or anxiety. And loose stools do occur with migraine. However, a CT scan is still needed. It would be prudent to talk about therapy after scan especially since you have it soon. Meanwhile, take some painkillers and antiemetic. A simple Pantoprazole with paracetamol may help you for the time being. I have tried to make it as simple as possible. Feel free to contact me for further clarification on any poin"
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"Headache in the back side of the head is not a special symptom, related mainly to muscular contractions in this region. But the most concerning thing is the progressive aggravation, the bleeding nose and the troubles with your vision. I would recommend you to consult with a neurologist, have a good neurological examination, a full blood work and a head CT scan, to rule out any possible lesions inside the brain, like an intracranial hemorrhage e",
"If the size is large it will rise the intracranial pressure. You will get severe headache and vomiting. The physical symptoms totally depend upon the location and size again. Bleeding from nose not necessarily from brain tumor. Fatigue and trouble in concentrating may be due to your over stressful condition or hypoglycemia condition if you don't take meal at times. Gas problems depend upon your type of foods, time of meals and if taking any medication. . Depresion and anxiety is the cause of palpitation. Anxiety also one cause of shortness of breath and anemia also one cause. So all the symptoms what you are telling not necessarily of brain tumor. The brain tumor can only be confirmed by CT scan or MRI of brain. All your symptoms can be well controlled by proper medication. If you don't have any insurance then I would suggest you start your homeopathy treatment. It will be well controlled by proper homeopathy treatment. If you would take the decision to go for homeopathy treatment then can contact me. I would be happy to bring your health back to normal condition. Contact me at multicare. homeo@yahoo. com or visit www. multicarehomeopathy"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Our 33 year old son, has been taking sodium valproate (Epilim) for several years now for night epilepsy - but also helps as a mood stabiliser. However after a very nasty burst of violent behaviour 9 months ago in the home he has finally gone to see a psychiatrist and has been taking Citalopram. Recently he ran out of his meds (though he didn t tell us) and his behaviour suddenly became angry and extremely aggressive; taking it out verbally on us all. Later he told us he needed money to purchase his meds and his behaviour is good again. Can you please comment about the need to stay compliant on prescribed medication.
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"I have noted your sons symptoms and the list of current medications. His epilepsy seems to be well controlled on Emilia (sodium valproate). He should be compliant on this medication to prevent any recurrence of seizures in the future. Regarding his mood disorder, he is on citalopram- an antidepressant and Emilia, a mood stabilizer. He needs to continue these two medications to prevent any mood disturbances. 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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"I have gone through your question in detail and I can understand what you are going through. Well, I am not sure, but the symptoms that you have stated suggest that your husband could be having a manic episode. This is accompanied by increased irritability, reduced need for sleep, doing excess work etc. So these fit into your description. He will require treatment with olanzapine and valproate. This will improve the symptoms in 2-3 weeks.",
"Anything in excess is definitely not good and so is the anger if you are feeling that it's affecting your relationship. Considering that you are aware of it, makes the job easier for yourself and the therapist to proceed further. Also, the easy irritability in the family as well as your mother suffering from OCD is something to be considered as well. Looking at all the above factors, I definitely feel that Learn (Escitalopram) 10 MGS is one of the medication of choice and I hope that it should be helping you. Simultaneously I recommend asking help from your Psychiatrist to help you with anger management skills as well, or to refer you to a trained clinical psychologist who can help you with it. I hope I have answered your query to your satisfaction and if you any more doubts regarding this or any other topic, I would be very glad to offer some help. Thank you and wish you good"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Husband diagnosed with nasopharyngeal cancer, completed his radiotherapy and chemo....but cells spread to lumbar spine and liver. Completed radiation to his lumbar spine. Doc said no cure for liver, suggest chemo but not too sure about chemo as he has been through them and find it very tiring and exhausted. Is the Nutrilite Double X supplements effective?thanks
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"Pls go through the review on website about its Disadvantages :(Disadvantages No longer available on the Nutritive website. Will not boost metabolism. Does not have an effect on weight loss. Sells for more than the average multivitamin. ) Many vitamins and minerals and as you said Nutritive Double X support a healthy immune system. BUT If the immune system is weak, for working out . nothing works for your health. Choice for using is yours . Dear, For your info, Only gulping on medicines and so-called supplements will not help cure unless your immune system is weak, due to your faulty food habits and derailed lifestyle. I suggest you to follow regimen as below to get set healthy tomorrow In fact, Your body is always fighting something -- an infection, a toxin, an allergen, a food or the stress response -- and somehow it redirects its hostile attack on your joints, your brain, your thyroid, your gut, your skin, or sometimes your whole body. Your immune system is your defense against invaders. But when the immune system becomes weak, the disease cells can grow out of control, the disease overpowers It means that a low cellular oxygenation level in newly-formed cells are actually going to turn cancerous"
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". In my opinion physiotherapy, spinal stretching and straightening exercises with hot gentle massaging with topical anti-inflammatory gels is very helpful, B12 vitamin supplements, muscle relaxants and painkillers like Tylenol tabs when needed is effective in most of the cases. In chronic patients steroid injections and gabapentin or pregabalin are prescribed for 6 consecutive months if failed I recommend further investigations like MRI and follow them with you neurosurgeon for better evaluation and management if it requires further endoscopic or surgical interventions. 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",
"Gulping on medicines will not help total cure if regular regimen is not followed. Proper nutrition is an integral part of a healthy immune system if we take simple, fat free nutritious diet including all essential nutrients as fiber vitamins minerals, veges, fruit antioxidants as lemon water with water, garlic, ginger onion -whole grain almonds, walnut AMLA, coconut water all help strengthening our immune system . and pave way for our disease free, healthy life. Avoid fried, fast foods, tea, coffee alcohol meats colas, sodas as it can cause accumulation of toxins in the body. Take good night relaxed sleep & Meditation, helps further. Keep your bowels clean. Do exercise properly / regularly, / but don't do any exercise which involve front bending, It will do more harm than good. Back bending slowly, without jerks, will give you instant relief. Stand straight keep your hands on your waist feet 2 ft apart. Bend body back gently as much as you can. Sit on the chair straight both NDS clutch at the back on the hips. Pull hands, neck, shoulders, head as much as toucan gently help recovers your back, spondylitis cervical back problems instantly. A cup of hot milk fee with a level teaspoon of turmeric or Hilarity - a herb will give relief from pain & strengthen bones."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello Doctor,I am 30 years old healthy male. Planning to get married soon. I am a virgin. I am worried about my penis size. Its 3 - 3.5 inches when erect. will i be able to lead a normal sexual life? will there be any problem satisfying my wife sexually??? I am really worried .... please clarify...
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"I can assure you there will not be any problem in your after marriage sexual life. People worry unnecessarily about the length of their penis. You must understand, even a two-inch-long erect penis can satisfy any woman across the world. That is because, woman vagina has sexual pleasure nerve endings only up to two inches. Therefore, I sincerely suggest you not to get anxious or worried about the problem. Please marry with confidence and have passion and love with your wife. 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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"I suggest you not to worry much. There is nothing wrong in masturbating after marriage and there is no health issues. The pleasure arising out of masturbation and sexual intercourse are different and varying. So many people alternate between these two just to have the varying pleasure. If you have any sexological questions, post direct question to me in this website and am most happy to give effective treatment.",
"Please understand, masturbation is natural and normal. Masturbation cannot harm your health, sexual ability, or it cannot reduce your penis size. Your back pain, weakness are not attributed to masturbation habit. Hand shivering and legs shivering are not due to masturbation habit, but are due to apprehension and anxiety. Your penis size is 5 inches erect. Average male penis size is 4. 5 inches. Even a 2-inch erect penis size will be able to satisfy any woman across the world. You're all this trouble are due to lack of knowledge about sex, sexual organs and procedure. Premature ejaculation is also due to the anxiety and obsession arose out of wrong knowledge. I suggest you to consult a psychologist online or in person for counseling sessions. If you still need my assistance in this regard, please use this link. http://goo. gl/aYW2pR. Please remember to describe the whole problem with full detail."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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i m 45 year old male, suffering from high bp, sugar nd liver enlargement nd hiper thyroid but now days normal i m taking the medicine ( 1)- nebicard h 1 time (2) glimisave m 1 forte 2 times (3) nexcito 10 at night (4) thyroxin 100 mg 1 time morning
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"Wel come to Chat Doctor, I understand your concern about treatment which you are taking for high B. P. , Diabetes, hyper thyroid & liver enlargement. Tab. Medicare H is a very good Chat Doctor. p. control & Tab. Eliminate M is also a nice medicine for blood sugar control but subject to that, You should check up your b. p. once or twice in a week & also check up of your blood sugar both--Fasting & p. p. b. s. simultaneously you should also check up of your thyroid by doing laboratory test of---thyroid profile-T3, T4, T. S. H. at regular interval of 3 to 4 months, & also you should do ultrasonography (U. S. G. ) Of whole abdomen to rule out the latest status of liver enlargement. After doing all reports you can share on Chat Doctor, So that after studying the status of your health we can recommend even more suitable medicine as well as dose also. Please share following details along with the reports in follow-up discussion to understand your problem in details;1) weight2) b. p. record with 2-3 readings. 3) blood sugar reports --- f. b. s. , p. p. b. s. 4) your eating habits during the 24 hours. 5) your type of work. & any other information which ever you like to share. Please take care, Thanks"
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"iabetes, hypothyroidism may be other causes. Alcohol intake, antihypertensive, antidepressants may aggravate the problem. You may take tadalafil to increase the dose under your doctor guidance. Check for Thyroid profile once again. Regular exercise, avoiding porn films may improve interest in your partner. If not improved please consult your doctor he will examine and treat you accordingly.",
"Presentation of fatty liver. Try to monitor your thyroid profile (hormone) especially TSH. you're maybe needing an increase in the thyroxine dose, and you may also be required a medication to lower cholesterol (statin Chat Doctor. Bag (if NOT vaccinated against HBV) 2. Anti Meanwhile:- also test your blood sugar level-LOOSE weight-abstinence from alcohol-FAT FREE diet - NO red meat-vegetables should be ingested daily-Moreover, less activity should be carried out (no sports), REST more. - use lemon juice (lemonade) once in a day- Adílio maybe taken (consult hepatologist/ treating physician)- Repeat Liver function test and lipid profile after 6 to 8 weeks. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited . wish you good heal"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello doctor,I am 16 years old. I have started taking a protein supplement since yesterday. I passed black stools this morning. Is this black color because of the protein powder?
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"Protein supplements do not cause black stools. Black stools, also known as melena, occur if there is bleeding in the upper gastrointestinal tract. There are chances of black stools if you take medications like Pepto-Bismol or Iron supplements. So, if you are not on Pepto-Bismol or Iron supplements and if there are persistent black stools which is sticky, bulky and offensive, then it requires immediate attention. Get an upper gastrointestinal endoscopy and share your reports."
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"The most common cause of pale stool is biliary dyskinetic is a bad passage of the bile ducts. The bile ducts carry bile from the liver and gallbladder through the pancreas to the small intestine. Child Chat Doctor. It seems he has gastroenteritis, it caused by infection. Try to follow the following guidelines:1. Nitrofurantoin 1 tablet 3 times for 7 days. 2. Darolac 1 capsule once a day for 1 month for normal intestinal flora. 3. Domstal syrup you can use for prophylaxis of vomiting. 4. Charcoal 1 tablet daily for absorption of toxins. 5. ORS6. Lozenges-sualin 1 tablet 4 times for sore throat. Start on these remedies and get back to me in 5 to 7 days. Wish your baby good heal",
"I understand your cause of concern. But I would like to reassure you since greenish stools are often normal. Greenish stools may occur when food might be moving through the large intestine too quickly, such as due to diarrhea. As a result, bile doesn't have time to break down completely. Green stool can also be caused by taking iron supplements or eating certain foods such as green leafy vegetables, green food coloring, such as in flavored Chat Doctor. Foods with dark purple coloring, such as Kool-Aid, popsicles, and gelatin (Jell-O), can also result in greenish or green stools. In case you wish to be even more certain, I insist that you consult a pediatrician"
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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 mum (77 yrs old) had her gallbladder removed in August 2011. After the surgery, she suffers from constipation. Normally, patients who dont have a gallbladder, cannot take oily stuff. But my mum take oily stuff and constipate. What could be the problem?
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"Noted your mother had removed gall bladder. And she is taking oily foods. Gall bladder having bile salts which help in lipid digestion. . . So still after removal gall bladder as she is taking oily food there is problem in digestion. It is simple in digestive problem. . . . Here she should not take fatty foods. Fruits more. . . Avocado fruit loaded with fiber so taken. Coked oatmeal help in proper digestion. Blueberries rich in vitamin C and fiber so useful. If still problem continue stool softener can give. . . Chat Doctor. . . ."
