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<s>[INST] Hello doctor,My wife is 13 weeks pregnant. Though she takes Doxinate tablet once a day, she still has vomiting. Also, she often gets a stomach pain which eases in five minutes. We have discussed with the gynecologist about these issues and he had suggested a full abdominal ultrasound. In the ultrasound, they found a small sludge in her gall bladder. So, the gynecologist had suggested we consult a surgeon. The surgeon recommended a surgery. If not done, he says the mother, as well as the baby, are at risk. My wife is very depressed after hearing this. He has prescribed Rablet-D and Ursodiol for 10 days. Another issue that she faced is that in the last three days, she felt a mild pain in the lower abdomen. This pain also eases by itself in 30 to 40 minutes. Though we missed discussing this with the gynecologist, the USG report shows that everything is normal. I have attached herewith the latest USG, and blood test reports. Please guide us. [/INST] Hello, Welcome to Chat Doctor forum. I have gone through the reports (attachment removed to protect patient identity). It is good that you have consulted a surgeon and arrived at a diagnosis. It is nothing to panic about. If there are any further doubts you can always consult me. For more information consult an obstetrician and gynaecologist online </s> |
<s>[INST] Hello doctor,I am a teenager. My problem is that I am having pain below my stomach and it is happening on a daily basis. I thought maybe it is happening because of masturbation. So, I stopped doing it but it is still paining. I am not taking any medication. [/INST] Hello, Welcome to Chat Doctor forum. The history you have provided is not sufficient to conclude the cause of your problem. But I will try to give some solution. Is the pain in the scrotum or in the inguinal area? Is it in the suprapubic region? If you have pain in the right inguinal, there is a possibility of ureteric colic or appendicitis or ilium or cecal pain. If you have pain in the center suprapubic, it is most commonly bladder infection. Sometimes pain around other organs may radiate here. If you have pain in the left inguinal region, it may be colitis, large bowel infection, obstruction or left ureteric colic etc. Scrotal pain like orchitis, epididymitis, torsion, varicocele etc. Consult your general surgeon and get one ultrasound of the abdomen and get treated accordingly. For more information consult an internal medicine physician online </s> |
<s>[INST] Hello doctor,I am a 33-year-old female and I am pregnant. I have a cough and runny nose for four years. I am taking Loratadine only. Kindly suggest me an antibiotic. I am currently on tablet Loratadine, tablet Aldomet and multivitamins with folic acid, and tablet Aspirin. Please help. [/INST] Hello, Welcome to Chat Doctor forum. It seems you are allergic taking Loratadine. You need to consult with your doctor. If bacterial lung infection is confirmed then you can start antibiotics. Apply Menthol Balm on the chest and shoulders to ease stiffness. Aerosol therapy can help together with multivitamins supplements. For more information consult a general medicine physician online </s> |
<s>[INST] Hi doctor,My daughter has skin lesions that started last year. They are on one side of the body. Initially, she got eczema kind small red rashes for which we applied Corticosteroid and later we observed whitish patches developing on those spots. Initially, the GP thought it could be tinea versicolor and suspected it could also be vitiligo.He referred us to a skin specialist and initially, the skin specialist thought it could be hypopigmentation and after a month, in the next appointment, she thought it could be vitiligo and started with Tacrolimus and Corticosteroid cream.Even before we started applying this Tacrolimus, we saw some repigmentation in some areas but it was slow repigmentation. We were confused as is it vitiligo or not and also as we are applying strong creams for a 6-year-old girl. Any long-term issues?We want to have a second opinion. I live in a city where it is very difficult to get skin specialist appointments. They give for every three to six months. Could you please help us in diagnosing the skin patches and treatment? I can send in the photos. I uploaded the photos:They all are on one side of the body (right side).On the hand, it started four months ago with a small white patch and gradually increased to the size and then we are seeing some repigmentation slowly very slowly to normal skin color.On the chest also, it started around the same time this year and not increased and stable.On the neck, it started early last month and it is not that whitish (like little less brownish).As said, the doctors diagnosed differently (postinflammatory hypopigmentation, tinea versicolor and finally vitiligo) so far and we are confused. Could you please look into this and help us?In all these spots, we applied Corticosteroid last year for eczema (hand, neck, chest and back) at the same spots where the white patches started and then grown big now. The only spot where we have not applied Corticosteroid but observed white patch is on the eye. We started seeing a white patch on the right eye as well from the last three weeks. [/INST] Hi, Welcome to Chat Doctor forum. I have gone through your history and clinical photographs (attachment removed to protect patient identity). From the present situation, it looks to be vitiligo. Since it is on one side of the body, it can be called as segmental vitiligo also. Tacrolimus is the right medication. Wood\s lamp examination helps to diagnose vitiligo. Yes, in some places, there is repigmentation which is a good sign. Did anyone in the family have vitiligo? Revert with more information to a cosmetologist online </s> |
<s>[INST] Hello doctor,I had shaved my pubes and hair between my anus two days ago. Few hours after shaving, I experienced severe itching, so I applied moisturizer and baby powder. But today I noticed a few red bumps and rashes around my penis and between my anus. Also, the skin on my balls has become dry and is peeling off. Please help. [/INST] Hello. Some skin types are sensitive to blades, and the reaction that you described looks like hypersensitivity of your skin to the blade. Also, it could be because of using an unclean blade. I suggest you use the Montair LC tablet Levocetirizine, Monteleukast) two times a day for three days for controlling the skin rash. Also from the next time consider using a trimmer instead of a blade. Please get back to me if you have more questions. </s> |
<s>[INST] Hello doctor,I am a 21-year-old homosexual male. I am not sexually active. However, I kissed someone for 30 minutes. He told me he was healthy. However, I am not sure of his HIV status or if he was on any medications. I suffered mild gingivitis after the event, however, I brushed an hour before. I did not have any noticeable bleeding. I am extremely worried that I could have contracted HIV from the other person\s mouth if he had gingivitis. I am so concerned I am taking a rapid HIV test tomorrow which makes the exposure four weeks old. I am on antibiotics for my gingivitis which has now cleared up. I am not sure if it was gingivitis or a throat infection as I was able to bring the tiny spectacles of blood from my throat though now it is gone. Please help. [/INST] Hello, Welcome to Chat Doctor forum. Firstly, your risk is unwarranted in this case. To the best of my knowledge, as per published literature, there is no case reported of HIV (human immunodeficiency virus) through kissing. Saliva itself has very low concentrations of HIV and also contains anti-HIV factors that prevent transmission. However, theoretically, there can be a risk if there is a presence of blood in the mouth of the other person like in the case if there is an active bleeding gums or sores or ulcers. It is good that your HIV test result at four weeks of exposure is negative. I suggest you get a confirmatory test at three months of last exposure. For more information consult an HIV AIDS specialist online </s> |
<s>[INST] Hi doctor,I am going to get married after six months. My fiance is my dad\s sister\s son. Our blood groups are the same B+. Will there be any problem to the baby? If yes, then what is the solution? [/INST] Hi. The blood group will not be a problem but, there are chances of high consanguinity. Consanguineous marriages are associated with an increased risk for congenital malformations and autosomal recessive diseases, with some resultant increased postnatal mortality in the offspring of first cousin couples. </s> |
<s>[INST] Hello doctor,I am a 22 year old female. I have always suffered from migraines. Recently, it seems like it has been getting worse. Last year, I gave birth to my son vaginally. Now, when I lay on my abdomen or even turn my head, I notice a heartbeat sound in my ear. My nurse practitioner thought it was coming from my neck and sent me for physiotherapy. And, she checked my ears, but there was no wax. Do I need physiotherapy? Should I get a referral and maybe go to a specialist? Should I be worried about a possible hearing loss? [/INST] Hello, Welcome to Chat Doctor forum. If it is a true migraine headache, you will need a preventive and abortive treatment. Also, this would decide whether you need the physiotherapy or not. For more information consult an internal medicine physician online </s> |
<s>[INST] Hello doctor,I am 52 years old and had an MRI for worsening migraines for the last six months. I have had migraines for 31 years. The finding was a few foci of T2 and 3 mm T2 prolongation within the left frontal subcortical white matter. No associated restricted diffusion or abnormal enhancement. No additional parenchymal signal abnormality. The ventricles and midline structures are of normal appearance.Impression or conclusion: Minimal left frontal chronic microvascular ischemic changes. No findings of an acute intracranial process or abnormal enhancement. What does all this mean? My neurologist said to take seizure medicine for the migraines and my brain is fine. Currently, I am taking 12.5 mg of Amitriptyline every day and Sumatriptan when needed. [/INST] Hi. See, your MRI report is normal (attachment removed to protect patient identity) and has nothing to get worried. I would like to know a few things: Revert with the asked details for a better help. For more information consult a neurologist online </s> |
<s>[INST] Hi doctor,I had an ACL meniscus repair surgery four months ago. I still have some swelling in my knee and still feel weakness in my leg. Is that normal? Can I run now? What to do? [/INST] Hello, Welcome to Chat Doctor forum. The knee swelling can even persist till six months after surgery, the more physiotherapy you do and the earlier you achieve full range of movements of the knee, the better it is and faster the swelling will reduce. Weakness can be overcome by physiotherapy again to strengthen your qua ChatDoctor. Running will depend on your physical follow up with your doctor and also will depend on your physio. Ideally, by now you should have started running but your physio and doctor will decide that as every case is different. ACL post-surgery rehabilitation. </s> |
<s>[INST] Hello doctor,My age is 27 now. When I was in 14 years old, a severe hip joint pain started and the doctor diagnosed it as septic arthritis and operated right hip joint to remove fluid. Then the pain was gone. After three years, again pain started and I was diagnosed with ankylosing spondylitis by blood examination HLA-B27 positive. From then, I am taking Saaz DS 1 gm daily from the last 10 years. Shall I continue it till lifetime or is there any alternative treatment for this? [/INST] Hi, Welcome to Chat Doctor forum. This is an autoimmune disorder which actually has no treatment. You need to take medications when there is a flare-up of the disease. In between when you have no symptoms then you can stop the ChatDoctor. You have not mentioned about your hip pain right now. You need to keep doing regular general conditioning exercises and stretching exercises to keep your body flexible otherwise this disease will affect your flexibility very fast. </s> |