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"They have difficulty with constipation as they get older. Vomiting, intermittent diarrhea, and failure to thrive(being underweight for age) are the first signs of celiac disease. The stools are frequently fluid or mushy and pale cream to greenish-yellow. Chronic laxative use can cause constipation. A nine-year-old should not have to wear pull-ups. I am sure this affects her self-esteem. You must have her evaluated by a pediatric gastroenterologist AS SOON AS POSSIBLE!",
"Your mother-in-law has jaundice and the doctors say that she has alive tumor. There can be several types of growths or tumors of the liver. There are cysts, benign tumors and also cancerous tumors. If she has a cystic growth which is more than 5 cm. in size, they have to do surgery. Results are very good and she can recover completely. If she has growths called Adenoids, which are usually benign, if they are big, then surgery is necessary to remove it. Liver has tremendous regenerating power and a person can have half the liver removed and still lead a normal life. Cancer of the liver is more serious and it would have to be confirmed by special tests and biopsy. There are several options depending on how advanced the cancer is. Cysts and Adenoids generally do not cause jaundice unless they are near the channel or duct that carries the bile thus blocking. I cannot comment without knowing the specifics either CT-Scanor MRI, ultrasound etc. We also need to know all her blood tests to find out the liver functions. I hope she will be under care of a competent surgeon who has performed liver surgeries in the past with good results. You may have to enquirearound to find out. I really wish her the very bes"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello, Im having sharp pain in my chest right by my top rib right side. Should I worry ? I just had a blood test a few months ago and everything was perfectly fine and all 4 blood tests in 4 years have been perfectly fine. heart desease runs in the family and I smoke.
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"In my opinion sharp chest pain can be a cause of concern since it can be the presentation of a serious heart or lung disease. Your family history of heart disease should not be neglected and neither smoking history. If I was your treating doctor I would suggest doing these examinations: 1. ECG, graded exercise stress testing to exclude coronary artery disease or other cardiac cause. 2. Chest X-ray to exclude a lung problem such as pneumothorax or other lung causes. Normal results of blood test can not exclude serious causes of chest pain. I hope my opinion can be helpful. Wish you good health. Kind regards"
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"Thanks for calling Chat Doctor. Forum. You have pain on right side of abdomen below the ribs. Pain becoming worse and getting vomiting. You are using prevail for HERD, it is also not working. Sleep is disturbed with pain, you have gas and hard stools. Probably the erosion has increased, or you are using more irritant foods. Probably this is the time to change the Chat Doctor. Avoid taking more of spices, junk foods, and oily foods. I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have gastrostomy besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards",
"Here you are complaining pain in particular position esp. While turning to a side. So strong possibility is about moderate degree muscular strain. It might have occurred by heavyweight lift or during some activities. Simple analgesic taken. Take rest. Sleep in supine position. Second here Costco Chat Doctor. Ribs are tender to touch. x-ray also useful. If cough, cold, sore throat present then respiratory infections also has to be ruled out. Treat it symptomatically. If still seems serious then x-ray done for chest. CBC will also be done. If you have yellow sclera, right abdomen pain, anorexia then do your serum liver enzyme study for detecting liver pathology. Avoid stress as it can aggravate pain. I hope you will understand my concern"
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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 12 year old daughter was diagnosed with mono and she does not know how she got it. she has had fevers now for 4 days running from 100-102.5. How long is this going to last and is this condition dangerous. She does not want to eat and is tired. I am very worried!
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". . . you need not worry about this. Infectious mononucleosis is caused by a virus called ABV. This is usually a self limiting viral infection. She will get better gradually. Nothing to worry about it. She could have contracted it by aerosols from her friends at school or play areas. This might last for 7 to 14 days. Very rarely this is associated with neoplasm of the lymph nodes. But this is a very rare possibility. So do not worry"
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"There are many viruses that circulate in the community during the summer. They can cause sickness with various symptoms: -headache-sore throat- cough-vomiting-diarrhea-muscle and joint pains-loss of appetite Even if your daughter does not want to eat, it is important that she stay wealthy Chat Doctor. If she does not keep 2-3 ounces of clear fluids down, then offer sips every 5 minutes until she stops vomiting. Take her temperature to make sure she has no fever. Acetaminophen as needed for fever and muscle pains. If she is still not eating after 2 days, take her to her pediatrician.",
". . Thank you for consulting in Chat Doctor. By what you quote I feel that your kid might be having a viral illness. . . headache at the height of fever is quite common in this. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I am 45 years old and have a dull pain in my left chest from my back all the way thru my breast. I had a mammogram to rule out any breast issue and it came back clear. I have shortness of breath but not all the time. The pain was more frequent when I slowed down in the evenings, but in the last week or so it is there almost all the time. It woke me up last night and the night before. I don t have any heart disease in my family. I don t know what direction to go in and it is starting to be a problem.
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"I can understand your situation and problem. Since it is left sided chest pain, we need to rule out cardiac cause first. Your other symptoms like breathlessness and low energy in evenings with nighttime awakening can be seen in heart disease. So please get done1. ECG 2. 2D ECHO3. Stress test. If everything is normal than no need to worry much. You may have anxiety associated muscular pain. So avoid stress and anxiety. Be relax and calm. Take good painkiller and muscle relaxan"
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"I can understand your concern. Yes, musculoskeletal pain can be the cause for your chest pain. But better to rule out heart diseases first because your pain is on left side of chest. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Apply warm water pad on affected areas. Take simple painkiller and anti-inflammatory Chat Doctor. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Don't worry, inflammation will subside by this and your pain will be gone.",
"I can understand your concern. Sudden onset severe left sided chest pain is mostly seen in heart diseases. So better to get done ECG and 2d echo first. If both are negative for cardiac pathology, no need to worry about heart diseases. Possibility of lung related causes is also less because you are not having cough or fever or sore throat. But better to get done chest x-ray to rule out lung causes because you had ARDS in the past. If all these investigations are normal than possibility of muscular spasm is more. So take painkiller and muscle relaxant Chat Doctor. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright. But first rule out cardiac cause Pulmonary causes."
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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 got mixed messages on Bromelain before face fat transfer.. if I took one 500 mg bromelain but have been taking vitamin k for two weeks and about to take pharmaceutical grade vitamin k tomorrow and the day before surgery, will I still have a chance of bleeding too much?
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"However, there is no proven clinical study to support these benefits. Its common side effects include indigestion, nausea, diarrhea and abnormal uterine bleeding. Vitamin K is commonly used to reverse the bleeding caused by the blood thinner warfarin it does not prevent the abnormal uterine bleeding caused by bromelain."
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"So you should never rely on pull out technique. Now, if you are so regular in taking your contraceptive pills Microcystin 1. 5/30, you need not be worried about pregnancy due to one Chat Doctor. In fact missing up to 3 pills is permissible in one cycle without affecting the contraceptive effect. While taking the active pills only for continuous 4 months, you may get a breakthrough bleeding sometimes. You need not become panicky for that. Doubling the dose would stop such bleeding. I hope this provides you answer to your dilemm",
"495 is within normal range which means that other cause have to be sought. Sometimes oral vitamin B12 cannot be absorbed adequately, but this is not usually so with doses that equal to (or exceed) 1000 mg. If the pills you're taking are 1000 mg or more than this is supposed to suffice. Checking your vitamin B12 would be helpful to guide treatment. I hope I've helped! If you'd like more information on this subject, please let me know and I'll be glad to answe"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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i am 28 yeals old , female with total cholesterol 270 mg/dl , LDL 200 mg/dl , HDL 34 mg/dl , serum TGS 190 mg/dl . i have discovered this 6 months ago . now the total is up to 300 , LDL 250 , HDL 40 , TGS 190 . i want to get pregnant then i will take the drugs . But, would these results affect the fetus ? or should i postpone pregnancy and take the drugs to lower it first ?
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"The common medications which are used to lower cholesterol, called statins, are not safe to use during pregnancy. For one, cholesterol levels actually normally rise during pregnancy, because cholesterol is used to make a lot of the hormones and developing tissues, such as the brain, in the fetus. For that reason, many medical professionals do not recommend any woman of reproductive age to start using cholesterol-lowering medication. The other reason is that the chance at your age of your actually having a heart attack or stroke just from high cholesterol is still extremely low. At your age, the likelihood of your having problems conceiving are relatively low and the best way to have a healthy pregnancy is to be healthy before you get pregnant. So I recommend following your doctors instructions regarding cholesterol-lowering medication, and delaying pregnancy until your cholesterol is under better control. In addition to medications there may be diet and exercise recommendations that your doctor may have which will put you in a better state of health then you are right now. So in summary, high cholesterol does not affect the fetus in any negative way, and the body actually makes more cholesterol during pregnancy to provide the fetus with nutrition. However, cholesterol-lowering medication can actually harm the fetus by decreasing cholesterol levels to the point where the proper development of the fetus could be compromised. So in order to both keep the baby safe and improve your health I would recommend delaying pregnancy until after you've worked with your primary physician in order to lower your cholesterol and get your body into a healthier state to prepare for pregnancy. You should be off cholesterol-lowering medication at the time you are trying to conceive. In the long run, missing high cholesterol medication for about a year especially at your young age and if you do not have any other cardiac risk factors, will not do harm to you. I hope I was able to adequately answer your question today, and that my advice was helpful"
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"Also, you did not say if you are trying for conception with any medical aid. Hypothyroid states are better treated as conception with a defective hormone state may lead to several complications if pregnancy occurs. There is no harm in continuing medication even after conception, in fact, it is useful.",
"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. If you are regularly on oral contraceptive pills, then you need not worry about pregnancy. If you are not sure about regular intake of the pills, then you can get mornings first sample of urine tested for pregnancy as soon as you miss out on your periods. The usual pregnancy test kits are quite good at predicting the pregnancy. 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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My mom a type 2 diabetic giving insulin twice a day since last 15 yrs has been badly coughing for good 9 months after coming to apollo kolkata she was asked to undergo a bronchoscopy which states her both right and left airways and trachea are filled with creamy pus and she is diagonaised with bronchiolitis a very bad lung infection.. She is taking injection broadactam 4.5 thrice a day for 7 days. Do you think this is the remedy for her? And being a type 2 diabetic what are her chances of recovery and what precautions should she take or does she need to go for more advance tratment? Please help also suggest me best pulmonologist in kolkata im showing dr ashok sengupta and i want to change my doctor!!
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"I can understand your concern. Diabetic patients are at increased risk of bacterial, fungal and parasitic infection due to poor immunity. Lung infection is especially more common because lungs are exposed to environmental air directly. Broadbectum injection is for bacterial infection. Best treatment for lung infection should be guided according to culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. So get done repeat bronchoscopy and BAD (bronchoalveolar lavage) analysis, bronchoscopic Biopsy for further evaluation. Also get done BAD for fungal culture and anaerobic culture to diagnose fungal and uncommon bacterial infection. On the basis of these reports, she might need antifungal or other higher antibiotic with anaerobic coverage. In Kolkata, visit Elkhart hospital."
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"Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions to you:1. Were I treating you, I would ask you following questions: Do you have cough that awakes you at night more than once a week? Do you have difficulty in performing routine activities (including exercise) due to asthma symptoms? Do you need to take Stalin more than twice a week? If any above answers are \"yes\", I would suggest you daily treatment like inhaler or montelukast. 2. For relief of symptoms, I would suggest you to use albuterol (Stalin) inhaler rather than Stalin syrup whenever you have symptoms. Please be sure that albuterol or levosalbutamol are \"reliever\" type of inhalers which are used on as-and-when-needed basis and inhaled corticosteroids (such as combinable) are \"preventer\" type of inhalers which are to be used daily and regularly as suggested by your doctor. 3. In general, inhaler forms are chosen over oral tablet/syrup forms because inhalers work direct locally in lungs and start working quicker. Moreover, only a few portions from inhaled Chat Doctor. Local side effects are more common. 4. Common side effects of combinable are local - throat irritation, oral thrush, change in voice, and they can be minimized by rinsing the mouth after use of inhaler. As mentioned above, generalized side effects with inhalers are uncommon and can occur with long term use with high dosages. Generalized side effects of corticosteroids are gastritis, hypertension, diabetes, cataract, glaucoma, etc. and of formoterol (one of the components of combinable) are increased heart beats, tremors etc. But they are rarely seen with proper use.",
"I just got your concern. It is like a typical viral infection. Give more water, liquid, and homemade food. If she has a fever when measured with a thermometer kindly make a note of it. If her temperature is more than 100 Fahrenheit, give Paracetamol syrup with a dose of 15 mg per kg. Keep a gap of minimum six hours in between two treatments. For diarrhea, you can give ORS (oral rehy ChatDoctor. Is she pointing her belly and complaining that it is hurting it is possible then maybe some spasm? You can give Dicyclomine syrup. For cold and runny nose you can give Cetirizine syrup 2. 5 mg one time a day. Look for breathing if she is having more cough and breathing then please visit the nearby pediatrician. If she is looking dull, not taking anything from the mouth and sleepy, then please go to the pediatrician. Stool routine. Dysentery. Viral gastroenteritis. Oral rehy"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I am a 43 year old male with a medical history of essential hypertension for the last 8 years. initially i was given amlodipine 10 mg and a diuratic tablet almost for 4 years and my BP remained around 140/90-100. Now for the last one year i am on Losartan potassium 50 mg with amlodipine 5 mg a single tablet a day after breakfast and it keeps my BP around 130/90. I get my Lipid profile , KFT, etc regularly done and it happens to be normal. I am a non smoker and a moderate alcoholic and do a moderate exercise. Now i want to know how long shall I keep myself on the same drug , how safe is it , and what shall i do further? My height is 5.6 Weight is 69 kg and am highly sexually active .
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"Also, it has been able to control your blood pressure well as per the reading you have mentioned. As you have essential hypertension, In high probability you would require lifelong medication to not just control the blood pressure but prevent any heart, kidney or brain related complications because of high blood pressure. The above medication is well tolerated with negligible side effects in an individual. The list is available on free net source. Neither losartan nor amlodipine would affect your sex life. So do continue the medication, Decrease salt in your diet, stay active and continue monitoring of risk factors and Co morbidity. Wishing you Good heal"
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"You should undergo test like kidney function test, 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. If your blood pressure is persistently above 140/90 then you will need treatment like tab Telmisartan 40 mg or amlodipine 5 mg etc. 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. Get your lipid profile and sugars tested once",
"In fact, it's a high reading. No need to worry about BP. She will need BP lowering medicines. Don't worry about lowering BP readings. Monitor blood pressure and if it remains above 140 then needs treatment. Avoid fatty, oily and high calorie diet, and low salt diet. Regular exercises like walking, according to patient capacity at 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 be abdominal fat deposition or obesity. Regarding medicines, you can ask local for tab Amlodipine. This nausea feeling could be gastritis. Avoid spicy foods. Also maintain sleep habits regular. Have some walk after meals instead of taking rest immediately. She can take acid suppressant like tab pantoprazole before breakfast."
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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 year old daughter has a persistent cough which is keeping her awake at night. During the day we have sprayed with a saline nasal spray which seems to be loosening the mucus and allowing it to be discharged through the nose when sneezing. We do have a neublizer at home and Duolin for our 5 year old son. Would it be appropriate to give this to her? If not what can we do to make it easier for her to have a peaceful sleep? We have had her at the Dr twice in the last 2 weeks. First time she had a viral infection and had a course of anti-biotics. Second time she was running a high temperature and the Dr said that she had full blown flu, prescribed rinex and pain medication. Has started vomiting and dirohea since.
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"!! Persistent cough in your 3-year-old daughter could be due to asthma / any viral infection. So get tested for swine flu to be on the safer side. Can use Syrup Ambrosia LS three times a day and lozenges for smoothening effect. Duolin nebulization is only indicated if there is wheezing problem in her lungs like asthmatics. So if persisting, it's better to visit pediatric pulmonologist for further evaluation and management. Thank you, have a nice day"
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"Start by giving her Syrup Absolute S 4 ml thrice a day for 5 days. Continue giving her nebulizations with Stalin solution. Start a course of antibiotic in form of Syrup Augmenting if she runs fever or her condition deteriorates. Give her a course of Syrup Kindred(5 mg/5ml) 5 mg twice a day for 3-5 days. This should reduce her congestion. Continue to put position nasal Chat Doctor. Thanks and regards",
"Your 3-year-old daughter having cough, running nose and block nose. And you're giving her syrup Ventolin. If I was your treating pediatrician, I would add t mini in your treatment. T mini will give relief in running nose and block nose and cough. If you have syrup t mini then give 3. 5 ml per dose thrice a day and if you have T mini Chat Doctor. 7 ml per dose thrice daily. This illness appears to be viral"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Gd afternoon doctor. Our 6 month daughter was diagnosed with UTI yesterday with about 15-12 pus cells count. They have started with Advent antibiotics (Cipla) and have given urine for a culture. Trust it is going in the right direction? Is that pus cell count a very very bad one? We, being first time parent, are very worried - espceially with the fever that keeps coming and going for the last 6-7 days.
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"12-15 pus cells in urine are considered to be mildly elevated. Severe cases come with >100 pus cells/HP too. Sometimes we report such a high number as too numerous to count. The protocol says to give a urine culture right away and start the antibiotic after that. Once the culture report is received 48-72 hours later, the antibiotic can be changed if need be. UTI is a common cause of fever with chills and rigors. Kindly get her investigated thoroughly in case the UTI keeps recurring. One time episode is nothing to worry abou"
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"I have seen your semen analysis report and the following is my opinion: Pus cell count (units not given) appears to be high. If the unit is 4-6 cells/hpf counted in the semen analysis chamber, it comes to 1-1. 5 million cells/mL. High pus cells in semen may indicate infection. The simplest way to check infection is to do one semen culture test. If any offending organism is found, you need to take antibiotics (according to sensitivity report) for three to six weeks. Kindly do not take antibiotics if streptococcus or staphylococcus are found, as these are mostly contaminants and rarely cause semen infection. The volume of semen is a little high. High volume increases chances of all semen coming out after intercourse, but should not be a cause of concern. Coming to your problem of infertility: For pregnancy to occur, apart from normal semen, your wife\\s regular ovulation and open tubes are required. Has your wife undergone any evaluation? If yes, you can get back to me with reports for further advice.",
". . . . . . your child was having sinus infection then he took two types of antibiotics that may lead to bacterial resistance of antibiotics as administration of different types of antibiotics causes the bacteria to accommodate and get resistance. . . . . . . . . . . may be your child have another bacterial infection rather than sinusitis and not treated. . . . . . . . . simply you should do urinalysis test for him to investigate if there is urinary tract infection or not . . . . also you should do tidal test to indicate if there is typhoid disease that causes recurrent fever. . . another test to do is blood culture test . . . . low grade fever reappears means that there is bacterial infection that is not diagnosed until now . . . . doing these three simple tests will help a lot and try to see your doctor infectious disease specialist or pediatrician. . . . . . . . . . . also you should notice your child if he has any troubles rather than fever such as changing urine color or diarrhea or constipation or any rash appears on him, and please send to us about that. . . we can help reach diagnosis . . . . . . . . and any abnormal symptom you notice will lead us to the correct way of diagnosis and treatment. . . . . . . . . . . . ."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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I am sleepless from the last month after i broke up with my boyfriend. I am just hating myself and dont want to live anymore. Just feel like different voices always echo in my ears and dont feel like talking to my friends and family. Tell me a painless method of suicide
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"Thanks for your query. I understand that you are going through a very difficult time and are feeling hopeless and suicidal. From the description of your problem, it appears that you are going through a depressive phase. This is what is making you feel dejected, hopeless and not worth living. Since you are having such severe depressive thoughts and suicidal ideation, I would suggest that you speak to someone immediately about this. You can share your feelings with a close friend or relative or can even call the suicide helpline in your place. Even though things seem very hopeless and negative, I'm sure that with professional help you will be able to overcome this depressive phase soon. There is help available in the form of anti-depressant medication and counselling which can mitigate your symptoms. So, please don't hesitate to seek professional help immediately. Wish you all the bes"
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"I understand that this must be a very stressful time for you after the recent death of your brother. From the description of your symptoms, it appears that you are suffering from an Adjustment disorder - with predominantly anxiety symptoms. I would like to give you the following suggestions to handle your steps and anxiety problems:- Practicing relaxation techniques like yoga, meditation, deep breathing, etc. can help relieve stress. - Ensure that you get 7 - 8 hours of continuous sleep every day. - Avoid alcohol, smoking or any other substances as they all have been associated with many psychiatric disorders, including depression. - Develop a strong social and spiritual support system. Have friends / relatives who you can trust and talk to regularly, keep up with social and religious activities frequently. - Keep your mind always active and engaged - finding a new hobby, spending time with nature, doing tasks which you enjoy, etc. will all help in avoiding depressive thoughts. - Last, but not the least, seek help early: when you feel low in mood or feeling depressed or having difficulty in managing your stress, please don't hesitate to seek help immediately. Early intervention by means of counselling or sometimes medication can prevent you from going into a major depressive episode. Wish you all the bes",
"Thank you for sharing your feelings. I would like to assure you that there is a way out and you do not have to keep feeling depressed this way. To understand this better, please consider the following: It is not in the scope of this message to discuss everything, but I would like you to think about the following questions. Irrational beliefs. Psychotherapy."
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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 am Azeem from Pakistan, My father has squamous cell carcinoma of anal canal doctors advised APR surgery for him. I want to ask that if there is any other alternative way to avoid that surgery. can I have any e-mail address to send the medical reports regarding the treatment.RegardsAzeem
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"Squamous cell carcinoma is the most common type of anal cancer and before suggesting any alternate to avoid surgery one must consider following risk/aggravating factors for the same:i. Age: Most people diagnosed with anal cancer are between age 50 and 80. [your father too must be in this age group]ii. Smoking: Smokers are about eight times more likely to develop anal cancer than nonsmokers. iii. Lowered immunity. People with diseases or conditions affecting the immune system and people who take immunosuppressive Chat Doctor. iv. since case is examined & diagnosed thus other pathologies of anal canal [anal fistula] which causes anal cancer are excluded2. People with anal cancer do have a high risk of contracting a sexually transmitted disease (STD), such as HPV [human papillomavirus]and HIV, thus anal cytology/screening is requested. 3. Squamous cell carcinomas of the anal margin are treated similarly to squamous cell carcinomas of the skin elsewhere in the body. 4. Since cancer is diagnosed, relieving symptoms [supportive care] remains an important part of cancer care since treatment will depend upon staging of the cancer i. e. size and location of tumor, spread to lymph nodes or metastasis to other parts of body. [in which no alternate treatment is fruitful]PS. You may send reports on munishsood07@gmail. com for preventive/ prophylaxis aspe"
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"I am Chat Doctor answering your query. If I were your doctor, I would like to have a clinical examination of yours followed by an ultrasound of whole abdomen to see the status of all the intro abdominal organs or any other related lumps. Apart from this, I would also go for some routine tests like a CBC, a blood sugar, serum amylase and lipase, and an LFT. A routine ECG would also be worth doing. I would also advise you to avoid any alcoholic beverages or smoking if you do. Further management would depend on the clinical findings, and investigation reports. Till then, you could go for an anti-spasmodic and a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery.",
"efinitive treatment is always surgical approach, which sometimes is supplemented with either radiotherapy or chemotherapy. There is NO OTHER ALTERNATIVE other than those mentioned. ALSO, an EARLIER DIAGNOSIS and EARLIER SURGICAL TREATMENT will definitely render more advantages. So don't delay and rush to a good cancer hospital. . . . . ."
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Hello doctor,I have had vocal paralysis over four months now from a fist fight from strikes to my throat. One doctor says it will take a year and another told me some people never recover. Will I eventually recover because I cannot speak well and it is making everything harder? Voice is raspy and breathy and takes a great effort for me. Will it eventually heal? I am a type 1 diabetic and taking medications for the same.
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"I understand your concern. You are having unilateral vocal cord palsy. As sufficient time had passed but need not worry. You should consult a good speech therapist and try a full course of speech therapy. You may get relief but if no satisfactory result comes then finally, a phonosurgeon may do thyroplasty. Thyroplasty usually gives a good result. For more information consult an ENT otolaryngologist online"
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"If it is definite diagnosis of bells palsy, long term prognosis is good and in more than 90 percent of the cases complete recovery can occur within a few months(maximum up to 1 year). If it is of few days, I suggest you to visit a neurologist so that he may prescribe you a short course of oral steroids and ensure your proper physiotherapy for facial muscles. It will increase the rate of recovery. Meanwhile, eye patching and lubricants in the affected eye will prevent corneal injuries. I hope it helps",
"10% of the population disabilities is exposed. In mild cases and more due to diabetic component than there are chances of recovery. The disease appears within one year of exposure to a degree of at least 10 percent disabling by VA's rating regulations. Take care."
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Hello, I have been on Aviane birth control for 3 months and my pharmacy said they no longer carried that generic brand so they switched it automatically to Lessina another generic form for Alesse . I didn t think anything would change in my body because Aviane and Lessina had all the same levels of everything and everyone said I should have no problems with it changing. But I have had bleeding for the past 6 days. I started the new pack of pills(Lessina) after I finished my Aviane pack and had my period during my Placebo pills and then started Lessina. I was fine for the first 5 days but then I had breakthrough bleeding which is brown and clotty. It has been going on for 6 days and ive been on this pack for 11 days. I have no started looking really pale and feel light headed and woozy. Why am I feeling this way? Is it from switching BC eventhough they have the same levels of everything?