<s>[INST] Hi doctor,I am just wondering if retainers can be used to realign teeth? I have had braces off for a month and have worn mine religiously but it feels like my teeth are relapsing a little bit despite this. Is this possible? Namely, my teeth before braces were not aligned properly, had spaces, and my ortho had trouble aligning them, as they are straight but going across diagonally, but we worked on this and got it better.When my braces came off, they felt straight, I was really happy. Now, it seems like my teeth are going diagonally and not aligned anymore and is causing anxiety. I want my teeth to come straight down and not be slanted. Also, can my two front teeth be improved by filing? I have already visited my ortho once to have my essix fixed, and my Hawley\s was severely tightened during that time, so I feel like contacting them just a couple of weeks later again. [/INST] Hello, Welcome to Chat Doctor forum. Once the braces are removed, you have to wear the retainers for at least eight months. You have to wear them literally all the time. Else there are high chances for relapse. And yes your front teeth can be filled using tooth colored composite restoration. You just have to visit the dentist every 30- 45 days to lightly activate the retainer. Please be careful regarding this. If the teeth relapse beyond an extent, then you probably will have to restart the treatment all over again. I hope this helps. </s> |
<s>[INST] Hello doctor,I am 34 years old, hypertensive since 18 months. A few months back, I suffered from erectile dysfunction with different groups like Amlodipine, Ramipril, Natrilix, and even Telmisartan. I am not obese and I practice three days a week. Recently, Tadalafil stopped giving an effect, while before I used to have three days of erection with one pill. [/INST] Hello, Welcome to Chat Doctor forum. Get your blood pressure regularly checked and take your medicines to keep BP under control. Get your blood sugar levels checked in order to rule out diabetes which is one of the main causes of erectile dysfunction. ChatDoctor. This will help make your erection strong. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a sexologist online </s> |
<s>[INST] Hi doctor,My weight is 80 kilograms. As per my height, my weight should be around 60 to 65 kilograms. Please suggest some tips to lose my weight. [/INST] Hi. Start your day with a half liter of warm water followed by eight to ten soaked almonds and raisins. Never start your day with tea or coffee. Then try to do simple exercises like walking or light aerobics. You have to do simple exercise for at least 45 minutes for five days a week. Eat all your meals at a set time. Eat a healthy snack in between your major meals. Choose any one among the following such as a handful of peanuts or any other raw nuts or ChatDoctor. </s> |
<s>[INST] Hello doctor,I am a 20 year old male. I have had speech difficulties since I was a kid. Now, it has progressed, and it is hard to say what I am thinking. I tend to have slow speech and thinking. Of late, it has been getting worse. I have to carefully think of what to say when I talk. I feel like my mouth cannot connect to my brain. I know exactly what I want to say, but when I actually try to say it, it comes out slow and unclear.My relationship with my dad is deteriorating due to this. I seem distant and absent. When he tries to talk to me, I find it hard to pay attention and it has caused me to be completely quiet. I find isolation to be relaxing. I hate this personality of mine because it can cause an anger outburst as I cannot express myself clearly. All this terrifies me. I am not sure if it is Asperger syndrome or because of head trauma. Please help me. I am not sure who I am anymore. I do not have a defined personality. I weigh 260 pounds. I work 50 plus hours a week. I am a very hard worker. I recently got health insurance at work. I played football for four years. I believe that I have a mental disorder and would appreciate help in identifying what it could be. [/INST] Hello, Welcome to Chat Doctor forum. I can understand your concern. So please talk to a psychiatrist for treatment of the symptoms. Take care. For more information consult a psychiatrist online </s> |
<s>[INST] Hello doctor,I took Invega for one week. It changed my nervous system and caused erectile dysfunction. My question is, will my body return to their previous state? My movement is not as fluid, and I still have mild erectile dysfunction. Has Paliperidone caused permanent damage to my nervous system? [/INST] Hello. I agree with you on the fact that this ChatDoctor. On the other hand, this adverse effect is not permanent, and it is reversible after stopping the Take care. </s> |
<s>[INST] Hi doctor,I am a 21 year old male, and I have pain in the ear from today afternoon. I do not have any liquid discharge from the ear, but the pain is increasing with passing time. At night, the pain is very intense.I can hear all voices clearly, but my ear is paining a lot. I do not understand the reason for the pain, as I have never experienced such a pain in my life. What is the reason behind this tremendous pain? Is it an emergency? Please answer as soon as possible. I have already taken steam inhalation for this, but I did not get any relief. [/INST] Hi, Welcome to Chat Doctor forum. Your ear pain is probably due to a middle ear infection with Eustachian tube blockage. Did you suffer from any nasal congestion or throat infection in the recent past? I suggest taking Paracetamol for pain and follow-up with the required information, so that I can suggest accordingly. Revert with more information to an ENT otolaryngologist online </s> |
<s>[INST] Hi doctor,I had a tooth filling done. My dentist injected anesthesia three times to get complete numbness. The numbness from the anesthesia has subsided. But I have pain inside my tooth. I suspect that the pain in my tooth is due to the drilling done in my tooth. I have a strange pain shooting from my tooth up through the cheek into my temple and sinuses. My cheek is swollen, and the pain in my cheek is a headache type pain. Is this normal after a filling? [/INST] Hi. I can understand your concern. Yes, it is painful sometimes. But it is only related to the stimulus, that means the pain at the time of chewing or due to hot or cold fluids. If the pain is continuous and interferes with your sleep cycle, you may need to revisit the dentist and get the filling removed. Sometimes the long buccal anesthesia wound gets infected and can cause pain. But in your case, the pain looks like pulpitis, and it is not usual if it continues for more than three days. Take care. </s> |
<s>[INST] Hi doctor,My daughter aged 10 years had swallowed button cell accidentally. In the x-ray, it is in the intestine. Will it come out through waste? [/INST] Hello. I can understand your concern about your daughter\s health. Yes, button cell would come with stool generally. But sometimes it get stuck at the junction of the large intestine and small intestine. In such a case, she might require a colonoscopy or surgery to remove the cell. But the possibility for such a scenario is very rare. You should give her a soft, semi-solid diet which is good in digestion and also facilitate intesine movement. </s> |
<s>[INST] Hi doctor,My baby has a fever for five days with between 101 to 103. She is 10 month old. Doctor prescribe Paracetamol, Azithral, and Meftal P. But there is no impact now. She has a fever with a cold. Please suggest. [/INST] Hello, Welcome to Chat Doctor forum. Antipyretics like Paracetamol and Meftal P (Mefenamic acid) are to be given in adequate doses to act effectively. Generally, a viral fever can last for 4 to 5 days and it can present with high-grade fever. Please let me know the weight of the child so that I can advise you exact dose. Do cold sponging of the whole body to decrease the temperature. 1.CBC.2.CRP (C-reactive protein).3.Malaria antigen test. For more information consult a paediatrician online.- </s> |
<s>[INST] Hello doctor,I am 35-yearold female and do not have children. I have two intramural fibroids of 2.5 cm in size, putting pressure on the cavity.Doctor suggested laparoscopic myomectomy along with the removal of chocolate cysts on the ovary. I want a second opinion.Is surgery necessary? How long should I wait to conceive after surgery?Is reduction of the size of tumor necessary before surgery? [/INST] Hello. I have gone through your history and understood your concern. It is better to go for surgery because it will increase the chances of pregnancy, and it is better to reduce the size of the tumor because it causes pressure on the uterine cavity. You can wait for 3 months after surgery to conceive again. Take care. </s> |
<s>[INST] Hi doctor,I have a rash or bumpy area on the base of my ring finger on the side where it touches my middle finger. That occur several days ago while I was wearing a silver ring on that finger. I have taken off the ring but the area is getting painful with irritation and it seems to be getting worse. I have used an antifungal cream on it for one day so far, but I am not sure how to tell if it is actually fungal or not. [/INST] Hi. From the picture provided (attachment removed to protect patient identity), it is most likely to be a viral infection like herpes or a contact dermatitis. These lesions are usually tiny grouped blisters and cause pain. They last for about 7-10 days and resolve spontaneously. However, they may get infected secondarily oozing pus and spreading to surrounding area. You can apply Mupirocin cream to prevent further infection. I would also suggest you to see your dermatologist as you may require oral medications to prevent complications. Herpes infection, contact dermatitis, and fungal infection is the rare possibility. Tzanck smear or pus culture can help. Herpes infection. May require oral antiviral and analgesic medications. </s> |
<s>[INST] Hello doctor,Before three days, I had a feeling in my eye that there was something in it, probably my eyelash. I tried to get it out with water, but the sensation did not go. After two days, I met a pharmacist who prescribed me an anti-allergy eye drop (containing Antazoline). I have been using it every three hours. However, the first time I used it, and then I woke up with a swollen red eye. Today is the sixth day of use, the redness has reduced, but the swelling is still there. The vision in the affected eye is now blurry along the side with a burning sensation on exposure to sunlight. [/INST] Hello. Antazoline is not a ChatDoctor. I would advise you to consult an ophthalmologist because the blurriness that you are now experiencing is more worrying than the swelling of the eyelids and redness of the eye. Please take some high-quality photos of your eye and send them. I will try and help you in the best way possible. Also, provide me with your body temperature. Take care. </s> |
<s>[INST] Hello doctor,About five days ago, my 1 and half year old baby got a high fever, about 104 F. We rushed to the doctor. On examination, he said that the baby had a severe throat infection. He prescribed antibiotics and Paracetamol. Now it has been five days, and the fever is under control only when I give her the medicine. Once it crosses the eight-hour mark, the fever is back again. I am really worried about my baby\s health. She is very cranky and crying all the time. She rejects food and water. Please suggest some treatment. [/INST] Hello. I understand that you are very concerned about your baby. Hope your baby gets well soon. Take care. For more information consult a paediatrician online </s> |
<s>[INST] Hello doctor,I have a 5-year-old with a front tooth abscess and four cavities in the back teeth. The dentist wants to put him to sleep and do at once. Is there a different or better way you do not wanna have him put to sleep? [/INST] Hello, Welcome to Chat Doctor forum. At 5 years, it should be possible to make him calm with just a nitrous oxide inhalation, if possible. If he is not cooperating, then either just give him antibiotics for a week, delay for a month or so like that. Brush twice a day. The abscess and pain will go away for a few months. Then when he is relaxed you can go ahead with treatment. Else go ahead with general anesthesia as the doctor says. For more information consult a dentist online </s> |
<s>[INST] Hello doctor,I am having testicular pain for the past about eight months. Ultrasound report is normal. Please suggest me yoga exercises and should I avoid something in my diet. [/INST] Hello. As you mentioned you have testicular pain since eight months, many reasons are there for pain, commonly due to very tight underwear or continuous compression over thigh region or more ChatDoctor. Learn the Sudarshan Kriya yoga session, which will be much more beneficial. I hope you satisfied with the answer kindly feel free to ask again. </s> |