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"Generic medications have the same active ingredients as the brand name Chat Doctor. I have seen many patients who have new side effects when changing from a brand name to a generic, or substituting one generic for another. The breakthrough bleeding with Messina may improve over time, but if you are feeling lightheaded and dizzy you should call your healthcare provider and have an examination to check for anemia or any other reasons you feel lightheaded. Unless you are bleeding very heavily (changing a soaked pad every hour) it is unlikely you have lost enough blood to become symptomatic from 6 days of breakthrough bleeding, so a medical evaluation really needs to be done for your light-headedness. In the meantime, I would also contact the doctor who prescribed you the Messina and see if you could be changed to a pill with a slightly higher dose of estrogen. The amount of estrogen is what helps to control your menstrual cycle on the pill, and you may benefit temporarily for a change in brand. Also, if your local pharmacy doesn't stock Avian, another pharmacy in your area may have it and changing pharmacies may help you to get more of the brand that works best for you. I hope I was able to answer your questions today and that my advice was helpful"
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"The erratic spotting is because of the irregular intake of birth control pills. What you do right now is finish the pack (hopefully regularly). Stopping it out cold will only worsen your spotting. Then take a break for a month, using only condoms. Once the break is over, start a fresh pack only if you intend to sincerely use the pills. Else use another method. Take care",
"If your pill is not late by more than 12 hrs then it does not lose its effect. Your history is suggestive of either some breakthrough bleeding(which is commonly seen with lower dose pills containing levonorgesterol) or some local infection. I will advise you to take 2 tablets of microgynon a day for 2 days to stop breakthrough bleeding. If your chlamydia test comes out to be positive, then you should take azithromycin 1g(both partners)."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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Hi my husband 43yrs old diabetic has had high blood sugars this evening. Just a few minutes ago his left side went tingling including his tongue. He said this tongue has a metallic taste. I took his blood pressure and it was ok & he did take some baby aspirin. Blood sugars are coming down now and the tingling feeling is diminished to both feet and shin area.
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"A diabetic patient can have tingling sensation in his body as a result of nerve damage due to high blood sugars, but the pattern of these sensations is usually chronic, symmetrical in both feet extending up to legs(sometimes up to thighs and trunk also) and both hands extending up to forearms(sometimes arms and face also). But this is usually symmetrical and chronic. In your husbands' case it appears to be a sudden episodic, sharply demarcated to one side of the body including face and tongue(which is unusual). Being of sudden onset and restricted to one side of the body followed by recovery, these sensory symptoms mandates a neurological consultation to rule out a vascular event like a transient ischemic attack or even stroke(although, sharp demarcation of sensory abnormality including face and tongue is rare in stroke). Improved and now limited symmetrically to both feet and shin area, is something I mentioned above and well explainable with diabetes. I hope it will be of help"
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"As per your query you have symptoms of metallic taste in the tongue post tooth extraction. Need not worry about it. Visit ENT specialist once and get it examined as dyslexia could be another possible cause for your condition. Go for citrus food to stimulate your taste buds. Chat Doctor. Keep brushing twice daily and use Listerine mouthwash. Do floss twice a week at least.",
"Even though your systolic blood pressure (upper number) is high too, it can be considered normal due to your age being 43 years. Your diastolic blood pressure (lower number) is surely high as your friends are pointing out, and it needs to be corrected. Normally it should be 80 mm Hg while your is about 100 mm Hg. The facial flushing and thumb numbness might be due to higher blood pressure, too. I advise you to visit your physician or cardiologist for physical examination and needful treatment to lower the blood pressure. I hope this information helps you. Thank you for choosing Chat Doctor. Take care"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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both my sons age 17mos and 4yrs developed impetigo from school about a month ago..it has since healed..however, the places where they had it on their skin started peeling..now I have noticed some of their fingernails have turned yellowish and are very weak...is this normal?
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"With such presentation in my clinic I will exclude anemia, because lack of iron can cause impetigo and weak nails, also I will consult dermatologist to exclude fungal infection. I suggest you-apply iodine or beta din to affected fingernails, it will helpful in case of fungal infection. Don't worry skin of child heals very well, because they have good blood circulation."
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"I assume that your baby is more than a week old. Most of the babies have yellow discoloration of skin and sclera during the first few days of life. This is called physiological jaundice, and it subsides on its own without any intervention. This is a normal phenomenon as a result of transition from fetal to extrauterine life. You should be aware when jaundice is a cause of concern: 1. If jaundice appears on first day of life2. If the level of bilirubin is more than 12 mg/DL. Bilirubin is the substance that causes the yellow coloration of skin. Its level can be checked with a blood test . 3. If the rise in bilirubin level is more than 5 mg/DL/hr. For this your doctor my prescribe repeated test and then plot the levels on a graph to predict the expected rise in bilirubin. 4. If direct bilirubin is more the 2 mg/DL or 20% of the total. Bilirubin is of two types physiological jaundice is due to the water insoluble indirect bilirubin so if direct component is high it means it's not physiological and should be a cause for concern. The direct and indirect breakage is given in the blood test. 5. If your baby is otherwise unwell e. g. is lethargic, is not feeding well, has fever or difficulty breathing then its not physiological jaundice because in that case your baby will be otherwise totally ok. You have asked if your baby needs incubator care. Incubators are for premature babies who can not maintain their body temperatures as they have arrived earlier, and temperature control mechanisms have not yet been established. The incubator provides specific temperature. Incubators are not used for the treatment of any type of jaundice. Phototherapy is used for that. These are specially lights that convert the indirect water insoluble bilirubin into water soluble forms that can then be excreted out through urine. As I have told high levels of direct bilirubin are a cause of concern and these need treatment with a phototherapy unit. Your doctor may prescribe phototherapy if your child has any of the criteria I have mentioned earlier, but incubator care is not needed as your baby is not premature and is at least older than a week. If you have any other questions I will be happy to answe",
". . Thank you for consulting in Chat Doctor. Skin and nail conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically."
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Hi doctor. I am Amardeep Dhamija from India. I have been having my son (age: 18yrs) treated for persistent back ache for 1 year and 4 months now. The problem was diagnosed as arising from low Vitamin D levels ( 2.80) and Vitamin B12 (below 83) levels on 02Dec 2011. He was given ARACHITOL shots and also put on D-gain. I showed him subsequently to an endocrinologist who had a liver test done (SGOT: 14) and (SGPT:14) , Serum Bilirubin (1.37) and Conjugated Bilirubin (0.52) on 18 Dec 2011. Thereafter, I took him to a very senior orthopaedic surgeon who put him on Calcium and Vitamin B12 supplements . Ever since, he has been taking them. His latest tests done on 21 Feb 2013 show Vitamin D 46.40, B12:699 , Calcium 10.00, SGOT: 34 and SGPT:69. Related to this or not, my son also was suffering from Nausea, vomitting etc for which he was prescribed antacids by an endocrinologist. These symptoms have alleviated somewhat. Query: Sorry for the lengthy background but is SGPT level of 69 something to worrry about. I should also like to mention that he is in the final year of school and preparing for exams and is under considerable stress as are other kids like him. Lifestyle: sedantary for about 2 years. Please advise regarding his liver condition and generally what he should do. His back ache is considerably reduced and is only intermittent (normaly when he sits for prolonged hours). Thanks.
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"The other apparent cause in your son could be prolonged use of painkillers which he might have taken for his persistent backache. Other reasons could be obesity, high triglyceride levels in blood or even diabetes. I advise you to get his lipid profile done. Since there is no particular for its cure, I advise following things regular exercisesStop taking any pain killersTake fresh fruits and green vegetablesAvoid junk foods like pizzas, burgers,noodles etc. and colas. Reduce weight and be in required range of BMI. Get his SGPT repeated after 3 months and if you still find it high, then consult a gastroenterologist and get tested for hepatitis markers and other relevant tests"
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"I am very sorry for your problems. You have chronic back pain. In your age group it is mainly because of osteoporosis. That is weakness of bone with decreased mineralization. It is sometimes associated with small fractures of vertebral bodies. That is very painful situation. apart from that their may be some muscle weakness or spasm. Few more serious conditions such as multiple myeloma etc. can cause back pain in your age group. You need a complete work up for all those. Osteoporosis can b treated with high dose of calcium with vitamin D supplements. You can increase the dose of your painkiller if u don't have any kidney or liver disease. Physiotherapy will also be helpful in this case. But if it is something serious you need complete work up to rule out those.",
"I feel his low vitamin B12 levels may be linked to his paleo diet, which can be deficient in legumes, nuts (which are beneficial for the heart). He need not be so fastidious about the diet, I feel and vitamin B12 can be got from dairy products, eggs, fish, and chicken. His low Vitmain D levels are almost very prevalent in Indians, and basically this can be rectified by more outdoor activity, and if need 60,000 units of D-rise once per week for six weeks. His HDL levels are low and although his LDL (bad cholesterol levels) are also low, I would recommend daily exercise (half an hour daily) to boost HDL levels. His isolated High T4 levels, mean you need to check for a thyroid goiter and possibly do a thyroid scan, but it could also be linked to high globulin levels. Isolated high globulins need work up too, possibly disorders of immunity or rare disease like multiple myeloma (possibly consult a hematologist). I hope this helps."
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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 left heel has been hurting for a couple of weeks, I suspect Achilles tendon. What should be done for it? I am not an athlete. Seems worse when I wear shoes that don t fit snugly or that allow the heel to slip. I do not wear high heels. Should I ice it? Other?
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"Understanding your concern. As per your query you have Achilles tendon injury. Well there can be many reasons for symptoms you mention in query like jumping, falling from a height or stepping into a hole. I would suggest you to keep you feet in hot water tub with Epsom salt in it, do gentle message and take proper rest. Consult orthopedic surgeon for proper examination. Doctor may order CT scan along with physical examination. Doctor may recommend muscle relaxant, anti-inflammatory or recommend physical therapy."
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"Rest, Ice application definitely help in reducing swelling during first few days after foot injury. Limb elevation on two pillows also helps in reducing swelling. If u have to participate in a wedding it is advisable to apply a pressure crêpe bandage or well fitting stockings to keep swelling under control. It is advisable not to walk excessively and avoid walking on in even surfaces during first 2 weeks after foot injury. If your pain and swelling still persists . and it hurts very time u step foot on the ground. It is best to meet an orthopedic surgeon personally and get an x Ray to rule out other injuries and sprains. all the best. regards",
"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the most common cause of pain in heel along with burning and tingling toes can be due to causes like Planter Fasciitis, Achilles Tendonitis, Bursitis, Tarsal Tunnel syn Chat Doctor. . I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and investigations like x-ray, MRI Scan, Nerve conduction studies and bone scan CA help in diagnosis and treatment can be planned accordingly. You can be advised to take anti-inflammatory painkillers like Ibuprofen. Apply a combination of analgesic and muscle relaxant gels. You can take anti-inflammatory painkillers like Ibuprofen and muscle relaxant like Chlorzoxasone. You can also be advised Steroid injection. You can be advised Physiotherapy and stretching exercises. Orthoses can be advised that can be placed inside your shoes that can help in providing extra support to heels. Avoid wearing high heals and excess exertion. You can also be advised night splints that can help in keeping your heels pointing upwards. Certain surgical procedures can be advised if conservative therapy does not work."
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hi doctor. one of my friend was suffering from serve stomach and abdominal pain . he was hospitalized and doctor injected him paracetamol IV. once his pain was little subdued certain tests were done and we came to know that he is suffering from hepatitis B. can u pls help me letting me know till now neither we nor my friend know that he was suffering from hepatitis B. Is there any scope that on injecting paracetamol iv the virus of hepatitis B got detected. is it possible .
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"It can be transmitted by needle pricks, blood transfusion and the Iv Chat Doctor. Injecting Paracetamol will not detect the hepatitis B infection. It is detected by band of lab Investigations like1. HBsAg2. Anti HBs3. Liver EnzymesThese test should be done before the confirmation of hepatitis infection in the body. Thank you"
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"But your doctor is absolutely right. Unlike hepatitis C, in hepatitis B, there is no need to take treatment if your liver function is normal and if your viral load is low. You will need additional tests to look for other markers of infection and to see if you are infective to others (Hepatitis B PCR, Antics ab, Anti HBC ab, Anti He Ab, and also for hepatitis C). Based on this we can categorize you as a carrier or as someone who has cleared the virus. Most people will clear the virus by themselves without any treatment. Only a minority become chronic carriers and only a minority in them will develop cirrhosis at a later stage. Hepatitis B only needs treatment if the viral load is very high or if the liver is being damaged as evident from blood tests. In the meantime, I would advise you to take precautions against spreading the virus (avoid contact with body fluids). I hope this helped, and I hope you feel better soon. Please do not hesitate to contact me for further details - rxxsuresh@gmail",
". . You have told before 3 month hepatitis c diagnosed. . . Let me know you that hepatitis c is viral infection of liver by HCV virus. . . . It can lead acute hepatitis that can present with omitting. Abdominal pain, anorexia etc. with jaundice. . . Depending on immunity and other factors patient can get converted into chronic case or carrier. . . Chance of chronic infection is more with hepatitis c virus. . . So you can confirm your HCV status by ELISA or Molecular methods like RIBS or PCR. . . In carrier or chronic case patient might be asymptomatic. . . . If you have hepatitis c confirmed regular follow up needed. . . For that low fat diet taken. . . Non veg and junk foods less. . . Fruits more with green leafy vegetables. . . . One tsp licorice with honey useful. . . If chronic active hepatitis decided by HCV RNA marker then antiviral Chat Doctor. ."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello Sir,Befor 40 hours somthing bited me when I was sleeping on floor. I was feeling burning on my hand so I looked at that and there were two holes like some thing bited me. Now after 40 hours, my head and eye are becomming heavy. how should I conclude what byted me. Is there any chance of snake bite?
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"I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. Since you can breathe and there in, so problems like bleeding there is no chance even if the bite is a snake bit might be poisonous. So no need to worry. The complaint you are telling can arise due to fear that I may be a snake bite also. If it is a snake bite you can find the fang marks at the sit of bit. There will be inflammation or bleeding at the site of bite. Also in your upper part of thigh and groin there will be painful swelling. to be for sure you can n consult a doctor and take a blood test and see."
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"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",
"They just causes red spots, rashes,mild itching, erythema over the bitten area. You first wash that area with soap and water then apply cold compression or ice pack over bitten area. Apply thrombophob ointment to reduce pain and inflammation or take medications like ibuprofen, diclofenac, serratiopeptidase etc. The symptoms will be subsided within 24 hours, if there is persistent pain, nausea, vomiting, breathing difficulty then immediately consult your doctor. Thanks"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I recently had some blood work done because of visit to the ER for chest pain, heaviness. My platelet count was low, it was 90, 2 weeks later I had another blood test and it was 50. My WBC and RBC is normal. who should I see for this, my family doctor or a blood specialist? What are the most important things I should tell my doctor about my lifestyle and symptoms?
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"In my opinion you should consult blood specialist (hematologist). As your platelets are decreasing. Causes of these are1. Viral infection like dengue2. Hemolysis3. Liver disorder4. Disorder of platelets itself 5. Malignancies consult hematologist. About your chest pain and heaviness in chest, I advise you to get done ECG and 2D Echo to rule out cardiac causes"
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"I am Chat Doctor answering your query. You have not mentioned if there was any history of trauma to the area. Presuming that there is no history of trauma, and you are not under any medications like aspirin, if I were your treating doctor, after clinically examining you in detail, I would go for some investigations like a complete blood count including platelets, ESR, Blood sugar as routine and a clotting profile. Further management would depend on the clinical diagnosis and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery.",
"Thus, both of the above-mentioned causes of low platelet has to be managed. You need to consult your hematologist for clinical assessment and relevant investigations. Investigations will help to determine the cause of low platelet counts and thus treatment. Thanks and take care"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I am 73 woman diagnosed with high bp; doctor prescribed lisinophil (water) 12.5 and 50 mg er metopholol. Have taken for about 2 months; about 3 weeks ago started having palpitaions during the night with irregular heart beats; some nites kept me awake; the palpitations happening sometimes during daytimes. Last few nights the palpitations and irregular heartbeats have come not as bad but I want to get off this metropolol for tiredness and low bp readings 90/60 110/70 106/66, etc. Have to take this pill for two more nights before I can see the doctor and am feeling very scared for the palpitations and irregular beats at night about 20-30 min after I take the pill... help.
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"Blood pressure falls during these episodes and one can have dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Is there any stress or anxiety associated, as it can lead to palpitations. Also, Rather than stopping, metoprolol dose can be decreased to 25 mg or better option, you can ask to decrease the dose of lisinopril. Stopping metoprolol can cause increase in palpitations. The decision will be taken after seeing the ECG, as what the cause of palpitations and all. If BP goes down, you can have salt and sugar water whenever needed basis"
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"I want to know -1) Your age, gender. 2) Family history of high BP. 3) Any associated conditions like diabetes, high cholesterol, heart disease. 4) Height and weight (BMI). 5) Habits like smoking, alcohol. These medicines are usually safe and can be used for longer duration unless side effects develop. You should understand that your doctor has prescribed this medication because he or she has judged that the benefit by using them is greater than the risk of side effects. Serious side effects rarely occur with these Chat Doctor. You should know about side effects of these medicines. Concor (Bisoprolol):1) Tiredness, slow heartbeat, fainting and dizziness may occur. 2) It may reduce blood flow to your hands and feet, causing them to feel cold. Smoking may worsen this effect. 3) Mood change may occur. 4) It may aggravate asthma if present. 5) It may mask the symptoms and signs of hypoglycemia (low blood sugar level) in diabetic patients on treatment. Amlor (Amlodipine)Dizziness, light headdress, swelling over feet or flushing may occur. Other important factors that may help you - 1) Salt restricted diet. 2) Intake of fruits and green leafy vegetables. 3) Regular checking of blood pressure, lipid profile, blood sugar levels and keep them under control. In conditions like Diabetes, heart diseases other medicines can be preferred because of their specific beneficial actions other than lowering blood pressure",
"Proposed Xl-25 (metoprolol) is a heart selective beta blocker commonly prescribed to treat hypertension. As long as your blood pressure is controlled you may continue to use it as prescribed by your doctor. Its common side effects on prolonged use include decreased heart rate, fatigue, difficulty in breathing (more common in patients with bronchial asthma), mood changes, and erectile dysfunction (impotency)."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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dialogue
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Hello,I am a 25-yr old Iranian guy who was diagnosed with Hepatitis A a month ago,my clinical symptoms are much better now.Today I got my 3rd Blood test of this month,and I noticed that my WBC count was 4300,my second blood test which was 12 days ago,my WBC count was above 6000 and my first blood test which was a month ago when I was suffering from jaundice and other clinical sysmptoms of Hepatitis A ,my WBC count was 9200.I am wondering why there has been such a decrease in WBC count within a month?My liver enzymes along with my total bilirubin have been improved so much in my 3rd blood test.
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"Noted you have acute hepatitis A. So in acute infection total count is usually high. With reversion of hepatitis your count is decreasing so that is good sign. Your enzymes and bilirubin also coming down so overall you are in recovery phase. Normal adult WBC is within 4000 to 12000. So you have normal count don't worry. Just repeat it after one month. If it is still low then we will do further work up. Until that enjoy and take care in dietary habit for few days."
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"It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines etc. In your case, it is most probably related to history of hepatitis. You need few more investigations like random blood sugar(RBS), renal function test(RFT), lipid profile, GGT level, viral markers, urine RE/ME, ultrasound of abdomen. Liver biopsy can be done if needed. In my practice, for patients like you, I suggest tablet Ursodeoxycholic acid 300 mg twice daily for three months more. It will help in regeneration of liver cells. You may need more Chat Doctor. You should avoid red meat and high fat milk products. You should avoid fried and junk food and avoid alcohol if you take it. Get well soon.",
"Jaundice can be caused by a variety of reasons including infections, alcohol, some blood diseases and also metabolic diseases. The cause of the jaundice also varies with different age groups. Hepatitis due to viral infections are very common. Among the viral infections, Hepatitis A and E are transmitted by contaminated food and water. Hepatitis B, C and D are transmitted by contaminated blood and body fluids. The good thing about hepatitis A and E are they cause a self limiting form of hepatitis in the majority of people. It causes a brief period of fever, nausea, vomiting and maybe GI upset with the jaundice, but it goes away spontaneously without any treatment. In a small minority of people (like in pregnant women) these can cause a severe fulminant liver failure. Once the liver gets damaged, the enzymes stored in the liver cell gets released into the blood and this will lead to an increase in the levels. The GOT and SGPT levels go up for the same reason. A decrease in the level of enzymes reflect improvement in the liver status. Regarding treatment of hepatitis A, I am not knowledgeable in ayurvedic system of medicine. So I cannot guide you regarding ayurvedic medicines, but there are a lot of liver protective supplements available in the allopathic (\"English\") system of medicine and I would advise you to take those. As long as you avoid fatty foods during your acute phase of jaundice, salt intake should be of no concern."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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5 weeks and 1 day out from partial hip replacement, wound/incision on side of thigh isnt healing, oozing yellow pus. now doctor is cutting off all antibiotics to see if they can finally get a positive bacteria sample (previous two cleanouts / tests showed no infections. what to do? othro wants to wait 10-14 days and go back in again. is this superficial or deep tissue infection? allergic reaction to partial hip replacement hardware, slow healing due to compromised immune system? she also has feltys syndrome.
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"Thanks for writing to us. After a partial hip replacement, the discharge like you are having can be due to an active bacterial infection in the area or a reactive fluid from the joint due to inflammation. You need to get the fluid cultured for proper diagnosis. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit. ly/"
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"PET scan will be useful now to establish the nature of pathology. You need to find reason for loosening after the total hip replacement surgery, I suggest you to consult another Orthopedic surgeon (preferably a Joint replacement surgeon who has not done your surgery) for a detailed examination, workup and further management depending upon the nature of pathology. Yes it's not emergency, you need to find cause and then treat it proper planning and proper choice of prosthesis.",
"ear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query your current health issues seem to be related to your pectoral muscles and ? Intercostal muscles. Or it could be HERD with heart burn / or could be from Hepatitis, or could be Tate costo-chon Chat Doctor. With duration of just few days and muscle spasms for 10-15 secs occurring few times in an hour, it seems more of Musculoskeletal pain. Though I don't know your age and built/ weight, I have opined on your complained facts. But I would suggest you to have physical check with Your Specialist Physician and get the ECG done. Dos-Get Hot fomentation, Voltaren Gel locally Motrin and Tylenol- x 1 x 2 times a day for 5 days to control the muscle sprain. If no relief-Recheck with physician-doctor and Add PPI(proton pump inhibitors)- E-Pento-D-1 tab x 2 times a day x 2 -4 weeks. Recheck with the physician to revise the treatment. Your Physician-doctor would be doing all that is needed to treat your current health issues. At the most You can think of Second opinion of Cardiologist to check if you are being treated on right lines. Constant followup with local family or specialist Physician-for long term would give you long remissions in time to come, which would depend on meticulous followup treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Need to Check with Consulting Physician if things don't recover. For early recovery-please follow above dos which would resolve your complex health issues."
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I was told by another doctor - not my own - that it sounded like my asthma was misdiagnosed. When I was 4 I had Bronchitis/pneumonia (not sure exactly which one) and my doctor told my mom and I that all it was was a little infection. But my mom kept on insisting I had asthma, which made the doctor ask me questions that my mom insisted were true although when I was asked them later the answers we always no . I haven t had any problems with my asthma since I was 9- when I sold my cat. I can run 4 miles without an issue, I am never short of breath, I had an inhaler but it never helped or anything; but if a cat gets in my face my eyes get itchy & I feel swollen almost I Have no problems with any other allergies, I am rarely ever sick, and I have no problems nor have I ever that are typically associated with asthma. When I explained this to a doctor I came across while at a restaurant, they said it sounded like I had a cat allergy, not asthma. Would you say I do have asthma or that it s more likely i just have a cat allergy?
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"I went through your history and would like to make suggestions for you as follows:1. Asthma is a very broad diagnosis, it is not a single disease, it has many types. By knowing details about symptoms, it is only possible to judge (judgement vary from doctor to doctor) a diagnosis. 2. Diagnosis of asthma can be reliably made by a test known as \"spirometry with post-bronchodilator testing\". So, I would suggest you to discuss need of the test if diagnosis of asthma is a concern. 3. From your history, I would think of cat allergy, which can be also confirmed by allergy testing for cat proteins. 4. However, I would like to mention here that asthma itself can be manifestation of allergies and one can have asthma due to cat allergy. So, if diagnosis is a concern, both of the above suggested tests will help you so as a consultation with an Allergist-Immunologist. My personal opinion, may be cat allergy, which caused asthmatic symptoms in your childhood but now causing eye symptoms."
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"I went through your history and would like to make suggestions for you as follows:1. If this is your first episode of wheezing/breathing difficulty, then you should not worry about asthma at present. It could be a bronchitis or pneumonia due to infection also. 2. If you have such episodes in the past, it could be asthma or some other lung disorder. 3. I usually suggest my such patients' spirometry with post-bronchodilator reversibility testing which is useful to diagnose asthma and other lung disorders and also measures lung capacity. X-ray is not very useful to diagnose or rule out asthma. 4. As you get shortness of breath after walking some distance, it should be a concern for you. I would suggest you to consult your physician and get examined to identify the possible cause. He may suggest you some tests also which may help. 5. I would like to know more about you like your age, other symptoms (if any), nose symptoms, any allergies, other medical conditions, other medications, etc. It will help to know more about you as well as to make suggestions more specifically for you.",
". . by what you quote I feel that your kid I having an allergy problem. Please do not give Brandy. It is not good at this age. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc. ?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I was on Loestrin 24 for 2 years, switched to Apri due to spotting for a year and a half, and recently restarted the Loestrin. I had a normal period the first month on the Loestrin, and took the next two packs simultaneously to miss my period for a vacation. After the 3rd pack, my period was very light, much lighter than usual, and much lighter than it was when I was on Loestrin the first time. I take my pill at the exact same time every day, by an alarm clock. Should I be worried about being pregnant?
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"In fact the chances of getting pregnant on Holstein 24 is less than 0. 03%. So do not worry about it, periods are known to get lighter when on oral contraceptive pills. You need not worry about the light periods, even though you had normal periods before when on Holstein, and they have become lighter you need not worry, the way your body is reacting to the hormonal pill may have changed with time. If you want to absolutely be sure, just do a urine pregnancy test and if its negative be rest assured and continue with the pill without worries."