<s>[INST] Hello doctor,I am suffering from coughing, throat infection from last week. At that time fever did not persist and also did not felt any chest pain. Two days later, I consulted with a doctor. He prescribed Cavidur 625, Montek LC, Ambrolite syrup and Betaline gargle solution. Since then throat infection improved and frequent cough also coming out. Coughing also improved remarkably though not completely. From yesterday onwards fever is occuring (maximum 100-degree Celcius). I have not come in touch with any foreign returned person nor went outside. In our state, there is no incidence of Covid-19. Please suggest what to do? [/INST] Hi. I can understand your concern. In my opinion, you should get done a chest x-ray and CBC (complete blood count). If both these are normal then no need to worry much. I hope this helps. Take care. </s> |
<s>[INST] Hi doctor,The patient is a 65 year old, hypertensive and diabetic female with T-wave inversion V1 to V6 on ECG. ECHO and TMT have done to evaluate further, which was reported to be normal. The patient is on Metformin XR and Tazloc-H. The patient is asymptomatic. Six months back, ECG did not show these changes. She is hypertensive for 15 years and diabetic for the last 10 years. What could be the cause of these changes? Please advice. [/INST] Hi. Global T-wave inversion carries a very little significance (attachment removed to protect patient identity). I would suggest repeating the ECG again in six months if the patient is asymptomatic. If otherwise, you can get a CT coronary angiography to rule out any CAD (coronary artery disease). </s> |
<s>[INST] Hello doctor,I have testicle pain on both sides (more pain felt on the right side). Sperm count is also low. What to do? [/INST] Hi. You have not mentioned your age, marital status, body weight, occupation, how long the testis pain has been there and any swelling in testis. With the available information, the answer is as follows: Kindly follow the below advice: </s> |
<s>[INST] Hello doctor,I would like an opinion on my X-ray if it shows any signs of a stress fracture in the heel. I took up running and increased it too fast.It hurts to walk on the sides of the heel. Pressing on either side of the heel hurts a lot. There is swelling but no bruising.The swelling is decreasing now but the pain is not. I want to know what I am dealing with. I cannot see the GP for another week or so. [/INST] Hi, Welcome to Chat Doctor forum. I have viewed your X-rays (attachment removed to protect patient identity) and there is no feature to suggest a stress fracture in the calcaneum bone and bones in the heel area. It is possible that you have a soft tissue or tendon abnormality which can cause you the pain in the heel area. If there is no significant improvement in the pain over the coming week, then you can discuss an MRI ankle joint scan to know about the soft tissues or any subtle bone edema in the calcaneum. This information is not available in the X-ray picture. Since your doctor is not available for a week, I suggest you decrease your running and apply a muscle relaxant spray or ointment over the hurting area. You can also apply an ice pack to decrease any inflammation in the area. For more information consult a radiologist online </s> |
<s>[INST] Hello doctor,I am a 58-year-old male. I am 180 cm in height and weigh about 85 kg. I have frequent constipation issues. I am currently on Obimet SR 500, Glimisave M1, Pinom 40 mg, Pivasta 2 mg, and Clopilet 75 mg. [/INST] Hello, Welcome to Chat Doctor forum. Would you please answer few of my following questions. How frequently do you pass stools per week? Have you felt any blood in stools? Do you feel pain in the anal area while passing stools? Have you noticed anything coming out from the anal area while passing stools? Have you noticed any loss of weight? If yes then how much? Any abdominal pain? Do you strain while defecating? Any feeling of incomplete evacuation after passing stools? Have you used any medication for constipation? Any change in ChatDoctor. Please feel free to ask anything and answer my questions. CBC (complete blood count). HbA1C (glycated hemoglobin). TSH (thyroid-stimulating hormone). Serum calcium. Digital rectal examination. Ispaghol husk two teaspoons in a glass of water every night. Polyethylene glycol sachet in a glass of water every night for two weeks. Take plenty of water. Do 20-30 minutes walk daily. </s> |
<s>[INST] Hello doctor,I am a 40 year old female. I did nuchal translucency (NT) scan at 12 weeks and 1 day. The result reads NT 1.1 mm. Free beta hCG 25.9 ng/ml. PAPP-A 0.53. My sugar levels and BP are normal. I am taking Aspirin and Enoxaparin every day. Kindly tell me about my risks. [/INST] Hello. How are you doing? I see nothing for you to worry about. Let me explain. Hope I have clarified your query. Do write back if any more queries. All the best. For more information consult an obstetrician and gynaecologist online Take care. </s> |
<s>[INST] Hello doctor,My 66-year-old mother is suffering from diabetes for the last 30 years. Her gallbladder has been removed. Angioplasty has been done two years back. She had an infection in her scalp and took higher antibiotics for few months. She is now taking Basugine 20 at night, Actrapid 12 in the morning, Rosuvas 10 mg at night, Concor 2.5 mg, Clopitab 75 mg one in afternoon, and Pantocid 40 mg twice daily. Still, she has pain in her abdomen in her belly button area and above it and there is a burning sensation continuously. She has to use Cremaffin to pass stool daily. The stool is semi-fluid. She cannot sit for some time due to weakness and sleeps after her meal. She also takes Enzar Forte after meals in the morning. [/INST] Hello. It seems that your mother has acid reflux and pain due to stress. Stress could be mental or it could be related to removal of the gallbladder as well as taking so many medications. At this point in time, my recommendations would be to start her on capsule Colospa Retard (Mebeverine) twice daily half an hour before meals. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Give it initially for 10 days and then write back to me with results. For more information consult a critical care physician online </s> |
<s>[INST] Hello doctor,I am 33 and since having my baby a year ago I am suffering from joint pain, especially in my wrists and fingers. I have pins and needles sensation at times and writing is becoming difficult. I just got my reports and have elevated CRP and low folate. Any idea what could be wrong? [/INST] Hello, Welcome to Chat Doctor forum. I went through your post. You have pain in the small joints of your body with an elevated CRP (C-reactive protein) level. Regards. For more information consult an internal medicine physician online </s> |
<s>[INST] Hi doctor,My 4-month-old baby girl is coughing from the last five to six days. It enhances at night. Please suggest medicines. She is taking Visyneral-Z. [/INST] Hello. I understand your concern. The baby\s age is 4 months. At this early age, cough medicine is not advisable. Usually, at this age, babies are breastfed and have nasal block which can lead to breathing difficulty including cough sensation. During feeding times, ensure the baby is held in the upright position and given proper burp. You can give Nasoclear ChatDoctor. </s> |
<s>[INST] Hello doctor,I am getting blood after my toilet and from last night I have to go to the toilet every 10 minutes. I am a 25-year-old female with a weight of 55 kg and height 5\2". [/INST] Hello, Welcome to Chat Doctor forum. You are having blood in stool complaint as per history. Hereby, I am giving you my opinion on your case. It can be an acute infective condition like gastroenteritis or colitis. Your local rectal examination should be done and stool routine microscopic examination should be done for primary work up. You can be given an antibiotic course after stool report like Ofloxacin plus Ornidazole combination for five days. ChatDoctor. Avoid excess spicy foods. The probiotic tablet can be prescribed along with maintaining hy </s> |
<s>[INST] Hello doctor,I always stutter or stammer while speaking. Please guide me. [/INST] Hello, Welcome to Chat Doctor forum. Stammering or stuttering is either because of structural or functional aspects. A structural defect is most commonly tongue-tie if you had at birth during your speech development. Functional aspects are almost always due to stress and decreased self-confidence levels. (unless you got any neurological problem, which is usually not). To check for tongue-tie, try to touch your chin with tongue. If you can reach the beginning of chin, then there is no structural problem. </s> |
<s>[INST] Hi doctor,I am a 36-year-old female. I had two chemical pregnancies this year, and I am childless. Due to my age, I decided to investigate more. The thrombophilia panel test results recommended me to see a hematologist. I have positive results (heterozygous) for MTHFR C677T, PAI 4G by 5G, AGT M235T, factor XIII Val34Leu, and fibrinogen 455 G by A. Will I need special treatment for a future pregnancy? Please help me. [/INST] Hi, Welcome to Chat Doctor forum. I have reviewed your case. It seems that you had two miscarriages. So, you have to know a little detail about your condition and to understand thrombophilia. The risk of abortion is none to minimal in normal pregnancy whereas intermediate and high in heterozygous and homozygous mutation respectively. In your case, as you have twice pregnancy failure, I have two recommendations. Try to do APLA test (antiphospholipid antibody workup) which is just the extension of thrombophilia work up. During future pregnancy, usually in your case, we need to give some medications which can maintain your blood flow, and it can prevent the micro clot formation in the placental blood vessels, and hence the chances of abortion will get decreased. These ChatDoctor. You can discuss with your hematologist regarding the test suggested and about the </s> |
<s>[INST] Hi doctor,My nephew is a premature baby. On the third day, his blood glucose level was decreased to 34. Later, he was admitted and kept under surveillance. His blood test revealed elevated bilirubin level. Four days later, his blood values become normal. On the same day, suddenly there was swelling on his body. The biochemistry examination revealed urine spot protein to creatinine ratio 2.19 and moderate grade proteinuria. [/INST] Hi, Welcome to Chat Doctor forum. Your baby probably has a problem with his kidneys. A urine spot protein to creatinine ratio of more than two usually suggests that your baby is losing a lot of protein through his kidneys called nephrotic range proteinuria. So, the swelling of the body might have appeared due to protein loss. But, a single value may not be significant, so get it tested once again. If it is still high, then you need to worry. It could be a congenital nephrotic syn ChatDoctor. If the repeat test value is high, and body swelling is persisting, then consult a pediatric nephrologist for further evaluation and treatment plan. </s> |
<s>[INST] Hello doctor,I have a swollen tear duct. The right tear duct is swollen, does not hurt or itch. It has been there for a few years now. No changes in the size other than getting larger. [/INST] Hi, Welcome to Chat Doctor forum. From the photo you have attached (attachment removed to protect patient identity), it does not look like a tear duct swelling. It looks like a swelling arising from your conjunctiva and the exact diagnosis would only be possible with a slit lamp examination. But, I can tell you that it is a harmless swelling as it has been gradually increasing since two years and has not caused you to have any symptoms yet. It does need a visit to the ophthalmologist, although it is not an emergency. If you have a blocked tear duct, you will have symptoms such as constant watering, frequent infections which cause pain in your eye and discharge. I would like to know if you are suffering from any of these problems. Previous eye infection. Slit lamp examination. Conjunctival cyst. Conjunctival granuloma. Slit lamp examination and management depending on findings. Revert with more information to an eye care ophthalmologist online.- </s> |
<s>[INST] Hello doctor,I had two episodes of psychosis in the past two years. I started treatment with Risperidone and later started Asprito 5 mg. I am getting married after two months. I want to know that if I start a family, will this treatment affect my baby\s health as only limited medicines are allowed during pregnancy? [/INST] Hi, Welcome to Chat Doctor forum. As you are receiving only 5 mg Asprito (Aripiprazole), which is a very low dose, it is better if you stop the medication at least in the first trimester (first 3 months of pregnancy). Then, you can take medicine safely during remaining pregnancy (last 6 months). But, if not possible to stop the medication, then, take tablet Haloperidol which is safer than Asprito during pregnancy. For more information consult a general practitioner online </s> |
<s>[INST] Hello doctor,I participate in resistance training activities and one exercise, in particular, has been giving me problems. The exercise in question is the dumbbell bench press. It causes a sharp pain in the triceps and sometimes across the brachioradialis. There is no pain in any other exercises that extend the elbow with resistance. I am also not experiencing golfers elbow or tennis elbow symptoms. I know that one of the best things I can do is rest the muscle. My question is, can I just avoid the specific exercise that is causing me pain and choose ones that do not? Or does rest mean completely forgoing every elbow extension exercise? I am just taking psychoactive medication. [/INST] Hello, Welcome to Chat Doctor forum. It might look like your tricep muscle imbalance or the tricep muscle fibers are not adapting to the resistance in this position. I recommend you to do not stop exercise but doing the same exercise with little to no resistance and then gradually start increasing the resistance. That will help these muscles to gain strength. For more information consult a physiotherapist online </s> |
<s>[INST] Hello doctor,I have recently had the bar inserted in my arm and have had side effects weeks after. I was wondering if these side effects are normal or are something to look into going to the doctors for. For two weeks, my period has not stopped, with the past week my flow has been fairly light and although I have had cramps, it is not as bad as when my period was originally due. [/INST] Hi, Welcome to Chat Doctor forum. You are having a continuous bleeding problem. For that, you need to find any underlying specific cause, if present. It is advisable to investigate with USG pelvis and pelvic examination for primary work up. If all comes normal then investigate further with serum FSH, LH and DHEA estimation. If no cause identified then dysfunctional uterine bleeding is the possibility. You can be prescribed Tranexamic acid tablet and a Hormonal pill for bleeding. USG pelvis. DUB or other organic cause. Tranexamic acid just now and if needed Progesterone containing pill. </s> |
<s>[INST] Hello doctor, I am one week late as of today for my menstrual period. Currently, my cycle is 38 days. I have been having protected sexual intercourse the past month, but just recently (Day 35) of my cycle, the condom of my partner leaked at the base. So I immediately took emergency contraceptive which is four birth control pills at 5 PM, then another four birth control pills at 5 AM the following morning. I started feeling the side effects, but I am worried since my period is a week late already and I just woke up at 2 AM on day 38 unable to sleep with a weird feeling in my stomach and I am extremely constipated, with tender breasts, and feel sick overall.I would like to know if my period will come soon? If there is a possibility I am pregnant, or if I am just feeling all these symptoms due to hormone imbalances? What I should do in this whole situation since I am very worried about it? [/INST] Hello. Yes, you are right, your period will come soon and that is most likely possibility. Your symptoms can be due to both pregnancy and/or hormones. Because in pregnancy there is increase in amount of hormones and you just take higher dose of hormones. And symptoms you are experiencing is due to the higher level of hormones in your body which can be due to both reasons. But it is more likely that symptoms are due to the pills you had taken. Because if it is due to pregnancy then pregnancy must be due to earlier intercourse which was protected. So there are very fewer chances of failure in that case. And right now your periods also get extended due to the pills you had taken. Basically, in this situation you should do a urine pregnancy test and see if it comes positive then it is due to the failure of previous precautions. And if it turns to be negative then just wait for seven more days and periods will come. And even after that if your symptoms are increasing in two days then you need to go for a test for confirmation to clear the confusion. ChatDoctor. And do not take much tension. With your history, it is more likely that it is just delayed menses due to emergency pills and side effects of oral hormones. Your period can be irregular for one or two cycles. </s> |
<s>[INST] Hello doctor,I am facing with erectile dysfunction from the past couple of weeks and low libido, decrease in sexual desire. Before that, everything worked fine. I have performance pressure. [/INST] Hello, Welcome to Chat Doctor forum. Please elaborate on what kind of issues you are facing? Do you have any ongoing stress? Any history of hypertension or diabetes? Any medicines you started recently? How the problem developed? </s> |
<s>[INST] Hello doctor,I have a 2 year old daughter. She is breaking out with red dots all over her body. They do not look like measles or chicken pox. She weighs 30 pounds and has no other symptoms. I have tried giving her a child allergy medication because I thought she might have developed an allergy to dog hair. Please help. [/INST] Hi, Welcome to Chat Doctor forum. I need more information for a quality answer. It could be ITP (Idiopathic Thrombocytopenic Purpura)/other hematological disorders/allergy/infection/HSP (Henoch-Schonlein Purpura) and many other disorders can present like this. We need to investigate these.Advice: Try to revert back with answers for the above-mentioned queries to a child health specialist online </s> |
<s>[INST] Hi doctor,About four years ago, when I was self-conscious about the size of my penis, I started looking into ways to increase the size of my penis. Never long-term, but I tried penis water pump and penis extenders. A few times that I used the penis extenders, the ring may have been very tightly packed around my penis while I was using it and due to the stretch it caused, and tightness, I lost circulation to my penis tip to a point the tip went numb and cold. After that, I started noticing my erections are much weaker and sensitivity has gone down significantly. Besides that, I also became very self-conscious and psychologically worried that I may have made my ED worse.I did not have problems getting an erection, but maintaining one was more difficult and my erections were softer. I stopped having sex. After three to four years, when I masturbate, the quality of the erection is much better and I am able to keep the erection but the sensitivity is not quite back. Also, my climaxes are much weaker and they do not feel as good. In the last year that I have masturbated, I have not had issues maintaining an erection when I am masturbating but I believe the sensitivity is not back. I am worried having sex, I will begin to lose the erection fast. I have red skin marks under the skin at my penis tip that is not going away. Is this due to dead cells? Have I done irreversible damage? Is there any treatment as I now am hoping to become sexually active? Many of my problems are from using the extenders and penis pump aggressively even though it was short usage and regretful decisions. [/INST] Hello, Welcome to Chat Doctor forum. I saw the pictures (attachment removed to protect patient identity). The penis looks almost normal. As you are able to masturbate, post-marriage, sexual activity will not be an issue (rather it is better). Aggressive stretching may have caused some damage but from your description, it appears it will not affect your married life. Feeling an orgasm is also dynamic. It may become better after marriage and is unrelated to stretching. Do not worry. If after marriage there is any issue, you can consult again at that time. For more information consult a urologist online </s> |
<s>[INST] Hello doctor,My 8-year-old daughter had labs done twice now and I have one doctor saying its concerning and another saying they are fine. I need another opinion. Labs done two months ago TSH was 5210 and free T4 was 1.43 and labs done this month are TSH is 5960 and free T4 is 1.14. I have attached lab reports for your reference. [/INST] Hello, Welcome to Chat Doctor forum. I just read your query and from what you have attached (attachment removed to protect patient identity), it appears that your daughter has a slightly high TSH (thyroid-stimulating hormone). As of now, there is no need to take any treatment. However, her tests have to be repeated in every three months. You have to observe her closely for growth parameters like weight and height according to her age and later keep a watch regarding achieving puberty. If any of these aspects fall behind then she needs to take treatment for it. Regards. For more information consult an endocrinologist online </s> |
<s>[INST] Hi doctor,I am a 19-year-old male. Currently, I have a dust allergy. Sometimes, I have a sinus problem. Can I develop latex allergy if I use yoga mat made up of natural rubber material? [/INST] Hi. Allergy is genetically determined, and it can be identified by doing allergy testing. We cannot say whether you can develop an allergy or not. Even a skin prick test or a blood allergy profile can tell you whether you are sensitized to that particular allergen, or not and it is not confirmatory. Regarding the current allergies you have, dust allergy is a misconception. Anybody will sneeze when they inhale dust or polluted air. That is not an allergy. Sinus problem occurs due to allergy. Most common allergies occur due to pollens, house dust mites, and molds. Molds play an important role in allergy and chronic sinusitis patients. </s> |
<s>[INST] Hi doctor,I have a girlfriend. I have bought condoms to have sex. We are ready to have sex. We are planning to avoid pregnancy. We are planning to have intercourse once a year. Can condoms prevent the condition of pregnancy? What is the best method used to prevent pregnancy successfully? Please suggest. [/INST] Hi, Welcome to Chat Doctor forum. Condoms should be used properly. It can prevent the condition of pregnancy. There should not be any breakage or leakage through the condom. If there is any doubt, your partner can take Unwanted 72 (Levonorgestrel) within 72 hours of intercourse. If you have the sex once a year, then using a condom is suitable for you. But if it is decided at least one to two months before, then she can start oral pills at least two months before and continue taking it till the full month of intercourse. If it is a regular activity, then she can take oral pills as contraception. It is 100 percent effective. Condoms have a failure rate of 20 %. </s> |
<s>[INST] Hello doctor,I am a 65-year-old white male and tested negative for HIV 1 and 2 in a one-time test three to four years ago. I am not sure if it was a third or fourth generation test. I tested negative with a fourth generation test four months back because I thought I might be having some symptoms. And I remembered the flu-like illness about six months after exposure.I weighed 204 kg three months back and now I weigh 191 kg. I have worried a lot (pacing the floor, sleep loss) for past five months, took Paxil, and realized my worry could account for some weight loss. Shortly, after the test, I had the following symptoms:I started having a small patch of 8 to 10 pinpoint sized pink-light red dots under the skin of my left wrist that have been there for two to three weeks.I also had a smooth, flat spot about 3/8 inch in diameter that appeared on the back of my right hand about a week ago, that has now faded to a pinkish brown. I have read about Kaposi sarcoma being a definer of AIDS, but do not understand how that could happen with a non-reactive fourth generation test four months back.Three months back, I had sinus type headaches multiple times that would sometimes be severe. After three rounds of antibiotics and a CT scan two months back that showed shadowing in a sinus, my ENT doctor just told me this week that there is something in my sphenoid sinus. He is treating it with a rinse for inflammation for three weeks before I see him again. I have had blood in my mucous from my nose for past three months. It dries out in my nose and causes blood almost every time I pick at it. The ENT doctor said that the lining of my nose had been worn down from this, but did not seem concerned about it. I do mess with it a lot, and blow my nose a lot.My PSA elevated quickly in the last six months, going from 1.2 to 3.5. A biopsy two months back showed an early cancer in one of the 12 regions biopsied.I had a lithotripsy on an 8 mm kidney stone this month and I am still passing dark urine. I was told that I do have several small stones still in each kidney. I have had multiple stones over the years.I have a swelling sensation all the way around my waist down into my groin at times that has been there for about two months, but no noticeable swelling. Several doctors have felt in my abdomen and detected nothing abnormal. A CT scan with no contrast 10 days ago showed no abnormalities other than a little swelling in the right kidney where the 8 mm stone was blocking the passage into the ureter. A CT with contrast five months back was normal except for showing stones. But I have microscopic blood in my urine since then.My vital signs have consistently been normal for past five months, including temperature, BP and oxygen. I know I am getting old and some of these symptoms happen with age. But it is driving me crazy that so much has happened since my negative fourth generation test which is supposed to detect antibodies may not be conclusive after three to four years of exposure. I had Zoloft 100 mg daily earlier but currently, on Paxil 40 mg and Propranolol 60 mg daily.After nearly four years of exposure and a negative antibody test four months back, would that test have detected antibodies if I were in a stage of HIV or AIDS? Do you think it was conclusive? Or is there another test I should have done? I have read about an HIV RNA test, but it says early detection. I understand that it detects more than the antibodies. What are your thoughts on my next step? [/INST] Hi, Welcome to Chat Doctor forum. Your test done before four months is certainly conclusive and final. A three months intervening period/window period between risk exposure and a fourth generation HIV screening test is good enough for it to be considered conclusive. 