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"In my opinion the spotting might be side effect of pill. The pill is 95% effective if taken within 72 hours of unprotected intercourse. If you had taken within stipulated time the chances of pregnancy are less. The pill causes hormonal imbalance leading to irregular bleeding spotting and the period might come early or late. So the spotting might be mostly the pill side effect. The implantation bleeding usually presents as spotting around the date of expected period. The first sign of pregnancy is missed period. And all the symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. Don't worry. Avoid stress. Wait and check for the period. As you have taken 2 pills there is chance of more hormonal imbalance as compared to single pill. So there might be more chances for irregularity in periods. Overall the chances of pregnancy are rare. I suggest you to restrict pill for real emergency situations and not to use frequently to avoid complications.",
"I am Chat Doctor. I appreciate your concerns. You need to take Pill again to prevent pregnancy. The tablet you took on 1st will not work for this sex on 3rd. The bleeding you had on 18th is because of the Pill. Since you have taken Pill several times in this cycle your period may be erratic for this month. It is difficult to predict when you will start the period. With the Pill you will be using again you may start your periods within 10 days. Unless you both remind yourselves of the need to use condoms, it is difficult to control such episodes. Please understand that Pill should not be used as contraception. Discuss with your doctor and use regular contraception like birth control pills as they are more effective than Pill in preventing pregnancy. I hope this is helpful. If you have further concerns, I will be happy to answer. Best wishes,"
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Hello doctor,I am having constant eye floaters, low back and hip pain, also my rib cage hurts. I feel depressed and anxious like never before. I cannot sleep at night. MRI of brain shows tiny flair. Radiologists are saying that it is nothing to worry about. What should I do?
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"Eye floaters are commonly associated with some issues with the visual field. So I would recommend consulting with an ophthalmologist to rule out any issues with your eyes. It can also be associated with migraine headaches. Low back pain and hip pain are common symptoms as well but I do not feel it is related to your eye floaters. I would recommend getting a few blood tests such as vitamin D, calcium levels, thyroid and vitamin B12. If above is negative then investigating into rheumatological causes depends on your clinical exam findings. MRI brain showing flair changes is non-specific. Take care."
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"You are having frontal lobe lesion on MRI which can explain the extreme fatigue, excessive sleep and sometimes depression like symptoms or low motivation to do any work - which may happen in some patients with similar histories. You may consult a neuropsychiatric/ behavioral neurologist in your area who can help you appropriately with medications. There are medications that can treat depression, extreme fatigue, low motivation or excessive sleep - all consequences of frontal lobe injury. Your neuropsychiatric will interview and make the right decision",
"Well you need not get depress because your x-ray is normal and it doesn't seems like a bony disorder. It may be something muscular. Maybe the weakness of back muscles. I don't have any idea about the reason for the pain. May be due to your poor posture at home or at work. You didn't mention that. So be on rest now and use the flat surface and cotton mattresses to avoid the future back problems. Hot fomentation and rest is the best home solution followed by back strengthening exercises under the supervision of Doctor of Physiotherapy"
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my husband is suffering from neurocystisiscois since 1996 .He is having convulsion and they r pretty bad .He has been put on zenretard 200mg.He is taking 700mg perday.I wanted to know that is this disease curable or shall we leave it to god.When will it be completely cured
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"I have noted your husbands symptoms. Neurocysticercosis refers to the tapeworm infection of the brain, and it is the commonest causes of seizures/epilepsy in India. Neurocysticercosis (NCC) can be easily treated with albendazole or praziquantel tablets. The improvement of infection can be seen and followed up with regular brain scans. NCC gets fully cured in a few months, however, it may take a few years in some cases. So, in your husbands case, the NCC infection would have got cured by now. In some people, after healing, NCC leaves a scar or calcification. These can also lead to seizures. Therefore, the anti-epileptic medications need to be continued for long. If you can send the MRI report of your husband, I can guide regarding his 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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"Your son-in-law has Cellulitis of scrotum . 1)Is he diabetic?2) Have you done culture and sensitivity of discharge from the wound to trace out the organisms causing this infection and antibiotics to which they are sensitive to. Please get culture done and start with appropriate antibiotics as per culture report along with anti-inflammatory medication like Diclofenac or Serropeptidase twice daily. It should get cured within 3 weeks.",
"The treatment to be continued till doctor stops it. convulsion free state of 3 to 5 yrs required before stopping the medicine please discuss with your doctor. while on treatment contraception to be taken to prevent conception. sexual relationship may be maintained taking full contraceptive measures. Any missed period to be reported to doctor without delay"
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Hi, My name is , I have a queston about the implanon . I have three kids and am thinking about having another one. How long would it take to fall pregnant after taking it out? And also i had a c-secton with my last because she was breached, she is two now, would i have to me monitored closely and have a c-section again?
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"If you plan to become pregnant after removal of device its level goes down rapidly may be with in week, and start ovulation in 4 to 6 weeks. Fertility returns to the level which was there before Implant, also depend on your age. You had C section in previous delivery, you will be required close ante natal monitoring and possibly C section again, but it is not absolute depends on various factors, your Gynecologist and Obstetrician, would be the best person to decide about that. If you decide to become mother again, wish you safe motherhood. Take care, Best of Luck"
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"You have kept it for 5 years. It is better to remove it. The effect of Implant hormone (etonorgestrel) vanishes within 7 days and within 6 weeks you regain your menstruation as previously, So the chance for pregnancy can be expected after your next period. Meanwhile, because of the long duration of keeping Implant check your pregnancy test in blood and confirm the previous pregnancy test resul",
"i-pill is a hormonal Chat Doctor. Also, its categorized as \"EMERGENCY CONTRACEPTIVE\". You have to use it only when there is protective sex by chance which could not be prevented. Your wife is taking an overdose of the pill. After taking i-pill, she should get her periods within 7 days. But you should avoid using it this frequently. There are other methods of contraception like condom, Copper T and many more long term contraceptives are now available in the market. Please visit a gynecologist and get an appropriate and convenient option selected for you two. Please note i-pill is not a usual contraceptive and has lot many side effects. It should be used only, and only in emergency"
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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 haviaving twinges or something simiilar to being hooked up to the electric current after being at the chiropractor- no pain and its during normal activity behind my left breast that radiates to my back right around the bottm of my shoulder blade- again on my left side. A little concerning to me, but I am wondering if it might just be a muslce knot in my back that is spasming??
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"I can understand your concern. Yes, possibility of muscular spasm is more. But since it is left sided chest pain associated with left shoulder and arm, better to first rule out cardiac cause for this. So get done ECG and 2d echo. If both these are normal then no need to worry about cardiac causes. Muscular spasm is likely in your case. So avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Avoid movements causing pain. Take muscle relaxant tablet. Apply warm water pad on affected areas. Gentle massage over involved region can also be helpful. Don't worry, you will be alright."
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"I read through your concern. The pain what you experience may not be due to pancreas as you feel as usually it will get referred to the right side. There is something like spasm between your intercoastal muscles that will lead to same symptoms and pain that you described, and limited movement of ribs to give rise to associated stiffness and pain in thorax and abdomen. So, I recommend you to keep icing over the painful area. ChatDoctor.",
"The pain you feel in the neck is due to muscle spasm. . . the spasm could occur due to irritation of neural structures or facet joints. . . In your case posture plays a major role in contributing to the pain. . . I suggest you tout lot if icing frequently to the back of neck. . . A rolled towel under your neck curvature. . . will help you relax well. . . The more you hold your neck in proper posture the less pain you will have. . . You can modify your work station to maintain the posture. . . Try gentle stretches like bending your neck to touch your chin to chest. . . Bend your neck sideways till you feel stretch and not pain. Hold it in that stage. . . look up to the ceiling and push chin upwards. . . Once pain comes down I would like you to start your training for upper back. . . neck. . . like retraction work for your upper back. and pushing your neck with your hands clasped and neck pushing back. . . happening simultaneously. . . ."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Can being aneamic affect your teeth? Ive got a constant pain in my teeth that stops me from eating and drinking and even breathing in through my mouth. It feels like my teeth are extremely sensitive and im sick of taking painkiller because they dnt help.
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"Read your query. Anaemia as such will not cause any pain in the teeth. The sensitivity can be because of gingivitis or abrasion or many other reasons related to teeth You can try using a desensitizing toothpaste (sensory) and use the mouth wash for a while. Visit a local dentist and get your teeth cleaned (must do)and also check all your teeth whether any tooth is causing the pain and do what is necessary."
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"If it is painful for you to eat, the culprit could be tooth decay, or a slight fracture (crack) in a tooth and have infection developed. Your dentist may advise you to take ibuprofen, acetaminophen or aspirin to dull the pain. Over-the-counter medications containing endocrine may reduce pain in the affected tooth, or surrounding gum area. To reduce discomfort from swelling, you may be advised to swish warm saltwater in your mouth periodically throughout the day. You can contact me again directly through my profile. Regards.",
". . read through your query. . . and I suggest since u told u had met dentist many times with X-ray and couldn't find reason u can meet a neurosurgeon as it can be due to some neurological origin pain. . . . . (since after taking painkiller also it's not reducing Na) some pains in the oral cavity in absence of cavities can be neurological origin. . . be cool and meet a neurosurgeon or neurophysician. hope your benefitted something from this reply"
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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 dealing with constant anxiety for almost 2 years now. First year, my anxiety level peaked and I was scared to do things like driving, meeting friends and even talking a walk outside home. Now i can do these with ease but i have constant chest discomfort and feeling of emptiness. I get intrusive thoughts that try to not live the life the fullest. I went to see a psychiatrist he said i have minor depression but definitelt should watch out for. What can be the reasons behind constant chest discomfort, stiff neck and fatigue?
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"In many cases anxiety and depression are combined. If your psychiatrist has been diagnosed you with minor depression, talk sessions can be helpful without taking medication. The reason for feeling fatigue and stiff neck that you mentioned could be sleep problem which could accompany depression as well. Talk therapy can improve that problem as well. Chest discomfort is a sign of your anxiety as you also mentioned. Practicing more about going to the social situations can definitely help. I wish you a good heal"
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"I can understand your concern. First no need to worry about major heart related diseases for your chest pain because your ECG is normal and your age (24 years) is too young for heart diseases. Sometimes, uncontrolled anxiety can also cause chest pain and chest tightness. 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. Anxiety is common cause for acid reflux disease. And your chest pain and tightness is mostly due to acid reflux. So treatment and control of anxiety is must in your case. In my opinion, you should consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolyti"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I have a question I am 6 weeks pregnant. I had my ChatDoctor level drawn and then 48 hours later I had it drawn again my numbers almost trippled within the 48 hours. However I had this done when I was 3 weeks pregnant. I have been feeling a little uncomfortable here and there on my left side however it doesnt hurt its just uncomfortable when I have to pee or have a bowel movement. My appointment with my OB/GYN isn t until next week. Could this uncomfortable feeling that I am experiencing be the corpus luteum?
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"In my opinion the uncomfortable feeling in the abdomen might not be a major problem. It might be muscular origin as muscle cramps are quite common in pregnancy. The tripling of Chat Doctor is a good sign. Nothing to worry. Avoid physical strain and intercourse. Take rest. Consider getting an ultrasound in the next appointment. Take paradox if pain is severe. Constipation might also cause similar problem so see to that the bowel movements are normal. Take adequate fluids up to 3 liters per day and healthy nutritional diet. Best regards. ."
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"Thanks for your query and an elucidated history and possibility of tubal ligations, thyroid problem and period to be related to the pains. You have a pain in the lower abdomen on both the sides. Intermittent and like a pressure. This can be due to Colitis as both sides of the colon are usually affected. This may not be due to any problem with pregnancy as you already have tubal ligation. If the thyroid tests area normal, nothing to worry about. Go for fresh thyroid tests to see if they are normal or not, if not you need to have change in the dosage. Take a mild laxative to clear the large bowel, and you probably may be alright. If required you can have additional tests of blood, urine and stool and if still not helped by the medicines get colonoscopy NAD ultrasonography done",
"Since this is your second pregnancy, if you had a normal vaginal delivery in your last issue, you will be well aware of uterine contractions. The twitching sensations you are experiencing right now are more likely to be early Braxton-Hicks movements. Fetal movements can be appreciated in later pregnancies as early as 12 weeks onward. Abdominal muscle cramps are another possibility, owing to electrolyte and mineral imbalances. A clinical evaluation and a follow-up sonogram helps solve the confusion. Please take adequate bed rest and avoid stress. Take care"
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my daughter ghazal khalid is 14 year old ,right side hemoplegic patient . she got this sickness at age of 1 and half year old . we still doing her therpy session but her right side is still effected and she is also slow learner .now we have observed that her memory is weak aswell. at that time when she got sick the doctor told us there is no such cure which can help her in brain recovery , only the phsyo therpy can help. is there any medication or treatment for this sickness ??? which can help her in her brain recovery and can improve her memory ?? we wld be realy grantful to u if u can help us in this as it has been 12 years she is suffering from this sickness.