95 % of those infected with HIV will have detectable antibodies by four weeks and by 12 weeks, or three months 100 % of HIV infected individual will have detectable antibodies. Antibodies once formed will remain detectable by screening tests. In fact, antibody based HIV screening tests are the gold standard tests for the diagnosis of infection whereas an HIV RNA PCR test is more commonly utilized as a measure of response to antiretroviral therapy in HIV AIDS patients rather than as a diagnostic or screening test. For more information consult a HIV AIDS specialist online </s> |
<s>[INST] Hello doctor,I weight 55 kg and height 5 feet 10 inches. I want to know how to increase the weight as I had tried so many ways to improve it but failed. Please help. [/INST] Hello, Welcome to Chat Doctor forum. Try the below suggestions if you already have no done it, 1) Try to have a mini-meal or snacks (like boiled cereal sprouts, nuts, etc.) apart from your regular meals. 2) If your level of physical activity is more, accordingly you have to increase your calorie intake. So either limiting the physical activity or increasing the calorie intake necessary to gain weight effectively. 3) Practice ChatDoctor. This can help better absorption of nutrients like iron, protein from the gut. 4) Protein supplement </s> |
<s>[INST] Hello doctor,I am a patient of oral fibrosis. Is it curable or not? And leaving tobacco is how much helpful? [/INST] Hello. Oral submucous fibrosis is a common premalignant condition. Main causes are tobacco-gutkha, beetle nut. In this condition the most important thing is to stop the habit immediately. There are many treatment therapies available like steroids, vitamin therapy, an oral exercise which are helping to improve the condition. Some time there is a need for surgery. First, you stop your habits and see your dentist as soon as possible. He or she can examine and tell you about treatment plan according to your condition. </s> |
<s>[INST] Hello doctor,I have been suffering from anxiety for the last 10 years. I was able to live a normal life and working happily. I was on Nexitoplus (do not know if I had depression). Two months back because of family problems (father health issue), financial stress, work pressure, and continuous thoughts. The panic attack was on Nexito 20 and Etizola but with no greater relief. After that, our family doctor changed to Nexito forte. Now I am feeling physically well. Looking for motivation to get on with life and go to the job. Prior to use of Nexito forte, I was not able to concentrate. I was feeling less interested. Can you suggest how long should these medications be used? Also, how can I be mentally strong? [/INST] Hi, Welcome to Chat Doctor forum. It is quite common for anxiety to get elevated when faced with stressful situations in life. The good thing is with appropriate support your anxiety will come down eventually and you can function normally. Nexito (Escitalopram) is a good medication for your condition. It is positive that you are feeling better now. I see that you are prescribed Nexito Forte (which contains Clonazepam in addition to Escitalopram). I will recommend discussing with your family doctor and switch from Nexito Forte to Nexito (Clonazepam is not recommended for long-term use). Nexito 10 mg once daily can be continued at least for a year after your anxiety comes down and you are feeling better. Then it can be gradually cut down. I will recommend having some psychological therapy or counseling to deal with factors contributing to your anxiety and help manage family problems and stress at work. Exercise regularly, try yoga or meditation whichever you find comfortable. Cut down on ChatDoctor. </s> |
<s>[INST] Hello doctor,How is technology changing the way we sleep? How are people sleeping better and/or more aware of their sleep patterns, thanks to technological advancements and trends? [/INST] Hello. Sleep is a very complicated process and it is a way of healing and relaxing the body. Four steps are there for the sleep process to complete. Every person has their own patterns but largely we can say good sleeping habits change life patterns. A normal individual should sleep 8 to 9 hours with different posture change. Obese should prefer right and the left lateral position as oxygenation improve which is compromised in supine sleep. BIPAP and CPAP are the machines which are the treatment if sleep apnea and also snoring patient, the patient only has to out nasal mask and they can sleep well with improved oxygenation and also enhance quality and standards of life. During sleep, there is a good temperature for body but this is according to age. Music and light also affect but it differs person to person. Take care. </s> |
<s>[INST] Hello doctor,I have a little white spot in the area where my back wisdom tooth used to be. It covers where the socket was when I got it removed 4 years ago. I currently take Suboxone and chew Nicorette gum. Is this normal? [/INST] Hello. As you have mentioned it can be a canker sore. And if it is painful and irritating then visit the dentist once to show it properly. If there is nothing like this then I would suggest you apply any anti ulcerative gel, like Dologel or Dentogel (Choline salicylate) whichever is available at your place. Or get Metrohex gel (Chlorhexidine gluconate and Metronidazole) for better results. ChatDoctor. Maintain oral hygiene properly and use mouthwash after brushing twice a day. Apply baking soda, lemon juice and salt mix in a paste form for 1 to 2 times a week for better results. For more information consult a dentist online </s> |
<s>[INST] Hi doctor,For the past one month, I have been working out a lot such as running, body building and following a healthy diet. I have lost weight. My blood pressure is 95/59 mmHg. My resting heartbeat is around 55. My weight is 73 kg. I wanted to ask if it is fine to have this low heart rate and low blood pressure. I am feeling lightheaded, tired and shortness of breath sometimes. Should I be worried? [/INST] Hello, Welcome to Chat Doctor forum. It is very normal for athletes to have a low heart rate. Sometimes some people are born with this condition where they have very low heart rate and blood pressure. When did you first notice this development? Have you been on other ChatDoctor. Try to be physically active at most times of the day you are awake, this will keep your heart rate up. Try to avoid smoking if you do. In case you continue to feel shortness of breath or experience fainting, please go to the hospital. You might require a pacemaker. 1. Congenital.2. </s> |
<s>[INST] Hello doctor,I am a 27 year old female. I have been diagnosed with Eagle syndrome last year. I do not know which type it is, whether it is affecting nerves or arteries but I can feel the pain which is so tough to bear and my face is getting dull day by day. Please reply soon. [/INST] Hello, Welcome to Chat Doctor forum. Eagle syn ChatDoctor. There are some medications that can help decrease the dullness sensation such as Neuroton ampoule (nerve multivitamins). I suggest taking just one injection every three days. Anti-inflammatory medicine such as Brufen tablets can be taken twice daily. The second option is nonsteroidal anti-inflammatory injection around the stylohyoid ligament. The third choice is a surgical shortening of the elongated styloid process. For more information consult an ENT otolaryngologist online </s> |
<s>[INST] Hello doctor,I am a 17-year-old female. The back of my uvula starts to hurt since yesterday. It hurts only when I pretend to swallow. But when I swallow water or food, it does not hurt. It hurts only on my left side. I have checked, and it was not swollen and looks normal. I tried touching it and scratched it. Also, when I yawn or open my mouth widely, the pain slowly goes away but after a while, it comes back. Are there any home remedies to cure it? [/INST] Hello, Welcome to Chat Doctor forum. Went through your symptoms, it would have been great if you could click a photograph and send as sometimes few minor changes go unnoticed. However, I believe that the uvula is not swollen. In this case it appears as a case of an aphthous ulcer on the uvula. It may not present directly in the way of food so it does not hurt on eating, but ChatDoctor. Remedies that I may suggest is: 1) </s> |
<s>[INST] Hello doctor,I have a friend who is in very much need of an expert. He has been living with his abusive mother his whole life, she even tried to kill him multiple times. Her behavior shows symptoms of OCD, PTSD, and even bipolar. He even tried to take her for counseling, but that made matters worse. As his friend, I am really worried. And I would really appreciate your guidance and help. [/INST] Hello, Welcome to Chat Doctor forum. Your friend\s mother is showing an aggressive and abusive behavior which indicates serious mental illness. There can be an element of delusion of persecution that is suspiciousness of being killed by her son, which is making mother so violent. I would advise you to tell your friend that he should consult a psychiatrist, his mother may require in-patient treatment. We have very good medicines available nowadays which can control every patient. More the time lapse without treatment, more resistant will be the disease. So it is better to start the treatment as soon as possible. </s> |
<s>[INST] Hello doctor,Please see my attached files and advised me that my radius bone is healing in alignment or not. My fracture is 20 days old, and plaster is opened swelling and pain in these areas. I doubt that my bone is not in alignment. [/INST] Hello, Welcome to Chat Doctor forum. You are right, and the radius is out of alignment. The dorsal angulation appears to be 15 degrees. This is eyeballing, and I may be off by a few degrees, but the position is not acceptable in a young person, again I am assuming that you are less than 40 years of age and this is your right hand. Secondly, in the AP view the radial translation is acceptable, and so is the shortening. Clinically the wrist may look unshapely when compared with the opposite side if this is obvious and now 20 days down the line it can still be manipulated and put into a molded plaster as further delay will mean that the fracture will need a surgical procedure to improve alignment. I do not know why did they remove the plaster at 20 days as the plaster should be on for at least four to five weeks. </s> |
<s>[INST] Hello doctor,My 69-year-old mother constantly makes cooing sounds like a pigeon throughout the day. She says she has not passed urine and stools for the last two days. From two years, she has not been keeping good health. Two years ago, she started complaining of stomach pain. We got her admitted to the hospital twice. Current medications list is attached.We got her an endoscopy, colonoscopy, a PET scan, and a CT scan of chest and abdomen done. Doctors say there is no major problem. No malignancy. However, she has lost a lot of weight almost 15 kg. She does not want to eat. Please advise [/INST] Hello. I have gone through the attachments (attachment removed to protect patient identity) Her symptoms could be related to a psychiatric disorder called dementia with psychotic signs. For this reason, I would suggest increasing the dose of Quetiapine to 50 mg daily. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. You should discuss with her psychiatrist about this. Regarding her stomach complaints and loss of weight, I would recommend performing some tests: For more information consult a neurologist online </s> |
<s>[INST] Hi doctor,I am 27 years old. I went through three IUIs, but all of them failed. All my hormonal test such as FSH, LH, TSH, and sugar are normal. Even the ultrasound is normal. My AMH is 1.14. Six months back, during my follicle study, I used to have five to six follicles SGFS on day-2. But, from the last two cycles, I have two to three follicles on each side. The doctor has suggested IVF. Is my AMH level too low? Will IVF benefit me? [/INST] Hello. I have seen your reports (attachment removed to protect patient identity). For more information consult an obstetrician and gynaecologist online Take care. </s> |
<s>[INST] Hello doctor,My father underwent surgery for a blood clot in his brain before 10 months. Doctor said that the surgery was done twice as the clot was not removed properly for the first time.My father is totally fine now, but I want to know if there is any possibility for the clot to occur again. He is on his medication for high blood pressure. Please give an opinion. [/INST] Hello. I reviewed the scan reports of your father. The clot that he had is called chronic subdural hematoma which usually occurs in aged person due to brain shrinkage. Due to shrinkage in the brain a space is created between brain and skull. If the bridging vessels in the space got injured,hematoma can occur in due course of time. In your father\s case eventhough the hematoma has been removed, there is still some space between brain and skull which is likely (20 to 30 %) to cause hematoma. You can prevent them by avoiding even smallest injury to the head and avoid dehy ChatDoctor. Keep him hy </s> |
<s>[INST] Hi doctor,My father is diagnosed with coronary artery disease and triple vessel disease with LM. I have attached the angiogram report for your reference. Is the CABG only solution or partial stenting may work? Or is it fine to give only the medication as there are not much clinical symptoms? His TMT was strongly positive. He is a smoker and also takes alcohol. He is a blood pressure patient and takes Amlopress, Telma and Ecosprin. [/INST] Hi. I have carefully reviewed your health query and feel sorry for your father\s health issues. It is a concerning disease process. I never recommend to leave it as such and do nothing much for an advanced coronary artery disease. He has got triple vessel involvement and in such circumstances the best next step is to go for CABG surgery (coronary bypass graft) especially if there is no obvious contraindication. No, partial angioplasty is not a solution to the problem. Although he has no obvious signs or symptoms, but you should know well that the disease inside has progressed much and anytime with or without strenuous physical activity he may get a severe heart attack that can be really dangerous and lethal. I would go with the suggestion of CABG right away. </s> |
<s>[INST] Hi doctor,I did a pregnancy test last week, and it was positive. The next day at work I notice pinkish spots when I wipe. The next morning I started heavy bleeding with small clots, but I had no pain. The bleeding only lasted for three days. I need help. I am not sure if I am still pregnant or if I had a miscarriage. [/INST] Hi, Welcome to Chat Doctor forum. Sorry to hear about that and it sounds like a miscarriage. That day when urine was tested, mostly the second line was not as dark as the first. It means the hormone level was not high enough. Once you have heavy bleeding, it means the inner lining of the uterus has gone, and so pregnancy cannot stay on. The most common cause of such an early bleeding or miscarriage is anembryonic gestation or blighted ovum. Here, the egg or the sperm had some defect, and so, the embryo or the baby had some congenital problem compromising its health. Hence, it was not producing enough of hormones to support itself in the uterus. Just for confirmation have a home urine pregnancy test after bleeding fully stops. If the pregnancy has failed, then the line will be lighter or have disappeared. Also, you cannot see anything on the scan. </s> |
<s>[INST] Hello doctor,My sugar level is 210 after breakfast. Is it normal or high? Can I control sugar level? [/INST] Hi. The sugar level 210 after eating food cannot be considered normal. It is suggestive of diabetes mellitus. However, you should repeat your serum fasting blood sugar estimation, serum post-prandial blood sugar estimation, and HbA1c estimation to confirm diabetes. In this early stage, you can control diabetes with weight reduction, less fatty foods, and regular exercise. </s> |
<s>[INST] Hello doctor,I am a 35 year old male. I had testicle and lower abdominal pain from couple of weeks, but I did not have burning sensation on urinating. So, I started taking antibiotic (Azithromycin) and analgesics (Ibuprofen). Now my pain has almost subsided, but I have developed a lump on the posterior side of the testis. The size of the lump reduced in the last couple of days, but I still have a slight stinging pain sometimes. Please help me treat this. [/INST] Hi. I read your query and understand your concerns. I hope this helps you. If you have more questions, feel free to write back. For more information consult an an ChatDoctor. ChatDoctor/ask-a-doctor-online/an Take care. </s> |
<s>[INST] Hello doctor,Kindly help me to understand my elder daughter\s behaviour. She was born 14 years back. At her childhood, she was very energetic and hyperactive. We had put her in pre-school at 2.5 years and now she is in class 9. She is 13.5 years old now. I am finding her maturity level is far below her classmates and she hardly have any friends. She is also very poor in study. We are in such a condition that we only expect her to pass the examination. Sometimes I am feeling guilty about the fact that she is always under pressure.She nowadays does go out and keep herself busy with mobile and TV (cartoon). I have another daughter, who is 6.5 years old and the elder one cannot get along with her sister most of the time. She always tries to attract the attention by some means or other. She is only growing physically, but I am finding the mental growth is not at par. Kindly help me. [/INST] Hello, Welcome to Chat Doctor forum. I am sorry to hear about your situation, I can understand how difficult it might be for you. What you are describing needs a physical examination as well as a mental status examination and IQ testing. You will have to consult a neurologist or a pediatrician. You can also consult a psychiatrist and they will guide you further. The doctor will require to meet your daughter and talk to her to be able to understand whether the issue is neurological or a behaviour issue. If you are mentioning that her mental growth is not at par you will have to go for IQ testing which are available with psychiatrists as well as pediatricians. </s> |
<s>[INST] Hello doctor,I have to ask about my risk of pregnancy from precum. My husband just let his penis inside me three to four times without a condom and he did not have an orgasm. Could I be pregnant? This happened around two months back. I got my periods five days after the event which was my regular date. I also got periods after a month but periods lasted only two days and a little bleeding happened on the third and fourth day. Can I be pregnant? [/INST] Hello. Pre-ejaculate or precum usually does not contain sperms so the chances of pregnancy are very low. Moreover, you seem to have got your periods twice after the unprotected intercourse. So, it is unlikely that you may be pregnant. But still, for your confirmation, you can check your urine for pregnancy with an early morning urine sample. This is because the bleeding pattern had been different from prior cycles. If it is negative you can stay assured that you are not pregnant. For more information consult an obstetrician and gynaecologist online </s> |
<s>[INST] Hello doctor,I am a 50-year-old male. I had genital warts five years ago, had them removed via cauterization and received three injections of HPV vaccine Gardasil. The doctor said the vaccine would cure the virus, but after a year, warts reappeared and until now they are still in my scrotum, and they are itchy but not painful. My question is that can I have sex with my partner given my current condition? Have I got cured by HPV vaccine? [/INST] Hello, Welcome to Chat Doctor forum. HPV vaccine is not a cure. It is for the prevention of HPV. It prevents the virus from entering in your body. But, it cannot act on cells which are already infected with the virus. About sex, there is a chance that with contact, virus can spread to your partner if not already infected. And being on scrotum, the methods like condom will not help. You would need to get treatment first for warts. For more information consult an internal medicine physician online </s> |
<s>[INST] Hi doctor,I am a 53 year old female. My periods have been delayed for two weeks. Till now they are normally regular. Could it be the early onset of menopause or they will eventually come? [/INST] Hello. If you have been regular with your menses these years and this is the first episode at 53 years of age when the menses have been delayed by two weeks, the causes can be a possible initiation of perimenopausal stage where menses are often delayed for a month or two and slowly tend to stop in next one to two years. Perimenopausal stage can be verified with the hormonal FSH (follicle stimulating hormone) and LH (Luteinizing hormone) levels which if high shall indicate an onset of perimenopausal stage. However, it is suggested that pregnancy should anyways be ruled out and if negative then you can wait naturally for your menses to resume. Hence, try maintaining a menstrual calendar and keep a mark for your dates, duration of flow and quantity to evaluate the possible onset of a perimenopausal state. </s> |
<s>[INST] Hello doctor,I am an 18 year old male. I have a girl-like voice since my childhood. I cannot speak in public loudly. The louder I speak, the more girl-like and thin the voice becomes. It affects my confidence levels. I cannot go to the university because of my voice. Girls make fun of me. I sound like a girl on the phone as well. Please help me. is there any treatment like surgery? Is this is because of my vocal cords or low testosterone level? [/INST] Hello. We are there to help you find a way to rectify the problem, but until then do not worry and fret. Looking forward to helping you overcome the problem. For more information consult an ENT otolaryngologist online </s> |
<s>[INST] Dear doctor,I had protected vaginal sex (with little lube) with a prostitute. Although the condom did not break or tear, I feel there could have been some vaginal secretions from her. Since it was my first time, I did not last long and released early, but there was no leakage from the condom, which is how I confirmed there is no tear. But, the entire condom does not cover my penis, which worried me if some tiny secretion could have entered into the condom. There are no cuts or sores around my penis area. Forgive my frankness, but does moist nipple mean anything related to HIV? Also, what are the chances for, if there were any vaginal secretions near the penis base, on wiping (using a tissue) is it possible for the virus to enter through the penis? I am sorry for asking such a long question, but this was my first experience, and what happens next will decide my fate. I am willing to take the test, but I think I need to wait for the three-month window period right? Please advise doctor. [/INST] Hello. I have noted your concern. If the condom was of a proper size and well-fitted, there is no chance of vaginal fluids going inside from the base. Therefore, a protected vaginal sex is safe as far as risk of HIV is concerned. Yes, a rapid HIV screening test is considered reliable and conclusive after a window period of three months. Regards. For more information consult an HIV AIDS specialist online Take care. </s> |