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"Your daughter is suffering from mental subnormality and hemiplegia due to cerebral palsy. Physiotherapy to improve the muscle movements. For mental subnormality, Encephabol syrup or tablets may be tried. I can not assure that it is definitely improve the brain function. Some patients had benefit out of this medication."
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"It is unfortunate that your mother suffered a major brain stroke (hemorrhage), resulting in damage to several parts of brain. Some degree of brain injury is permanent, however, some improvement would occur. Detailed neurological examination, along with tests like EEG and PET scan can help us diagnose her current status, whether she is conscious or in vegetative state. In any case, one has to continue supportive care and wait and watch for any recovery. I hope it helps. Please get back if you require any additional information. Wishing you good health,",
"erebral atrophy refers to mild shrinkage of brain, which normally happens as one grows older. The treatment comprises administering Chat Doctor. Paracetamol is one such medication. Even atrial of hyperbaric oxygen therapy may also help significantly. You may take vitamin B12 supplements-methycobal 500 mcg once daily. You can also have physiotherapy sessions, speech therapy, regular exercises and daily walking. You will gradually recover over time, usually in a few months to one year time. I do hope that you have found something helpful, and I will be glad to answer any further query"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hello, i had abdominal pains for the past few days, it spreads to my lower back, the pain lingers for some time and then stops. After a few hours or after i eat the pains recurs. The doctors says its normal abdominal colic, and nothing to worry much. But the pain is so bad that i could not walk, sit or sleep.Please advise.
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"The abdominal pain which spreads to the lower back is due to severe colitis or PID. This is also characterized by the increase sometime after food as you have given in the history. I would advise you to take a consultation of another Doctor as these are not normal colic. You need a proper evaluation by a Doctor and a prescription based antibiotics and metronidazole and antispasmodic to get a relief of the disease as well as of the pain. Take boiled and cooled water, fresh homemade food. To avoid waterborne diseases"
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"Thanks for choosing Chat Doctor. Forum. You have got abdominal pain, it is not constant and mot in one spot. Appetite and bowel moments are normal, feel better after eating. It appears to be gastric irritation due to peptic ulcer, or irritant foods, or due to worms in the intestine. I advise you to consult a gastroenterologist, for diagnosis and treatment, You may need to have gastrostomy, besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards",
"Thanks for your query and an elucidated history. Your symptoms are related to the gastrointestinal system as you have a history of lower left pain that starts from the back, and you feel gassy and uncomfortable when you go to toilet for passing motion. I would suggest the following:First get a course of an antibiotic and metronidazole, probiotic, and you may be fine forever. IF there is no relief you can certainly go for further investigations of colonoscopy and blood, urine and stool. And get treated according to the findings"
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Thank youSquamous cells were recently discovered in a biobsy of my vagina. I had a complete hysterectomy in 2010 for uterine cancer followed up by radiation. My gyn oncology doctors nurse recently called and said the doctor isnt concerned and to come back for my regular 6 month checkup. Needless to say I am a little concerned. Cancer is cancer.
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"You have been treated by hysterectomy and radiation for uterine cancer in 2010 and recently had a vagina biopsy done as follows up. You are concerned about the presence of squamous cells in your vagina biopsy. The vagina is lined by a layer of flat cells called squamous cells. This layer of cells is also called epithelium or epithelial lining, because it is formed by epithelial cells. Any abnormal growth and multiplication of these squamous cells is an indication for cancer. In your situation, squamous cells are seen in the vagina (which is normal) and no mention it being abnormal in morphology (appearance) or mitotic activity (multiplication) is there. Your report is normal and not a cause for concern at the moment."
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"Your though is not quite correct. Cancer cells do not get from the body in such way. As the lump has appeared quite quickly some abscess or hematoma are the most probable reason. In both cases there should be pain and swelling around this lump. The best way to find out what you are dealing with is an ultrasound. Abscess and hematoma should be incised and Chat Doctor.",
"Many times' cancer cannot be completely treated by surgery alone. That is when a patient is recommended to have chemotherapy and radiation therapy. During surgery, microscopic invasion of the cancer to the surrounding areas might persist and this can cause seeding of the cancer. As a result the patient can have recurrence even though she has got hysterectomy done. It is best to suppress the cancer cells with the help of radiation and then giving chemotherapy. There might be small lymph nodes with disease spread and invisible at the moment. Treatment with chemotherapy eradicates the disease completely in early stages. Please do not worry"
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I have been experiencing a severe headache (pressure in the frontal part and temporal lobes with tension in the neck) for the last 7 days, random numbness in the chest, dizziness, nausea, and blurred/spotted vision, difficulty concentrating and numbness on the right side of my head, I am having trouble remembering normal things and OTC medications are not helping the pain. I am also having bright red blood with my stools, abdominal pain, lower back pain, frequent urination, and I generally just do not feel like myself and have bilateral ear pain. I have also been crying daily and usually content.
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"Given your symptoms of severe headache, visual changes, neck stiffness, dizziness as well as mental status changes like difficulty concentrating and remembering normal things, I am very concerned for either an infectious process like meningitis, or other potentially life-threatening causes like aneurysm subarachnoid hemorrhage. I cannot be certain what might be causing the numbness in your chest, the bloody stool, abdominal pain, back pain and frequent urination that you mentioned, but I am concerned enough given the symptoms you have listed that you may be suffering from a potentially life-threatening process. My recommendation is that you go to an emergency room without delay and seek immediate evaluation by a physician. I wish you all the best and hope my answer has been helpful to you"
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"Thanks for writing to us. The symptoms that you are having are likely to be due to soft tissue injuries. Most of the time mild painkillers and regular hot fomentation in the area helps in taking care of the symptoms. If there are any memory lapses or persistent headache then do get a scan done. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit. ly/",
"Understanding your concern. As per your query you have pressure in head, sweating and blurred vision. Well there can be many reasons for symptoms you mention in query like middle ear infection, labyrinthine, diabetes, type 2, medication reaction or side effect, transient ischemic attack, tumor or anemia. I would suggest you to consult general practitioner for proper examination. Doctor may order certain test like blood test along with taking history and check vitals. Doctor may refer you to ENT specialist for ear problem or to neurologist."
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I have a diagnosis for major depressive disorder associated with psychotic features. This condition was discovered during active duty in the army. I just recently became eligible for VA benefits and is waiting to get assigned to a primary care doctor at my local VA hospital. What might be the right medication for this condition?
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"Ideally it should be managed by a psychiatrist and I expect that your primary care doctor will refer you to one. While you are waiting for the referral, it will be better if your primary care doctor can start you on an antidepressant like Prozac, Zoloft, Learn, Effector etc. Since these medicines take around 4 to 6 weeks to show their response, the sooner these are started, the better it is. Among antipsychotics, both Zyprexa and Risperdal are good options. Best wishes"
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"By the symptoms you have stated, you probably have a viral infection. Take bed rest, plenty of oral fluids, symptomatic treatment (Paracetamol or antitussives, decongestants, analgesics, moisturizer cream, etc. ,) according to your local availability. If not decreasing with these measures or any serious problem arises, you can immediately consult nearby health center for further treatment.",
"Every psychiatrist can treat the problem you mentioned, and it is very important for you to restart the medication as soon as possible. Paranoid subtype of schizophrenia has the best prognosis among all the subtypes of schizophrenia. When your situation becomes stabilized, the dose of the medication could be lowered enough to avoid any short term side effect (like tremors, rigidity, Chat Doctor. They may even discontinue the medication in its own time. I wish you the best heal"
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is cilacar 10mg is right medicine to take in chest infection and allergy ? my age 54 wt height 64" wt 84kg i had cold &cough for few months frequently but not fever suddenly i had a problem in breathing and i had to admit in the hospital where i was given oxygen and nasal spray for 3 days .
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"I had gone through the data you have posted kindly not clear 10 mg is an antihypertensive and not for chest infection or allergy. Cilacar contains cilnidepine, a calcium channel blocker can be taken for blood pressure even during the times of chest infection. It doesn't have any side effects. Cold and cough since few months and sudden onset of breathlessness may be because of increase in chest infection."
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". . . Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Do not use cough suppressants and combination medicines at this tender age. Paracetamol can be given in the dose of 15 mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0. 25 mg/kg/dose every 12 hourly for 3 days",
". . this is not at all related to the RSV infection he had as a young kid. Sporadic cough need not be worried about, unless the kid is breathless. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. For cold, you can use Cetirizine at 0. 25 mg/kg/dose every 12 hourly for 3 days"
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hi doctor My problem is i feel depressed and my face never glows and i am underweight .and the i think this is because my father was dead when my mother was 8-months pregnant . should this going to affect my body ?and i am abnormal ,am i?? why i m too skinny and socially feared? doctor please help me.
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"Try to be happy with what u r, then only your face will glow. Father expiring during mothers pregnancy is not the reason. Every individual has a constitution, which is fixed. If you are skinny, try gym and eat well, u will definitely put on wt. It is nothing to be socially feared of. , so be happy and stay healthy. If u still want to overcome your depression, visit a psychiatris"
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"I can feel your emotional pain by the way you have described your symptoms. Do not worry, and you can gradually get better with appropriate support. How old are you? Have you discussed with your parents or family about your emotional difficulties? Do you have any close friends? Are they understanding and supportive? Some of your experiences are related to your crush is normal and part of growing up. However, your emotions are sometimes extreme, and you appear to get distressed by these experiences. You report low mood which can decrease your self-confidence, make you feel inappropriately guilty and questions your self-worth. It will get better with support and treatment. It is worrying that you are having suicidal thoughts and struggling on your own. I will strongly recommend discussing with your family so that they can know as well that you are struggling. Do regular physical exercises. It will help to lift your mood and lower your anxiety. Eat regularly, sleep well. Try progressive muscle relaxation exercises and deep breathing exercises to calm yourself. You can consult your family doctor to assess for depression and anxiety. You will benefit from counseling support. Sometimes medication to lift your mood may be needed",
"She shot herself in last month and your father has witnessed it. It was a married life of 34 years. So It's natural to have such of grief reaction. Grief reaction like low mood, crying spells, not accepting incident, de realization etc. is considered as normal to some extent. But you have mentioned that he replays the incident in his head, he is losing his mind. This is not normal. Try to talk with him and explore if there is any suicidal intention. Closely watch him and give warm supportive care. It has been about 40 days of your mothers' death, so such levels of grief are not acceptable. He may develop Post Traumatic Stress Disorder. I advise you to take him to a Psychiatrist ASAP for immediate control of his symptoms. You have mentioned that you are also feeling low to some extent. But if this is not affecting your occupational and social life then its acceptable. Try to help your father, he needs help from you"
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I have had a white/grey bump on my chest for over 6 months and it wont go away at first I thought it was a ingrown hair but I tryed to pop it and it had a little white ball like a piece of hard sand. I poped it months ago and have tryed sense but there is no more ball type thing.
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"Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Sebaceous Cysts on your chest, which was mismanaged by unskilled hoping by you. The sand like white balls you got was cheesy material whicChatDoctores out of the Sebaceous Cysts. I would suggest Excision of this Sebaceous Cyst by a Surgeon."
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"The whitish ball coming after extraction is molluscan body. Most of the time the lesions may resolve by its own, but some may remain and can become slightly larger. In these cases, once any lesion remains then there is the further possibility of more eruptions from one lesion. Therefore, in my opinion, any of the bump if remaining should be treated properly. I treat my patient with simple extraction with a needle or by Chemical Cautery or by extraction and needling. There is nothing to be worried about the same and can be very well treated. I suggest you to not pinch, pop or squeeze the area. For the redness: it appears that you have developed \"contact allergic dermatitis\" at the areas. Let me explain you elaborately. The penile skin is the thinnest skin in the body and is such a soft and thin skin that even the blood vessels are visible sometimes from our naked eye. Some redness is always present on penile skin. Adding to it the thinnest skin of the body over glans is also sensitive to the friction plus the chemicals in day to day life. All these factors also lead to the kind of problem which you are facing. Mild to moderate redness is quite common in this area because of the friction during sexual intercourse or due to masturbation also. Even the condoms are known to produce redness because of the rubber content as well as certain chemicals on the condoms as lubricants and as a fragrance.",
"Thanks for your query. Lump on the chest like a mosquito bit but have the couple of small holes in it may be due to an insect bite, and you might have scratched and caused it to appear like this. Or can be due to would be caused during accident. Also noted that you had broken left collar bone 2-3 weeks ago; if you are young this might have healed to an extent, and you can have sex with precaution to be taken by you and your boyfriend not to be harsh and pressing, there might not have any problem"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Please write your question herefor past week i get a tingling sensation under left side of chest top of rib cage. no pain just tingles 5 to 10 seconds then stops. happens more often when walking not at rest. I m a 33 yr old male. no drinking or drugging. work out about twice a week. what could be the cause?