<s>[INST] Hello doctor,My creatinine level is 1.9. What should I do? My BP is normal. I am currently on Zyloric 100 mg thrice daily, Atorvastatin 10 mg, and Eltroxin. I have done an ultrasound. I had a USG done with no abnormal findings. [/INST] Hello. This rise in creatinine levels is usually related to a kidney dysfunction. For this reason, I suggest performing further tests to investigate your kidney function like creatinine clearance, a urine analysis, urine microalbuminuria and consult with a nephrologist. It is also necessary performing a urinary tract ultrasound. Chronic hyperuricemia can lead to chronic damage to the kidneys. Anyway, I reviewed all your performed tests and would explain they are normal (normal blood lipid profile, complete blood count, thyroid function, fasting glucose, uric acid levels). For more information consult a neurologist online </s> |
<s>[INST] Hi doctor,I had unprotected sex. Within 72 hours, I took an I-pill. Now, my period is late for about 11 days of my actual period date. But till today, I have no symptoms of pregnancy. Can I be pregnant? I had PCOS before six years. I took Ayurvedic medicine to cure PCOS. [/INST] Hi. Since you have taken the emergency pill within 72 hours of intercourse, there is no chance of pregnancy. The delay could be because of hormonal changes due to the medicine you have taken. So relax and do not worry. However, if you have a doubt, then get a urine pregnancy test done with an early morning urine sample to ensure that you are not pregnant. For more information consult an obstetrician and gynaecologist online </s> |
<s>[INST] Hello doctor,I started having a cold almost three weeks ago which developed from sneezing into a bad cough and now has subsequently cleared up. I also had a blocked ear for almost three weeks but it is now much improved. However, I often hear a ringing noise from it. I saw the doctor a couple of days ago who inspected my ear and said that everything appeared clear now and there was no longer any blockage. Why am I still receiving a ringing noise from my ear and how long does it take to clear up please? [/INST] Hello. Most likely there might be some fluid accumulation inside the said ear without showing any signs in an otoscopic examination which the ENT would have performed. Such minimal fluids can cause ringing sensation without any hearing loss. Do you have any fullness now? Is the ringing always there? Is there any gurgling sound or feeling of bubbles inside the ear? How old are you? Do you smoke or ChatDoctor. </s> |
<s>[INST] Hello doctor,I have PCOS. AMH 7.99, LH 15.6, FSH 5.7. The doctor prescribed me Met and Normoz. After three months, he gave me Genotropin injection 75 ui from day 2 to 6 and Letroz from day 3 to 7. He said they are small-sized follicles, he abandoned the cycle, told me to go for ovarian drilling. I want a second opinion on that, please. Why do I not respond at all? I follow diet and exercise. [/INST] Hello. Your hormone profile suggests PCOD. What is the size of ovaries on ultrasound? If not done, you should do blood tests, sugar PP, TSH, prolactin, and testosterone. Often, oral contraceptive pills like Diane 35 (Cyproterone and Ethinylestradiol) taken for three months help in increasing the size of follicles in the subsequent cycles. If your blood prolactin or testosterone level is high, then you will need medicine to normalize it. For more information consult an obstetrician and gynaecologist online </s> |
<s>[INST] Hello doctor,I had unprotected sex about 12 hours ago. No ejaculation occurred but I knew there was still a risk of getting pregnant. I am thinking of using the Yasmin pills as a form of emergency contraception. Note that I have never taken the pill before and this would be the first time. I have read that I should take four tablets of Yasmin at a time and another four tablets after 12 hours. Would this still be the same if I had never taken the pill before? What will be the possible side effects of the high amount of dosage for the first time? Please advice. [/INST] Hello, Welcome to Chat Doctor forum. Yes, as you have read, Yasmin ( ChatDoctor. Even if he has not ejaculated, you still stand a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact. This regimen is called yuzpe regimen where it is suggested to take four tablets of Yasmin (combination of Ethinyl Estradiol and </s> |
<s>[INST] Hi doctor,I am having a severe rash on my forehead which is painful and itchy. Can you kindly take a look and advise the treatment? I fear that this may be a sign of skin allergy or maybe the onset of cancer. I have tried to use Fluticasone propionate, Flutivate and also tried Ketoderm-Hydroval Cr AA 50:50 gm cream. [/INST] Hi, Welcome to Chat Doctor forum. Kindly upload the images so that I can have a clear picture of the condition and can guide you accordingly. For more information consult a dermatologist online </s> |
<s>[INST] Hello doctor,Recently my neurologist diagnosed me with complex partial seizure. However, after taking two different medications and increase in doses has not helped. So here is my story: several years back I had been going through an extreme amount of stress. I had some migraines: occasional sharp pain in the frontal lobe. As time went on, I have been having strange episodes from once a month, to once a week and every day now for several years. Symptoms: Dozing off (spacing out) without realizing, lasting two to five minutes when it first started. But now it lasts less than a minute.Staring.Uncontrollable head movement from side to side.Head tilting downward.Feeling numb.Blurry vision.In some ways, I feel paralyzed as in if I want to speak there is a delay. Also, if I want to move there is a delay. I do not know when I go into these episodes but I sometimes know when I come out of it. No abnormality in blood tests, no abnormality in MRI. No abnormality in EEG testing as well. My neurologist determined based on my symptoms. I was prescribed Lamotrigine 100 mg daily increased to 200 mg. This did not help. So, I went on Carbamazepine 400 mg daily increased to 800 mg. This did not help either. So, is it actually a seizure or could it be something else? Do I need to continue trying different medications? Please help. [/INST] Hello. Based on the description of these episodes, I agree with your doctor that these episodes seem to be related to complex partial seizures. I would like to directly review your EEG (electroencephalogram) reports if you can upload it. A normal EEG is not surprising in complex partial seizures. On the other hand, you should know that if two anti-epilepsy ChatDoctor. </s> |
<s>[INST] Hi doctor,My sister is suffering from skin rashes. It comes and goes. Whenever she goes out in sunlight, the parts of the skin exposed to the sun are turning red and start itching. It disappears after a couple of hours. When we did blood test, IgE level is 220 IU/mL. What is the problem? Can this get treated? How long does it take to cure completely? Which specialist doctor we should contact? Thanks in advance. [/INST] Hi. Your sister might be suffering from photoallergic dermatitis. Please send the photographs of the lesion for confirmation of diagnosis and treatment. Serum IgE is a little bit raised and again indicates an allergic response to sunlight. </s> |
<s>[INST] Hello doctor,I am a 60 year old female, who is 5.4 feet, and I weighs 157 lbs. I am looking for a name for my condition. The only medication I take is Imipramine hydrochloride 40 mg tablets each day. I have been told that I have a neurological condition, but the symptoms do not follow any diagnosis.When I was 26 years old, I had an operation, a day later it was hard for me to move my right leg and arm. Within a few days, my speech was slurred, and it was more difficult to use my right arm and leg. I had to use crutches to walk. My doctor gave me high doses of Prednisone, and I did tests for MS, which were negative. My symptoms went into remission, and I had periodic symptoms during times of high stress.When I was 56 years old, I had a case of shingles on my face, left lip, and nose area. When the blistering and ooze was finally gone, the MS like symptoms returned. I had slurred speech, and my legs were weak and unable to stand or walk without assistance. My hands shook when I tried using them to eat, turning a page in a book, and handing something as small as an envelope to someone. When I hold out my arm to hand someone something, my arm slowly starts to drop.I recently had an MRI that showed no myelin scaring for MS. My neurologist said I have an unknown neurological condition. I would like more information than an unknown neurological condition that the doctors are giving me, but I do not know where or what kind of doctor that can give me more information. What can I do to have a better quality of life for myself and my family? [/INST] Hi. Sorry to hear about your prolonged symptoms, I can understand your frustration. A neurologist would be able to help you discuss or exclude some of the above. Kind regards. For more information consult an internal medicine physician online </s> |
<s>[INST] Hello doctor,I recently had to get an emergency refill on my birth control because I was going out of town and realized I did not have enough to last the whole trip. The one I originally used was a generic version of Yaz and the one I got was a different generic version of Yaz (called Gianvi). Since taking Gianvi, I have experienced nausea and vomiting, breast tenderness, and fatigue. I did not experience any of this with the one I usually take. Is this normal or likely? Even though they should technically be the same? I last had sex around a month back, but I will not have access to a pregnancy test until I am back from my trip this month. I have read that birth control can mimic pregnancy symptoms, which is why I am wondering if this is the case. [/INST] Hi. Yes, you are correct. These symptoms like nausea, breast tenderness could be due to hormonal variations caused by the pill. Better to continue pill as per schedule. I hope you have not missed a single pill. If completed course without skipping the dose of the pill, no risk of pregnancy. Take care. </s> |
<s>[INST] Hello doctor,I am 46 years old and never had any indication of herpes. No new exposure, same partner for over a year and neither have strayed. 20 days ago I got up with some redness and uncomfortable feeling on left side of vulva. I have an anxiety disorder and super high stress level right now. For some reason, I decided this was herpes and started looking at myself with a mirror and flashlight. Never really saw anything. I have been obsessed ever since. Tingling and numbness in buttocks and down backs of thighs off and on for 20 days. Uncomfortable but not red in vulva area. No signs of herpes. Went to a gynecologist, she did a pelvic scan and said no signs of herpes in or out.I still cannot stop thinking about whether they missed something. I also went to my chiropractor who did an adjustment and said lower back can cause tingling and numbness even in the genital region. Yesterday a little red pimple looking bump popped out on my inner thigh. I decided it must be the sore that never came out before. It does not hurt or itch but I am obsessed with it now. It is smaller today. Question is that does prodrome last 20 days (tingling numb butt area) and can one sore pop out after 19 days? The gynecologist I saw said I need to be treating my anxiety again and to get back on the Zoloft I took for two years for that. [/INST] Hi, Welcome to Chat Doctor forum. Herpes has many myths asssociated with it. No, it is unusual to get a blister after 19 to 20 days like this. Blister may be due to some other skin disease or any other reason. It does not seem to be the pro ChatDoctor. Still worried, you may go for a PCR for herpes blood test and you may consult me back with the reports of the test. Secondly, if this blister or sore does not heal up in a couple of days, increases in size or number, you should go to a physician for taking a sample of this sore (few cells will be taken on a swab) and send it to the laboratory for herpes testing. The final suggestion is that relax and do not worry much. </s> |
<s>[INST] Hello doctor,I am 17 years old and I am having a minor pain in my heart. I also have heart palpitations regularly. I exercise regularly and eat healthy. I do not know if something is wrong with me. [/INST] Hello, Welcome to Chat Doctor forum. I can understand your concern and will try to help you sort out your problems. What does heart pain mean? Where is it present? Usually, heart pain does not come where the heart is located. Heart pain causes pain in the inner border of the arm and also radiating to shoulders and jaws. So I do not think your description of heart pain matches it. If you are having left side pain may be due to lungs also. Is the pain varies with breath? If no then it will be musculoskeletal pain only. Kindly take any analgesic if necessary. Any OTC ChatDoctor. Palpitations are common due to anxiety and especially if you feel these pains thinking could be due to heart. Also in your age group palpitations are more common. So I hope you should not worry about it. For more information consult an internal medicine physician online </s> |
<s>[INST] Hi doctor,I am suffering from chickenpox for the past five days. Now, the blisters have become blackish. What shall I do for a fast recovery? [/INST] Hi. Chickenpox is a self-resolvable condition. Make sure to decontaminate the bedding and clothing as falling of blisters results in virus dissemination. For itching, apply antihistamine lotions like Cala ChatDoctor. Take care. </s> |
<s>[INST] Hello doctor,I have an eye problem, eye itching, irritating eye, white thread discharge, and facing these problems for the past one year. [/INST] Hi. As per your symptoms, I could understand that you are suffering from allergic conjunctivitis. It is a common problem in people with allergies of nose and lungs. I would prescribe Olopatadine eye ChatDoctor. Take care. </s> |
<s>[INST] Hi doctor,My son has a large, soft lump on the penis, partially covered by pubic hair. It has a blister like appearance, but it is not. He says it is tender to touch. What is this? And should we do anything about it? Also, there does not appear to be any liquid coming from it. Please help. [/INST] Hello, Welcome to Chat Doctor forum. I have gone through your case history and would help you as best as possible to get your son out of the problem that is bothering. I have had several patients with similar complaints during my practice. Our best wishes to you and your son for his early recovery! Revert back with the photographs to a dermatologist online </s> |
<s>[INST] Hi doctor,From the last three years, I have severe foot pain. The doctor told me it is because of plantar fasciitis. I took four Cortisone injections, and I wear special boots, but I did not get any relief. So, I took an MRI, and I am attaching my MRI reports with this query. What do the results of my MRI mean? I currently take Levoxyl and Paxil. Please help. [/INST] Hello. I have seen the MRI report (attachment removed to protect patient identity). Take care. Hope your concern is solved. Consult an orthopedic surgeon for examination and discuss your treatment plan. Take care. </s> |
<s>[INST] Hello doctor,I am on Sulpitac 50 mg, Xet CR 25 mg, Pregabid NT at night and Waklert 50, Beta cap 20 in the morning. I have a long history of paranoia and depression. Currently, the only symptom is excessive hair scratching. My hand is always on my eyebrows. The problem is particularly bad at night. There is some twitching or tingling in fingers. Please suggest any adjustment of medicine. Could this be due to any of the medications I am taking? [/INST] Hello, Welcome to Chat Doctor forum. No, I do not think any medicine is causing this. The compulsive scratching or pulling of hair could be due to unconscious anxiety. You are on Paroxetine 25, and if the anxiety is still persistent, then we can think of increasing the dose to 37.5 mg. Increase in dose would help in controlling the unwanted impulses. You can talk to your doctor about that. Apart from this please start taking good vitamin B12 supplement which will also help in early recovery. </s> |
<s>[INST] Hello doctor,I recently had my blood tested and it turned out that I have WBC at 16000. I have no fever, a cold or a cough. Although I have rashes and I suspect this is pityriasis rosea. My doctor is not aware of my suspicion. Now he wanted me to undergo CBC and peripheral blood smear. If I really have pityriasis rosea what would probably be the result of my CBC and PBS? I am 22, female, 5\1", 48 kg. [/INST] Hello, Welcome to Chat Doctor forum. Pityriasis rosea is a form of viral skin infection. Your total WBC count can be high because of that and in your CBC, high lymphocytes can be a possibility but it is not the rule. For your rash, Levocetirizine 5 mg OD like an oral antihistaminic ChatDoctor. If needed, topical steroid also can be prescribed. I suggest you consult a dermatologist for examination. Repeat your CBC with peripheral smear examination report after a week. For more information consult a hematologist online </s> |
<s>[INST] Hi doctor,When I stand from my bed suddenly I feel dizzy for a minute. What causes this? My ECG and echo are normal. When walking, feel floating, and imbalance. Currently, I am taking Xynal, Avas 10 mg, Vertin OD, and Febuget 40 mg. [/INST] Hello, Welcome to Chat Doctor forum. So, this is suggestive of postural hypotension, meaning when you suddenly get blood supply to brain goes down and you get symptoms till body adjusts it. This is most of the time benign and not worrisome and goes away with lifestyle changes. However, we should rule out the autonomic neuropathy. You should get your BP checked by the local doctor or yourself if having BP apparatus at home. For that, you have to check BP while lying down and then recheck it after you stand whenever you started feeling dizzy, and see the difference between the two readings. You should get your thyroid, sugar levels done if not done recently. Next if you are consuming too much alcohol then needs to reduce the consumption. Please let me the know the content of the first medicine you mentioned and if you are taking any other medicines. Is there any response to Vertin (Betahistine)? In treatment, firstly you should avoid sudden changes in posture, and you should do it more gradually like sitting for a while in bed and then standing. Next thing, you should avoid dehy ChatDoctor. Later we might need to add medicines if needed. For more information consult a cardiologist online </s> |
<s>[INST] Hello doctor,Can I take antihistamines (an OTC drug) when pregnant? [/INST] Hi. Antihistamines are used to treat allergy symptoms. We have two generations of antihistamines: First generation antihistamines like Chlorpheniramine, Dimenhy ChatDoctor. Take care. </s> |
<s>[INST] Hello doctor,I am 25 years old, female, married 8 months back. Sexually active and using condom. I have hypothyroidism and I am taking Thyronorm 75 mcg and one Levocetirizine in daily basis. My last period was three months back. Then I got my period two months later and it was late and the flow was also very little even I was not using a pad also. Then I consult a doctor. She told me to get an ultrasound test of pelvis. The report is normal. She adviced me to take Regestrone for three days. I started it from that day. Then I got my period yesterday night with little flow again and having pain in stomach and back badly. She suggested me to go for hormone tests in 2nd or 3rd day of my period. I am very confused and do not undetstand what is going on. I am feeling very weak and sleepy all the time. Please give me some advice what to do. [/INST] Hi. There are many causes for irregular periods and scanty flow. Some are due to structural abnormality in the uterus, for which you were asked for Ultrasound which came out normal. Other causes are certain hormonal imbalances in the sex hormones secreted by pituitary or ovaries or thyroid also which can be confirmed by doing the hormonal assay. Your doctor is going in the right direction. But if you can mention me what hormonal test has been advised I can give you more information on that. I also advise you to get TSH test also. Kindly get the tests and revert back to me. </s> |
<s>[INST] Hi doctor,My daughter is 20 years old and studying in a hostel. For the last one month, she is suffering from a headache. After taking painkiller it subsides and again it stars on the next day. So after three days, I consulted an ENT doctor and he after examining and after taking X-ray, diagnosed it as sinus headache and gave antibiotics and painkillers for five days. She completed the course and while using the tablets she did not have a headache. Now, again she has a headache.Kindly advise whether the headache is really from sinusitis. Why am I doubting that she has only headache with mild nose block and no other symptoms like discharge or fever. So, my doubt is whether it is sinus headache or not and if it is due to sinusitis even after completing the course why again headache? [/INST] Hi, Welcome to Chat Doctor forum. Headache can be of many reasons but while pertaining it to ENT, it is mostly due to sinusitis. For declaring the headache due to sinusitis you should have got done a nasal diagnostic endoscopy by an ENT surgeon or should get a CT scan of the paranasal sinus. X-rays are of the very very old generation and no one is using it as a tool to diagnose it. But since you have got the X-ray done, kindly share it along with the reports. Kindly understand that if at all the sinusitis persists the medical management which may completely reduce sinus infection is antibiotics up to 4 to 6 weeks (for a permanent cure) along with mucolytics, a short course of oral steroids and nasal spray if the patient is allergic to dust or pollen. If the above medical management fails then the patient has to be subjected to surgery which we can decide with our CT scan. As you have also mentioned regarding nose block a deviated nasal septum can also be a cause for headache. So kindly share the X-ray report. </s> |
<s>[INST] Hello doctor,I have applied steroid cream (Betnovate-C) and my skin has become extremely thin and dark now. A dermatologist recommended me to try dermaroller so I want to know is it safe? And will it work? Please explain in detail as nothing has worked for me. [/INST] Hello. Indiscriminate use of topical steroids can cause skin thinning (due to collagen degradation) amongst other side effects like acne, facial hair, etc. Most of these side effects resolve gradually over next few months after stopping the topical steroid cream. This recovery can be aided by certain creams as well as certain procedures like dermaroller that help in collagen regeneration. Dermaroller is safe. The extent of improvement would depend on the extent of initial skin damage and the number of sessions. Moreover, results are individualized. For more information consult a dermatologist online Take care. </s> |
<s>[INST] Hi doctor,My wife has pulmonary hypertension after ASD closure surgery. Kindly advice. [/INST] Hi, Welcome to Chat Doctor forum. Did the pulmonary hypertension occur only after ASD closure? Before closure was there pulmonary hypertension? The treatment depends on the severity of hypertension. So, is her pulmonary hypertension mild moderate or severe? If you cannot tell about severity, kindly upload the reports so that I can go through and advise better. </s> |
<s>[INST] Hello doctor,My 15-month-old son was vaccinated with measles vaccine at nine months. Now, he will be vaccinated with MMR and varicella on the same day. I am afraid of the adverse side effects of the MMR vaccine. My son is not premature nor underweight. But after birth, the doctor treated my son with Gardinal because the nurse told the doctor that the baby was trembling when crying and sometimes when not crying.With regards the family history, my wife\s 75-year-old grandmother is now under treatment for a neurological disorder or madness for four years. Sometimes, she has to be admitted to the mental hospital. My 62-year-old mother is suffering from a hearing problem since three years.So, keeping in mind the above things and the data available from the internet about the MMR vaccine, I want to know the chances of being affected adversely by MMR vaccines like autism and hearing problem? [/INST] Hello, Welcome to Chat Doctor forum. As per current recommendations, MMR (measles, mumps, and rubella) and Varicella vaccines can be given to your child at 15 months of age at different sites. There is no association of MMR vaccine with autism. The benefits far outweigh any risks. For more information consult a paediatrician online </s> |
<s>[INST] Hello doctor,I am a 57 year old male. I just had a blood test. Results: Hemocrit 60.0 (h), Blood Urea Nitrogen 24 (h), MCV 96.6 (H), MCHC 31.9 (L), Creatinine 1.36 (H), Basophils 2.1 (H), All other labs were normal. [/INST] Hello. BUN levels represent the balance between urea production (liver), urea breakdown, and urea elimination (kidneys). Therefore, BUN is an indicator of kidney health and/or liver health. A high hematocrit could be due to many reasons and is not an indication of iron overload. Your hematocrit is not that high. Serum iron, TIBC, and serum ferritin levels are better indicators of iron overload in hemochromatosis. Your MCV is only slightly elevated. So, there is no need to worry about that. For more information consult a hematologist online </s> |
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