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"In my opinion tingling which recurs off, under left of chest-top of rib cage without any supporting specific causative history in you-could be -?upcoming shingles?or old or chronic viral infection causing neural irritation/? Or could be due to the entrapment of intercostal nerves on walking with robust muscles as you do work out ? Could be due to-viral-plueritis? Or could be-epigastric hernia-popingout while talking and pressing on intercostal-nerves underneath rib cage on left side-which is more prone to compression due to the gas in stomach acting with gas in the colon, thus compressing the intercostal nerves on left more side, than on the right side where the liver volume protects the nerves."
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"In my opinion it seems muscular pain only. But as a rule in left sided chest pain we need to rule out cardiac cause first. So get done ECG SND 2D Echo to rule cardiac cause. If both of these are normal than your symptoms are most probably due to muscular pain only. So try to follow these for better symptomatic relief. 1. Avoid strenuous exercise. 2. Avoid heavy weight lifting. 3. Avoid bad postures in sleep. 4. Take painkiller and muscle relaxant. 5. Apply warm water pad on affected site. 6. Wear chest belt to avoid mobilization of affected part. 7. Avoid anxiety and stress and be relaxed and calm",
"In my opinion we need to rule out cardiac cause first for your left sided chest pain, as you are old age plus taking antihypertensive Chat Doctor. So better to rule cardiac cause. Get done ECG. If this is normal than no need to worry much for cardiac cause. I think you are having musculoskeletal cause for your chest pain. 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. Avoid movement s causing pain. 4. Start good painkiller and muscle relaxant. 5. Apply warm water pad on affected site"
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Hello doctor,Please help! I am so upset. My daughter had a seizure. She had one 7 months ago too. We thought it was syncope, but now we think it is a seizure. She had CAT scan, blood work, and EKG and all the reports are fine. We saw a neurologist, and he said everything seemed all right. He gave her an overall examination, no other tests though. This time she bit her tongue and also urinated. She got sick when we got home from emergency room too.Do we have to take her back to the neurologist? Does she have epilepsy?
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"I have gone through your daughter\\s comprehensive medical history written by you. Tongue bite and urination indicate that these episodes are seizures. The probable diagnosis would be epilepsy. Tongue bite is not seen in syncope, though urinary incontinence may be rarely observed. I suggest that she should be put on empirical antiepileptic therapy and observed for response. I wish her a good therapeutic response to medicines. Antiepileptic medicines."
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"But syncopal attack is more plausible diagnosis as your loss of consciousness was postural and is associated with lightheadedness at onset. Seizure episode usually begins suddenly with abnormal jerky movements of limbs, neck deviation, tongue bite, incontinence and unrolling of eyes. Fortunately you don't have any sucChatDoctorplains. For investigation regarding syncope you need to get you blood pressure measured, ECG of heart. For treatment, you should increase your salt and water intake, move legs before arising from bed or sitting position, leg stockings also helps. If all this measures don't help then medications may help. Avoid crowded and humid places and tight collar Chat Doctor. Consult a doctor for further evaluation. Hoping for your good heal",
"Judging from your description the episode might well have been an epileptic seizure. The cause of the seizure must be sought after with a clinical exam followed by blood tests, head CT or MRI and EEG. Afterwards it will be proceeded according to the findings of those exams and if a cause is found receive appropriate treatment if necessary. The list of possible causes is a long one, can be related to her Chat Doctor. I hope everything will work out for the best, feel free to ask further questions"
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Black specks much like pepper are coming out of my entire body. I have lyme and bartonella as well as babesia...What is this please/ I am 60 and have had lyme for several years, have a picc line and am on Clindamycin until Monday when I being Flagyl as well.
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"But sometimes black specks like pepper are coming out of in Lyme disease. I have doubts regarding the sensitivity of antibiotics you are given for Lyme disease. We usually prescribe doxycycline, cefuroxime or amoxicillin. If there are other complications also choice of antibiotics changes. So it is better you meet your doctor and ask him about antibiotics choice."
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"BV (bacterial vaginosis) is not a sexually transmitted disease. It is just an abnormal change in your normal bacterial flora. I would recommend using tablet Metronidazole 2000 mg once or you can use Clindamycin 5 % vaginal creams once for five days. That is available over the counter. Also, avoid using unnecessary antibiotics. Get your diabetes checked if you are gaining weight. Sometimes, use of probiotics is also helpful in some people. For more information consult an internal medicine physician online",
"I understand your concern and situation patients of Lyme disease have rash, called erythema migrant, is one of the hallmarks of Lyme disease. Some people develop this rash at more than one place on their bodies. Flu-like symptoms. Fever, chills, fatigue, body aches and a headache may accompany the rash. I suggest you to take rest and get tested by a physician. Take care"
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My husband has had left flank pain for 4 or 5 years, which now travels across the front of the abdomen. He also lost 40 pounds unintentionally in the last year or two. He also has fatigue, and his blood pressure is getting lower, He had an atrial septal defect (3 holes) repaired about 6 years ago and was put on blood pressure medication to slow down his heart. My husband cut the atenolol in half within the last year. He had a kidney repair 36 years ago for because of a congenital anomoly where the kidney was not draining into the ureter because the connection was too small. His kidneys have been checked (left one only functions at 20-30%) and was told they are okay. He has had a colonoscopy, x-rays, MRI, CT scan etc, and many lab works done. They cannot find anything. He looks as though he is withering away. He is 6 feet 1 inches and used to work hard to keep his weight just under 200 pounds, and he now weighs 166 pounds. It started with the abdominal pain and the other symptoms are now getting worse. Could this be some endocrine type of disorder? He had a recent AM cortisol done which was okay, but he had it repeated today. Very frustrated!! He has also had a metal-on-metal hip placed 6 years ago. It doesnt seem to bother him very much, just on and off sometimes. Could this be the metal getting into his system? My husband still feels as though there is something wrong with kidney.
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"When was his colonoscopy done ? If it was long back, then I think he should get it repeated. Was any biopsy done at that time or not ? If not, then you may discuss with your gastroenterologist for it during the repeat colonoscopy. Many times inflammatory bowel disease does not get diagnosed for a long time unless biopsy is done and this could be a reason for the weight loss and pain in abdomen. He should continue with his antihypertensive medications. If there is no blockage in the pelvi-ureteric system after the operation for kidney, then nothing much to worry from that angle, but if there is a blockage persisting, then it could also give rise to the pain in flank. It does not seem to be related to any endocrine system. You can discuss with your doctor for a CT Scan or a PET scan if nothing is conclusive based on the weight loss, which is significant. I wish your husband an early recovery"
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"Based on the Ultrasound Scan findings that you have posted I would state that your father has Cancer of kidney which has penetrated through capsule of the kidney and infiltrated in to perinephric fat with reactionary fluid being formed around spleen. The other symptoms like fever, pain in Rt side of abdomen, weakness etc. are due to generalized debility associated with cancer of kidney and do occur like with cancer of any organ.",
"Thanks for your query and an elucidated history. It looks that the symptoms of nausea, vomiting, abdominal pain indicate that your Father is suffering from severe form of Gastroenteritis and the Maximo is not working well. This has lead to the renal failure. It is good that the dialysis has helped him to get down the creatinine. Be under their treatment and I hope by this time he must have been well investigated to get an appropriate treatmen"
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Hi doctor,I am 13 weeks pregnant. I vomit almost 10 times a day. I could not focus on regular works at home. Lost 6 kg in 20 days. Is that normal? Feel moody more at times. But will having sex affect my baby?
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"If you are vomiting frequently and has lost weight, you must see your local doctor as soon as possible for IV fluids and accurate management to control the vomiting. Excessive vomiting can adversely affect the baby as well as your health. And having sex does not affect the baby\\s health."
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"The pre-cum is deposited in the vagina unknowingly. However, from your narration it is not very clear whether you have missed your period, and if so, for how many days? Vomiting can be a symptom of early pregnancy after missing a period; though, the other two symptoms you have mentioned are not characteristic of pregnancy. If you have missed your period, please get your pregnancy test done on the overnight first morning urine sample about a week after missed period; earlier the test may report false negative. Alternatively you may opt for Beta Chat Doctor test on blood 10 days after the last unprotected intercourse. I hope this provides you guidelines to resolve your query",
"Vomiting is a normal condition experienced during pregnancy. But if it is more than three to four times a day, you can take antiemetics like tablet Doxylamine 10 mg with Pyridoxine twice or thrice a day, half an hour before food for the next two to three weeks. Usually, vomiting may continue till 14 to 16 weeks of gestation. You may get them prescribed by your obstetrician. For more information consult an obstetrician and gynaecologist online"
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Hi, I m 33 weeks pregnant and was given Gertac 3 days ago for reflux. since then I ve had sharp pain in my right shoulder and chest when I swallow. When I lie down it feels like my gut is having spasms or something. When I wake in the morning I m fine and then I eat breakfast and it starts all over again. What can this be? It s very sore. Thank you for you help.
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"Many women get pain in their chest from reflux or gastritis. When your stomach starts to secrete acid, like when you eat, the pain may get worse. Acid reflux literally means that the acid from your stomach sloshes up into your esophagus, and that can cause it to spasm, which you are feeling when you lie down. Taking your German at the full adult dose (150 mg) daily will gradually help the symptoms, but I also suggest you purchase a calcium-containing antacid (like TUMS) and take two whenever you feel the spasms or pain in your shoulder. Trying to only eat upright and staying upright at least 2 hours after eating will help to reduce the reflux as well. If you always feel the pain when you lie down, try to prop yourself up on pillows, so your head is higher than the rest of your body. I hope I was able to adequately answer your question today and that my advice was helpful"
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"I can understand your concern. HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. Take proton pump inhibitors. But along with Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont worry, you will be alright.",
"I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry about cardiac cause. Substernal chest soreness is mostly due to HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning pain or soreness in central chest. So try to follow these steps for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Start proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in bed to prevent reflux. Don't worry, you will be alrig"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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Hi doc my name is nithin.iam 20 years old,weight-60kg,height-178cm.iam having trouble with increased mucus built up in my chest and head.i also have some sort of indigestion which i doubt to be due to increased mucus in my stomach.also iam suffering from alopecia areta for the last 4 years and my ayurvedic physician tells it is due to increased mucus levels in my blood.what medication should i prefer?
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"Based on your query, my opinion is as follows. 1. Increased mucus in chest could be due to exposure to dust or allergens. You need to avoid exposure to these and wear a mask when you go out. In response to dust, you body is producing increased mucus in respiratory system. 2. Indigestion is due to gastritis. You will require proton pump inhibitors to reduce gastritis. Avoid spicy foods. Eat small meals at regular times. Avoid stress. 3. Alopecia area at this age is uncommon. It could be nutritional. Improve your nutrition. Meet a trichologist once to rule out any fungal infections of hair."
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"Nose bleed and vomiting suggests pressure changes probably due to high blood pressure, so prior opting for any alternate system of medicine, check with your Doctor regarding Blood pressure measurements. 2. Avoid factors which precipitate the attacks. e. g. sleeping late, tension, starvation, chocolates, cheese, alcohol, Chat Doctor. 3. During acute attack: lie down in a dark and quiet room and give ice bag over the head. 4. Ayurveda medicines for Migraine i. e. \"ARDHAVBHEDAK\" contains plasma and Ra's [mercury] but in purified form, some safe and result oriented medicine which can be given/practiced in Migraine are:. Rub onion paste to opposite feet.",
"You have not mentioned your age. however I would advise to check your blood glucose level checked as this is a major contributor for recurrent infection. A long course antifungal medication would help. Also use antifungal soap, and keep your undergarments neat and tidy, avoid excessive sweat formation by using dusting powder, as this all would definitely add to the help. If you do not have any clarifications, you can close the discussion and rate the answe"
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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, Hi i myself have thrush and have bought vagisil but it stings when i put it on. Could i use dermol? Also myself and my husband havnt had any intercourse but he has got a thrush look cream at the end of his penis when he pulls the foreskin back he took a bath earlier and it went and i told him not to use soap so he didnt but now this cream like substance has come back! Could he also have thrush and could he also use dermol? Thank you i am 22 and my husband is 26
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"Ya your husband having candida Atlantis. For treating thrush apply fluconazole cream over affected area. If no improvement in week then start oral fluconazole. Don't wear tight under cloth. Wear clean cloth. Keep affected area clean. don't allow affected area to remain moist. Chat Doctor. Avoid sex until subside of symptoms. Still doing sex use condom. Do your husband check up for diabetes. No need of dermal. Thanks . you will surely get relief"
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"Relax and do not worry. Your husband may have phimosis or short frenulum. Is the skin over the penis head going behind the head smoothly or is it tight? If possible, pull the skin and send me images so that I can see and suggest. This may also be possible if lubrication of vagina is less causing ChatDoctor. Thanks. For more information consult a urologist online",
"You had red patches over penis, and you have been using topical antifungal cream for local application assuming it to be due fungal infection The tiny whit bumps underneath foreskin are most likely to be due to infection of foreskin. (Prostatitis)You need to consult qualified Urologist for clinical examination and get following basic tests done . 1) Swab test and culture of fluid from the bumps 2) Routine urine test. In the meanwhile start taking You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily"
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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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